Lead Nurse; Pwk

Henmore Health is looking to recruit an experienced, motivated and practical Lead Nurse to provide clinical leadership and day-to-day support to our nursing team across our Ashbourne and Brailsford sites. This is a key senior role for a nurse who enjoys combining hands-on general practice nursing with team leadership, service development and quality improvement. The postholder will help ensure our nursing services are safe, consistent, efficient and aligned with commissioned requirements.

• Provide clinical leadership and day-to-day guidance to the nursing team.
• Line manage and support a team of around 5 to 6 nursing colleagues, including appraisals, 1 to 1s, supervision and competency oversight.
• Support safe, consistent and effective delivery of nurse‑led services across both sites.
• Review nursing processes, clinic structures, recall systems and template use to improve efficiency and consistency.
• Work with the Quality Team to improve QOF coding, template use, recall processes and performance.
• Use Systm One and Ardens Templates effectively to support accurate records, coding and patient care.
• Review relevant service specifications and commissioned requirements, acting as the clinical eyes on whether nursing services are being delivered safely, consistently and as expected.
• Support development in diabetes, respiratory disease, contraception, womens health and LARC services according to experience, competence and service need.
• Maintain an appropriate clinical caseload alongside protected leadership and management time.

Henmore Health is a multi‑site general practice providing care across Ashbourne and Brailsford. We are developing our nursing leadership structure to strengthen supervision, clinical governance, service consistency and quality improvement across the team.

• Act as the recognised clinical lead for the nursing team
• Provide day-to-day guidance on clinical practice and decision-making within scope
• Support safe, evidence‑based care across all nursing clinics
• Lead on the development and implementation of clinical protocols and pathways
• Ensure alignment with current NICE guidance, local ICB requirements and best practice
• Act as the escalation point for nursing clinical queries where appropriate
• Review relevant service specifications and commissioned requirements, providing clinical input on whether nursing services are being delivered safely, consistently and in line with expectations
• Work with the Quality Team to identify clinical coding, template, recall or workflow issues that affect QOF achievement, patient care or commissioned service delivery

• Provide first‑line support and line management for the nursing team, including Practice Nurses, Nursing Associates and HCAs.
• Undertake
• Appraisals
• Regular 121s
• Probation reviews where required
• Manage performance or conduct concerns in collaboration with the Operations Manager and HR processes where required.
• Support team wellbeing, retention, communication and consistency across both sites.

Importantly, this includes supporting resolution of differing clinical opinions within the team, ensuring decisions are

• Evidence‑based
• Pragmatic
• Consistent across sites

• Lead ongoing review of nurse‑led services including long‑term condition reviews, diabetes, respiratory disease, contraception, cytology and womens health.
• Identify opportunities to improve efficiency, flow, and use of skill mix
• Streamline nursing processes, recalls, clinic templates and appointment use across both sites, using Systm One and Ardens Templates consistently
• Support safe innovation and new ways of…