Job summary We have an exciting opportunity to welcome an experienced Practice Nurse to lead clinics that deliver evidence-based practice to patients who are diagnosed with long term health conditions. Management of diabetes is essential. Knowledge or experience in other areas, such as hypertension, peripheral vascular disease, chronic kidney disease and cerebrovascular disease would be desirable. Although the above is the main purpose of this job, the successful candidate will also have the opportunity to provide a general practice nurse service that may include cytology, wound care, immunisation and other core General Practice Nurse roles as required and within your competencies. We are a friendly, supportive, hardworking, and innovative team who enjoy working together. You will be supported by an experienced and dedicated clinical, leadership and admin team. Hours and work pattern; part time over two or three days (this is flexible) Main duties of the job The focus of the role is the delivery of evidence-based practice for patients with long-term conditions and management and preventative nursing interventions to patients. Management of diabetes is essential and other areas, e.g. hypertension, peripheral vascular disease, chronic kidney disease and cerebrovascular disease are desirable. Although this is the main purpose of the post, the post holder will also be required to provide a general practice nurse service including cytology, wound care, immunisation and other core GPN roles as required and within your competencies. About us The Porch is a purpose-built practice that is situated in the picturesque market town of Corsham on the edge of the Cotswolds, with easy access to the M4 and 9 miles from the City of Bath. We pride ourselves on providing high quality, patient-centred care with a strong team-working ethos. The Porch has six GP Partners, three salaried GPs, an ANP, both senior and practice nurses, HCA's, phlebotomists and a range of admin staff for both clinical and business support. The Practice benefits from several PCN employed staff that currently includes, first contact physiotherapists, a clinical pharmacy team and a living well team that consists of social prescribers who liaise with experienced care coordinators, physicians associates and general practice assistants. Date posted 17 April 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A1950-25-0000 Job locations Beechfield Road Corsham Wiltshire SN13 9DL Job description Job responsibilities The following are the core responsibilities. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: Work within the NMC Code of Conduct; maintaining professional standards of practice and behaviour for nurses. Prioritise people, practise effectively, preserve safety and promote professionalism and trust. Recognise and work within own competencies. Diagnose and manage patients with long term health conditions integrating both drug-and non-drug-based treatment methods. Implement and evaluate individual specialised treatment plans with patients with long term health conditions. Work with patients in order to support compliance with and adherence to prescribed treatments. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing as indicated. Review medication for therapeutic effectiveness, appropriate to patient needs, and in accordance with evidence-based practice and national and practice protocols (within scope of practice). Discuss with GP if any medication change is indicated (if not a non-medical prescriber). Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Provide health promotions and encourage well-being; using skills such as motivational interviewing. Document accurate recalls following reviewing patients with long term health conditions. Liaise with administration team regarding recalls for patients with long term health conditions. Provide other clinics as required by the surgery (within your scope of practice and competence) For example Smears, ECG, Acute and Chronic Wound Management, Doppler Studies and Phlebotomy. Administration of S/C or IM medication as prescribed; for example prostap & hydroxocobalamin. Run annual influenza clinics and provide opportunistic influenza vaccines during other clinics as indicated and adhering to PGDs. During clinics, check if patients are up to date with the national routine immunisation schedule. Offer vaccinations to eligible patients in accordance with the national routine immunisation schedule and adhering to PGDs; for example pneumococcal vaccination. Chaperone patients as indicated. Undertake the collection of pathological specimens, for example swabs & urine samples. Request pathology services as indicated. Recognise patients presenting with mental health needs, assess and take action required. Discuss with colleague or GP if concerns identified (within your competencies). Contributing to the monitoring and maintaining of the cold chain including contributing to the twice daily record of fridge temperatures, report any breach of the cold chain and take action as per cold chain policy. Work within the national standards of infection control and cleanliness and regulatory professional requirements and good practice guidelines. Prioritise own workload and ensure effective time-management strategies are implemented. Acting as a supervisor to students and newly qualified staff as required (within your scope of practice) Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual). Contribute to practice targets; for example QOF, complying with local and regional guidance. Maintain the knowledge and skills you need for safe and effective practice. Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences). Take part in clinical supervision. Continually review clinical practices, responding to national policies and initiatives where appropriate. Report all incidents including near misses. Participate in the review of significant and near-miss events. Take part in the development of practice clinical protocols Take part in audit cycles. Attend nurse meetings on a regular basis. Attend other meetings as requested, for example community meetings. Monitor and ensure the safe storage, rotation and disposal of medicines Develop working relationships with external organisations and develop awareness of services available to surgery population. Signposting as indicated. Participate in local initiatives to enhance service delivery and patient care Demonstrate due regard for safeguarding and promoting the welfare of children and adults. Discuss any concerns with the safeguarding lead at Porch Surgery. Job description Job responsibilities The following are the core responsibilities. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: Work within the NMC Code of Conduct; maintaining professional standards of practice and behaviour for nurses. Prioritise people, practise effectively, preserve safety and promote professionalism and trust. Recognise and work within own competencies. Diagnose and manage patients with long term health conditions integrating both drug-and non-drug-based treatment methods. Implement and evaluate individual specialised treatment plans with patients with long term health conditions. Work with patients in order to support compliance with and adherence to prescribed treatments. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing as indicated. Review medication for therapeutic effectiveness, appropriate to patient needs, and in accordance with evidence-based practice and national and practice protocols (within scope of practice). Discuss with GP if any medication change is indicated (if not a non-medical prescriber). Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Provide health promotions and encourage well-being; using skills such as motivational interviewing. Document accurate recalls following reviewing patients with long term health conditions. Liaise with administration team regarding recalls for patients with long term health conditions. Provide other clinics as required by the surgery (within your scope of practice and competence) For example Smears, ECG, Acute and Chronic Wound Management, Doppler Studies and Phlebotomy. Administration of S/C or IM medication as prescribed; for example prostap & hydroxocobalamin. Run annual influenza clinics and provide opportunistic influenza vaccines during other clinics as indicated and adhering to PGDs. During clinics, check if patients are up to date with the national routine immunisation schedule. Offer vaccinations to eligible patients in accordance with the national routine immunisation schedule and adhering to PGDs; for example pneumococcal vaccination. Chaperone patients as indicated. Undertake the collection of pathological specimens, for example swabs & urine samples. Request pathology services as indicated. Recognise patients presenting with mental health needs, assess and take action required. Discuss with colleague or GP if concerns identified (within your competencies). Contributing to the monitoring and maintaining of the cold chain including contributing to the twice daily record of fridge temperatures, report any breach of the cold chain and take action as per cold chain policy. Work within the national standards of infection control and cleanliness and regulatory professional requirements and good practice guidelines. Prioritise own workload and ensure effective time-management strategies are implemented. Acting as a supervisor to students and newly qualified staff as required (within your scope of practice) Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual). Contribute to practice targets; for example QOF, complying with local and regional guidance. Maintain the knowledge and skills you need for safe and effective practice. Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development. Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences). Take part in clinical supervision. Continually review clinical practices, responding to national policies and initiatives where appropriate. Report all incidents including near misses. Participate in the review of significant and near-miss events. Take part in the development of practice clinical protocols Take part in audit cycles. Attend nurse meetings on a regular basis. Attend other meetings as requested, for example community meetings. Monitor and ensure the safe storage, rotation and disposal of medicines Develop working relationships with external organisations and develop awareness of services available to surgery population. Signposting as indicated. Participate in local initiatives to enhance service delivery and patient care Demonstrate due regard for safeguarding and promoting the welfare of children and adults. Discuss any concerns with the safeguarding lead at Porch Surgery. Person Specification Qualifications Essential Registered Nurse with current NMC registration - Essential Diploma or degree - Essential Accredited qualification in long term health condition - Essential Desirable Non- medical prescriber Qualification - Desirable Triage Qualification - Desirable Minor Illness Qualification - Desirable Teaching Qualification - Desirable Experience Essential Previous experience of working in a secondary care environment Desirable Experience of working in a primary care environment Experience of long-term health conditions Experience of prescribing and undertaking medication reviews Person Specification Qualifications Essential Registered Nurse with current NMC registration - Essential Diploma or degree - Essential Accredited qualification in long term health condition - Essential Desirable Non- medical prescriber Qualification - Desirable Triage Qualification - Desirable Minor Illness Qualification - Desirable Teaching Qualification - Desirable Experience Essential Previous experience of working in a secondary care environment Desirable Experience of working in a primary care environment Experience of long-term health conditions Experience of prescribing and undertaking medication reviews 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). Additional information 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 The Porch Surgery Address Beechfield Road Corsham Wiltshire SN13 9DL Employer's website https://www.porchsurgery.nhs.uk/ (Opens in a new tab)