Clinical Lead - Surrey Downs H&CNHS AfC: Band 8a

Epsom and St Helier University Hospitals NHS Trust; Molesey; On-site; GBP 50,000 - 70,000; Full time

Job summary

A leading healthcare trust in the United Kingdom seeks a Clinical Lead for Community Services. The role will involve providing clinical leadership across Primary Care Networks, supporting the delivery of quality patient care, and developing new clinical practices. Candidates must possess NMC registration, leadership abilities, and experience working in community settings. This position aims to enhance patient care closer to home, requiring strong stakeholder relationships and innovative care approaches.

Qualifications

• Valid driving licence and access to vehicle.
• Experience of working in a community setting.
• Ability to provide clinical leadership.

Responsibilities

• Provide clinical leadership to the PCN nursing and AHP workforce.
• Support the delivery of the benefits and KPIs for the PCN.
• Develop new ways of working and clinical governance.

Skills

Advanced Physical Assessment

Clinical Leadership

Patient Care Management

Education

Registered with NMC (adults)

Job description

Job overview

At Surrey Downs Health and Care (SDH&C), our model is formed around a shared and innovative new care and delivery model focusing on care being provided through distributed clinical leadership through Primary Care Networks (networks of GP practices working together with combined practice populations of around 50,000); integrated community bedded services and specialist services with the development of pathways into and out of the acute trust.

Pivotal to our success will be the Clinical Lead/Community Services. Reporting to the Lead GP/ Community Services, the Clinical Lead will provide clinical leadership to the PCN nursing and AHP workforce across the PCN and Federation. As a proven clinical leader, the postholder will not hold day to day line management responsibility for the team but will support the introduction of new ways of working. This will include providing day to day advice in relation to complex patient care, liaising with other agencies as appropriate; supporting clinicians and giving advice in relation to individual patient circumstances (including undertaking home visits for assessment of needs); establishing the framework for clinical and team PCN development including cross-competencies and new ways of working; supporting and ensuring the delivery of excellent and safe care; supporting the development of new ways of working including across PCN and between primary and community nursing services.

Main duties of the job

As a Clinical Lead (20%) in supporting the Operational Manager and Lead GP in operational delivery plus the development and transformation of new services as they are integrated into the Primary Care Networks. This includes reviewing Datix incidents and developing actions plans to prevent re-occurrence of incidents alongside policy review and development of clinical practice within the PCN

In addition as the Clinical Lead (80%) of the role, the post holder will be expected to hold ongoing clinical responsibilities including undertaking home visits and managing complex patient care within the PCN or Federation, relevant to professional background.

Working for our organisation

Surrey Downs Health and Care (SDHC) deliver care closer to people’s own communities through our Primary Care Networks and our innovative partnership of local NHS organisations.

Surrey Downs Health and Care has a track record of providing person centric care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:

• The three GP federations representing practices that operate in the Surrey Downs area
• Epsom and St Helier University Hospitals NHS Trust
• Surrey Council County

We collectively aspire to be an exemplar of how to deliver the highest quality and best value care in a complex health and care environment. An exciting opportunity has arisen for an enthusiastic, ambitious and highly motivated individual to join Surrey Downs Health & Care Partnership.

Detailed job description and main responsibilities

Operational Delivery

1. Support the delivery of the benefits and KPIs relating to the PCN and as part of the relevant GP Federation sub-contracting requirements
2. Hold responsibility for advising and development of strategies to support in relation to the clinical quality, safety and governance of contracted services.
3. Support the Lead GP by ensuring the development of new ways of working, continuous improvement and accelerated delivery of the benefits of place-based care and PCN
4. Build and maintain strong relationships with stakeholders to ensure the delivery of the benefits and KPIs.
5. Support the Implementation of local arrangements for clinical performance management (including dashboards) and report on a regular basis to the GP Federation and wider constituent practices, including the identification and mitigation of risks.
6. Participate in regular meetings within the PCN and Federation including those involving wider stakeholders
7. Provide clinical leadership to the PCN team including day to day advice in relation to complex patient care and assessment of individual patient circumstances as appropriate.

