Job summary
Join our friendly, innovative and supportive GP practice

Brockwood Medical Practice is looking for an enthusiastic and motivated Practice Nurse to join our expanding multidisciplinary team.

This is an exciting opportunity for either a newly qualified or experienced nurse who is passionate about delivering high-quality, patient-centred care in general practice and keen to develop their clinical knowledge and skills.

As a training practice, we are committed to supporting the professional development of our staff. We have an excellent reputation for education, mentorship and innovation, and provide a supportive environment where nurses can build their confidence, develop their clinical skills and play an active role within our wider multidisciplinary team.

We welcome nurses who are enthusiastic about general practice, committed to providing safe and effective patient care, and keen to contribute to the ongoing development of our nursing services.

Main duties of the job
The Practice Nurse will provide high-quality, safe and effective nursing care to patients registered with the practice. The Nurse should be able to demonstrate, appropriate to their level of training, experience and competency:

• Safe and effective clinical assessment
• Venepuncture and specimen handling
• ECG recording
• Blood pressure and cardiovascular assessment
• Wound care
• NHS Health Checks
• Health promotion and lifestyle advice
• Immunisations and vaccinations
• Long-term condition management
• Dementia screening
• Cervical screening where trained
• Anticoagulation monitoring
• Patient education and self-management
• Accurate clinical documentation
• Effective clinical room and stock management

About us
Brockwood Medical Practice is a friendly, forward-thinking and high-performing training practice located across a beautiful rural and semi-rural area, caring for a diverse patient population. We pride ourselves on delivering high-quality, patient-centred care while creating a supportive, collaborative and rewarding environment for our team.

Our multidisciplinary workforce includes GPs, Advanced Clinical Practitioners, Clinical Pharmacists, Paramedics, First Contact Physiotherapists, Practice Nurses, Healthcare Assistants, Care Coordinators, Social Prescribers, alongside an experienced administrative and reception team.

Working as part of such a broad and skilled multidisciplinary team provides excellent opportunities for collaborative working, shared learning and professional development, with colleagues able to draw on the expertise of different clinical and professional disciplines.

We consistently achieve excellent clinical outcomes, with strong QOF performance reflecting our commitment to delivering high-quality, evidence-based care. Our patients also value the service we provide, reflected in an outstanding 94% overall satisfaction rating in the latest GP Patient Survey.

We are committed to developing our team and fostering a culture where staff feel supported to learn, develop their skills and contribute to the continued improvement of patient care.

Job responsibilities
Long-Term Condition Management
Undertake assessment, monitoring and review of patients with long-term conditions, including Diabetes, Asthma, COPD, Cardiovascular disease, Hypertension, Chronic kidney disease, Atrial fibrillation, Stroke/TIA, Other conditions as appropriate to the nurse's competencies and practice requirements

Duties may include:

• Clinical assessment and review
• Blood pressure monitoring
• Pulse and rhythm assessment
• Weight and BMI monitoring
• Lifestyle assessment and advice
• Review of symptoms and disease control
• Monitoring and review of agreed clinical parameters
• Identification of deterioration and appropriate escalation
• Patient education and self-management support
• Appropriate onward referral to GPs or other members of the multidisciplinary team

Diabetes
Undertake diabetic reviews within competency, perform and interpret agreed clinical measurements, complete foot assessments, review blood pressure, weight and lifestyle factors, undertake appropriate blood and urine monitoring, provide education regarding diet, exercise and self-management, identify patients requiring GP, pharmacist, podiatry or other specialist input, ensure appropriate coding and recall arrangements are completed.

Respiratory Conditions
Support patients with asthma and COPD through routine clinical reviews, assessment of symptoms and control, inhaler technique checks, provision of self-management advice, smoking cessation and lifestyle advice, appropriate monitoring and escalation, referral to respiratory or other services where required.

Cardiovascular Disease and Hypertension
Undertake blood pressure reviews, assess cardiovascular risk factors, support management of hypertension, undertake cardiovascular health promotion, monitor patients following agreed practice protocols, escalate abnormal findings appropriately.

Vaccinations and Immunisations
Undertake vaccination and immunisation programmes in accordance with national guidance, including childhood immunisations, adult vaccinations, influenza vaccination, COVID-19 vaccination where commissioned and appropriate, pneumococcal vaccination, shingles vaccination, other vaccination programmes as required. Responsibilities include checking patient eligibility, obtaining appropriate consent, safe administration of vaccines, appropriate observation and management of adverse reactions, accurate recording and coding, maintaining cold-chain requirement, stock monitoring and management.

Cervical Screening
Where appropriately trained and competent, undertake cervical screening, obtain appropriate consent, explain the procedure and provide patient reassurance, ensure accurate completion and submission of samples, maintain appropriate clinical records, provide appropriate follow-up advice.

Wound Care
Undertake assessment and management of wounds within competency, including acute wounds, chronic wounds, leg ulcers, post-operative wounds, skin integrity concerns. This may include wound assessment, dressing selection and application, assessment for infection, leg ulcer assessment and management, compression therapy where appropriately trained, patient education and self-management advice, appropriate referral where required.

