Primary Care Clinical Lead: Urgent Care, Frailty & End Of Life in City of London

Job summary

City & Hackney Place-Based Partnership is seeking an experienced and passionate primary care clinician to join our clinical leadership team.

We are recruiting for Primary Care Clinical lead: Urgent & Emergency Care and Frailty and End of Life.

The role will help shape the future of integrated neighbourhood working across one of London's most diverse and dynamic health systems.

This role is funded through ICB Integrated Care Transformation funds and hosted by City & Hackney Integrated Primary Care (IPC). Whilst based within the IPC, post holders work on behalf of the City & Hackney Place-Based Partnership as a whole, providing clinical leadership that spans primary, community, secondary and social care and the voluntary sector.

Main duties of the job

This role provides primary care clinical leadership across the urgent and emergency care and frailty and end of life agenda at Place, working within and across the neighbourhood model to strengthen the interface between primary care, community services, urgent care and acute providers. The post holder will help shape the clinical model for how neighbourhood teams respond to urgent need and manage frailty and end of life proactively, reducing avoidable escalation and supporting people to live well at home for longer and to have a dignified death free of avoidable pain and distress, aligned with the individual personal wishes and cultural values.

The post holder is expected to use their two sessions per week strategically, as a convener, connector and clinical voice, rather than as an operational delivery resource. The scope of each role is intentionally broad to allow prioritisation in response to local intelligence and evolving system need.

About You

• Currently practise within the City & Hackney footprint
• Have experience working across organisational and professional boundaries
• Are passionate about integrated neighbourhood working and reducing health inequalities
• Can influence and build effective relationships across complex systems
• Bring strategic thinking alongside a strong understanding of frontline primary care

About us

Clinical leadership is at the heart of delivering the best possible outcomes for our population in City & Hackney. These roles exist to ensure that the voice of experienced, practising clinicians runs through everything we do, connecting the work of operational and managerial leads, partners across the system, and the patients and communities we serve. As our partnership continues to develop and our neighbourhood model matures, sustained clinical leadership is not a support function; it is a core ingredient of success. These posts are designed to provide that leadership, ensuring that what we plan, and deliver is clinically credible, grounded in the reality of practice, and genuinely shaped by the needs and experiences of local people.

Details

Date posted: 30 September 2026

Pay scheme: Other

Salary: £300 a session

2 sessions per week (8 hours), 48 weeks per year.

Contract: Fixed term

Duration: 2 years

Working pattern: Part-time

Reference number: U0090-26-0024

Job locations: 1st Floor, 3 Lloyd's Avenue, London, EC3N 3DS, United Kingdom

Job responsibilities

Urgent and Emergency Care

Provide a primary care voice in the design and ongoing development of the urgent care system at Place, including same-day access, urgent community response and the interface with 111 and the emergency department

Support PCN Clinical Directors and neighbourhood teams to understand and respond to local urgent care demand, including through data-informed approaches to demand management

Contribute to system-level work on reducing avoidable emergency admissions and improving the experience of patients who do need to access urgent or emergency care

Provide clinical input into the development of urgent community response services and out-of-hours provision, ensuring these reflect primary care knowledge and neighbourhood infrastructure

Frailty and Complex Needs

Provide clinical leadership for the frailty agenda at Place, including proactive identification and risk stratification of people living with frailty within neighbourhoods

Support the development and embedding of evidence-based frailty pathways across the neighbourhood model, including comprehensive geriatric assessment, anticipatory care planning and medicines optimisation

Champion and support Integrated Neighbourhood Teams to develop robust MDT processes for people living with frailty, ensuring primary care is actively engaged in case review and care coordination

Contribute to work on reducing avoidable hospital admissions, length of stay and readmissions for people living with frailty, working with acute and community partners

Provide clinical input into ageing well, dementia and end of life care programmes at Place, ensuring a coherent and connected approach across the system

End of Life Care

• Provide clinical leadership for end of life care at Place, ensuring that the needs and preferences of people approaching the end of life are reflected in neighbourhood and wider system planning.
• Support the development and embedding of proactive, person-centred end of life care approaches across the neighbourhood model, including anticipatory care planning and appropriate coordination between primary, community, palliative and other relevant services.
• Strengthen the interface between primary care, community services, palliative care, acute providers, social care and the voluntary sector, supporting clearer pathways and coordinated care for people approaching the end of life.
• Work with neighbourhood teams and PCN Clinical Directors to support identification of people who may benefit from proactive end of life care planning, ensuring that care is aligned with individual wishes, cultural values and preferred place of care where possible.
• Support Integrated Neighbourhood Teams to develop effective MDT approaches for people approaching the end of life, including appropriate involvement of primary care, community services, palliative care, social care and carers.
• Contribute to reducing avoidable urgent and emergency care for people approaching the end of life, where this is not consistent with their wishes or clinical needs, through better anticipatory planning, coordination and access to appropriate community and palliative care.
• Support improvements in the experience of people at the end of life, their families and carers, with a focus on dignity, compassionate care, continuity and freedom from avoidable pain and distress.
• Provide clinical input into the development, review and improvement of end of life care pathways and resources, ensuring that relevant information is accessible to clinicians, patients, carers and partners.
• Work with St Josephs Palliative Care Team and other relevant partners to strengthen clinical relationships, shared working and integration of end of life care across the City & Hackney system.
• Contribute to population health and health inequalities work in end of life care, ensuring that service development considers the diverse needs of City & Hackney residents and supports meaningful participation by residents, patients, carers and communities.

Neighbourhood Model Development

Work with Neighbourhoods to ensure that urgent care and frailty functions are embedded in the neighbourhood model in a way that is clinically robust and sustainable

Supporting, engaging and participating, in the development/codesign of neighbourhood group consultation clinics

Support the engagement of PCN Clinical Directors and practices in neighbourhood-level work on urgent care and frailty

Provide clinical input into the design of INT structures, MDT processes and clinical governance arrangements as they relate to this agenda

Responsible for supporting the development, review and maintenance of new and existing relevant pathways on the website

Building Trusted Relationships with Partners and Communities

Success in this role is dependent on having strong relationships with patients, service users, carers and their representative organisations, partners, staff, clinicians and local communities.

Person Specification

Core Requirements

Essential

• We are seeking experienced GPs or other primary care clinicians with a track record of working across organisational boundaries and contributing to system-level improvement.
• Current clinical practice in primary care within the City & Hackney footprint
• Experience of working across organisational and professional boundaries in a partnership or system context
• Understanding of integrated neighbourhood working, population health approaches and health inequalities
• Ability to influence without direct authority and to build trusted relationships with diverse stakeholders
• Commitment to co-production and to placing the voice of residents and service users at the centre of service change
• Capacity to operate strategically within the time commitment of two sessions per week, identifying priorities and working through others
• Familiarity with NHS governance, contracting and programme management frameworks relevant to their area
• Knowledge of the urgent and emergency care system, frailty pathways and/or ageing well agenda, with experience of working with older people or complex patients in a primary care or community setting

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: City & Hackney Integrated Primary Care CIC

Address: 1st Floor, 3 Lloyd's Avenue, London, EC3N 3DS, United Kingdom

For questions about the job, contact: Laura Ulian, laura.ulian@nhs.net

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.

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