Pc24 Head Of Clinical Delivery
hace 2 días
Mansfield
The Head of Clinical Delivery PC24 is a senior clinical management post responsible for the safe, effective and consistent day-to-day delivery of NEMS urgent primary care services at Kings Mill Hospital. The postholder will provide visible clinical leadership, manage the non-medical clinical workforce and take ownership of clinical quality, performance and service standards. The postholder will form part of the service leadership triumvirate alongside the Medical Lead and Operational Service Manager. The Medical Lead will provide medical governance, professional medical oversight and strategic leadership, whilst the Operational Service Manager will ordinarily lead on rotas, sickness administration and annual leave. The Head of Clinical Delivery will lead the day-to-day clinical management of the service and the performance and development of its clinical workforce. These responsibilities are complementary and require close working between all three roles. 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 post requires an experienced, Masters-qualified Advanced Clinical Practitioner who can combine senior management responsibilities with regular autonomous clinical practice. As a guide, approximately 60% of working time will be clinical and 40% managerial, adjusted by agreement where service needs require. The postholder will work closely with the designated Clinical Governance Lead and Governance Team, attend senior and service-level meetings, lead a monthly clinical team meeting and deputise for the Associate Director of Nursing and Quality when requested. NEMS CBS is a high quality, high performing; not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. Responsive, adaptable and continually evolving, we have a reputation for delivering locally-tailored, safe, effective and cost-efficient services with high levels of patient satisfaction. We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners, Telephone triage clinicians and Advanced Clinical Practitioners. NEMS currently operates 3 main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Primary care provision located within the A&E Department at QMC, (3) A 24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield. NEMS is committed to the NHS Values (as set out in the NHS Constitution March 2023). Date posted: 28 October 2026 Pay scheme: Other Salary: £77,585 a year Contract: Permanent Working pattern: Full-time, Flexible working Reference number: U9183-26-0029 Job locations: Kings Mill Hospital, Mansfield Road, Sutton-in-Ashfield, Nottinghamshire, NG17 4JL, United Kingdom • Lead PC24s clinical service and take responsibility for its day-to-day clinical delivery, the staff who provide care and the standard of care patients receive. The post combines Lead ACP practice with departmental leadership, with around 60% of working time in clinical practice and 40% in management., • Practise autonomously as an ACP. Assess and treat patients attending the primary care centre, and make decisions about investigation, treatment, referral or discharge within professional competence and agreed pathways., • Give colleagues senior clinical advice and support. Where a patient needs care beyond PC24s capability, arrange escalation or transfer and make sure the receiving team has the information it needs., • Keep records accurate, obtain consent and assess capacity where needed. Explain the plan 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., • Line manage the departments clinical staff, excluding GPs. This includes ACPs, UCPs, trainee ACPs and Urgent Care Assistants (UCAs)., • Support recruitment and onboarding. Work with the Education Team to ensure new staff understand the service and are suitably trained for their role. Mentor clinical staff and provide additional support to trainee ACPs when an educator or clinical mentor is unavailable., • Hold appraisals and performance reviews, give regular feedback and address concerns about practice, conduct, productivity or capability. Be clear with staff about what needs to improve and follow NEMS policies and procedures when further action is needed., • Agree each clinicians scope of practice and supervision arrangements. Identify gaps in skills or confidence and arrange the support needed to address them., • Make time for regular one-to-ones about staff wellbeing, workload and ideas for the service. Organise clinical supervision and chair regular meetings for all departmental staff., • Set out the clinical staffing and skill mix the service needs. Work with the Operational Service Manager and Rota Team on cover and elevate any risk to safe delivery. The Operational Service Manager coordinates the rota and leads sickness and annual leave processes., • GPs are 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 GP performance management remains with the Medical Lead., • Take responsibility for safety and quality within PC24. Keep local infection prevention and control arrangements in order, oversee clinical stock and act on safeguarding concerns., • Make sure the department is ready for CQC inspection, with current evidence, sound local arrangements and staff who understand their responsibilities., • Work with the Clinical Governance Lead and Governance Team on incidents, complaints and patient feedback. Provide clinical information and help the department act on learning. The Governance Team coordinates investigations; the HoCD makes sure local actions are completed., • Gather and review patient and carer feedback in good time. Work with senior clinical staff to understand what it says about care at PC24 and make changes where needed., • Involve patients and carers when services are reviewed or developed. Speak up for an individual patient when their concern needs to be heard., • Attend the monthly Patient Safety Steering Group and support the Governance Team in presenting information about PC24. Contribute to clinical audits when required and use the findings to improve care., • Keep a close view of how the clinical service is working. Review access, waiting times, clinical productivity and quality, and follow up when the service is not meeting its standards., • Use clinical and operational information to understand pressures on PC24. Work with the Operational Service Manager and Medical Lead to resolve issues that cross clinical and operational responsibilities., • Maintain an overview of the departments finances. Identify pressures early and explain their effect on staffing, capacity or care. Contribute clinical and workforce information to service planning and business cases., • Keep up to date with developments in urgent care, primary care, integrated care systems and NHS England guidance. Consider what they mean for PC24 and bring forward changes that will improve care or the way the service works., • Lead agreed changes to clinical practice within the department. Contribute the PC24 clinical view to wider service development and help put agreed changes into practice., • Work with local and national healthcare providers to improve patient pathways and develop service models. Explain how NEMS services contribute to care across the wider health system., • Represent PC24 in local clinical discussions with Sherwood Forest Hospitals, including regular meetings with Emergency Department, paediatric and other specialty teams. Raise matters that need wider medical or organisational decisions through the appropriate NEMS lead., • Attend and present at the weekly Management Meeting. Chair the meeting when the usual chair is absent., • Attend and contribute to the monthly Clinical Performance Group, and chair it when required., • Attend Senior Leadership Team meetings on a rolling rota, representing the departments local leaders., • Lead the drafting and review of departmental SOPs and policies. Arrange medical review and sign-off, and submit them for executive approval where required. Develop clinical guidelines with the Medical Lead, who provides final clinical sign-off., • 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., • Leadership or management qualification., • Education, supervision or mentorship qualification., • 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., • UTC practice or service mobilisation., • Workforce redesign and budget or contractual performance management., • Working with commissioners and external providers., • 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 escalate., • 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. 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. Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). NEMS Community Benefit Services Ltd Kings Mill Hospital, Mansfield Road, Sutton-in-Ashfield, Nottinghamshire, NG17 4JL, United Kingdom For questions about the job, contact: Recruitment Team, Applicants must have current UK professional registration. #J-18808-Ljbffr
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