About this role
Job summary
*Please note*
This position is offered initially as a 12-month fixed-term contract, with the potential for further 12-month extensions and/or the opportunity to progress into a permanent position. There may also be future opportunities for increased hours for candidates who would welcome additional sessions as the role and service develop.
We are looking for a motivated and compassionate Practice Nurse to join our friendly and forward-thinking general practice team for two days per week. This is an exciting opportunity for a nurse who enjoys working autonomously, building strong patient relationships, and making a genuine impact on long-term health outcomes within the local community.
The role offers the chance to lead and shape meaningful chronic disease and quality improvement work, particularly in Chronic Kidney Disease (CKD) and Cardiovascular Disease (CVD), while also maintaining a varied and rewarding clinical workload. You will be supported by an experienced multidisciplinary team who value collaboration, innovation, and high-quality patient care.
This role would particularly suit someone who enjoys structured clinical work, preventative healthcare, and being part of a practice that is committed to continuous improvement and patient-centred care. In return, we offer a welcoming working environment, supportive leadership, opportunities for professional development, and the ability to make a visible difference within a close-knit practice team.
Main duties of the job
The successful candidate will deliver high-quality nursing care within a primary care setting, with a strong focus on chronic disease management and quality improvement activity.
Key responsibilities include:
Leading and supporting CKD and CVD review clinics and quality improvement initiatives
Undertaking structured long-term condition reviews, including diabetes, hypertension, asthma, COPD, and cardiovascular disease
Delivering evidence-based patient education, preventative care, and lifestyle support
Providing treatment room services such as wound care, dressings, injections, and other routine nursing procedures
Supporting vaccination and immunisation programmes and cervical screening services where appropriately trained
Maintaining accurate clinical records, coding, and recall systems
Working collaboratively with GPs, pharmacists, and the wider practice team to deliver safe, effective patient care
Contributing to ongoing service development, audit activity, and evolving NHS Wales primary care priorities
About us
We are a patient-focused, supportive, and progressive GP practice committed to delivering high-quality care to our local community. Our team prides itself on creating a welcoming and respectful environment for both patients and staff, where everyone is encouraged to contribute ideas, develop professionally, and work collaboratively.
We value teamwork, kindness, and professionalism, and recognise the importance of maintaining a positive workplace culture. Staff are supported to work autonomously while knowing there is always help and guidance available when needed. We actively encourage continuous learning, quality improvement, and innovation within day-to-day practice.
Working with us offers the opportunity to be part of a close-knit multidisciplinary team where your contribution is genuinely valued. We understand the importance of work-life balance and aim to provide a flexible, supportive environment where staff can thrive while delivering excellent patient care.
Job description Job responsibilities
Job Description: Practice Nurse (2 Days per Week / Sessional Role)
Location: General Practice (Wales)
Hours: 2 full days per week (Monday and Thursday)
Pay: Dependant on experience - estimated Band 6 equivalent (nonAgenda for Change practice pay structure)
Responsible to: Practice Manager / GP Partners
Accountable to: NMC Registered Nurse Standards
Job Summary
The Practice Nurse will provide high-quality, evidence-based nursing care within a general practice setting, working autonomously as a registered practitioner within their scope of practice.
The post-holder will play a key role in improving the quality, consistency, and coverage of targeted patient reviews, with a primary focus on Chronic Kidney Disease (CKD) and Cardiovascular Disease (CVD) quality improvement (QI) activity. The role will also support broader chronic disease management, preventative care, and health promotion.
This is a two-day-per-week role (Monday and Thursday) designed to provide continuity and meaningful capacity for structured chronic disease review work, with a strong emphasis on QI delivery and population health outcomes.
The role will evolve in line with changing contractual quality improvement requirements within NHS Wales primary care frameworks.
