Practice Nurse in London

Job summary

We are seeking an enthusiastic, motivated and patient-centred Practice Nurse / General Practice Nurse to join our friendly and supportive primary care team.

This role would suit a Practice Nurse who is trained and confident delivering core general practice nursing services and is ready to work autonomously as part of a multidisciplinary general practice team.

The successful candidate will be the practices main nurse and will therefore play an important role in supporting the safe, effective and well-organised delivery of nursing services across the practice.

The role does not require independent prescribing or advanced nurse practitioner qualifications but as the practices only nurse, would need to have the ability to deliver core nursing provision autonomously.

Main duties of the job

The postholder will provide a range of general practice nursing services, including cervical screening, childhood immunisations, adult immunisations, travel vaccinations, wound care and dressings, B12 injections, other injections under appropriate PGDs or PSDs, health checks, phlebotomy where appropriate, and support for long-term condition reviews within their competency.

As the practices nurse, the postholder will also support key nursing processes, including recall systems, vaccine ordering and stock management, cold-chain monitoring, infection prevention and control, nursing protocols, clinical audits and quality improvement work.

The successful candidate will work closely with the GP partners, Practice Manager, pharmacists, ACPs, HCAs, care coordinators, administrative colleagues and the wider multidisciplinary team.

They will be expected to work within their own professional competency, escalate appropriately where clinical issues fall outside their scope of practice, and contribute to the ongoing development of safe and effective nursing services for our patients.

Depending on experience, the successful candidate may also have the opportunity to act as the practices Safeguarding Lead, working with the GP partners, Practice Manager and wider team to support safeguarding processes, training, escalation and liaison with external agencies.

About us

Morris House is situated in Tottenham in a large, modern and airy purpose-built Medical Centre, which we share with district nurses, community physiotherapists, podiatrists, psychologists, tissue-viability nurses and a sexual health clinic.

Our list size is about 15,000 patients.

It is a diverse area and a cultural melting-pot.

Our practice has a very strong teaching ethos.

We train GP registrars, medical students, physician associates and foundation year 2 doctors among others.

We have close links with Kings Medical School and the St Georges Physician Associate teaching programme.

We provide training to GP trainees from the Enfield and Haringey VTS and Foundation Year 2 doctors from the North Middlesex Hospital rotation programme.

We perform the full range of clinical roles that you would expect in primary care.

In addition, we offer high-level minor surgery and specialist tongue tie release services.

We have diabetes, learning disability and spirometry clinics.

We offer a range of face-to-face and telephone appointments.

We are a friendly and interactive practice.

We support our staff with study leave allowance, study leave funding, regular meetings, morning coffee, teaching and social events.

We conduct regular satisfaction surveys.

You can find more information about our practice by visiting our website:

any informal queries or visits please contact our deputy practice manager Ms Michaela Ramgoolam:

Job responsibilities

The postholder will provide high-quality core general practice nursing services and will be ready to work autonomously as part of the wider General Practice team.

The role does not require independent prescribing, advanced nurse practitioner qualifications or routine minor illness management.

The successful candidate will be the practices main nurse and will therefore have an important role in supporting the safe, effective and well-organised delivery of nursing services across the practice.

This will include routine nursing clinics, cervical screening, childhood immunisations, adult and seasonal vaccinations, travel vaccinations, wound care, injections, health checks, phlebotomy where appropriate, and supporting long-term condition reviews within competency.

As the practices lead nurse, the postholder will also support key nursing processes, including recall systems, vaccine ordering, stock management, cold-chain monitoring, infection prevention and control, nursing protocols, clinical audits, quality improvement work, and supervision and support of the practice HCAs in relation to nursing activities.

The postholder will work closely with the GP partners, Practice Manager, pharmacists, ACPs, HCAs, care coordinators, administrative colleagues and the wider multidisciplinary team.

They will be expected to work within their own professional competency, recognise their limitations, and escalate appropriately where clinical issues fall outside their scope of practice.

