Job summary
As a Clinical Lead, you will have a specific responsibility for scaling services and supporting the delivery of key clinical priorities within the IGPF framework. Working hours and clinical sessions will be agreed with IGPF based on the needs of the practice and the Federation, with flexibility supported where it does not adversely impact service delivery.
Main duties of the job
You will be expected to provide clinical leadership across the allocated practice(s), contributing to the development and implementation of innovative models of care. This includes supporting digital triage pathways, shaping new ways of working, and delivering direct patient care within Islington GP Federation (IGPF) practices.
About us
Islington GP Federation (IGPF) is a growing organisation representing 31 practices; we have established ourselves as a leader in new ways of working, including running Islingtons extended access primary care services (I:HUB) as well as supporting the Islington Primary Care Networks (PCNs).
Our current range of services includes the Extended Access Service, I: HUB, Community Ear, Nose and Throat (ENT), Integrated Community Gynaecology, practice-based pharmacists and a range of practice support mechanisms.
IGPF works very closely with a range of partners, including the regional commissioning group, NHS England, Healthy London Partnership, Public Health, local hospitals such as UCLH, Whittington Health and the London Borough of Islington.
IGPF is the host organisation for the Primary Care Network (PCN) workforce and the Islington Training Hub and has been working for over two years to create training and development programmes that meet the needs of staff working in primary and community care settings.
IGPF runs four Islington GP practices, one on a GMS contract, two on APMS contracts and one caretaking contract.
Details
Date posted
12 August 2025
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Part-time
Reference number
E0031-25-0039
Job locations
Unit 16-18
The Studios, Hornsey Street
Holloway
London
N7 8EG
Job description
Job responsibilities
Leading the clinical team:
- Line management of sessional GPs and Practice Nursing team.
- Liaison with allied health professionals and attendance at integrated care meetings.
- Leading clinical governance (as clinical lead of an IGPF service) to ensure the service provides high-quality, safe, and confidential care.
- Driving high performance in Quality and Outcomes Framework (QOF), Investment and Impact Fund (IIF), and other contractual KPIs.
- Facilitating dynamic clinical meetings that support the development of the wider clinical team.
- Demonstration of robust quality and safety of care at the practice with excellent use of service data.
- Close collaboration with the IGPF Medical Director.
- Clinical oversight of the development and implementation of clinical systems.
- Work in partnership with appropriate IGPF and practice leads to address problems that may arise with members of the clinical team.
- Review of clinical protocols with communication of changes to clinicians.
- Ensure, along with operational leads and the IGPF Lead Nurse, that federation clinical and safeguarding policies are implemented with the team.
Provision of clinical care:
Provide clinical care to Islington GP Federation practices' patients, including:
- Provision of urgent and non-urgent general practice consultations - telephone, face-to-face, and visits - as required.
- Contributing to continuity of care: managing a personal list as defined within the practice (for example, for prescription, inbound documentation, and non-urgent results review).
- Oversee and participate in chronic disease management, which you may lead, for defined conditions and/or patients.
- Participate in specified clinical meetings and lead weekly clinical meetings.
- Participate in, and on occasion lead, clinical audit and quality improvement activities.
- Review of clinical protocols with communication of changes to clinicians.
- Acting on QOF, IIF, and governance alerts to maintain compliance with clinical standards.
- Ensure the practice meets audit deadlines, quality standards, and funding requirements for key frameworks such as QOF and LCS are met.
- Supporting the timely submission of audits and compliance with QOF, LCS, and all primary care funding frameworks.
Management & strategic role:
- The practice has its own operational leadership that works in close collaboration with the IGPF operational team. You will provide, when needed, clinical leadership and a clinical perspective. This will help the operational team identify and act on priorities to support high-quality and safe clinical care.
- Ensure that the practice(s) of responsibility achieve and maintain optimal financial performance in collaboration with the wider practice team, IGPF leadership team and IGPF Finance team.
- Lead in collaboration with the wider practice team on achievement of all income streams, national and local.
- Work collaboratively with the Operations Manager and with IGPF leadership team and IGPF Digital Products Lead to implement workflow efficiencies, digital innovations, and service optimisation.
- Ensure ongoing review and monitoring of costs for the practice(s) of responsibility, identifying and managing the delivery of improvements where required.
- Be jointly responsible with IGPF Leadership team for the strategic direction of the practice.
- Develop and maintain excellent relationships with senior representatives across NCL ICS and wider to support a collaborative patient-centred approach.
- Review business opportunities with the IGPF Leadership team and operational leads that optimise value for money and maintain excellent quality of care.
