Job Description: Practice Nurse (2 Days per Week / Sessional Role) Location: General Practice (Wales) Hours: 2 full days per week (Monday and Thursday) Pay: Dependant on experience
* estimated Band 6 equivalent (nonAgenda for Change practice pay structure) Responsible to: Practice Manager / GP Partners Accountable to: NMC Registered Nurse Standards Job Summary
The Practice Nurse will provide high-quality, evidence-based nursing care within a general practice setting, working autonomously as a registered practitioner within their scope of practice.
The post-holder will play a key role in improving the quality, consistency, and coverage of targeted patient reviews, with a primary focus on Chronic Kidney Disease (CKD) and Cardiovascular Disease (CVD) quality improvement (QI) activity.
The role will also support broader chronic disease management, preventative care, and health promotion.
This is a two-day-per-week role (Monday and Thursday) designed to provide continuity and meaningful capacity for structured chronic disease review work, with a strong emphasis on QI delivery and population health outcomes.
The role will evolve in line with changing contractual quality improvement requirements within NHS Wales primary care frameworks.
Key Responsibilities
* Quality Improvement & Targeted Patient Reviews (Core Focus)
o Lead and support CKD and CVD quality improvement activity, including:
+ Identification, recall, and structured review of eligible patient cohorts
+ Delivery of comprehensive clinical reviews and optimisation of care pathways
+ Monitoring and interpretation of key clinical indicators (e.g., BP, eGFR, lipid profiles, albuminuria where appropriate)
+ Cardiovascular risk assessment and prevention optimisation
+ Improve and maintain: Clinical coding accuracy and data quality
+ Recall systems and patient engagement processes
+ Achievement of QI and contractual targets
+ Contribute to audit cycles and evaluation of CKD/CVD service outcomes
* Chronic Disease Management
o Undertake structured reviews for long-term conditions, including:
+ Diabetes
+ Hypertension
+ Asthma and COPD
+ Cardiovascular disease
Provide evidence-based education, lifestyle advice, and self-management support. Ensure care is aligned with national and local clinical guidance.
* Treatment Room & General Nursing Care
o Provide core treatment room services including:
+ Wound care and dressings
+ Suture and clip removal
+ Injections (where trained and competent)
+ Opportunistic care and minor procedures within scope of practice
Ensure safe, timely, and evidence-based clinical interventions.
* Prevention, Screening & Immunisations
o Deliver vaccination programmes in line with UK and Welsh schedules
o Cervical screening (if appropriately trained and accredited)
Health promotion and preventative care interventions across the patient population.
* Clinical Governance & Professional Practice
o Work in accordance with the Nursing and Midwifery Council Code of Professional Conduct
+ Maintain accurate, timely electronic patient records
+ Participate in audit, significant event analysis, and quality improvement activity
+ Adhere to infection prevention, safeguarding, and medicines management policies
+ Maintain professional registration and ongoing CPD in line with revalidation requirements
* Communication & Team Working
o Work collaboratively with GPs, practice pharmacists, and administrative staff
+ Support multidisciplinary care planning and delivery
+ Communicate effectively with patients regarding diagnosis, management, and preventative care
* Service Development & Future Adaptability
o Contribute to evolving primary care priorities within NHS Wales contractual and QI frameworks
+ Support ongoing service redesign and improvement initiatives
+ Adapt to changing quality improvement and population health requirements over time
Person Specification
* Essential: Registered Nurse (Adult) with valid NMC registration
* Experience in primary care or community nursing
* Competence in or willingness to develop chronic disease management skills
* Ability to work autonomously across structured clinical sessions
* Strong organisational and prioritisation skills
* Understanding of safeguarding principles (adults and children)
* Commitment to evidence-based practice and quality improvement
* Desirable:
o Experience in CKD and/or CVD management
o Cervical cytology qualification (NHSCSP accredited)
o Immunisation and vaccination training
o Experience working within NHS Wales primary care systems
o EMIS Web or equivalent clinical system experience
o Experience or interest in quality improvement methodologies (QI cycles, audit work)
* Skills & Competencies:
o Advanced clinical assessment and risk stratification
o Strong understanding of data quality and clinical coding
o Ability to deliver structured QI-focused clinics
o Effective patient education and behaviour change communication
o Independent workload management across two clinical days per week
o Multidisciplinary collaboration and care coordination
o Working Arrangements: 2 full working days per week (Monday and Thursday) Structured clinical sessions focused on CKD/CVD QI work and chronic disease management Consistent weekly presence to support continuity of care and review cycles Flexibility to align with practice priorities and seasonal demands (e.g., vaccinations)
o Pay & Benefits:
+ Salary: Dependant on experience
+ Estimated Band 6 equivalent (non Agenda for Change practice pay structure)
+ Competitive remuneration reflective of autonomous primary care nursing practice
+ Support for continuing professional development and role-specific training
o Other Requirements:
+ Enhanced DBS clearance
+ Commitment to safeguarding adults and children
+ Compliance with infection prevention and control standards
+ Commitment to ongoing professional development and NMC revalidation
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