Job description

Job responsibilities

To provide high-quality, patient-centred clinical assessment, diagnosis, treatment and management for patients presenting with acute and urgent medical problems within a general practice setting.

The postholder will work closely with the GP team and wider multidisciplinary team, providing safe and effective care to patients both within the practice and in their own homes. The role requires an experienced clinician who is able to work autonomously within their scope of practice, while recognising when further clinical support, escalation or referral is required.

Main Duties and Responsibilities

Clinical Responsibilities

• Assess, diagnose and manage patients presenting with acute, urgent and undifferentiated medical conditions.
• Undertake face-to-face consultations and remote consultations where clinically appropriate.
• Conduct daily home visits for housebound and less mobile patients.
• Provide appropriate treatment, clinical advice, safety-netting and follow-up arrangements.
• Recognise and respond appropriately to patients who are acutely unwell or whose condition is deteriorating.
• Identify red flags and arrange appropriate escalation, referral or admission when required.
• Request, review and interpret relevant investigations within the scope of professional competence and agreed practice protocols.
• Prescribe safely and appropriately within the scope of practice and relevant prescribing authority, where applicable.
• Assess and manage common acute presentations, minor illnesses, minor injuries and acute exacerbations of long-term conditions.
• Provide appropriate clinical review and follow-up for patients requiring ongoing assessment.
• Maintain accurate, contemporaneous and comprehensive clinical records.
• Communicate effectively with patients, relatives, carers, colleagues and other healthcare professionals.
• Work collaboratively with GPs, practice nurses, healthcare assistants, PCN staff and other members of the wider multidisciplinary team.

Clinical Governance and Patient Safety

• Practise in accordance with professional standards, relevant legislation, local policies and practice protocols.
• Maintain patient confidentiality and comply with information governance requirements.
• Recognise and respond appropriately to safeguarding concerns.
• Participate in clinical audit, significant event reviews, quality improvement and other clinical governance activities.
• Ensure appropriate documentation, referral and follow-up of clinical care.
• Maintain professional registration, indemnity arrangements and continuing professional development.
• Work within professional competence and seek advice or support where necessary.
• Contribute to the safe and effective delivery of the practices acute care service.

Teamwork and Service Development

• Contribute positively to the development and improvement of acute care services within the practice.
• Work as part of a supportive, inclusive and collaborative team.
• Participate in practice meetings, clinical discussions, training and service development activities as appropriate.
• Support the effective use of digital systems and new ways of working.
• Share knowledge and experience with colleagues where appropriate.
• Demonstrate flexibility and contribute to the smooth and efficient running of clinical services.
• Promote the practices values of being Kind, Mindful and Proactive.

Communication and Working Relationships

The postholder will work closely with:

• GP Partners and salaried GPs
• Practice nurses and healthcare assistants
• Practice management and administrative teams
• Reception and care navigation staff
• PCN staff and wider multidisciplinary services
• Community and secondary care providers
• Patients, relatives and carers

Person Specification

Experience

Essential

• Experience working as a registered Paramedic or Registered Nurse in an urgent care, emergency care, primary care or comparable clinical setting.
• Demonstrable experience assessing, diagnosing and managing patients presenting with acute and undifferentiated medical conditions.
• Experience undertaking comprehensive clinical assessments and developing appropriate management plans.
• Experience recognising the signs of clinical deterioration and escalating care appropriately.
• Experience managing clinical risk and working within professional scope of practice.
• Experience communicating effectively with patients, relatives, carers and multidisciplinary colleagues.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience working autonomously while seeking advice or support when required.
• Experience prioritising and managing a varied clinical workload.
• Experience working collaboratively as part of a multidisciplinary team.
• Experience undertaking or willingness to undertake patient home visits.

Desirable

• Previous experience working in a general practice or primary care setting.
• Experience managing same-day or urgent care presentations within general practice.
• Experience undertaking home visits and assessing housebound patients.
• Experience managing acute exacerbations of long-term conditions, such as asthma, COPD, diabetes or cardiovascular disease.
• Experience assessing and managing minor illness and minor injuries.
• Experience requesting, interpreting and acting upon clinical investigations, including blood tests and ECGs.
• Experience prescribing or working within a prescribing-led clinical service.
• Experience using EMIS Web or another primary care clinical system.
• Experience working with multidisciplinary teams, community services and secondary care providers.
• Experience contributing to clinical audit, significant event reviews, service development or quality improvement.
• Experience supporting or mentoring students, trainees or other members of the clinical team.
• Experience implementing new clinical pathways, digital systems or service improvements.

