Job summary
We are looking for a committed, motivated Practice Nurse to join our experienced and friendly nursing team at Alton Street Surgery.

You will have a caring nature and a proactive professional manner to provide a high standard of nursing care.

You will be working as part of a Nurse team with HCA support.

Please note that this role includes the requirement to cover extended access appointments on Wednesday evenings until 8.00pm.

Main duties of the job
To be responsible for the delivery of evidence-based nursing services, working as part of the practice multi-disciplinary team, delivering care within their scope of practice to the entitled patient population. You will have a particular focus on managing respiratory and CVD reviews.

Working autonomously, you will be responsible for a number of clinical areas such as health promotion, chronic disease management and health prevention.

About us
Alton Street Surgery is well established and has a very good reputation for patient care and accessibility. In 2018 the surgery received a rating of Outstanding from the CQC. The practice provides care to approximately 11,700 patients in Ross-on-Wye and surrounding rural areas.

We have a young and enthusiastic Partnership who are family friendly and who encourage a strong team ethos within the surgery. It is very important to the partners that this is maintained and developed. Learning is important in the organisation, and the partners encourage the development of staff.

The practice has the support of a large clinical team, which includes allied health professionals such as an ANP, ACP, Clinical Pharmacist and an experienced nursing and HCA team. We have experienced Patient Services Team who actively manage workflow optimisation, signposting, and pathology delegation, helping to reduce some of the administrative burdens.

We are a training practice (with 3 GP trainers) that also provides medical cover to the local 32 bed community hospital opposite the practice, and an active member of the South and West Herefordshire Primary Care Network.

Job responsibilities

• Support the Infection Prevention Control (IPC) lead and work to the IPC Policy
• Consult with patients and their families to undertake assessments of patient need
• Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives
• Develop, implement and embed an effective care management programme for the frail and housebound patients registered with the organisation
• Support public health and screening programmes, including immunisations, vaccinations, and cervical screening and also provide opportunistic health promotion advice
• Embed population health management approaches within general practice, targeting health inequalities and improving access
• As required, provide routine nursing care to patients in accordance with clinical based evidence and NICE guidance
• Support new-to-practice nurses and other healthcare professionals within the organisation
• Teach and advise patients and their families on how to manage their condition
• Participate in clinical audits and research projects and implements changes as required, including supporting with the development, and updating of practice protocols/guidelines and procedures locally
• Work within national and local protocols where these exist
• Recognise the boundaries of their practice and know when and to whom patients should be referred
• Support in the delivery of enhanced services and other service requirements
• Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
• Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events
• Undertake all mandatory training and induction programmes
• Contribute to and embrace the spectrum of clinical governance
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation
• Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
• Lead on public health campaigns (e.g., flu clinics)
• Provide wound care to patients
• Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively
• Contribute to practice targets (QOF, etc.), complying with relevant guidance
• Maintain chronic disease registers and implement an effective call/recall system
• Maintain a clean, tidy, effective working area at all times
• Chaperone patients where necessary
• Support the team in dealing with clinical emergencies
• Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
• There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Wider responsibilities

• Develop, review and implement nursing protocols in conjunction with the partners
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning in order to improve patient care
• Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
• Support with the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
• Support in the coordination of the nursing team rota

Qualifications
Essential

• Registered Nurse

Desirable

• Post graduate diploma or degree (primary care)
• Independent prescriber

Experience
Essential

• Experience of working as a practice nurse, or primary care environment
• Experience of chronic disease management
• Experience of working autonomously
• Experience of infection prevention and control measures

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).

Employer details
Employer name: Alton Street Surgery
Address: Alton Street, Ross-on-Wye, Herefordshire, HR9 5AB, United Kingdom
Employer's website: https://www.altonstreet.nhs.uk/

For questions about the job, contact: Practice Manager Lindsey Curtis, altonstreet.admin@nhs.net, 01989563646

Closing date: 05 November 2026
Reference number: A3737-26-0006

Apply through our website.