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The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• a. To support the Infection Prevention Control (IPC) lead and to work to the IPC Policy supporting the implementation of audits, training, support and evidence of compliance to the practice manager
• b. To support the production of the IPC annual statement in conjunction with the Infection Control Lead.
• c. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
• d. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
• e. To develop, implement and embed health promotion and wellbeing programmes
• f. To undertake cervical cytology, and manage call and recall of patients
• g. To implement contraception and sexual health services
• h. To implement vaccination programmes for adults and children
• i. Managing minor ailments and injuries
• j. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing
• k. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
• l. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
• m. As required, to manage chronic conditions
• n. To prescribe medication for patients in accordance with PGDs and own scope of practice
• o. To review patient medications to enhance compliance
• p. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages
• q. To co-ordinate the provision of travel medicine services
• r. To request pathology services and process pathology results as required
• s. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
• t. To maintain accurate clinical records in conjunction with extant legislation
• u. To ensure read codes are used effectively by all members of the nursing team
• v. To ensure the appropriate maintenance and use of chronic disease registers
• w. To develop, implement, embed and participate in well woman clinics
• x. To develop, implement, embed and participate in well man clinics
• y. To ensure compliance with the practice chaperone policy
• z. To assist GPs with minor surgery when required
• aa. To prioritise health issues and intervene appropriately
• bb. To support the team in dealing with clinical emergencies
• cc. To recognise, assess and refer patients presenting with mental health needs
• dd. An understanding of the Quality and Outcomes Framework (QOF) and other enhanced services
• ee. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
• ff. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
• gg. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
• hh. To support the clinical team with all safeguarding matters, in accordance with local and national policies
• ii. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
• jj. To deliver opportunistic health promotion where appropriate

Secondary responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

• a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
• b. Develop, review and implement nursing protocols in conjunction with the partners
• c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
• d. Participate in local initiatives to enhance service delivery and patient care
• e. Support and participate in shared learning within the practice in order to improve patient care
• f. Continually review clinical practices, responding to national policies and initiatives where appropriate
• g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)
• h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
• i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
• j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

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