Job summaryThe Head of
Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below.
Clinical Delivery PC24 is a senior clinical management post responsible for
the safe, effective and consistent day-to-day delivery of NEMS urgent primary
care services at Kings Mill Hospital. The postholder will provide visible
clinical leadership, manage the non-medical clinical workforce and take
ownership of clinical quality, performance and service standards.The
postholder will form part of the service leadership triumvirate alongside the
Medical Lead and Operational Service Manager. The Medical Lead will provide
medical governance, professional medical oversight and strategic leadership,
whilst the Operational Service Manager will ordinarily lead on rotas, sickness
administration and annual leave. The Head of Clinical Delivery will lead the
day-to-day clinical management of the service and the performance and
development of its clinical workforce. These responsibilities are complementary
and require close working between all three roles.Main duties of the jobThe postholder will lead agreed clinical and service improvements at PC24. Working with colleagues and partner organisations, they will ensure that workforce, clinical pathways, safety arrangements and operating procedures support safe, effective care and meet service requirements.The post
requires an experienced, Masters-qualified Advanced Clinical Practitioner who
can combine senior management responsibilities with regular autonomous clinical
practice. As a guide, approximately 60% of working time will be clinical and
40% managerial, adjusted by agreement where service needs require.The
postholder will work closely with the designated Clinical Governance Lead and
Governance Team, attend senior and service-level meetings, lead a monthly
clinical team meeting and deputise for the Associate Director of Nursing and
Quality when requested.About usAbout NEMSNEMS
CBS is a high quality, high performing; not-for-profit organisation which
delivers integrated urgent care and urgent primary care services to over 1
million patients. Responsive, adaptable and continually evolving, we have a
reputation for delivering locally-tailored, safe, effective and cost-efficient
services with high levels of patient satisfaction.We
are committed to investing in our people and have an established programme of
learning and development, successfully developing our own Urgent Care
Practitioners, Telephone
triage clinicians and Advanced Clinical
Practitioners.NEMS
currently operates 3 main services: (1) Integrated Urgent Care across
Nottinghamshire serving a patient population of over 1 million, including home
visiting, remote consultation and clinical assessment services; (2) Urgent
Primary care provision located within the A&E Department at QMC, (3) A
24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital
A&E, Mansfield.NEMS
is committed to the NHS Values (as set out in the NHS Constitution March 2023).DetailsDate posted28 October 2026Pay schemeOtherSalary
77,585 a year
ContractPermanentWorking pattern
Full-time,
Flexible working
Reference numberU9183-26-0029Job locationsKings Mill HospitalMansfield RoadSutton-in-AshfieldNottinghamshireNG17 4JLUnited KingdomJob descriptionJob responsibilitiesClinical leadership and patient care: Lead
PC24s clinical service and take responsibility for its day-to-day clinical
delivery, the staff who provide care and the standard of care patients receive.
The post combines Lead ACP practice with departmental leadership, with around
60% of working time in clinical practice and 40% in management. Practise
autonomously as an ACP. Assess and treat patients attending the primary care
centre, and make decisions about investigation, treatment, referral or
discharge within professional competence and agreed pathways. Give
colleagues senior clinical advice and support. Where a patient needs care
beyond PC24s capability, arrange escalation or transfer and make sure the
receiving team has the information it needs. Keep
records accurate, obtain consent and assess capacity where needed. Explain the
plan to patients and what they should do if their condition changes. Keep clinical knowledge and professional competence current and bring relevant changes in guidance into the department's practice. Demonstrate commitment to developing personal research skills.Clinical staff and their development: Line
manage the departments clinical staff, excluding GPs. This includes ACPs,
UCPs, trainee ACPs and Urgent Care Assistants (UCAs). Support
recruitment and onboarding. Work with the Education Team to ensure new staff
understand the service and are suitably trained for their role. Mentor clinical
staff and provide additional support to trainee ACPs when an educator or
clinical mentor is unavailable. Hold
appraisals and performance reviews, give regular feedback and address concerns
about practice, conduct, productivity or capability. Be clear with staff about
what needs to improve and follow NEMS policies and procedures when further
action is needed. Agree
each clinicians scope of practice and supervision arrangements. Identify gaps
in skills or confidence and arrange the support needed to address them. Make
time for regular one-to-ones about staff wellbeing, workload and ideas for the
service. Organise clinical supervision and chair regular meetings for all
departmental staff. Set
out the clinical staffing and skill mix the service needs. Work with the
Operational Service Manager and Rota Team on cover and escalate any risk to
safe delivery. The Operational Service Manager coordinates the rota and leads
sickness and annual leave processes. GPs
are not currently part of the PC24 team. If asked by the Medical Director,
Deputy Medical Director or Medical Lead, support GPs in the service. Formal GP
performance management remains with the Medical Lead.Quality, safety and patient experience: Take
responsibility for safety and quality within PC24. Keep local infection
prevention and control arrangements in order, oversee clinical stock and act on
safeguarding concerns. Make
sure the department is ready for CQC inspection, with current evidence, sound
local arrangements and staff who understand their responsibilities. Work
with the Clinical Governance Lead and Governance Team on incidents, complaints
and patient feedback. Provide clinical information and help the department act
on learning. The Governance Team coordinates investigations; the HoCD makes
sure local actions are completed. Gather
and review patient and carer feedback in good time. Work with senior clinical
staff to understand what it says about care at PC24 and make changes where
needed. Involve
patients and carers when services are reviewed or developed. Speak up for an
individual patient when their concern needs to be heard. Attend
the monthly Patient Safety Steering Group and support the Governance Team in