ECGs and Cardiovascular Monitoring
Undertake 12-lead ECGs where clinically indicated, ensure accurate recording and documentation, recognise significant abnormalities requiring escalation, arrange appropriate GP review or onward referral.

INR Monitoring
Where trained and competent, undertake point-of-care INR testing, record results accurately, follow practice anticoagulation protocols, escalate abnormal or clinically concerning results, ensure appropriate follow-up is arranged.

Phlebotomy and Clinical Investigations
Undertake venepuncture, collect and correctly label blood samples, undertake appropriate investigations within agreed protocols, ensure specimens are processed and transported appropriately, recognise and escalate abnormal or clinically concerning findings.

Women's Health
Provide nursing support for women's health services within competency, including contraception advice and monitoring, sexual health screening and advice, menopause support and signposting, cervical screening, pregnancy-related health promotion and signposting, appropriate referral to GPs or specialist services.

Men's Health
Provide health promotion and preventative healthcare advice, including cardiovascular risk assessment, lifestyle advice, sexual health advice, appropriate signposting and referral.

Health Promotion and Prevention
Promote healthy lifestyles and preventative healthcare, including smoking cessation, weight management, healthy eating, physical activity, alcohol awareness, cardiovascular risk reduction, vaccination uptake, screening programmes. Provide appropriate advice and signpost patients to relevant NHS and community services.

NHS Health Checks
Undertake NHS Health Checks where appropriately trained and competent, including assessment of cardiovascular risk, blood pressure measurement, height and weight, BMI calculation, lifestyle assessment, smoking status, alcohol assessment, appropriate blood tests, QRISK assessment where required, health promotion and lifestyle advice, appropriate onward referral.

Dementia Screening
Where appropriately trained, undertake initial dementia screening as requested by the clinical team, complete approved cognitive assessment tools, record findings accurately in SystmOne, escalate concerns or abnormal findings to the GP, provide appropriate patient and carer information and signposting.

Vitamin B12 Injections
Where trained and competent, administer Vitamin B12 injections under an appropriate PSD/PGD or other authorised prescribing arrangement, check the patient's clinical record and treatment plan before administration, confirm appropriate consent, record administration accurately, monitor and report adverse reactions.

Clinical Room and Stock Management
Maintain clinical rooms to a high standard, ensure equipment is clean, safe and appropriately maintained, monitor clinical stock levels, order and replenish clinical consumables, check expiry dates, rotate stock appropriately, maintain vaccine and medication storage requirements, ensure emergency equipment is checked in accordance with practice procedures, report faulty equipment or other clinical safety concerns promptly.

Patient Care and Communication
Provide compassionate, person-centred nursing care, treat patients with dignity and respect, maintain professional boundaries, communicate effectively with patients, carers and colleagues, adapt communication to meet individual patient needs, support shared decision-making and patient self-management, recognise and escalate safeguarding concerns.

Clinical Governance and Patient Safety
Work within the NMC Code and professional standards, follow practice clinical policies and procedures, recognise and report clinical incidents and near misses, participate in significant event reviews and learning where appropriate, contribute to clinical audits and quality improvement, maintain accurate, contemporaneous clinical records, ensure appropriate escalation of abnormal observations and results, participate in practice clinical governance activities.

Administrative Responsibilities
Accurately record all consultations and clinical activity in SystmOne, complete appropriate clinical templates and coding, ensure recalls and follow-up arrangements are completed, review and action clinical tasks within agreed timescales, complete relevant documentation for investigations and procedures, maintain patient confidentiality in accordance with GDPR and NHS requirements.

Professional Responsibilities
Maintain current NMC registration, work within professional scope of practice and individual competencies, maintain clinical competencies through appropriate training and education, participate in annual appraisal and personal development planning, undertake mandatory training and required clinical updates where appropriate, keep knowledge and skills up to date in line with current evidence and national guidance.

Person Specification
Qualifications
Essential

• Registered Nurse with current NMC registration
• Experience of working within a clinical healthcare environment
• Competent in assessment, blood pressure, venepuncture, ECGs, wound care and health promotion
• Good understanding of the management of common long-term conditions
• Understanding of safe vaccine administration and cold chain requirements
• Understanding of safeguarding, infection control, confidentiality and clinical governance
• Excellent communication and interpersonal skills
• Ability to prioritise workload and manage clinical appointments effectively
• Compassionate, professional, reliable, approachable and able to work independently and as part of a multidisciplinary team

Desirable

• Previous general practice or primary care experience
• Experience in long-term condition management, INR monitoring and cervical screening
• Experience in managing a long-term condition such as diabetes, asthma, COPD, cardiovascular disease and hypertension
• Current immunisation and vaccination competency
• Experience using SystmOne and Ardens templates
• Knowledge of QOF and Primary Care Network services
• Experience providing patient education and behaviour change advice
• Experience working across multiple practice sites
• Interest in development

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.