Job summary
Medway Rainham PCN is looking for a motivated Nurse Associate to join a brand new team delivering Single Neighbourhood Health.

This is a genuine opportunity to help shape a new way of working from the ground up. Our Single Neighbourhood Health team will focus on caring for high risk patients with complex needs, working proactively to keep people well, connected and supported closer to home. You'll be part of a small, dedicated team with the chance to influence how the service develops.

You'll work alongside GPs, nurses, pharmacists, paramedics and a wide range of other clinical and non-clinical roles, with real support to develop your skills and progress your career. We're a friendly, values-led PCN that believes in doing things properly good training, proper supervision, and a genuine say in how care is delivered.

If you're a qualified Nurse Associate who wants to make a real difference for patients with the most complex needs in our community, and help build something new, we'd love to hear from you.

Main duties of the job
As a Nurse Associate in our Single Neighbourhood Health team, you'll play a key part in supporting high risk patients with complex needs to stay well and independent in their own homes and communities.

Your day-to-day will include:

• Carrying out home visits and clinic-based appointments for patients with long-term conditions and complex care needs
• Monitoring patients' physical health, including taking observations and basic health checks
• Supporting wound care under agreed protocols
• Supporting medication administration in line with agreed protocols and your scope of practice
• Working closely with GPs, nurses, pharmacists, paramedics and social care colleagues to coordinate joined-up care
• Identifying changes in a patient's condition early, and escalating concerns appropriately
• Building trusted, ongoing relationships with patients and their families to better understand their needs
• Contributing to care planning alongside the wider clinical team
• Keeping accurate, timely patient records in line with information governance requirements
• Working flexibly across the neighbourhood as part of a caseload, with support from the wider multidisciplinary team

You'll be someone who works confidently as part of a supportive team, with a genuine interest in improving outcomes for patients with the most complex needs, and a commitment to working within your professional scope of practice.

About us
Medway Rainham Primary Care Network brings together 8 GP practices across Rainham to provide joined-up care for our local population. We're a close-knit, multidisciplinary team spanning clinical and business roles, including GPs, nurses, pharmacists, paramedics, social prescribers and a range of other specialist practitioners.

We've grown significantly in recent years, expanding both our team and the services we offer, and we're proud of the culture we've built along the way: supportive, down-to-earth, and genuinely collaborative. We believe good care starts with looking after our staff, so you'll find proper induction, ongoing training and development opportunities, and colleagues who are approachable and willing to help.

As a PCN, we work closely with our local ICB and wider place-based partnerships, giving our team opportunities to get involved in work that goes beyond a single practice and makes a real difference across the neighbourhood.

We offer access to the NHS Pension Scheme, and a working environment where your voice is heard and your development is genuinely supported.

Job responsibilities
Primary key responsibilities
The following are the core responsibilities of the PCN Nursing Associate in delivering health services. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• Deliver high quality, compassionate care whilst undertaking specific clinical and care tasks under the direction of a registered nurse (or other registered care professional dependent on PCN) with a focus on promoting good health and independence
• Provide high-quality holistic and person-centred care to individuals
• Provide routine care to patients as required in accordance with clinical based evidence, NICE and the NSF
• Provide wound care, dressings and other clinical tasks as required
• Work as part of the PCNs MDT to provide and monitor care, under direct or indirect supervision
• Improve safety and quality of care at every opportunity
• Contribute to the delivery of integrated care
• Work with the PCN MDT to ensure the delivery of Nursing Associate duties complements the existing workforce
• Work with a supervisor to take responsibility for developing own clinical competence, leadership and reflective practice skills within the workplace and enable the Nursing Associate to deal effectively with the difficult issues that people present
• Provide support and supervision to training nursing associates, healthcare assistants, apprentices and those on learning assignments/placements as required
• Support registered nurses to enable them to be able to focus on the more complex clinical care
• Develop relationships across the MDT to support the integration of the role across health and social care including primary care, secondary care and mental health
• Maintain accurate and contemporaneous patient health records ensuring that clinical data is appropriately recorded with SNOMED codes
• Perform and record clinical observations, including appropriate coding, such as blood pressure, temperature, respirations and pulse
• After undertaking additional training, provide flu vaccinations, ECGs and venepuncture and other relevant clinical tasks as required by the PCN in line with the competencies of the role
• Promote the health and wellbeing to all patients, for example undertaking the NHS health check
• Provide wound care (ulcer/Doppler etc.) to patients
• Provide support during minor operations as required
• Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to personalised care colleagues and local community and voluntary sector services
• Communicate proactively and effectively with all MDT colleagues across the PCN, attending and contributing to meetings as required
• Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
• Process pathology results as required
• Enhance own performance through continuous professional development, imparting own knowledge and behaviours to meet the needs of the service
• Contribute to and embrace the spectrum of clinical governance
• Attend a formal appraisal with your 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
• Contribute towards public health and screening programmes, including immunisations and vaccinations
• Support and deliver health promotion and wellbeing programmes including any opportunistic delivery
• Maintain a clean, tidy, effective working area
• Be an integral part of the general practice team, working in each practice and across the PCN, as well as supporting the wider multi-disciplinary team
• Recognise boundaries of own practice and know when and to whom patients should be referred
• Demonstrate initiative and be creative in finding solutions to problems
• Provide supervision to student Nurse Associates
• Support in the delivery of enhanced services and other service requirements on behalf of the PCN
• Support 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

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels. Further guidance to support this role can be found at Annex B (section B11) of the Network Contract Agreement DES Specification PCN Requirements and Entitlements 2026/27.

Wider responsibilities
In addition to the primary key responsibilities, the PCN Nursing Associate may be requested to:

• Support the delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives enhancing service delivery and patient care
• Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner
• Work to, and understand PCN and practice and departmental policies
• Act as a chaperone

Duties may vary from time to time without changing the general character of the post or the level of responsibility.

Person Specification
Qualifications
Essential

• Registered nursing associate and on the Nursing and Midwifery Council register
• Meets the specific qualification and training requirements as specified in the Nursing Midwifery Standards of proficiency by having undertaken and completed the two-year Foundation Degree delivered by a Nursing and Midwifery Council (NMC) approved provider

Experience
Essential

• Experience of working in a primary care environment
• Ability to work effectively as a team player under appropriate supervision and as part of a multi-disciplinary team

Desirable

• Insight into how to evaluate own strengths and development needs, seeking advice where appropriate
• Experience of quality initiatives, i.e., benchmarking
• Understanding of the scope of the role of the Nursing Associate in the context of the nursing and interdisciplinary team and the organisation and how the role may contribute to service 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.