Job summaryThe post holder will be expected to liaise appropriately with all members of the multidisciplinary team to provide an expert service to service areas related to the speciality.
To be responsible for all aspects of which involves assessment, planning, delivery and evaluation of direct patient care and function as an independent practitioner/clinical expert by virtue of their in-depth knowledge and experience.
To support clinicians in the multidisciplinary team in providing clinical and managerial expertise in all aspects of the speciality ensuring the highest standard of nursing care.
To lead, initiate and manage projects that will deliver enhanced patient care and inform best practice statements.
To monitor and ensure a positive focused service incorporating patients' feedback to improve patient care.
To act as an effective role model and mentor promoting excellence through practice.
Have experience of using Emis
Main duties of the jobAlways maintain professional behaviour and promote a positive Practice image.
To demonstrate clinical expertise.
To undertake clinics providing expert advice, counselling and individualised patient focused treatment and care.
To accept & prioritise referrals & autonomously manage a specific caseload without direct supervision, using own judgment & discretion.
Undertake such clinical procedures as necessary in the management of individualised patient care, demonstrating a high standard of nursing practice.
To undertake all relevant procedures in accordance with Practice policies and ensure that these procedures and policies are understood and adhered by all staff, within own management responsibility.
To actively participate in the development of relevant evidence based clinical guidelines/policies relating to the speciality.
About usRoding Valley Medical Centre has an exciting opportunity for a qualified and experienced Practice Nurse to join our friendly and supportive team, working across our two practice sites.
We are looking for an enthusiastic and motivated Practice Nurse who is committed to delivering high-quality, patient-centred care within a primary care setting.
The successful candidate will work closely with GPs, nurses and the wider practice team, providing a range of nursing services to our patient population and contributing to the effective delivery and ongoing development of clinical services across the practice.
This is an excellent opportunity to join an established primary care team and make a positive contribution to the health and wellbeing of our local community.
Job responsibilitiesMAIN DUTIES AND RESPONSIBILITIESCLINICAL RESPONSIBILITIESTo demonstrate clinical expertise.
To accept & prioritise referrals & autonomously manage a specific caseload without direct supervision, using own judgment & discretion.
Undertake such clinical procedures as necessary in the management of individualised patient care, demonstrating a high standard of nursing practice.
To actively participate in the development of relevant evidence based clinical guidelines/policies relating to the speciality.
To establish effective working relations with all members of the multi-disciplinary team to promote good communication and a multi-disciplinary approach to patient care.
To ensure accurate and comprehensive consultation records are maintained using appropriate written and electronic documentation.
To collect data and provide essential information in a timely and accurate manner when requested for e.g. audits or monitoring CQC standards.
To ensure that all clinical and non-clinical incidents, including serious incidents are properly reported, investigated and changes made to avoid recurrence.
To give expert evidence based professional advice to healthcare professionals in primary and secondary patients and relatives, other clinical and non-clinical staff.
Act in accordance with The Code - professional standards of behaviour for nurses and midwives (Nursing and Midwifery Council (NMC) 2015)
RESPONSIBILITY FOR PATIENTSTo respond to highly complex/demanding patient situations.
To lead clinically and professionally, making autonomous decisions in clinics.
To attend Home Visits where required.
To assess and diagnose specific symptoms within the scope of their practice, advise medical and nursing staff and /or prescribe medications according to patient's requirements, writing a record in the medical notes and reassessing according to the individual patient needs.
Where appropriate refer patients, who need to see a Haematologist to the Anticoagulation clinic as per clinical protocol.
To ensure communication with patients and significant others are established, ensuring empathy and reassurance regarding, assessment, care and treatment and to ensure informed consent is obtained from patients.
Be accountable at all times for ensuring that safeguards are in place for patients, in particular those adults at risk.
To respect patient's confidentiality, ethnic cultural and spiritual needs.
Observation and recording of vital signs.
To ensure that all patients are cared a clean and well-maintained clinical area, ensuring that all staff are aware that they are directly responsible for cleanliness standards when in charge and escalating issues when necessary.
RESPONSIBILITY FOR LEADING AND MANAGINGTo liaise, if required, with other hospital-staff and departments to promote and maintain effective working relationships, ensuring high standards of care and service.
To act as an appropriate and effective role model at all times.
To act as an effective mentor, preceptor and support other staff in performing this role.
To act as a resource, supporting and motivating staff members.
To participate in training needs analysis for own clinical area.
To actively participate in own appraisal/personal development plan with the Practice appraiser.
RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENTResolve any concerns about levels of care or incidents involving patients escalating to the lead nurse and reporting via the trust's incident reporting system.
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES WHEN ON DUTYAccountable for general clinical environment-needs, being alert to possible sources of cross-infection, maintaining safe and clear walkways and patient areas, ensure fire exits remain clear and equipment and supplies are stored correctly.
Accountable for the safe custody, storage, usage and recording of all medication including controlled drugs in accordance with policy.
Accountable for efficient and economical use of department supplies.
RESPONSIBILITY FOR INFORMATION RESOURCESTo be responsible for ensuring confidentiality and safekeeping of patient records.
RESPONSIBILITY FOR RESEARCH, EDUCATION & DEVELOPMENTTo actively participate in the development of relevant evidence based clinical guidelines/policies relating to speciality.
To be aware of the research process and current trends.
In collaboration with the clinical lead, audit agreed clinical guidelines of practice, policies and benchmarks within area of clinical responsibility.
Through the appraisal system, ensures own training needs are identified and mandatory training is kept up to date.
To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness.
GENERAL RESPONSIBILITIESInfection Control
Infection control is everyone's responsibility. All staff, both clinical and non-clinical, are required to adhere to Infection Prevention and Control policies and procedures and The Health and Social Care Act 2008: Code of Practice for the prevention and control of healthcare associated infections and make every effort to maintain high standard of infection control at all times thereby reducing the risk of Healthcare Associated infections.
It is the duty of every member of staff to take personal responsibility for the prevention and control of infection, as laid down in the Practice policies and procedures which reflect the statutory requirements of the Hygiene Code.
To ensure that monitoring of clinical practice is undertaken at the agreed frequency.
To ensure that the clinic environments are clean and maintained to the highest standards; ensuring that shortfalls are rectified or escalate as necessary.
To ensure that all relevant monitoring data and issues are provided to the Directorate's Governance structures.
HEALTH AND SAFETY AT WORKThe post holder is required to:
Take reasonable care for the health and safety of himself/herself and other persons who may be affected by their actions or omissions at work.
- Co-operate with the employer in ensuring that all statutory and other requirements
The post holder has a responsibility to comply with the Data Protection Act 1998 and maintain confidentiality of staff, patients and Trust business.
If you are required to process information, you should do so in a fair and lawful way, ensuring accuracy is maintained. You should hold information only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose.
You should disclose information only to authorised persons or organisations as instructed. Breaches of confidentiality in relation to information will result in disciplinary action, which may include dismissal.
Employees are expected to comply with all Practice policies and procedures and to work in accordance of the Data Protection Act 2018.
EQUALITY AND DIVERSITYWe value equality and diversity in employment and in the services we provide. It is committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that job related needs of all staff working in the Practice are recognised. We aim to ensure that all job applicants, employees or clients are
- Treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be based on the individual's ability to meet the requirements for the job.
You are responsible for ensuring that the Practice policies, procedures and obligation in respect of promoting equality and diversity are adhered to in relation to both staff and services
Person SpecificationQualificationsEssential- Registered Nurse
- 1st Level RGN
- Educated to Degree level
- Up to date with your immunisations
- If you are not on the update service for your DBS - you will have to cover the cost of a new enhanced DBS which we can send you a link to apply for.
- Be comfortable with home visits
- Significant post-registration experience
- Experience of working within a community service
- Previous experience of working in an Anticoagulant service
- Excellent communication skills
- Capillary blood sampling
- Excellent computer skills
- Familiar with INR Star System. Familiar with Anticoagulation software
- Up to date with developments within nursing
- Basic clinical governance and risk management
- Flexible approach to working
- Clearly spoken
- Suitability to work with vulnerable adults
- Enhanced disclosure via the Disclosure and Barring Service
- Access to a suitable vehicle to be used within your role
Disclosure and Barring Service CheckThis 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 RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer detailsEmployer nameWaltham Forest Federated GP Network
Address500 Larkshall Road
Highams Park
London
E4 9HH
United Kingdom
Employer's websiteApply through our website
Employer contact detailsFor questions about the job, contact:Practice Manager
Norah Sennett
norah.sennett@nhs.net
DetailsDate posted24 September 2026
Pay schemeOther
SalaryDepending on experience
bank nurse rate
ContractBank
Duration1 days
Working patternFull-time,
Part-time,
Flexible working
Reference numberB0116-26-0039-FIH
Job locations500 Larkshall Road
Highams Park
London
E4 9HH
United Kingdom
Privacy noticeWaltham Forest Federated GP Network's privacy notice (opens in a new tab)
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. 
