PC24 Head of Clinical Delivery

NEMS Community Benefit Services Ltd; Stanton Hill; On-site; GBP 85,000 - 110,000; Full time

Job summary

NEMS Community Benefit Services Ltd seeks a Head of Clinical Delivery PC24 to lead the urgent primary care service at Kings Mill Hospital, Mansfield. The post holder will balance senior clinical leadership with hands-on practice, ensuring safe, effective patient care and high-quality clinical governance.

As part of the service leadership triad, you will guide clinical workforce development, oversee performance, and drive continuous improvement while collaborating with the Medical Lead and

Qualifications

• Masters-level qualification in Advanced Clinical Practice.
• Current autonomous ACP practice and CPD.
• Training or substantial experience in clinical leadership, staff supervision and performance management.
• Education, supervision or mentorship qualification.
• Registration with a UK regulator (NMC/HCPC/GPhC) is required.

Responsibilities

• Lead the PC24 clinical service and day-to-day clinical delivery with responsibility for care standards.
• Provide visible clinical leadership and governance across the service.
• Line manage ACPs, UCPs, trainee ACPs and UCAs and support recruitment and onboarding.
• Attend governance and performance meetings and drive quality improvement.
• Develop and implement clinical guidelines and SOPs in collaboration with the Medical Lead.

Skills

Advanced clinical leadership

Clinical governance and safety

Staff supervision and performance

Experience in urgent/primary care

Audits and incident learning

Education

Masters-level qualification in Advanced Clinical Practice

Education/mentorship qualification

Job description

The Head ofClinical Delivery PC24 is a senior clinical management post responsible forthe safe, effective and consistent day-to-day delivery of NEMS urgent primarycare services at Kings Mill Hospital. The postholder will provide visibleclinical leadership, manage the non-medical clinical workforce and takeownership of clinical quality, performance and service standards.

Thepostholder will form part of the service leadership triumvirate alongside theMedical Lead and Operational Service Manager. The Medical Lead will providemedical governance, professional medical oversight and strategic leadership,whilst the Operational Service Manager will ordinarily lead on rotas, sicknessadministration and annual leave. The Head of Clinical Delivery will lead theday-to-day clinical management of the service and the performance anddevelopment of its clinical workforce. These responsibilities are complementaryand require close working between all three roles.

Main duties of the job

The postholder will lead agreed clinical and service improvements at PC24. Working with colleagues and partner organisations, they will ensure that workforce, clinical pathways, safety arrangements and operating procedures support safe, effective care and meet service requirements.

The postrequires an experienced, Masters-qualified Advanced Clinical Practitioner whocan combine senior management responsibilities with regular autonomous clinicalpractice. As a guide, approximately 60% of working time will be clinical and40% managerial, adjusted by agreement where service needs require.

Thepostholder will work closely with the designated Clinical Governance Lead andGovernance Team, attend senior and service-level meetings, lead a monthlyclinical team meeting and deputise for the Associate Director of Nursing andQuality when requested.

About us

About NEMS

NEMSCBS is a high quality, high performing; not-for-profit organisation whichdelivers integrated urgent care and urgent primary care services to over 1million patients. Responsive, adaptable and continually evolving, we have areputation for delivering locally-tailored, safe, effective and cost-efficientservices with high levels of patient satisfaction.

Weare committed to investing in our people and have an established programme oflearning and development, successfully developing our own Urgent CarePractitioners, Telephonetriage clinicians and Advanced ClinicalPractitioners.

NEMScurrently operates 3 main services: (1) Integrated Urgent Care acrossNottinghamshire serving a patient population of over 1 million, including homevisiting, remote consultation and clinical assessment services; (2) UrgentPrimary care provision located within the A&E Department at QMC, (3) A24-hour walk-in urgent primary care service adjacent to Kings Mill HospitalA&E, Mansfield.

NEMSis committed to the NHS Values (as set out in the NHS Constitution March 2023).

Job responsibilities

Clinical leadership and patient care:

LeadPC24s clinical service and take responsibility for its day-to-day clinicaldelivery, the staff who provide care and the standard of care patients receive.The post combines Lead ACP practice with departmental leadership, with around60% of working time in clinical practice and 40% in management.

Practiseautonomously as an ACP. Assess and treat patients attending the primary carecentre, and make decisions about investigation, treatment, referral ordischarge within professional competence and agreed pathways.

Givecolleagues senior clinical advice and support. Where a patient needs carebeyond PC24s capability, arrange escalation or transfer and make sure thereceiving team has the information it needs.

Keeprecords accurate, obtain consent and assess capacity where needed. Explain theplan to patients and what they should do if their condition changes.

Keep clinical knowledge and professional competence current and bring relevant changes in guidance into the department's practice.

Demonstrate commitment to developing personal research skills.

Clinical staff and their development:

Linemanage the departments clinical staff, excluding GPs. This includes ACPs,UCPs, trainee ACPs and Urgent Care Assistants (UCAs).

Supportrecruitment and onboarding. Work with the Education Team to ensure new staffunderstand the service and are suitably trained for their role. Mentor clinicalstaff and provide additional support to trainee ACPs when an educator orclinical mentor is unavailable.