- Be the responsible lead for management of patient and staff complaints, including review of actions and feedback to patients and staff.
- Ensure all premises are CQC ready jointly with Federation estate leads and the Operational lead.
- Communication to the IGPF executive team on updates within the practice.
- Acting as a key clinical point of contact for the Primary Care Network (PCN), working collaboratively with PCN Clinical Directors and other PCN leads to meet Network Contract DES requirements.
- Participating in the delivery of PCN services and supporting workforce integration, including Additional Roles Reimbursement Scheme (ARRS) staff.
Financial performance:
In partnership with the Operational Lead, you will be responsible for overseeing and supporting the financial sustainability and performance of the practice. You will be expected to work closely with the IGPF Finance Team, attending regular financial review meetings to assess practice performance against targets and budgets.
Where financial recovery is required, you will take a lead role in developing and implementing a robust financial recovery plan. This includes identifying areas for improvement, agreeing on actions with relevant stakeholders, and ensuring timely and effective implementation. You will also support the embedding of systems and processes that improve efficiency, reduce waste, and enhance value for money across the practice(s) of responsibility.
Quality improvement:
In collaboration with others, the post holder will:
- Identify and focus on priorities for improvement.
- Enable rapid and systematic implementation of evidence-based interventions
- Use and enable opportunities for clinical learning in practice teams
Accountability:
Although accountable to the senior leadership team, you are ultimately responsible for your own practice and must ensure that limitations are always acknowledged.
To maintain a safe and effective level of practice and to bring any deficits in training to the attention of the Operations Manager so these can be addressed.
To always act in a professional manner, and adhere to IGPF policies, protocols, and guidelines.
Ethos:
- The concept of Primary Care, the organisation of General Practice and the roles played by other members need to be understood.
- Good communication and relationships must be established and maintained with patients, colleagues, and employers.
- Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission.
- Co-operation with IGPF to ensure all members of the team adhere to statutory regulations/policies and codes of practice and department safety rules.
- Offer innovative ways of working and opportunities to facilitate learning.
- Facilitates a learning environment within the team.
- Maintains a caring environment through the support of colleagues.
Staff Wellbeing and Support:
Islington GP Federation (IGPF) is committed to fostering a positive and supportive working environment across all practices, services, and programmes of work delivered.
We recognise that staff wellbeing is essential to delivering safe, effective, and person-centred care. As a GP-led organisation, we understand the unique pressures faced by primary care teams and actively promote wellbeing through a range of initiatives, including:
- Access to occupational health services and dedicated support helplines (details available upon request)
- Regular 1:1 check-ins and wellbeing conversations with line managers
- Referral pathways for additional support, including mental health resources
- Protected time for peer support, clinical reflection, and leadership development through Clinical Leads Meetings
- Encouragement of a healthy worklife balance, including use of full annual leave entitlement and avoidance of unnecessary out-of-hours work
- Opportunities for flexible or portfolio working within both the practice and the wider Federation
- Promotion of an inclusive, team-oriented culture where concerns can be raised openly and support is readily available
IGPF is proud to support staff at every level and is committed to building a culture where colleagues feel valued, supported, and empowered to thrive in their roles.
Flexibility:This job description provides a general overview of the key duties and responsibilities of a Clinical Lead, but it is not intended to be an exhaustive list of all tasks that may be required. The nature of the role demands flexibility in both the duties undertaken and the hours worked to ensure the smooth running of the practice and the achievement of its objectives.
As and when required, the clinical lead may be called upon to take on additional duties or responsibilities beyond those outlined here, in line with the needs of the practice. It is expected that the Clinical Lead will adapt to evolving requirements and contribute to various aspects of the practices operations.
A strong understanding of the concept of Primary Care, the organisation of General Practice, and the roles played by other members of the healthcare team is essential. The Clinical Lead should also foster positive communication and maintain strong relationships with patients, colleagues, and employers, ensuring that the practice operates effectively and efficiently.
Job description
Job responsibilities
Leading the clinical team:
- Line management of sessional GPs and Practice Nursing team.
- Liaison with allied health professionals and attendance at integrated care meetings.
- Leading clinical governance (as clinical lead of an IGPF service) to ensure the service provides high-quality, safe, and confidential care.
- Driving high performance in Quality and Outcomes Framework (QOF), Investment and Impact Fund (IIF), and other contractual KPIs.
- Facilitating dynamic clinical meetings that support the development of the wider clinical team.
- Demonstration of robust quality and safety of care at the practice with excellent use of service data.