Development and transformation of services

1. Develop Surrey Downs Health and Care organisational culture demonstrating agreed values and behaviours.
2. Build strong relationships with local practices and wider partners, supporting ways of working which will both maximise the impact of the Alliance in relation to adult community services and the potential of the wider impact of place-based care through the PCN model.
3. Build processes with people as partners in the co‑design and co‑production of services leading to empowerment of people and involvement in decision making.
4. Support the introduction of new ways of working and cross‑competencies including ensuring processes are in place to develop practice.
5. Work collaboratively with health and social care partners to achieve optimal care for people as close to their home as possible.
6. Lead the introduction of new pathways and ways of working, taking the lead for ensuring successful local mobilisation and benefits realisation.
7. Embed service improvement methodology and a culture of continuous improvement.

Working across the Partnership

1. Represent the PCN and Federation in relation to service and pathway development for community services including taking the lead for identified projects across the Alliance.
2. Support the Partnership Board and the Director of Community Services in relation to delivery of overall benefits and KPIs and service development.
3. In all activities undertaken, adhere to the Code of Conduct for relevant healthcare professional body.

Clinical Lead for PCN Community Hub: Core Responsibilities

To work across organisational & professional boundaries as part of Surrey Downs Health & Care community service to provide clinical care and leadership and to co‑ordinate the treatment, care, management and empowerment of individual patients.

To liaise pro‑actively and work collaboratively with all health, social care and voluntary sector providers, primary and secondary care professionals, palliative care services, patients, carers and commissioners

To act as a source of specialist clinical knowledge and expertise to GPs, nurses and allied health professionals within the integrated community multi‑speciality provider service.

To act as a source of knowledge and advise for community matrons and district nurses, to aid proactive case management of patient with LTC/EOLC needs in order to promote self‑management, prevent further deterioration in health and facilitate a speedy and safe discharge from acute and community hospitals

To provide clinical leadership and supervision to a team of band 7 community Nurses/Matrons and therapists

Key relationships & pathways

Urgent Care Pathways

• Community Medical Team
• Community Multi Speciality Providers
• Rapid Response
• Rehabilitation Teams
• Out of Hours District Nursing teams

Complex Care Pathways

• Community Matrons and associated professionals such as Mental Health Practitioners, Dementia Practitioners and Domiciliary Physiotherapy services.
• Community Hospice, Home Nursing service and End of Life Care Team.
• Acute Hospital Discharge Liaison Teams

Planned Care Pathways

• District Nursing.
• Specialist nursing teams including, Tissue Viability, Heart Failure, Respiratory Service.
• Community Dietician
• Phlebotomy Service
• Multi-disciplinary discharge teams

Person specification

Qualifications

Essential criteria

• Registered with NMC (adults)
• Valid driving licence and access to vehicle
• Advanced Physical assessment QualificationUp to date professional portfolio demonstrating evidence of reflective practice

Desirable criteria

• Prescribing qualification or working towards this.
• Management qualification
• Experience of working in a community setting

Knowledge

Essential criteria

• Advanced Physical Assessment

Desirable criteria

• Working towards qualification

Your application

Please ensure that you have read the job description and person specification and that your supporting statement reflects these, as your application will be assessed and scored against these criteria.

References

You will be required to provide 3 years of employment/educational history. We do not accept references from personal email addresses such as Hotmail, Gmail etc. therefore please ensure you are providing professional working email addresses within your application form. If you are unable to provide professional email addresses and are invited to an interview, please ensure you advise the interviewers of this - otherwise, this may delay your pre‑employment checks.

Closing date

In order to streamline recruitment within our Trust, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.

Shortlisting

You will only be contacted via e‑mail/SMS if you are successfully shortlisted for this post. Please ensure that you check your Trac registered e‑mail regularly.

DBS

We are committed to safeguarding children and adults who are at risk of abuse. As such, if this post will have access to children or vulnerable adults, you will be required to undertake an Enhanced Disclosure and Barring Service check. However, all employees have a responsibility for safeguarding children and vulnerable adults in the course of their duties and for ensuring that they are aware of the specific duties relating to their role.

Employer certification / accreditation badges

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

NameMary Chadwick

Job titleInterim Operational Manager - East Elmbridge PCN

Email address

Telephone number07918 478 865