Holdappraisals and performance reviews, give regular feedback and address concernsabout practice, conduct, productivity or capability. Be clear with staff aboutwhat needs to improve and follow NEMS policies and procedures when furtheraction is needed.

Agreeeach clinicians scope of practice and supervision arrangements. Identify gapsin skills or confidence and arrange the support needed to address them.

Maketime for regular one-to-ones about staff wellbeing, workload and ideas for theservice. Organise clinical supervision and chair regular meetings for alldepartmental staff.

Setout the clinical staffing and skill mix the service needs. Work with theOperational Service Manager and Rota Team on cover and elevate any risk to safe delivery. The Operational Service Manager coordinates the rota and leadssickness and annual leave processes.

GPsare not currently part of the PC24 team. If asked by the Medical Director,Deputy Medical Director or Medical Lead, support GPs in the service. Formal GPperformance management remains with the Medical Lead.

Quality, safety and patient experience:

Takeresponsibility for safety and quality within PC24. Keep local infectionprevention and control arrangements in order, oversee clinical stock and act onsafeguarding concerns.

Makesure the department is ready for CQC inspection, with current evidence, soundlocal arrangements and staff who understand their responsibilities.

Workwith the Clinical Governance Lead and Governance Team on incidents, complaintsand patient feedback. Provide clinical information and help the department acton learning. The Governance Team coordinates investigations; the HoCD makessure local actions are completed.

Gatherand review patient and carer feedback in good time. Work with senior clinicalstaff to understand what it says about care at PC24 and make changes whereneeded.

Involvepatients and carers when services are reviewed or developed. Speak up for anindividual patient when their concern needs to be heard.

Attendthe monthly Patient Safety Steering Group and support the Governance Team inpresenting information about PC24. Contribute to clinical audits when requiredand use the findings to improve care.

Service delivery and development:

Keepa close view of how the clinical service is working. Review access, waitingtimes, clinical productivity and quality, and follow up when the service is notmeeting its standards.

Useclinical and operational information to understand pressures on PC24. Work withthe Operational Service Manager and Medical Lead to resolve issues that crossclinical and operational responsibilities.

Maintainan overview of the departments finances. Identify pressures early and explaintheir effect on staffing, capacity or care. Contribute clinical and workforceinformation to service planning and business cases.

Keepup to date with developments in urgent care, primary care, integrated caresystems and NHS England guidance. Consider what they mean for PC24 and bringforward changes that will improve care or the way the service works.

Leadagreed changes to clinical practice within the department. Contribute the PC24clinical view to wider service development and help put agreed changes intopractice.

Workwith local and national healthcare providers to improve patient pathways anddevelop service models. Explain how NEMS services contribute to care across thewider health system.

Partnerships, guidance and NEMS leadership:

RepresentPC24 in local clinical discussions with Sherwood Forest Hospitals, includingregular meetings with Emergency Department, paediatric and other specialtyteams. Raise matters that need wider medical or organisational decisionsthrough the appropriate NEMS lead.

Attendand present at the weekly Management Meeting. Chair the meeting when the usualchair is absent.

Attendand contribute to the monthly Clinical Performance Group, and chair it whenrequired.

AttendSenior Leadership Team meetings on a rolling rota, representing thedepartments local leaders.

Leadthe drafting and review of departmental SOPs and policies. Arrange medicalreview and sign-off, and submit them for executive approval where required.Develop clinical guidelines with the Medical Lead, who provides final clinicalsign-off.

Person Specification

Qualifications

• Current registration with the NMC, HCPC, GPhC or another appropriate UK professional regulator.
• Completed Masters-level qualification in Advanced Clinical Practice.
• Current autonomous ACP practice and continuing professional development.
• Training or substantial experience in clinical leadership, staff supervision and performance management.
• Education, supervision or mentorship qualification.

Experience

• Substantial ACP experience in urgent, primary, community or emergency care.
• Experience assessing face-to-face urgent primary care presentations.
• Experience managing clinical staff, including appraisal and performance concerns.
• Experience improving clinical quality or service performance.
• Experience contributing to incident learning, audit or complaints review.
• Senior clinical service management.
• Workforce redesign and budget or contractual performance management.
• Working with commissioners and external providers.

Knowledge and Skills

• Professional standards, scope of practice and clinical supervision.
• Clinical governance, patient safety, safeguarding and clinical risk.
• CQC fundamental standards and NHS urgent primary care requirements.
• Patient flow and referral between urgent primary care and an Emergency Department.
• Fair staff management, confidentiality and equality.
• Sound clinical judgement under pressure, including when to seek further advice.
• Addresses performance concerns fairly and promptly.
• Uses service data to identify problems and check whether changes work.
• Writes clear procedures, reports and staff communications.
• Balances clinical work and management, and knows when to escape.
• Works across professional boundaries and leads service change.
• UTC specifications and minor injury pathways.
• Patient Safety Incident Response Framework (PSIRF).
• Nottinghamshire urgent care pathways and local partners.
• Business case preparation.
• Use of Adastra or comparable clinical and reporting systems.
• Chairing clinical or performance meetings.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.