- Close collaboration with the IGPF Medical Director.
- Clinical oversight of the development and implementation of clinical systems.
- Work in partnership with appropriate IGPF and practice leads to address problems that may arise with members of the clinical team.
- Review of clinical protocols with communication of changes to clinicians.
- Ensure, along with operational leads and the IGPF Lead Nurse, that federation clinical and safeguarding policies are implemented with the team.
Provision of clinical care:
Provide clinical care to Islington GP Federation practices' patients, including:
- Provision of urgent and non-urgent general practice consultations - telephone, face-to-face, and visits - as required.
- Contributing to continuity of care: managing a personal list as defined within the practice (for example, for prescription, inbound documentation, and non-urgent results review).
- Oversee and participate in chronic disease management, which you may lead, for defined conditions and/or patients.
- Participate in specified clinical meetings and lead weekly clinical meetings.
- Participate in, and on occasion lead, clinical audit and quality improvement activities.
- Review of clinical protocols with communication of changes to clinicians.
- Acting on QOF, IIF, and governance alerts to maintain compliance with clinical standards.
- Ensure the practice meets audit deadlines, quality standards, and funding requirements for key frameworks such as QOF and LCS are met.
- Supporting the timely submission of audits and compliance with QOF, LCS, and all primary care funding frameworks.
Management & strategic role:
- The practice has its own operational leadership that works in close collaboration with the IGPF operational team. You will provide, when needed, clinical leadership and a clinical perspective. This will help the operational team identify and act on priorities to support high-quality and safe clinical care.
- Ensure that the practice(s) of responsibility achieve and maintain optimal financial performance in collaboration with the wider practice team, IGPF leadership team and IGPF Finance team.
- Lead in collaboration with the wider practice team on achievement of all income streams, national and local.
- Work collaboratively with the Operations Manager and with IGPF leadership team and IGPF Digital Products Lead to implement workflow efficiencies, digital innovations, and service optimisation.
- Ensure ongoing review and monitoring of costs for the practice(s) of responsibility, identifying and managing the delivery of improvements where required.
- Be jointly responsible with IGPF Leadership team for the strategic direction of the practice.
- Develop and maintain excellent relationships with senior representatives across NCL ICS and wider to support a collaborative patient-centred approach.
- Review business opportunities with the IGPF Leadership team and operational leads that optimise value for money and maintain excellent quality of care.
- Be the responsible lead for management of patient and staff complaints, including review of actions and feedback to patients and staff.
- Ensure all premises are CQC ready jointly with Federation estate leads and the Operational lead.
- Communication to the IGPF executive team on updates within the practice.
- Acting as a key clinical point of contact for the Primary Care Network (PCN), working collaboratively with PCN Clinical Directors and other PCN leads to meet Network Contract DES requirements.
- Participating in the delivery of PCN services and supporting workforce integration, including Additional Roles Reimbursement Scheme (ARRS) staff.
Financial performance:
In partnership with the Operational Lead, you will be responsible for overseeing and supporting the financial sustainability and performance of the practice. You will be expected to work closely with the IGPF Finance Team, attending regular financial review meetings to assess practice performance against targets and budgets.
Where financial recovery is required, you will take a lead role in developing and implementing a robust financial recovery plan. This includes identifying areas for improvement, agreeing on actions with relevant stakeholders, and ensuring timely and effective implementation. You will also support the embedding of systems and processes that improve efficiency, reduce waste, and enhance value for money across the practice(s) of responsibility.
Quality improvement:
In collaboration with others, the post holder will:
- Identify and focus on priorities for improvement.
- Enable rapid and systematic implementation of evidence-based interventions
- Use and enable opportunities for clinical learning in practice teams
Accountability:
Although accountable to the senior leadership team, you are ultimately responsible for your own practice and must ensure that limitations are always acknowledged.
To maintain a safe and effective level of practice and to bring any deficits in training to the attention of the Operations Manager so these can be addressed.
To always act in a professional manner, and adhere to IGPF policies, protocols, and guidelines.
Ethos:
- The concept of Primary Care, the organisation of General Practice and the roles played by other members need to be understood.
- Good communication and relationships must be established and maintained with patients, colleagues, and employers.
- Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission.
- Co-operation with IGPF to ensure all members of the team adhere to statutory regulations/policies and codes of practice and department safety rules.
- Offer innovative ways of working and opportunities to facilitate learning.
- Facilitates a learning environment within the team.
- Maintains a caring environment through the support of colleagues.
