Clinical Lead

Job summary

Do you have the ambition to deliver anew healthcare approach for patients in North West London?

2 Sessions Per Week

Clinical leadership and expertise are identified as essential for delivering the North West London Integrated Care System vision and objectives. The clinical leadership works together across the Integrated Care System to focus on service improvement, service redesign and the development of care pathways from primary care through to secondary care and community-based services.

This is an exciting opportunity to join a dynamic and committed Integrated Care System health and care leadership team to shape the impact of primary care leadership in North West London.

We are looking to build a team of primary care clinical leads that reflects our local communities, as well as representing the full range of care delivery expertise from across general practice and primary care network teams. This includes GPs, nursing staff, therapists and allied health professionals, alongside other roles.

The North West London Primary Care Clinical Lead roles have an important role within the Integrated Care System, co-leading on the development, improvement and redesign of care pathways with clinicians from interfacing sectors. The post holder will bring with them current health experience and thinking which drives improvements in care, long-term preventative strategies for population health management and for tackling health inequality.

Main duties of the job

This role requires strong leadership skills, critical reasoning, skills supporting collaborative working, good governance and delivering impactful public outcomes.

The ideal candidate will bring with them an enthusiasm to bring or acquire a track record of building trusted partnerships which drive change and improvements in care, have great personal integrity and champion diversity, inclusion and equality of opportunity for all.

We are passionate about creating an inclusive workplace that promotes and values diversity. We know through experience that the different ideas, perspectives and backgrounds create a stronger and more creative work environment that delivers better patient outcomes. We welcome applications irrespective of peoples age, disability, sex, gender, identity and gender expression, race or ethnicity, religion or belief, sexual orientation or other personal circumstances. We have policies and procedures in place to ensure that all applicants are treated fairly and consistently at every stage of the recruitment process, including the consideration of reasonable adjustment for people who have a disability.

Interviews to be held w/c 19 August and 26 August.

If you have any queries regarding the role advertised, please email and we will get back to you.

Ensure that the supporting statement addresses the criteria set out in the person specification, using examples to demonstrate how you meet the essential requirements.

About us

NHS North West London Integrated Care Board (NHS NWL ICB) is a statutory body responsible for planning and allocating health and care resources to improve the lives of people in eight boroughs across North West London: Brent, Ealing, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow, Royal Borough of Kensington and Chelsea and Westminster.

The local population is large and diverse, with a wide range of health and care needs that are evolving all the time. Working with our partners including Councils, NHS provider Trusts, GPs and voluntary and community organisations we plan and allocate NHS resource to deliver a wide range of services including urgent and emergency care, mental health, primary care, elective hospital services and community care.

Working for us, you can help ensure that our residents and patients have access to the right services when they need them and assist them take greater care of their own health to ensure they live longer, healthier lives.

To do this we will:

improve outcomes in population health and healthcare

reduce inequalities in health outcomes, experience, and access

enhance productivity and better value for money

support broader social and economic development within our area.

Were proud of our staff and the contribution they make and are committed to developing their knowledge and skills in a supportive, inclusive, and values-led organisation.

Job description

Job responsibilities

The Clinical Lead will provide expert clinical leadership and guidance, oversight, support and recommendations in relation to North West Londons approach to the provision and delivery of the Respiratory and Post Covid Syndrome services in furtherance of the NHS Long Term Plan. Key pathways, workstreams and responsibilities within this include:

Acting as the Primary Care lead for the following groups:

oNW London Respiratory CRG Co-Chair

oPost Covid Syndrome GP representative

-Specifically lead the primary care sub-group of the steering group to ensure that case finding in primary care is in place and referral pathways are established and communicated

oNW London Flu Group (role to be defined as at July 2024)

oNW London Remote Monitoring Steering Group (role to be defined as at July 2024)

