Clinical Lead - Urgent and Emergency Care

Job responsibilities

The Urgent and Emergency Care (UEC) Primary Care 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 UEC services. This will support the ICB and the ICS to deliver the priorities agreed for NW London, the national UEC recovery programme and the NHS Long Term Plan. Key pathways, workstreams and responsibilities within this include:

The Clinical Leads should ensure that the requirements and outcomes for all ages, including babies, children and young people, adults and older adults is central to the UEC programme. 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.

Core Functions

provide the primary care perspective for the UEC Programme and related areas

think and act strategically about service development needs

provide NW London system-wide 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 relevant local clinical leads across boroughs and other programmes and ensure regular communication and participation with the aim of delivering clinical pathways in each borough and PCN

work closely with the relevant NW London ICS programme delivery managers;

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(s) or equivalent

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

Key priorities of clinical leadership in NW London are to help drive effective efforts 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 is 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.

UEC Programme

To represent NW London as Clinical Lead at the Regional Primary Care and UEC meetings. To share learning across both programmes and highlight issues for addressing within the ICB where required

Member of the NW London Urgent and Emergency Care Board

Co-chair the emerging UEC Clinical Reference Group (CRG)

Support the development of medium and long term ICB and ICS strategies

Support all UEC Programme officers with the clinical aspects of their workstreams, including clinical leadership and expertise in the development of workplans and strategies

Ensure clinical engagement and input from clinical leads from across healthcare settings, including acute, community, mental health and primary care

Work with relevant Clinical Reference Groups (CRG) to support those CRGs in delivering the UEC programme and related objectives

Chair agreed task-finish groups to deliver against the agreed CRG work programmes

Attend UEC Team meetings to provide clinical leadership and direction.

UEC Pathways

Provide clinical leadership for the development of cross cutting pathways that are delivered across the ICB, providers and health care setting

Support the integration of UEC and Primary Care services by supporting the development of the Same Day Access programme, linking in with officers across the UEC, Primary Care and Borough teams

Support access, demand, surge and recovery initiatives. This will include the whole system transformation of clinical pathways and services across acute, community, mental health, 3rd sector and other relevant settings

Implement of national clinical recommendations to deliver top decile performance and address inequalities of access and outcome

Ensuring that pathway development is provider agnostic and is in the best interest of the patient

Work with Clinical Leads for chronic and long term conditions to develop pathways that span planned and unplanned care settings, maximising the use of proactive care where appropriate

Work with clinical leads for mental health to ensure that patients are treated quickly in the most appropriate setting

Provide primary care leadership, input and expertise across the ICB; which is likely to include:

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

-supporting the development and implementation of GP education & advice events

-supporting the development and implementation of effective GP, Patient and Public communications, and

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

111

Chair the monthly contract 111 CQRG meetings and review of monthly reports. This includes deep dives into pathway subjects and investigations of all SIs

Attendance at finish / task groups will be required for individual sign off for Clinical Pathways for NW London, National or Regional as a working group. This will include stakeholder Clinicians to resolve and discuss any issues

Represent NW London in Regional Clinical Governance monthly meetings. This will be to review any SIs including patients and providers for the 111 service. Included in this will be reviews of proposed Regional models of care and governance from a NW London perspective

Represent NW London as Clinical Lead in attendance for all Regional IUC Forums. These will include Clinicians from London providers and ICBs. Transformation of services are reviewed with detailed discussions with providers

Act as the Clinical SRO for the ICB for any business continuity process relating to the 111 Service and agree immediate change to pathways if required, for example cyber-attacks or COVID

To agree and sign off COVID pathways for all UEC pathways. This will include addressing activity profiles and coding to agree change where necessary

Meeting with 111 operational Lead to review clinical concerns, National guidance and pathway transformation.

Directory of Services (DoS)

To be the accountable Clinical Lead for the Directory of Services (DoS) for NW London and attend weekly DoS meeting to review and sign off all clinical pathways relating to the DoS/MiDoS for NW London services. This includes all pathways that are profiled on the DOS for all providers in NW London

Rolling programmes are in place for continual review for the DoS pathways including development and design. National Updates will be given for this role to sign off and profiled for implementation into the NW London system

Represent NW London as Clinical Lead at the Regional DoS Board on a monthly basis. This will review coding on the DoS, NHS Pathways descriptive and Service Codes proposed for change. Reviews of activity across the Region are to be analysed across the 5 ICBs to deliver an equitable service to all patients.

Other UEC Services

Provide clinical leadership at contract and performance meetings with providers when contract performance is not being met

Support the development and implementation of an integrated acute front door model that joins up services at the front door but also has strong pathways with services in primary care and community settings

Support the ongoing review Urgent Treatment Centres and the development of their role within the same day care provision

Support the development SDEC (Same Day Emergency Care) including referral pathways from primary care and the 111 and 999 services and the development of new clinical models

Facilitate the implementation of direct booking pathways from 111 and 999 to relevant services, including ED, UTC, and SDEC and UCR

To support the UEC HIU programme giving a clinical review of patients and pathways working across integration with our stakeholders

Support 999 pathways, for instance digital integration initiatives and the development and use of new ACP Pathways.

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.

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

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.

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.

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).