Job responsibilities
The Clinical Facilitator will play a key leadership role in supporting the delivery of the NCL General Practice Change Management Support Programme at the borough and practice level.
They will act as the clinical interface between GP Practices, PCNs, Federations, and the central programme team, ensuring clinical credibility, alignment to local priorities, and engagement from frontline staff.
Working alongside Business Change Facilitators and Borough Senior Managers, they will support practices to embed improvements in Access, Long-Term Conditions (LTC), and Digital Transformation, ensuring that all changes are clinically robust, patient-centred, and sustainable.
The post holder will champion quality improvement (QI) approaches, support peer learning, and help practices apply evidence-based models of care to achieve better outcomes for patients and staff.
Job Responsibilities:
Clinical Leadership and Engagement
- Act as the clinical lead for the boroughs delivery of the Change Management Programme.
- Engage local GPs and clinical teams in programme activities, ensuring alignment with clinical priorities and contractual requirements.
- Champion the adoption of the Modern General Practice Model and proactive LTC care delivery.
- Support practices to apply QI methodologies and embed structured approaches to improvement (e.g., PDSA cycles, Kotters 8 Steps, Theory of Change).
- Use clinical insight to identify barriers, enablers, and opportunities for improvement.
- Promote a culture of collaboration, learning, and professional support among borough clinicians.
Change and Improvement Facilitation
- Work jointly with Business Change Facilitators to deliver targeted change support to practices and PCNs.
- Support the design and testing of interventions that improve access, long-term condition management, and use of digital tools.
- Help practices translate improvement theory into day-to-day operational change.
- Provide clinical input to local playbooks, improvement frameworks, and evaluation tools.
- Lead peer-to-peer learning sessions and contribute to borough or NCL-wide communities of practice.
Clinical Quality, Safety, and Governance
- Ensure changes to clinical pathways, workflows, or processes are safe, evidence-based, and compliant with national and local standards.
- Identify and escalate risks, clinical issues, or safety concerns through the agreed governance routes.
- Work closely with the Programme Clinical Director and Quality Lead to embed continuous improvement, audit, and evaluation.
- Promote learning from incidents, feedback, and outcomes data.
Stakeholder and System Collaboration
- Build strong, trusted relationships with practices, PCNs, Federations, and ICB teams.
- Act as a bridge between clinical frontline teams and programme leadership.
- Contribute to engagement with Lived Experience Representatives and patient voice activities.
- Participate in cross-borough and NCL-level meetings to share learning and support consistent implementation.
Reporting and Evaluation
- Contribute to regular reporting on borough delivery progress, outcomes, and impact.
- Support the measurement of programme metrics, including patient experience, access data, and LTC indicators.
- Provide qualitative insights and examples of improvement to inform evaluation and communications.
- Share local learning, best practice, and case studies across the system.
Key Relationships
The postholder will work with a broad range of internal and external stakeholders, including:
- Borough Senior Manager
- Programme Manager and PMO
- Change Theme Leads (Access, LTC, Digital)
- Quality Lead (Qualitas)
- Business Change Facilitators
- Federation and Practice Clinical Leaders
- ICB Primary Care and Transformation Teams
- GP Provider Alliance (GPPA)
- Lived Experience Representatives and Patient Groups
Confidentiality
Post holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 1998. Post holders must not, without prior permission, disclose any information regarding patients or staff. Moreover, the Data Protection Act 1998 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.
Equal Opportunities
Post holders must at all times fulfil their responsibilities with regard to equality laws.
Health and Safety
Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and to ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors.
Risk Management
All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the risk management strategy and emergency procedures and attend training as required.
Infection Control
Infection Control is everyones responsibility. All staff, both clinical and non-clinical,are required to adhere to the Hygiene Code (2006), Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times, thereby reducing the burden of Healthcare Associated Infections, including MRSA.
Safeguarding
Within their sphere of competence, each member of staff is responsible for promoting and safeguarding the welfare of the children, young people and/or vulnerable adults for whom they are responsible or may come into contact with, in the job role.
Quality
The postholder is expected to promote, uphold, and model high standards of clinical quality across all aspects of the Change Management Programme and borough-level improvement activity. This includes:
Clinical Quality and Safety
- Ensures that all proposed changes to pathways, workflows, or models of care are clinically safe, evidence-based, and aligned with national guidance (e.g., NICE, NHS England), local ICB priorities, and professional standards.
- Applies clinical judgement to identify risks, gaps, or unintended consequences of change, ensuring mitigation actions are co-developed with practices.
- Supports practices to embed safe systems of working, including robust triage, clinical oversight, and continuity of care mechanisms.
Quality Improvement Leadership
- Champions QI methodologies and supports practice teams to adopt structured, measurable approaches to improving access, long-term condition management, and patient experience.
- Enables clinicians to interpret data, review variation, and use evidence to plan, test, and refine improvements.
- Promotes reflective practice, shared learning, and peer-to-peer support to strengthen local clinical improvement capability.
Patient- Centred Quality
- Ensures that all improvement activity prioritises high-quality, equitable patient care and contributes to reducing health inequalities across the borough.
- Advocates for the patient voice, using insights from lived experience groups, complaints, feedback, and surveys to inform improvement design and evaluation.
- Supports practices in adopting approaches that improve safety, outcomes, access, and continuity for all patient groups, including the most vulnerable.
Clinical Governance and Assurance
- Works with the Programme Clinical Director, Quality Lead, and borough teams to support local clinical governance processes, including audit, evaluation, incident learning, and quality assurance.
- Escalates clinical concerns, risks, and safety issues in line with programme governance frameworks and organisational policies.
- Contributes to the development of local guidance, playbooks, and decision-support tools to support safe and consistent implementation of the Modern General Practice Model.
Data Quality and Outcome Measurement
- Promotes high standards of data quality, supporting practices to capture accurate, meaningful, and timely information to monitor improvement and evaluate impact.
- Uses outcomes data (access metrics, LTC indicators, patient experience feedback) to identify opportunities for improvement, measure progress, and share learning across the system.
Clinical Consistency Across the Programme
- Supports consistent implementation of programme standards and clinical models across all borough practices, reducing unwarranted variation.
- Ensures fidelity to evidence-based care models while supporting practices to tailor approaches to local context and need.
The job holder will carry out any other duties as may reasonably be required by their line manager and may be reviewed in accordance with the changing needs of the NCL Change Management programme.