Qualifications

Essential

• Health and Care Professions Council (HCPC) registration as a Paramedic; or Nursing and Midwifery Council (NMC) registration as a Registered Nurse.
• Relevant clinical experience in urgent care, emergency care, primary care or a comparable clinical environment.
• Evidence of continuing professional development relevant to acute and urgent clinical assessment.
• Appropriate professional indemnity arrangements.

Desirable

• Postgraduate qualification in Advanced Clinical Practice or equivalent advanced clinical training.
• Independent prescribing qualification.
• Relevant minor illness, minor injury or acute assessment qualifications.
• Immediate Life Support or Advanced Life Support certification.
• Additional postgraduate qualifications relevant to primary, urgent or emergency care.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Knoll Medical Practice

Address

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Employer's website

https://knollmedicalpractice.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

We are looking for an experienced and enthusiastic Registered General Practice Nurse (GPN) to join our friendly and supportive clinical team.

This is a varied general practice nursing role within a busy and progressive practice. We are particularly interested in candidates with strong experience in long-term condition management, alongside the broader skills required to work effectively as a General Practice Nurse.

The successful candidate will work autonomously within their professional scope of practice while working closely with our GPs, nursing team, HCAs, pharmacists, care coordinators and wider PCN multidisciplinary team.

You will also have the opportunity to contribute to the practice's wider work around long-term condition management, infection prevention and control, clinical governance, quality improvement, QOF and service development. You will not be expected to lead these areas but will be an important part of the team contributing to their continued development.

We are looking for someone who takes pride in providing excellent patient care, is clinically confident, enjoys working as part of a multidisciplinary team and is keen to contribute to a modern and evolving primary care service.

About Knoll Medical Practice

Knoll Medical Practice is a progressive, forward-thinking GP practice serving approximately 14,600 patients in Orpington, Kent.

We are a team of just over 40 staff, working collaboratively across our clinical, administrative and wider multidisciplinary teams, and are part of Orpington Primary Care Network (PCN).

We are proud of our recent March 2026 CQC assessment, where we achieved an overall rating of Good, with a number of individual areas and markers recognised as Outstanding.

We are a digitally forward practice and continually look at new ways of working to improve patient care, staff experience and the efficiency of our services. We embrace technology, innovation and service improvement and are keen to recruit people who share that approach.

Knoll Medical Practices vision is to be recognised as a caring and responsive medical practice.

Our mission is to work as a supportive and inclusive team, delivering efficient and high-quality care, guided by our KMP principles: Kind, Mindful, Proactive.

Our principles are:

• Kind: Treating every individual with dignity and empathy.
• Mindful: Being present and attentive to everyones needs, patients and colleagues alike.
• Proactive: Looking ahead to manage health journeys and our internal workflows effectively.

Key responsibilities

Clinical care

• Providing high-quality, evidence-based nursing care to the practice population.
• Independently assessing, treating and reviewing patients within your professional competence and scope of practice.
• Undertaking long-term condition reviews and supporting proactive management of patients with chronic disease.
• Managing patients with conditions including diabetes, COPD, asthma, cardiovascular disease and hypertension.
• Supporting prevention, health promotion and lifestyle interventions.
• Providing treatment room services including wound care, dressings and ECGs.
• Delivering adult and childhood immunisations and vaccinations.
• Undertaking cervical screening where appropriately trained and accredited.
• Providing appropriate assessment and management of acute presentations within competence.
• Recognising deteriorating or seriously unwell patients and escalating appropriately.
• Working within relevant PGDs, protocols, clinical guidelines and agreed pathways.

Long-term condition management

• Delivering high-quality annual reviews and ongoing management of patients with long-term conditions.
• Supporting the practice in achieving appropriate clinical outcomes and QOF requirements.
• Identifying patients requiring additional monitoring, intervention or onward referral.
• Supporting patients to understand and manage their conditions effectively.
• Working collaboratively with GPs, pharmacists, PCN colleagues and secondary care services.
• Contributing to the development and improvement of long-term condition pathways within the practice.

