Job summary
- Main area
- Nursing and AHPs
- Grade
- NHS AfC: Band 8a
- Contract
- Permanent
- Hours
- Full time
- Part time
- Flexible working
- Home or remote working
- Compressed hours
- Job ref
- 363-PC7282830
- Employer
- East London NHS Foundation Trust
- Employer type
- NHS
- Site
- Leighton Road Surgery
- Town
- Leighton Buzzard
- Salary
- £53,755 - £60,504 PA
- Salary period
- Yearly
- Closing
- 14/07/2025 08:00
Employer heading

Lead Nurse/Advanced Clinical Practitioner
NHS AfC: Band 8a
Our Offer
Leighton Road Surgery has been established in Leighton Buzzard for more than 40 years.
More than 22,000 patients are registered with the practice and we offer more than 140,000 consultations each year.
The surgery offers:
- In-house ‘drop-in’ blood test clinics five mornings per week, where patients are able to have their blood sample taken without having to make an appointment. Pre-booked blood test appointments are also available, if preferred
- Chronic illnesses clinics such as Diabetes, Asthma and COPD
- Anti-coagulation clinics, so that patients can easily have their anticoagulant monitored in the surgery
- Baby immunisations
- Late night appointments.
The Practice has excellent working relationships with local hospitals, Community Health Practitioners, Social Services, Pharmacies, Voluntary Groups and Local Authorities. Through the surgery patients can access many other services and organisations.
The surgery has an active Patient Participation Group to represent patient views and help us plan for the future.
Continued improvement led by staff and patients in partnership has seen Leighton Road Surgery (LRS) rated as ‘Good’ by the Care Quality Commission (CQC).
In addition, the following perks are also available:
- Good parking
- Modern surgery
- Quality Improvement (QI) embedded approach to innovation and continuous improvement
- Great leadership team
- Staff development opportunities
- Informal on-site visits encouraged
Working As A Team
We are always looking to find people who share our passion for providing the kind of care we would want for the people we love. We also want to find talented people who want to work as part of a diverse team, provide leadership and try new things. The role of clinicians and administrators in primary care is evolving, as a part of our primary care team you will use your skills to help contribute to people’s care. Any job in primary care is a challenging job and for our teams to work together our GP’s, nurses, allied health professionals and our administrators all need a system designed to support everyone, so that we can do the best for our patients.
About ELFT
ELFT has been recognised as a centre of excellence for Primary Care and health care, innovation and improvement. So, it is a very exciting time for you to come and work for us. Our mission is to make a positive difference to people's lives by improving quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Our primary care directorate team are developing and working on several exciting new concepts to strengthen and provide resilience to general practice. Tackling health inequalities, involving patients, using quality improvement and being a ‘good neighbour’ to the other organisations we work with are all part of how we work every day. The successful candidate will be part of a team helping to achieve our aim to improve the lives of those we serve.
We invest in our people and have two key areas of focus- the well-being of the people we work with and developing our team. Our dedicated well-being champion and our primary care skills academy help us to achieve our aims of having a happy team that feel cared for, respected and included.
Job overview
The post-holder will work closely with the practice manager, Clinical Lead GP and the Head of Nursing as the senior management team for surgery and will provide leadership at the practice for nursing and other staff. The post-holder will therefore have joint decision-making responsibilities with the Clinical GP Lead in relation to funding, clinical and management decisions and will (co-)chair the MDTs with the Clinical Lead GP. Working in accordance with the NMC/HCPC Code of Conduct, the post-holder is responsible for ensuring the delivery of safe, effective and evidence based nursing care to the whole practice population. Working as part of a multidisciplinary team, they will lead and develop the nursing team in the provision of assessment, treatment, screening, health education services and advice to patients.
They will also be a competent, experienced Practice Nurse/Advanced Clinical Practitioner, capable of running complex LTC management and/or acute on the day clinics.
Main duties of the job
The post-holder will develop practice-agreed protocols and guidelines to provide nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners. They will lead and manage nursing resources, working closely with the practice manager and GPs to deliver practice priorities. The post-holder will provide leadership and direction for the nursing team as well as advising the Clinical Lead GP and practice manager on health care priorities and service redesign. They will also have excellent organisational and planning skills in order to successfully lead the nursing team in the delivery of care and service. Additionally, the post-holder will have strong analytical, problem-solving and research skills in order to lead the nursing function and deliver the service to patients.
Please for further information kindly refer to the job description and person specification attached to this vacancy.
Working for our organisation
Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Detailed job description and main responsibilities
1. The post-holder will have clinical and management/leadership responsibilities. Clinical work involves seeing patients presenting with undifferentiated / previously undiagnosed conditions as well as the ongoing care of patients.
2. Advanced Clinical Practitioners working at this level of competence must have the ability to use complex reasoning, critical thinking, reflection and analysis to inform their health assessments, clinical judgements and decisions. The post-holder is the senior nurse/AHP in the practice and works with the wider team and affiliated professionals to ensure that workload is effectively and appropriately shared.
3. Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.
4. The lead ACP will work closely with the nursing team to ensure they are delivering the services to the needs of the community.
5. The lead ACP will work closely with the Head of Nursing to ensure all targets are met at the surgery.
6. Work closely with the clinical Lead GP and the practice manager to ensure there are appropriate clinics available for the patient cohort.
7. They will work closely with other Lead Nurses/ACPs within the Directorate to ensure consistency in nursing practices.
Person specification
Qualifications/Experience
Essential criteria
- Registered clinician (NMC or HCPC)
- Experience working in Primary Care
- Experienced in managing/leading teams
Desirable criteria
- Experience in complex LTC management
- Experience managing QOF achievement
- QI / change management experience
- MSc or currently working towards/at MSc level
Qualifications
Essential criteria
- Independent Prescriber
- Qualified in either Respiratory or Diabetes LTC management
Desirable criteria
- Primary Care Qualification
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Roxie Frost
- Job title
- Practice Manager
- Email address
- [email protected]
- Telephone number
- 020 7655 4000
List jobs with East London NHS Foundation Trust in Nursing and Midwifery or all sectors