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Registered Nursing Associate or Experienced Healthcare Assistant

Job details
Posting date: 17 February 2026
Salary: Not specified
Additional salary information: Negotiable
Hours: Full time
Closing date: 01 March 2026
Location: Leeds, LS17 8AE
Company: NHS Jobs
Job type: Permanent
Job reference: A5065-26-2124

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Summary

Patient Care and Support Assist in patient assessment, care planning, and care delivery under supervision. The scope of practice depends on registration: HCAs primarily monitor patients and escalate concerns, while NAs are able to provide more detailed, in-depth care. Assist in the assessment, planning, and delivery of patient care, working under the supervision of Registered Nursing Associate, Advanced Clinical Practitioners, and other MDT professionals. Undertake holistic patient assessments, considering physical, psychological, and social needs, particularly for patients with frailty, long-term conditions, or complex care needs. Complete all aspects of Part 1 and Part 2 Annual Health Reviews (with appropriate support and training). Perform basic clinical procedures, including measurement of vital signs; blood pressure, temperature, pulse, oxygen saturation and diabetic foot checks, to monitor patient health status. Complete MUST (Malnutrition Universal Screening Tool) assessments, identify risks of malnutrition, escalate concerns appropriately, and contribute to care planning. Carry out MUAC (Mid Upper Arm Circumference) measurements where weight-based assessments are not suitable. Support the care of patients requiring wound care, dressings, and other minor clinical interventions, ensuring appropriate escalation, referral, and follow-up where required. Proactively identify signs of deterioration in physical or cognitive health and take timely action in line with PCN and practice protocols. Initiate and contribute to referrals to appropriate MDT and community services, including (but not limited to) District Nursing, Falls Services, Dietitians, Community Matrons, Social Prescribing, and other specialist services. Support coordinated, joined-up care by liaising with MDT colleagues and contributing to MDT discussions, care reviews, and shared decision-making. Provide health education and advice to patients, carers, and care home staff, promoting self-care, prevention, and independence wherever possible. Administer medications and injections, including flu and COVID vaccinations, in accordance with PSDs, practice protocols, training, and indemnity arrangements. Support the implementation, monitoring, and review of individualised patient care plans in collaboration with the wider healthcare team. Collaboration with the wider healthcare team. Observe and report any changes in patient condition to supervising staff promptly. Care Home Caseload Management Assist or manage care home caseloads according to role and competence. Run searches to identify patients due for annual health reviews and schedule visits in line with patients birth months. Plan and allocate own workload using care home trackers, escalating as appropriate. Liaise with care home staff regarding upcoming visits, reviews, and care interventions. Document reviews and actions taken, ensuring timely communication with the supervising NA. Frailty and PCN Project Support Assist in running frailty-related and other PCN project searches. Support delivery of PCN initiatives, including vaccination campaigns, QOF-related clinics, and community-based projects or any other PCN Projects. Collate and communicate search results to appropriate staff. Contribute to audits, quality improvement initiatives, and service evaluations. Documentation and Record Keeping Maintain accurate, up-to-date patient records in line with scope of practice and PCN standards. Ensure all patient information is handled confidentially in accordance with data protection and governance policies. Assist in documenting clinical observations, interventions, and follow-ups for continuity of care. Team Collaboration and PCN Working Work collaboratively with GPs, nurses, HCAs, NAs, and administrative staff to deliver integrated, patient-centred care. Build positive, supportive working relationships across GP practices and the PCN. Act as a consistent point of contact for care homes, practices, and MDT colleagues. Participate in team meetings, care reviews, and project discussions, providing input appropriate to role. Recognise when additional supervision or support is required and escalate appropriately. Professional Development Engage in role-appropriate training, development, and mandatory updates. Maintain competence within the scope of practice and professional registration (for NAs). Seek guidance, feedback, and supervision to support safe, effective practice. Keep updated with best practice and developments in primary care, frailty, and long-term condition support. Patient Safety and Quality Adhere to infection prevention and control policies. Observe and report any concerns related to patient safety or quality of care to supervising staff. Support quality improvement, audit, and service evaluation initiatives.

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