PCN General Practice Nurse


Company:	NHS Jobs
Salary:	£48,000 - £62,000
Hours:	Full-time
Location:	Ruislip, HA4 8NX
Job type:	Permanent
Posting date:	29 Jul 2026
Closing date:	12 Aug 2026

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Summary

Work autonomously and accountably within the NMC Code, local policies, agreed clinical pathways and the limits of the role and individual competence. Undertake comprehensive, holistic nursing assessments for people with long-term conditions, multimorbidity, frailty and complex physical, psychological and social needs. Use enhanced clinical assessment skills and interpret observations, pathology results and other investigations within scope of practice, taking appropriate action and seeking advice where findings fall outside competence. Develop, implement and evaluate personalised care and support plans in partnership with patients, carers and the multidisciplinary team. Independently manage one or more defined long-term condition or specialist clinical areas, such as diabetes, respiratory disease, cardiovascular disease, frailty or another locally agreed priority. Review treatment effectiveness and, where qualified as an independent prescriber, prescribe, deprescribe and review medicines in accordance with evidence, national guidance, local formularies and professional accountability. Provide medicines education, support adherence, identify adverse effects or interactions and refer medicines-related concerns to the appropriate clinician or pharmacy professional. Promote prevention, healthy lifestyles, shared decision-making and supported self-management, including personalised goal setting and signposting to community and voluntary-sector services. Deliver adult and childhood immunisation and vaccination programmes in accordance with current national guidance, Patient Group Directions, Patient Specific Directions and individual competence. Undertake cervical screening, womens health, sexual health and contraceptive care where trained and competent, referring appropriately when needs are outside scope. Provide evidence-based wound care and tissue viability assessment within competence, including escalation of non-healing, infected or complex wounds. Recognise clinical deterioration, red flags, safeguarding concerns and urgent or emergency presentations; initiate immediate care and escalate or refer without delay. Undertake home, care home or community visits when required by the service and when clinically appropriate. Make timely referrals to GPs, advanced practitioners, community services, secondary care and other professionals, with clear safety-netting and follow-up arrangements. Maintain accurate, contemporaneous and complete clinical records, including clear documentation of assessment, clinical reasoning, consent, plans, advice, escalation and outcomes. Where prescribing in the role occurs, working within the individual scope of practice and according to the Confederations non-medical prescribing policy. Full details can be found in the supporting documents.

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