Infection Prevention and Control

• Supporting the practice's infection prevention and control arrangements.
• Following and promoting appropriate IPC procedures and standards within clinical areas.
• Participating in IPC audits and associated action plans.
• Ensuring appropriate cleaning, decontamination and safe use of clinical equipment.
• Maintaining appropriate standards around clinical waste and sharps management.
• Keeping up to date with relevant IPC guidance.
• Supporting the practice's IPC lead and wider team with the implementation and maintenance of infection-control standards.

Clinical governance and quality improvement

• Participating in clinical audits and quality improvement projects.
• Contributing to significant event reviews and shared learning where appropriate.
• Supporting the practice to maintain high standards of clinical governance.
• Maintaining accurate and appropriate clinical records and coding.
• Contributing to QOF, enhanced services and other relevant contractual requirements.
• Identifying opportunities to improve patient care, clinical outcomes and patient experience.
• Supporting the practice with CQC requirements and evidence where appropriate.
• Participating in nursing and wider clinical team meetings.

Teamwork and professional development

• Working collaboratively with the wider practice and PCN multidisciplinary team.
• Supporting the induction and development of colleagues where appropriate.
• Supporting students and trainee healthcare professionals where suitably qualified and experienced.
• Maintaining your own professional development and clinical competencies.
• Sharing knowledge and good practice with colleagues.
• Contributing to a positive, supportive and respectful team environment.

Digital and service improvement

• Making effective use of EMIS Web and other digital systems.
• Using clinical recalls, population health information and practice data to support proactive patient care.
• Embracing digital technology and new ways of working.
• Contributing ideas to improve clinical services, patient experience and staff workflow.
• Being open to change and willing to adapt as primary care continues to evolve.

This list is not exhaustive, and the successful candidate will be expected to undertake other reasonable duties consistent with the level and responsibilities of the post.

Person Specification

Qualifications

Essential

• Current NMC registration as a Registered Adult Nurse (RN Adult/RGN).
• A recognised and completed General Practice Nursing (GPN) qualification or equivalent recognised qualification demonstrating full preparation for practice nursing.
• Significant post-registration nursing experience.
• Substantial experience working within general practice/primary care.
• Demonstrable experience of long-term condition management.
• Competence across a broad range of general practice nursing skills.
• Good knowledge and understanding of infection prevention and control.
• Understanding of clinical governance, safeguarding and professional accountability.
• Ability to work autonomously within professional scope of practice.
• Ability to recognise and appropriately escalate deteriorating or seriously unwell patients.
• Excellent verbal and written communication skills.
• Good organisational and time-management skills.
• Good IT skills and confidence using electronic clinical records.
• Commitment to evidence-based practice and continuing professional development.
• Commitment to working in accordance with the NMC Code and relevant professional standards.

Desirable

• Independent Nurse Prescriber (V300) qualification.
• Experience of prescribing within primary care.
• Formal Infection Prevention and Control training.
• Experience contributing to IPC audits or supporting an IPC lead.
• Experience of clinical audit and quality improvement.
• Knowledge of QOF, enhanced services and primary care contractual requirements.
• Experience working within a multidisciplinary PCN environment.
• Cervical cytology qualification and current competency.
• Adult and childhood immunisation and vaccination competency.
• Strong diabetes management experience, including insulin management where appropriate.
• Asthma and COPD management experience.
• Spirometry competency.
• Doppler and compression therapy experience.
• Wound care and leg ulcer management experience.
• Travel health/vaccination experience.
• Family planning/contraception experience.
• Experience supporting frailty and housebound patients.
• Experience using EMIS Web.
• Experience using clinical data, recalls and population health approaches to improve patient outcomes.
• Experience supporting students, trainees or junior clinical colleagues.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Knoll Medical Practice

Address

Orpington Health & Wellbeing Centre

19 Homefield Rise

Orpington

Kent

BR6 0FE

United Kingdom

Employer's website

https://knollmedicalpractice.co.uk/ (Opens in a new tab)