If you have ever been seen by a nurse at your GP surgery for a blood pressure check, a flu jab, or a diabetes review, you have already met a practice nurse. These registered nurses are a vital part of general practice, working alongside GPs, healthcare assistants, and pharmacists to keep you well. They are not simply there to take blood or give injections. Practice nurses are highly trained professionals who manage long-term conditions, run screening programmes, and offer advice on everything from contraception to quitting smoking. Understanding what they do can help you get the right support at the right time.

What a practice nurse can help with

Practice nurses see patients for a wide range of reasons. In many surgeries, they are your first port of call for routine care that does not need a doctor. That includes:

• Vaccinations: childhood immunisations, annual flu jabs, shingles and pneumonia vaccines, and travel health advice and injections.
• Health checks: NHS Health Checks for adults aged 40 to 74, blood pressure monitoring, cholesterol testing, and weight and lifestyle reviews.
• Chronic disease reviews: regular check-ups for conditions such as diabetes, asthma, COPD, heart disease, and high blood pressure.
• Screening and sexual health: cervical smear tests, contraception advice and prescriptions, and chlamydia testing.
• Wound care and minor treatments: dressing changes, removal of stitches, and some minor injury care.

They also provide lifestyle support for stopping smoking, losing weight, and reducing alcohol intake. If you are unsure whether to see a nurse or a GP, ask the reception team. They are trained to direct you to the right person.

Chronic disease reviews: more than a tick-box

If you live with a long-term condition, you may be invited for an annual review with a practice nurse. These appointments are not just a formality. They are a chance to check how well your condition is controlled, adjust treatment if needed, and talk about any concerns. For example, a diabetes review might include a blood test, a foot check, a blood pressure reading, and a discussion about diet and exercise. An asthma review might involve checking your inhaler technique and measuring your peak flow.

Practice nurses follow agreed guidelines, but they also get to know you and your history. They can spot early warning signs and refer you back to a GP or specialist if something needs more attention. Coming prepared with a list of questions or symptoms can make the appointment much more useful. If you monitor your blood pressure or blood sugar at home, bring your readings with you.

Vaccinations and health checks: prevention in action

One of the most important roles of a practice nurse is prevention. Vaccinations protect you and those around you from serious illnesses. The annual flu jab is offered to people with certain health conditions, older adults, pregnant women, and carers. Childhood immunisations are usually given by practice nurses, and they can answer any questions you have about the schedule. Travel health appointments are also nurse-led, where you can get advice on malaria tablets, travel vaccines, and staying well abroad.

NHS Health Checks are another nurse-led service. If you are aged 40 to 74 and have not had a check in the last five years, you may be invited. The appointment takes about 20 to 30 minutes. It includes questions about your lifestyle, a blood pressure check, and a blood test for cholesterol and blood sugar. The nurse will then discuss your risk of heart disease, stroke, kidney disease, and type 2 diabetes, and offer practical advice to lower that risk. It is a relaxed, confidential conversation, not a test you can pass or fail.

Screening, contraception, and sexual health

Practice nurses also carry out cervical screening (smear tests), which are vital for detecting changes in the cervix before they become cancer. The appointment is usually quick, and the nurse will explain what happens and help you feel at ease. They can also provide contraception, including repeat prescriptions for the pill, and advice on long-acting methods such as the implant or coil. Some surgeries offer a walk-in sexual health service or refer you to a local clinic. If you have questions about STIs, emergency contraception, or menopause symptoms, the practice nurse is a good first point of contact.

Getting the most from your appointment

To make the most of your time with a practice nurse, a little preparation goes a long way. Arrive a few minutes early, especially if you need to provide a urine sample or have a blood test. Wear loose clothing if you are having a blood pressure check or a smear test. Write down any symptoms, questions, or changes in your health, and bring a list of your current medicines, including anything you buy over the counter.

Do not be afraid to ask for clarification. If you do not understand why a test is needed or how to take a new medicine, say so. Practice nurses are used to explaining things in plain English. They can also tell you when to come back, what to look out for, and who to contact if you feel unwell. Remember that your GP surgery is a team, and the practice nurse is often the person who knows you and your health story best. Building a good relationship with them can make a real difference to your care.