Staff Wellbeing and Support:
Islington GP Federation (IGPF) is committed to fostering a positive and supportive working environment across all practices, services, and programmes of work delivered.
We recognise that staff wellbeing is essential to delivering safe, effective, and person-centred care. As a GP-led organisation, we understand the unique pressures faced by primary care teams and actively promote wellbeing through a range of initiatives, including:
- Access to occupational health services and dedicated support helplines (details available upon request)
- Regular 1:1 check-ins and wellbeing conversations with line managers
- Referral pathways for additional support, including mental health resources
- Protected time for peer support, clinical reflection, and leadership development through Clinical Leads Meetings
- Encouragement of a healthy worklife balance, including use of full annual leave entitlement and avoidance of unnecessary out-of-hours work
- Opportunities for flexible or portfolio working within both the practice and the wider Federation
- Promotion of an inclusive, team-oriented culture where concerns can be raised openly and support is readily available
IGPF is proud to support staff at every level and is committed to building a culture where colleagues feel valued, supported, and empowered to thrive in their roles.
Flexibility:This job description provides a general overview of the key duties and responsibilities of a Clinical Lead, but it is not intended to be an exhaustive list of all tasks that may be required. The nature of the role demands flexibility in both the duties undertaken and the hours worked to ensure the smooth running of the practice and the achievement of its objectives.
As and when required, the clinical lead may be called upon to take on additional duties or responsibilities beyond those outlined here, in line with the needs of the practice. It is expected that the Clinical Lead will adapt to evolving requirements and contribute to various aspects of the practices operations.
A strong understanding of the concept of Primary Care, the organisation of General Practice, and the roles played by other members of the healthcare team is essential. The Clinical Lead should also foster positive communication and maintain strong relationships with patients, colleagues, and employers, ensuring that the practice operates effectively and efficiently.
Person Specification
Qualifications
Essential
- General Practitioner on the England & Wales performers list for at least three years
- Minimum of 3 years post-qualification experience in the UK
Desirable
- Evidence of further postgraduate educational activities in relevant fields - MRCGP
Experience
Essential
- Experience in addressing complex clinical needs and supporting others to do so.
- Experience of leadership in the clinical context
- Experience in managing financial performance in the primary care/ service area of responsibility
- Experience in chronic disease management
Desirable
- Experience in quality improvement and clinical system development and change
- Experience in one-to-one or group clinical teaching and training
- Experience with audit and able to lead audit programmes.
- Experience with clinical risk management
- Working in a practice in a caretaking role
- Experience in supporting service change
Skills
Essential
- Excellent communication skills (written and oral)
- Competent in the use of MS Office, Outlook and Teams
- A good knowledge of EMIS and other clinical IT systems
- Understanding/knowledge of: Quality & Outcomes Framework (QOF)and Practice income streams
- Coaching and mentoring skills
Desirable
- Knowledge of local and national NHS issues and the health and social care environment
Person Specification
Qualifications
Essential
- General Practitioner on the England & Wales performers list for at least three years
- Minimum of 3 years post-qualification experience in the UK
Desirable
- Evidence of further postgraduate educational activities in relevant fields - MRCGP
Experience
Essential
- Experience in addressing complex clinical needs and supporting others to do so.
- Experience of leadership in the clinical context
- Experience in managing financial performance in the primary care/ service area of responsibility
- Experience in chronic disease management
Desirable
- Experience in quality improvement and clinical system development and change
- Experience in one-to-one or group clinical teaching and training
- Experience with audit and able to lead audit programmes.
- Experience with clinical risk management
- Working in a practice in a caretaking role
- Experience in supporting service change
Skills
Essential
- Excellent communication skills (written and oral)
- Competent in the use of MS Office, Outlook and Teams
- A good knowledge of EMIS and other clinical IT systems
- Understanding/knowledge of: Quality & Outcomes Framework (QOF)and Practice income streams
- Coaching and mentoring skills
Desirable
- Knowledge of local and national NHS issues and the health and social care environment
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Islington GP Federation
Address
Unit 16-18
The Studios, Hornsey Street
Holloway
London
N7 8EG
Employer's website
Employer details
Employer name
Islington GP Federation
Address
Unit 16-18
The Studios, Hornsey Street
Holloway
London
N7 8EG
Employer's website
Details
Date posted
12 August 2025
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Part-time
Reference number
E0031-25-0039
Job locations
Unit 16-18
The Studios, Hornsey Street
Holloway
London
N7 8EG
Supporting documents
Privacy notice
Islington GP Federation 's privacy notice (opens in a new tab)