Working with the Respiratory Clinical Reference Group, and onwards through the ICS, to support the CRG in addressing their priority work programmes which shall include:

oRecovery of clinical backlogs built up during the pandemic, particularly for lung function testing and access to rehabilitation

oTransformation of clinical pathways and services, particularly focussed on PCN led diagnostic hubs, medication management and access to/completion of pulmonary rehabilitation NHS Long Term Plan commitments

oSupport with development and clinical implementation of the COPD dashboard and London Asthma Decision support tool as population health approach across NW London

oProactive and planned approach for Winter Respiratory workplan

oPlanning and implementation of annual flu programme for NW London ICS

work with Clinical Responsible Officer and community lead to ensure that a whole pathway approach is taken, including elements delivered by primary care, community services and 3rd sector agencies in addition to those delivered by the acute hospital providers

ensuring that the development of pathways is provider agnostic and is in the best interest of the patient

providing Clinical leadership and expertise in the development of a workplans and strategies for these services

supporting the development and sign-off of common core specification for delivery of out of hospital pathways, reducing the level of variation across the sector;

ensuring the clinical engagement and input from leads across primary care and community providers

work with Clinical Leads for other long term and chronic diseases to ensure pathway development aligns, where appropriate

co-chairing, in partnership with the nominated Consultant lead and supported by an ICS representative, the Respiratory and Post Covid syndrome CRG

chairing agreed task-finish groups to deliver against the agreed CRG work programmes, including for flu

Support to discussions at regional (London) and National (England) level around delivery of national priorities, including for flu

providing primary care leadership, input and expertise across the eight NW London boroughs; which is likely to include:

oacting as the primary care advocate for pathway changes and other service adjustments, whether in hospital or the community

osupporting the development and implementation of GP/primary care education & advice events

osupporting the development and implementation of effective GP/primary care, Patient and Public communications, and

oproviding subject matter expertise to the CRG, other ICS programmes and the Clinical Advisory Group, and

supporting the development of medium and long term ICS and Commissioning strategies.

Clinical leads should ensure that work in their area includes consideration of, discussion, impact and outcomes for all ages, including babies, children and young people, adults and older adults. A population health approach should be used to consider the needs of different generations at their different life stages and the transition between these stages transition from adolescence to adulthood.

Each NW London Primary Care Clinical Leads role is to, for their defined clinical area / theme:

Provide the primary care perspective

Think and act strategically about service development needs;

Provide system-wide (NW London) clinical leadership with a focus on improving quality of care and reducing variation in outcomes for our resident population

Support development of clinical pathways in line with clinical effectiveness

Drive delivery of clinical pathways and improved outcomes in primary care across NW London

Work to address inequalities and reduce variation in outcomes across NW London

Actively monitor population health to understand where the need is greatest and develop rapid improvement projects to target and improve health outcomes for those populations

Link into with the relevant local clinical lead for each borough/ ICP and ensure regular communication/ participation for example by meetings asynchronous digital communication with the aim of delivering the clinical pathway in each borough/ PCN

Work closely with the relevant NW London ICS programme delivery manager

Present at NW London Clinical Advisory Group and relevant clinical leads and primary care forums as and when necessary

Provide clinical advice to the NW London ICBs Quality Team to support investigations and the learning emerging from them

Provide clinical leadership to support and facilitate educational needs identified by coordinating and delivering education webinars and resources

Co-chair the relevant NW London Clinical Reference Group, and

Represent NW London at pan-London and Regional meetings where relevant.

Provide clinical leadership to the programme in order to reduce health inequalities and improve life expectancy; ensure people get access to the right treatment, at the right time, in the right place; and help people to recover and stay well. This is now in the context of increased demand and greater morbidity as a result of Covid-19, meaning that greater importance will be placed on:

Better use of digital technology to deliver safe, flexible care;

Easy access to the right care and support, with prompt response in a crisis/emergency; and

Different ways of working and supporting our staff.

Functional Responsibilities:

Supporting the primary care quality agenda

Support the primary care quality agenda of the three elements of quality: patient safety, clinical effectiveness and patient experience within primary care.

Support the Primary Care Quality Improvement team to implement the primary care quality strategy by facilitating connections and forums to raise awareness and progress delivery.

