Senior Clinical Decision Maker

The Methodist Church in Britain; Uxbridge; On-site; GBP 60,000 - 90,000; Full time

Job summary

The Confederation, Hillingdon CIC is seeking a GP to provide senior clinical oversight within the Reactive Care Coordination Hub for a one-year fixed-term post. You will perform rapid assessments of urgent referrals, decide on pathways to avoid admission and support a two-hour morning handover, ensuring coordinated care across UCR, Virtual Ward, D2A and YLL services.

Applicants must hold GMC registration and be a qualified GP, with extensive experience in urgent care and virtual consultations.

Qualifications

• GMC registration is required.
• Extensive experience in urgent care settings.
• Experience with virtual clinical assessments is essential.

Responsibilities

• Provide senior clinical oversight for patients referred to the Reactive Care Coordination Hub.
• Carry out rapid assessment and clinical decision-making to avoid hospital admission.
• Support the two-hour morning clinical handover and coordinate care pathways.
• Review and interpret diagnostic results to guide safe, evidence-based decisions.
• Coordinate with GPs, Hub Consultant and community providers to optimise care.
• Record decisions and outcomes in line with SOPs and systems; contribute to audits.

Skills

Urgent care experience

Virtual consultations

Clinical decision-making

Communication skills

EMIS knowledge

Education

Qualified GP

Tools

EMIS

Job description

This one-year fixed-term post sits in the Reactive Care Coordination Hub, part of Hillingdon Health and Care Partnership and run by The Confederation, Hillingdon CIC. The senior clinical decision maker provides expert oversight and makes rapid assessments of urgent community referrals, aiming to keep people out of hospital where it is safe. The role spans the UCR, Virtual Ward, D2A and YLL teams, with a two-hour morning handover and input on frailty and diagnostics. Applicants need GMC registration and must be a qualified GP.

What the job involves

• Provide senior clinical oversight for patients referred to the Reactive Care Coordination Hub
• Carry out rapid assessment and clinical decision-making for urgent referrals, choosing the pathway that avoids admission
• Support the two-hour morning clinical handover
• Follow up cases managed by UCR, Virtual Ward, D2A and YLL
• Review and interpret diagnostic results to guide safe, evidence-based decisions
• Liaise with the Hub Consultant, GPs and community providers to coordinate care
• Advise the coordination hub on referral pathways and actions
• Create and update urgent care plans on Valida for anticipatory care planning
• Support all community services with urgent patient needs
• Take part in joint visits and multidisciplinary follow-ups
• Record clinical decisions and outcomes in line with SOPs and systems
• Support metrics collection, audit, service evaluation and quality improvement

Qualifications

• Qualified GP

Registration & licences

• GMC registration

Experience

• Extensive experience in urgent care clinical services
• Extensive experience of virtual clinical consultations

Skills & knowledge

• Ability to plan, coordinate and deliver programmes of work on time and to a high standard
• Excellent organisational skills, attention to detail and accurate, up-to-date record keeping
• Ability to assimilate information quickly and make clear decisions under pressure
• Excellent written, verbal and listening communication at all levels of the healthcare system
• Ability to motivate others and build trust and team identity
• In-depth user knowledge of EMIS

Nice to have

• Extensive experience of working in primary care in Hillingdon