Practice Nurse - Bank Practice Nurse
| Company: | NHS Jobs |
|---|---|
| Salary: | £25 to £32 an hour |
| Hours: | Full-time |
| Location: | London, E4 8LF |
| Job type: | Contract |
| Posting date: | 21 Sept 2026 |
| Closing date: | 18 Oct 2026 |
Summary
The Practice Nurse will provide high-quality, evidence-based nursing care to patients accessing the E4 PCN Enhanced Access Service. The postholder will work as an autonomous and accountable practitioner, providing assessment, treatment, monitoring, health promotion and management of patients across a broad range of clinical presentations. The role is particularly suited to an experienced Practice Nurse who is confident working independently and able to manage a clinical workload without direct nursing supervision. The postholder will be expected to exercise sound clinical judgement, recognise and manage clinical risk, work within their scope of professional competence and escalate appropriately when a patient's needs exceed their level of expertise or the resources available within the service. The Enhanced Access Service provides additional primary care appointments during evenings and weekends. The successful candidate must be able to work flexibly during these periods, with the majority of nursing activity delivered on Saturdays. The Practice Nurse will work collaboratively with GPs, Advanced Practitioners, Healthcare Assistants, administrative teams and other members of the multidisciplinary team across the PCN and its member practices. The postholder will contribute to the PCN's commitment to providing safe, accessible, responsive and consistently high-quality patient care. Main Duties and Responsibilities Clinical Practice Provide a high standard of evidence-based nursing care to patients accessing the Enhanced Access Service. Undertake comprehensive nursing assessments, identifying physical, psychological and social needs and developing appropriate plans of care. Independently assess, manage and treat patients within the limits of professional competence, local pathways and agreed protocols. Use clinical reasoning and professional judgement to make appropriate decisions regarding patient management. Implement and evaluate individualised treatment and management plans. Monitor patients' progress and modify care appropriately in response to clinical findings. Recognise when a patient requires further assessment, investigation, treatment or referral and arrange appropriate escalation. Prioritise health problems and respond appropriately to complex, urgent or emergency situations. Initiate appropriate emergency care within the limits of competence and ensure timely escalation to a GP, Advanced Practitioner, emergency services or other appropriate clinician. Recognise and respond appropriately to safeguarding concerns, including those relating to children, adults at risk and vulnerable patients. Promote patient dignity, privacy, choice and involvement in decisions regarding their care. Provide appropriate health education and support patients to develop confidence in self-management. Maintain accurate, contemporaneous and confidential clinical records following every patient contact. Ensure all clinical activity is appropriately coded and documented on the relevant PCN or practice clinical system. Treatment Room and General Practice Nursing The postholder should have competence in some or all of the following areas, depending on experience, training and service requirements. This list is not exhaustive: Wound assessment and management. Wound dressings and general treatment room procedures. Assessment and management of minor wounds and uncomplicated skin conditions within scope of practice. Urinalysis and appropriate interpretation/escalation of results. Blood pressure, pulse, respiratory rate, oxygen saturation, temperature, blood glucose and weight measurement. ECG recording and appropriate recognition and escalation of abnormal findings. Blood taking/phlebotomy where appropriately trained. Spirometry and respiratory assessment where appropriately trained. Cervical screening/cytology. Contraceptive advice and family planning. Sexual health advice and appropriate signposting/referral. Warfarin/INR monitoring where locally commissioned and within competence. Ear care, including ear irrigation where appropriately trained. Diet and lifestyle advice. Health promotion and preventative interventions. Administration of prescribed medicines and injections within competence and in accordance with local policy. Travel health assessments and travel vaccinations. Vaccine stock monitoring, checking and ordering. Appropriate maintenance of vaccine storage and cold-chain requirements. Immunisation and Vaccination The Practice Nurse may be required to administer and support a range of immunisation programmes, subject to appropriate training and authorisation. This may include: Seasonal influenza vaccination. COVID-19 vaccination. Childhood immunisations. Pneumococcal vaccination. Pertussis vaccination. Shingles vaccination. Other locally commissioned vaccination programmes. Travel vaccinations. The postholder will: Confirm appropriate vaccination status and eligibility. Check relevant clinical information and contraindications. Obtain appropriate consent. Administer vaccines safely in accordance with current guidance and local protocols. Recognise and appropriately manage adverse reactions, including anaphylaxis. Maintain accurate vaccination records. Ensure appropriate coding and documentation. Maintain appropriate vaccine stock levels. Check expiry dates and storage conditions. Follow cold-chain requirements. Escalate any concerns regarding vaccine storage or safety. Long-Term Condition and Chronic Disease Management The Practice Nurse will contribute to the assessment, monitoring, treatment and ongoing management of patients with long-term conditions. This may include, but is not limited to: Hypertension. Diabetes. Asthma. COPD. Mental health conditions. Cardiovascular disease and associated risk factors. Other long-term conditions within the nurse's scope of competence. Responsibilities will include: Undertaking appropriate clinical reviews and assessments. Monitoring relevant clinical parameters and identifying changes requiring intervention. Developing, implementing and reviewing individualised care and treatment plans. Providing education and advice to support effective self-management. Identifying patients at increased clinical risk and escalating appropriately. Supporting medication adherence and lifestyle modification. Providing appropriate dietary, smoking cessation, physical activity and weight management advice. Identifying opportunities for preventative care and early intervention. Ensuring appropriate recalls and follow-up arrangements are documented and communicated. Working collaboratively with the patient's registered practice where ongoing management or follow-up is required. Professional Development The Practice Nurse will be responsible for maintaining and developing their professional knowledge and clinical competence. This will include: Maintaining current NMC registration. Working in accordance with the NMC Code and relevant professional standards. Undertaking mandatory and role-specific training. Maintaining competence in relevant clinical skills. Participating in continuing professional development. Undertaking reflective practice. Keeping up to date with relevant clinical guidance, legislation and best practice. Identifying personal learning needs through appraisal, supervision and clinical practice. Maintaining evidence of competence for procedures undertaken within the role. Key Clinical Competencies The successful candidate should demonstrate competence in a range of Practice Nursing skills, including where relevant: General Practice Nursing Wound care and dressings. Treatment room procedures. Blood pressure, pulse, weight and other routine observations. Immunisations and Injections Blood testing/phlebotomy. Urinalysis. ECG. Spirometry. LTC Condition Management Ear care. Cervical screening. Contraception and family planning. Health promotion and lifestyle advice.