Lead by example and share learning from managing serious incidents under the Patient Safety Incident Reporting Framework (PSIRF) and Learning from Patient Safety Events (LFPSE).

Work with the Primary Care Quality Improvement team to identify areas to incorporate quality improvement methodologies in primary care to ensure the provision of care to the right patients and service users at the right time by the right staff.

Analytical

Awareness of risks to the programme and ensure that escalation processes are followed.

Provide coordination of and lead relevant meetings, reporting attendance and providing information advice and support where requested.

Ensure that data collected is analysed, reported as appropriate and monitor the processing of data and information.

Communications and Engagement

Support co-production as a way of working ensuring the key aspects of the workstream are developed with service users and experts by experience.

Maintain clear and effective lines of communication at all levels with stakeholders.

Be able to work effectively with service users, GP Practices, NHS providers as well as non-NHS providers.

Interface with clinical leads in the other programmes for example: children and young people, elective, urgent and emergency care, diagnostics.

Communicate information, risks, issues and dependencies, including briefings and reports to the programme team, sponsors and a range of internal and external staff.

Provide relevant and timely specialist advice and guidance on functional and information matters.

Work with key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.

Support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team.

Support the relevant NWL ICS programmes in the preparation of correspondence and papers.

General Financial and Physical Resources

Deliver against organisational objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.

Continually strive for delivering project/function outcomes, value for money and greater efficiency

Contribute to the financial delivery of the project ensuring it is cost effective and delivered on time.

Information Management

Operate within and provide enhancements to current management information, to enhance decision making processes.

Lead on development, implementation, monitoring and evaluation of new information systems/databases as required.

Research and Development

Actively lead and contributes to the development of key performance indicators for the successful assessment of variation.

Test and review new concepts, models, methods, practices, products and equipment.

Ensuring there are processes in place for spreading and sharing learning and outcomes.

Work with local academic organisations, drawing on their expertise and resource to support service development and evaluation.

Person Specification

Experience

Essential

Relevant clinical experience in primary care and leadership. Experience of building productive and collaborative working relationships with internal and external stakeholders, working creatively toward shared goals. Experience of reducing unwarranted clinical variation and the ability to foster quality improvement within clinical practice. Evidence of planning and delivering of transformation change to deliver agreed objectives Demonstrate an ability to lead and motivate individuals and teams. Good working knowledge of professional requirements

Desirable

Experience of project work focusing on benefits realisation and supporting transformational change. Experience in liaising with NHS trusts, community organisations, medical schools and other partners and providers in leadership roles. Experience of clinical and educational leadership and innovation, including managing a multi-professional team.

Qualifications

Essential

Practicing primary care clinician in NWL with at least 4 sessions a month at a practice or PCN. (Current or recent practice within at least the last 4 years) Evidence of continuing professional development (CPD) and revalidation MRCGP or equivalent clinical qualification Evidence of a license to practice Satisfactory Appraisal within the last 12 months or within the most recent 12 months of work, (if currently on a career break)

Desirable

Clinical leadership qualification

Skills & Aptitudes

Essential

Excellent verbal and written communication skills. Excellent organisational skills with the ability to prioritise own workload and conflicting demands to meet tight deadlines. Demonstrable leadership skills and an ability to influence and motivate others. Ability to foster quality improvement within clinical practice. Judgement: having the ability to understand and interpret clinical decisions for others and make informed judgements concerning clinical priorities. Demonstrate an understanding of quality assurance activity. Demonstrate the ability to hold to account clinical colleagues. Ability to ensure robust governance processes are agreed and in place for projects. Flexibility and willingness to travel within the borough and NWL area to provide widespread support to continuously develop the programmes of work.

Desirable

Excellent analytical skills. Project management and change management. Ability to produce structured work, strong presentations and deliverables.

Knowledge

Essential

Awareness and understanding of the healthcare landscape in North West London and your borough.

Desirable

Good working knowledge of educational support in primary care training, and health systems. Understanding of national, regional and local primary care workforce transformation programmes.

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