Key Responsibilities
1. Quality Improvement & Targeted Patient Reviews (Core Focus)
Lead and support CKD and CVD quality improvement activity, including:
Identification, recall, and structured review of eligible patient cohorts
Delivery of comprehensive clinical reviews and optimisation of care pathways
Monitoring and interpretation of key clinical indicators (e.g., BP, eGFR, lipid profiles, albuminuria where appropriate)
Cardiovascular risk assessment and prevention optimisation
Improve and maintain:
Clinical coding accuracy and data quality
Recall systems and patient engagement processes
Achievement of QI and contractual targets
Contribute to audit cycles and evaluation of CKD/CVD service outcomes
2. Chronic Disease Management
Undertake structured reviews for long-term conditions, including:
Diabetes
Hypertension
Asthma and COPD
Cardiovascular disease
Provide evidence-based education, lifestyle advice, and self-management support
Ensure care is aligned with national and local clinical guidance
3. Treatment Room & General Nursing Care
Provide core treatment room services including:
Wound care and dressings
Suture and clip removal
Injections (where trained and competent)
Opportunistic care and minor procedures within scope of practice
Ensure safe, timely, and evidence-based clinical interventions
4. Prevention, Screening & Immunisations
Deliver vaccination programmes in line with UK and Welsh schedules
Cervical screening (if appropriately trained and accredited)
Health promotion and preventative care interventions across the patient population
5. Clinical Governance & Professional Practice
Work in accordance with the Nursing and Midwifery Council Code of Professional Conduct
Maintain accurate, timely electronic patient records
Participate in audit, significant event analysis, and quality improvement activity
Adhere to infection prevention, safeguarding, and medicines management policies
Maintain professional registration and ongoing CPD in line with revalidation requirements
6. Communication & Team Working
Work collaboratively with GPs, practice pharmacists, and administrative staff
Support multidisciplinary care planning and delivery
Communicate effectively with patients regarding diagnosis, management, and preventative care
7. Service Development & Future Adaptability
Contribute to evolving primary care priorities within NHS Wales contractual and QI frameworks
Support ongoing service redesign and improvement initiatives
Adapt to changing quality improvement and population health requirements over time
Person Specification
Essential
Registered Nurse (Adult) with valid NMC registration
Experience in primary care or community nursing
Competence in or willingness to develop chronic disease management skills
Ability to work autonomously across structured clinical sessions
Strong organisational and prioritisation skills
Understanding of safeguarding principles (adults and children)
Commitment to evidence-based practice and quality improvement
Desirable:
Experience in CKD and/or CVD management
Cervical cytology qualification (NHSCSP accredited)
Immunisation and vaccination training
Experience working within NHS Wales primary care systems
EMIS Web or equivalent clinical system experience
Experience or interest in quality improvement methodologies (QI cycles, audit work)
Skills & Competencies:
Advanced clinical assessment and risk stratification
Strong understanding of data quality and clinical coding
Ability to deliver structured QI-focused clinics
Effective patient education and behaviour change communication
Independent workload management across two clinical days per week
Multidisciplinary collaboration and care coordination
Working Arrangements:
2 full working days per week (Monday and Thursday)
Structured clinical sessions focused on CKD/CVD QI work and chronic disease management
Consistent weekly presence to support continuity of care and review cycles
Flexibility to align with practice priorities and seasonal demands (e.g., vaccinations)
Pay & Benefits
Salary: Dependant on experience - estimated Band 6 equivalent (non Agenda for Change practice pay structure)
Competitive remuneration reflective of autonomous primary care nursing practice
Support for continuing professional development and role-specific training
Other Requirements:
Enhanced DBS clearance
Commitment to safeguarding adults and children
Compliance with infection prevention and control standards
Commitment to ongoing professional development and NMC revalidation
Person Specification
Qualifications Essential
Registered Adult Nurse (RN) with current valid NMC registration Evidence of ongoing Continuing Professional Development (CPD) and commitment to NMC revalidation
Desirable
registration Post-registration qualifications in chronic disease management, diabetes, respiratory care, or cardiovascular care Cervical Cytology qualification (NHSCSP accredited) Immunisation and Vaccination certification/training
Communication & Interpersonal Skills, Organisation & Personal Attributes and other requirements Essential
Excellent verbal and written communication skills Ability to communicate sensitively and effectively with patients and carers Ability to work collaboratively within a multidisciplinary team Professional, approachable, and patient-focused manner Ability to work independently and manage workload effectively across structured clinical sessions Strong organisational and time-management skills Reliable, adaptable, and able to respond to changing service demands Commitment to maintaining confidentiality and professional standards Motivated to support preventative care and population health improvement Enhanced DBS clearance (or willingness to obtain) Commitment to safeguarding, equality, diversity, and inclusion Willingness and ability to work the required days (Monday and Thursday) Compliance with all mandatory training and professional requirements
Desirable
Experience working in a flexible or sessional role Experience delivering patient education and behaviour change interventions Experience undertaking clinical audit cycles or data quality improvement work Experience supporting population health management initiatives
Experience Essential
Experience working within a primary care, community nursing, or outpatient setting Experience delivering patient-centred nursing care autonomously Experience in chronic disease management and structured patient reviews Experience maintaining accurate electronic clinical records and documentation Sound understanding of evidence-based nursing practice and long-term condition management Ability to undertake structured chronic disease reviews, including hypertension, diabetes, asthma, COPD, and cardiovascular disease Competence in treatment room nursing including wound care, dressings, injections, and basic procedures within scope of practice Understanding of safeguarding responsibilities for adults and children Understanding of infection prevention and control procedures Ability to assess, monitor, and interpret clinical indicators such as blood pressure, renal function, and cardiovascular risk Strong clinical assessment, prioritisation, and risk management skills
Desirable
Experience working within NHS Wales primary care services Experience managing Chronic Kidney Disease (CKD) and/or Cardiovascular Disease (CVD) reviews Experience participating in audit, service evaluation, or Quality Improvement (QI) projects Experience using EMIS Web or equivalent clinical system Knowledge of NHS Wales QI and contractual framework Additional skills in specialised clinics or enhanced nursing services
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 Bronyffynnon Surgery
Address 24 Bridge Street
Denbigh
Denbighshire
LL16 3TF
United Kingdom
Employer's website https://bronyffynnonsurgery.nhs.wales/ (Opens in a new tab)