Practice Nurse in Harwell

Job summary

The Key Medical Practice are looking for a full-time or part-time Practice Nurse to start November 2026. The successful candidate will work across two sites in Kidlington and Yarnton.

Main duties of the job

To deliver high-quality, autonomous, evidence-based nursing care in a clinical setting. The Experienced Nurse plays a key role in complex patient assessments, long-term condition management, clinical decision-making, and supporting operational excellence. The role significantly contributes to patient safety, service quality, clinical leadership, and the mentoring of less experienced colleagues.

About us

The Key Medical Practice sits at the heart of its community in Kidlington, providing accessible, high-quality primary care to the patients and families who depend on it. As part of PML's portfolio of practices, it benefits from the resources and governance of a wider federation while retaining the personal, continuity-focused care that defines good general practice. The team delivers the full breadth of primary care services, from routine appointments and chronic disease management to urgent care and preventative health, ensuring every patient receives safe, effective, and compassionate support. Working closely with operational managers and senior leadership, the team oversees patient care delivery, appointment coordination, clinical record management, and service performance monitoring. The practice ensures that all services remain aligned with NHS standards and regulatory requirements, while upholding a commitment to delivering accessible, patient-centred care to the Kidlington community.

Job responsibilities

Practice Nurse - Role Purpose To deliver high-quality, autonomous, evidence-based nursing care in a clinical setting. The Experienced Nurse plays a key role in complex patient assessments, long-term condition management, clinical decision-making, and supporting operational excellence. The role significantly contributes to patient safety, service quality, clinical leadership, and the mentoring of less experienced colleagues.

Role Accountabilities

Advanced Patient Assessment & Clinical Care

• Undertakes comprehensive nursing assessments, clinical observations and treatment plans within professional scope.
• Manages a caseload of patients autonomously, including those with complex needs or long-term conditions.
• Provides advanced wound care, chronic disease monitoring, childhood and adult immunisations, ECGs, cervical screening, and other enhanced skills (depending on competency).
• Escalates concerns appropriately while exercising professional judgement and decision-making authority.

Clinical Decision-Making & Risk Management

• Applies clinical reasoning to identify deterioration and make informed decisions.
• Uses evidence-based practice and guidelines to plan and deliver care.
• Contributes to clinical risk management through incident reporting, safety checks and proactive risk identification.
• Provides support during emergencies, ensuring safe escalation and rapid response.

Health Promotion, Patient Education & Self-Management Support

• Provides tailored health education and lifestyle advice to patients and families.
• Supports behaviour-change interventions such as smoking cessation, weight management or medication adherence.
• Helps patients understand and manage their own conditions, improving long-term health outcomes.
• Identifies safeguarding concerns and signposts to appropriate support or protective measures.

Clinical Workflow & Service Efficiency

• Ensures effective time management and patient flow.
• Supports coordination between clinical and administrative teams to optimise service delivery.
• Works confidently within protocols and contributes to service development or pathway improvements.
• Participates in audits, clinical reviews and quality improvement initiatives.

Leadership, Support & Team Contribution

• Acts as a role model for excellent professional standards, communication and patient care.
• Supports, advises and mentors junior nursing staff, healthcare assistants or students.
• Offers guidance during busy periods and contributes actively to team problem-solving.
• Shares knowledge, experience and good practice to strengthen overall team capability.

Professionalism, Conduct & Values

• Demonstrates accountability and autonomy while working within the Nursing & Midwifery Council (NMC) Code.
• Maintains accurate, contemporaneous clinical records.
• Upholds confidentiality, safeguarding and data protection principles in all interactions.
• Models values-based behaviour, acting with compassion, respect, fairness and integrity.
• Supports an inclusive and culturally sensitive environment for patients and colleagues

Continuous Learning & Service Development

• Maintains and updates competencies through CPD, reflective practice and training.
• Engages in learning related to long-term conditions, clinical skills, diagnostics or expanded roles.
• Contributes to service improvements, policy updates and evidence-based changes.
• Participates in appraisals, audits and clinical governance processes.

Person Specification

Qualifications

Essential

• Registered Nurse (Adult) with current NMC registration.
• Relevant recognised nursing qualification (e.g. Diploma or Degree in Nursing).
• Evidence of post-registration training relevant to primary care or community nursing.

Experience

Essential

• Experience delivering direct patient care within a healthcare setting.
• Experience working within agreed protocols and escalating clinical concerns appropriately.
• Experience in primary care, GP practice, out of hours, or community services.

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. For further information please see NHS Careers website.

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