Advanced Nurse Practitioner - Lead Nurse
Job summary
Lane Ends Surgery is seeking an experienced registered Advanced nurse practitioner and confident people leader to become our ANP\-Lead Nurse.
This is our most senior nursing post, leading registered nurses, nursing associates and healthcare assistants. serving approximately 11,500 patients.
The role combines visible clinical and managerial leadership with a regular patient\-facing workload. Protected leadership and management time will be agreed through a clear job plan.
We are looking for someone who can develop and support staff, set clear standards and address problems promptly and fairly. You will need the confidence to challenge poor performance, inappropriate behaviour or unsafe practice, and the judgement to know when to act or seek senior support.
General practice or community experience would be helpful but is not essential. We welcome strong nurse leaders from other settings with experience of clinical governance, people management and service improvement who can adapt quickly to primary care.
You may already be a Lead Nurse or a senior nurse ready for broader responsibility. You must remain clinically credible, enjoy leading people and be willing to take ownership rather than allow problems to drift.
Main duties of the job
As ANP \- Lead Nurse, you will:
- provide visible clinical leadership
- lead the nursing team, including Practice Nurses, HCA’s, Phlebotomists
- maintain an appropriate patient\-facing clinical workload;
- ensure safe, effective, evidence\-based care meeting professional and organisational standards;
- provide senior nursing advice and act on patient safety or competence concerns;
- oversee nursing governance, including audit, quality improvement, incidents, complaints, IPC, medicines/vaccines, safeguarding and equipment safety;
- use workforce, activity and quality data to improve access, capacity, LTC management, vaccination uptake, QOF and agreed priorities;
- lead improvements to roles, skill mix, pathways, systems and ways of working;
- contribute to workforce planning, recruitment, policies and protocols.
- work with the Partners, Practice Manager and Deputy Practice manager, escalating significant staffing, financial, contractual or clinical risks;
- build effective relationships with partners, managers, PCN, community and external services.
- Ensure appropriate systems are developed and operational to meet the infection prevention and control standards
- Participate in developing, implementing and monitoring IPC policies, procedures and protocols.
- Develop strategies for communication between staff, patients/clients, relatives and their carers, showing awareness of barriers to understanding.
- Promote, develop and facilitate a learning culture within the Nursing team.
About us
Lane Ends Surgery is a large and well\-established GP practice serving approximately 11,500 patients in the Ashton On Ribble, Preston Area.
We have a stable and supportive Partnership and Management Team, an experienced nursing workforce and a broad multidisciplinary team. We are a training practice and are committed to developing our staff, improving our services and providing high\-quality care to our local community.
We are large enough to offer the scale, variety and influence of a substantial organisation, while remaining local enough for colleagues to know one another and work together closely. Our culture is friendly and supportive, with clear expectations, shared accountability and a willingness to address things that could be better.
For the successful candidate, this is an opportunity to take on a genuinely influential role: leading an established team and helping shape how nursing services are delivered across the practice.
Job responsibilities
The ANP\- Lead Nurse is Lane Ends Surgery most senior nursing role, providing visible clinical and managerial leadership to the nursing workforce and supporting the delivery of safe, effective and modern nursing services.
The postholder will lead a team of practice nurses, healthcare assistants and Phlebotomists while maintaining a regular patient\-facing clinical workload. The role includes protected leadership and management time, with the balance between clinical and leadership responsibilities agreed through a clear job plan.
As a member of the practice leadership team, the ANP \- Lead Nurse will be the principal nursing voice within organisational discussions and will work closely with the Partners, Practice Manager and Deputy Practice Manager.
Key responsibilities include:
- providing visible, credible and consistent leadership to the nursing team;
- line managing nursing staff, including supervision, appraisal and performance.
- supporting workforce planning, recruitment, induction, and development of the nursing skill mix;
- developing nursing staff and delegating appropriate leadership, supervision and appraisal responsibilities;
- maintaining a clinical workload and providing senior nursing advice and professional support;
- ensuring staff work safely within their competence and scope of practice;
- taking prompt and proportionate action where there are concerns about clinical competence, unsafe practice, poor performance or inappropriate behaviour;
- overseeing nursing clinical governance, including incidents, complaints, safeguarding, infection prevention and control, medicines and vaccine governance, record keeping, clinical equipment safety, audit and quality improvement;
- contributing nursing assurance to CQC requirements, contractual standards and internal and external reviews;
- monitoring and improving the nursing teams contribution to patient access, capacity, QOF, long\-term\-condition management, vaccination uptake and other organisational priorities;
- using workforce, activity, quality and outcome information to identify variation, capacity pressures, competency gaps and opportunities for improvement;
- leading agreed service improvement and modernisation, including changes to nursing roles, skill mix, pathways, technology and ways of working;
- supporting education, competency assurance, mandatory learning, continuing professional development, preceptorship, clinical supervision and student placements;
- overseeing nursing resources, including staffing, stock, vaccines, cold\-chain systems, consumables and clinical equipment;
- contributing to nursing policies, protocols, pathways and standard operating procedures and ensuring agreed changes are implemented effectively;
- maintaining effective communication within the nursing team and building constructive relationships with GP partners, managers, the wider multidisciplinary team, the PCN, ICB, community services, training organisations and other external partners.
The postholder will exercise independent professional judgement within the NMC Code, agreed objectives, organisational policies and delegated limits. They will have authority to organise and lead the nursing service day to day, address routine performance matters and take immediate proportionate action where required to protect patient safety.
Person Specification
Qualifications
Essential
- Registered Adult Nurse (RGN) with current NMC registration and no restriction incompatible with the role.
- Educated to degree level or able to demonstrate equivalent specialist knowledge gained through postgraduate development and substantial relevant experience.
- Evidence of current continuing professional development, reflective practice and ability to meet NMC revalidation requirements.
- Relevant postgraduate qualification.
- Formal leadership or management development; recognised coaching, teaching, assessing or practice\-education qualification.
- Independent or supplementary prescribing qualification relevant to the postholders scope of practice.
Essential
- Substantial post\-registration nursing experience demonstrating sound clinical judgement, autonomous practice within competence and current clinical credibility.
- Demonstrable experience of leading people, a service or significant workstream: setting expectations, securing delivery, handling challenge and taking responsibility for outcomes. A previous Nurse Lead title is not required.
- Experience of supervising or developing staff and of addressing concerns about standards, behaviour, attendance, capability or performance fairly and directly.
- Evidence of leading or making a material contribution to service improvement, modernisation, workforce development or implementation of changed practice.
- Experience of clinical governance, audit, evidence\-based practice, risk management or quality improvement and of converting findings into sustained action.
- Experience of supporting learning, competency development or clinical supervision within a team.
- Experience in general practice, community care or a comparable setting; experience across more than one clinical service.
- Substantial formal line\-management responsibility for a large or multidisciplinary clinical team.
- Experience of appraisals, absence management, recruitment and formal HR processes in partnership with an HR or senior\-management lead.
- Experience of role redesign, skill\-mix review, succession planning or organisational change.
- Experience contributing to CQC assurance, incident or complaint investigation, medicines/vaccine governance or infection\-prevention assurance.
- Experience of preceptorship,
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