Experienced Practice Nurse - Crays PCN

Undertake and manage reviews for patients with long-term conditions including:
Diabetes Asthma COPD Hypertension Cardiovascular disease Chronic kidney disease Develop and implement personalised care plans. Support medication optimisation through review and monitoring. Identify deterioration or unmet need and refer appropriately. Utilise national and local clinical guidelines to support high-quality care.

Deliver cervical screening appointments in accordance with NHS Cervical Screening Programme requirements. Ensure appropriate patient education and informed consent. Maintain competency and accreditation requirements. Monitor and follow up results in line with practice protocols.

Deliver childhood and adult immunisation programmes. Administer seasonal influenza, COVID-19, pneumococcal, shingles and other national vaccination programmes. Ensure safe storage, handling and administration of vaccines. Promote vaccine uptake and support reduction of health inequalities.

Deliver nursing care to housebound patients across the PCN. Undertake long-term condition reviews within patients' homes. Provide vaccinations and immunisations for housebound populations. Monitor patients with complex and frailty-related needs. Liaise with community nursing teams and wider MDT services. Contribute to anticipatory care planning.

Venepuncture. Blood pressure monitoring. ECG recording. Wound care and dressings. Ear care (where appropriately trained). Health assessments and screening. Lifestyle and wellbeing advice.

Provide health education and behaviour change interventions. Support smoking cessation, weight management and healthy lifestyle programmes. Promote self-management and patient activation. Participate in population health management initiatives.

Work collaboratively with: GP practices PCN clinical teams Community nursing services Pharmacy teams Social prescribing teams Mental health practitioners Secondary care providers Participate in multidisciplinary team meetings. Support integrated neighbourhood working arrangements. Escalate safeguarding and clinical concerns appropriately.

Maintain clear, accurate and contemporaneous clinical records. Work in accordance with NMC Code and professional standards. Adhere to infection prevention and control policies. Participate in clinical audit and quality improvement projects. Report incidents and contribute to learning and governance processes. Maintain patient confidentiality and GDPR compliance. Contribute to achievement of QOF, IIF and local quality objectives. Support implementation of evidence-based practice.

Support development of nursing services across the PCN. Act as a role model for high standards of clinical practice. Participate in team meetings and service redesign initiatives. Support training and supervision of junior staff where appropriate. Maintain own professional development and revalidation requirements.