Job Description

The post holder will - - Lead long-term condition management across the PCN, ensuring evidence-based, standardised care aligned with QOF, IIF, and local priorities. - Support practice teams to identify at-risk patients and implement proactive care plans. - Support public health and screening programmes, including delivery and uptake of immunisations, vaccinations, and cervical screening. Work with the PCN team to achieve national targets and reduce variation in outcomes.



Embed population health management approaches, using data to identify inequalities, design interventions, and improve access for underserved populations - aligned with Core20PLUS5 and health equity goals. - Mentor, support, and supervise new-to-general-practice nurses, student nurses, and other healthcare professionals e.g., nursing associates, HCSWs across the PCN. Contribute to induction, professional development, and appraisal processes. - Work collaboratively across the PCN, actively engaging with community services, secondary care, social care, and voluntary sector providers to ensure integrated and holistic care pathways. Promote the use of digital tools e.g. risk stratification, recall systems, remote monitoring, to enhance personalised care and improve service efficiency. - Undertake mandatory training and CPD to meet NMC revalidation and practice needs. - Reflect on learning using appropriate frameworks e.g.

NMC Code. - Adhere to CQC standards, infection prevention and control protocols, and safeguarding responsibilities. - Participate in audits, significant event reviews, and quality improvement initiatives. - Maintain confidentiality, information governance, and data protection in line with NHS standards.



Recognise and work within own competence and professional code of conduct as regulated by the NMC. - Ensure that their own practice is kept updated, using an acceptable model of clinical supervision. - Take every opportunity to expand individual practice in line with the principles contained within the Nursing and Midwifery Councils document The Code 2015 or equivalent professional body. - Communicate with enthusiasm and conviction; in a style that, when relevant, motivates, inspires, and encourages. * Create a trusting partnership with patients and/or relatives/carers to communicate and explain complex medical issues - including new diagnoses and agree a management/treatment plan.