Depending on experience, the successful candidate may also have the opportunity to act as the practices Safeguarding Lead, working with the GP partners, Practice Manager and wider team to support safeguarding processes, training, escalation and liaison with external agencies

Clinical Nursing Responsibilities

The postholder will work within their own professional competency and scope of practice. Duties may include:

• Running routine general practice nursing clinics.
• Undertaking cervical screening
• Delivering childhood immunisations in line with the national immunisation schedule.
• Delivering adult and seasonal vaccination programmes.
• Providing travel health advice and travel vaccinations in line with training, competency and appropriate PGDs or PSDs.
• Providing wound care, dressings and suture or clip removal.
• Administering B12 injections and other injections under appropriate PGDs or PSDs.
• Administering hormonal or oncology-related injections where directed by secondary care and where appropriate training, governance and authorisation are in place.
• Undertaking health checks and lifestyle advice.
• Undertaking phlebotomy where appropriate.
• Supporting long-term condition reviews within competency.
• Recognising acutely unwell patients and escalating appropriately.
• Discussing clinical concerns with the GP partners, duty clinician, ACPs or wider clinical team where matters fall outside the postholders scope of practice.
• Maintaining accurate, timely and appropriately coded clinical records.
• Lead Nurse Responsibilities

The postholder will be the practices lead nurse and will support the safe and effective organisation of nursing services.

Protected administration time will be provided to allow for the activities described.

Duties will include

• Taking a lead role in the delivery and monitoring of childhood immunisations.
• Taking a lead role in adult, seasonal and travel vaccination programmes.
• Supporting achievement of cervical screening, immunisation and other relevant practice targets.
• Supporting safe vaccine ordering, storage, stock rotation and stock control.
• Supporting cold-chain monitoring and escalation processes.
• Supporting infection prevention and control processes within the practice.
• Contributing to nursing-related audits and quality improvement work.
• Supporting call and recall systems for nursing-related services.
• Helping to maintain and review nursing protocols, PGDs, PSD processes and related practice guidance.
• Supporting the safe management of clinical stock, dressings, vaccines, emergency equipment and other nursing-related supplies.
• Supporting HCAs and other members of the team with nursing-related processes, within the limits of the postholders role and experience.
• Supporting the development, training and upskilling of HCAs where appropriate.
• Escalating risks, incidents, safety concerns or training needs to the Practice Manager and GP partners.
• Care and Programme Management

The postholder will

• Contribute to local and national targets, including cervical screening, immunisations and long-term condition care.
• Support safe and effective call and recall systems.
• Help ensure appropriate coding and documentation of nursing activity.
• Contribute to audit and review of nursing outcomes.
• Support the identification of patients requiring follow-up or escalation.
• Refer or signpost patients to other members of the multidisciplinary team, community services, statutory services or voluntary organisations where appropriate.
• Be aware of safeguarding protocols for children and vulnerable adults and escalate concerns appropriately.
• Support appropriate reimbursement processes for drugs, vaccines, injectables and dressings that the practice can claim back from NHS England.
• Working Within Scope of Practice

The postholder will

• Work within NMC professional standards and their own scope of competence.
• Be accountable for their own professional actions.
• Recognise professional and personal limitations.
• Seek advice and escalate appropriately where clinical issues fall outside their competency.
• Maintain evidence of training and competency for key clinical activities.
• Participate in supervision, appraisal and continuing professional development.
• Ensure that any expanded clinical duties are only undertaken following appropriate training, assessment and agreement with the practice.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration.

Experience

Essential

• Experience working as a Practice Nurse or in a relevant primary care nursing role.
• Competent to deliver core nursing services within general practice.
• Competent in cervical screening, or willing to complete any required update training.
• Competent in childhood immunisations and adult vaccinations.
• Experience or training in travel health and travel vaccinations, or willingness to undertake training where appropriate.

Desirable

• Previous experience in general practice.
• Experience or interest in safeguarding leadership.
• Experience of vaccine stock management and cold-chain processes.
• Experience supporting HCAs or junior colleagues.
• Experience contributing to audits, recalls or quality improvement.
• Experience in long-term condition reviews.
• Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applicants must have current UK professional registration.