Clinical Lead - Health Equity

Job responsibilities

The Clinical Lead will provide clinical leadership to support the use of population health and inequality evidence across NW London ICS, ensuring a culture of reducing inequalities throughout NW London is embedded, in line with the Focus-on Population Health Management (PHM) methodology, by:

Attending and providing clinical leadership and representation within the health equity Executive and Programme Board, supporting a multi-agency delivery approach.

Being a champion for the routine use of quantitative data and qualitative insights when reshaping health and care services in NW London to address inequalities

Providing leadership and linkages with the clinical leads across the eight boroughs of NW London

Helping to set the strategic direction of the NW London health equity programme and support delivery of projects within the overall programme, aligned with local borough based priorities

Being a champion for multi-agency working to address complex health and care population needs for all age groups.

Supporting efforts to tackle inequality of healthcare access, experience and outcome in line with the Core20Plus5 approach

Supporting the implementation of NW London ICS priorities that reduce unwarranted variation.

Providing clinical leadership to support and facilitate educational needs to address inequalities

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 e.g. 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 / Integrated Care Partnership and ensure regular communication/ participation for example by meetings asynchronous digital communication with the aim of delivering the clinical pathway in each borough / Primary Care Network (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 or equivalent, 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 NW London 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.

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.

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 NW London 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.

Qualifications

Essential

• Practicing primary care clinician in NW London 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

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.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).