presenting information about PC24. Contribute to clinical audits when required
and use the findings to improve care.Service delivery and development: Keep
a close view of how the clinical service is working. Review access, waiting
times, clinical productivity and quality, and follow up when the service is not
meeting its standards. Use
clinical and operational information to understand pressures on PC24. Work with
the Operational Service Manager and Medical Lead to resolve issues that cross
clinical and operational responsibilities. Maintain
an overview of the departments finances. Identify pressures early and explain
their effect on staffing, capacity or care. Contribute clinical and workforce
information to service planning and business cases. Keep
up to date with developments in urgent care, primary care, integrated care
systems and NHS England guidance. Consider what they mean for PC24 and bring
forward changes that will improve care or the way the service works. Lead
agreed changes to clinical practice within the department. Contribute the PC24
clinical view to wider service development and help put agreed changes into
practice. Work
with local and national healthcare providers to improve patient pathways and
develop service models. Explain how NEMS services contribute to care across the
wider health system.Partnerships, guidance and NEMS leadership: Represent
PC24 in local clinical discussions with Sherwood Forest Hospitals, including
regular meetings with Emergency Department, paediatric and other specialty
teams. Raise matters that need wider medical or organisational decisions
through the appropriate NEMS lead. Attend
and present at the weekly Management Meeting. Chair the meeting when the usual
chair is absent. Attend
and contribute to the monthly Clinical Performance Group, and chair it when
required. Attend
Senior Leadership Team meetings on a rolling rota, representing the
departments local leaders. Lead
the drafting and review of departmental SOPs and policies. Arrange medical
review and sign-off, and submit them for executive approval where required.
Develop clinical guidelines with the Medical Lead, who provides final clinical
sign-off.
Job description
Job responsibilitiesClinical leadership and patient care: Lead
PC24s clinical service and take responsibility for its day-to-day clinical
delivery, the staff who provide care and the standard of care patients receive.
The post combines Lead ACP practice with departmental leadership, with around
60% of working time in clinical practice and 40% in management. Practise
autonomously as an ACP. Assess and treat patients attending the primary care
centre, and make decisions about investigation, treatment, referral or
discharge within professional competence and agreed pathways. Give
colleagues senior clinical advice and support. Where a patient needs care
beyond PC24s capability, arrange escalation or transfer and make sure the
receiving team has the information it needs. Keep
records accurate, obtain consent and assess capacity where needed. Explain the
plan to patients and what they should do if their condition changes. Keep clinical knowledge and professional competence current and bring relevant changes in guidance into the department's practice. Demonstrate commitment to developing personal research skills.Clinical staff and their development: Line
manage the departments clinical staff, excluding GPs. This includes ACPs,
UCPs, trainee ACPs and Urgent Care Assistants (UCAs). Support
recruitment and onboarding. Work with the Education Team to ensure new staff
understand the service and are suitably trained for their role. Mentor clinical
staff and provide additional support to trainee ACPs when an educator or
clinical mentor is unavailable. Hold
appraisals and performance reviews, give regular feedback and address concerns
about practice, conduct, productivity or capability. Be clear with staff about
what needs to improve and follow NEMS policies and procedures when further
action is needed. Agree
each clinicians scope of practice and supervision arrangements. Identify gaps
in skills or confidence and arrange the support needed to address them. Make
time for regular one-to-ones about staff wellbeing, workload and ideas for the
service. Organise clinical supervision and chair regular meetings for all
departmental staff. Set
out the clinical staffing and skill mix the service needs. Work with the
Operational Service Manager and Rota Team on cover and escalate any risk to
safe delivery. The Operational Service Manager coordinates the rota and leads
sickness and annual leave processes. GPs
are not currently part of the PC24 team. If asked by the Medical Director,
Deputy Medical Director or Medical Lead, support GPs in the service. Formal GP
performance management remains with the Medical Lead.Quality, safety and patient experience: Take
responsibility for safety and quality within PC24. Keep local infection
prevention and control arrangements in order, oversee clinical stock and act on
safeguarding concerns. Make
sure the department is ready for CQC inspection, with current evidence, sound
local arrangements and staff who understand their responsibilities. Work
with the Clinical Governance Lead and Governance Team on incidents, complaints
and patient feedback. Provide clinical information and help the department act
on learning. The Governance Team coordinates investigations; the HoCD makes
sure local actions are completed. Gather
and review patient and carer feedback in good time. Work with senior clinical
staff to understand what it says about care at PC24 and make changes where
needed. Involve
patients and carers when services are reviewed or developed. Speak up for an
individual patient when their concern needs to be heard. Attend
the monthly Patient Safety Steering Group and support the Governance Team in
presenting information about PC24. Contribute to clinical audits when required
and use the findings to improve care.Service delivery and development: Keep
a close view of how the clinical service is working. Review access, waiting
times, clinical productivity and quality, and follow up when the service is not
meeting its standards. Use
clinical and operational information to understand pressures on PC24. Work with
the Operational Service Manager and Medical Lead to resolve issues that cross
clinical and operational responsibilities. Maintain
an overview of the departments finances. Identify pressures early and explain
their effect on staffing, capacity or care. Contribute clinical and workforce
information to service planning and business cases. Keep
up to date with developments in urgent care, primary care, integrated care
systems and NHS England guidance. Consider what they mean for PC24 and bring
forward changes that will improve care or the way the service works. Lead
agreed changes to clinical practice within the department. Contribute the PC24
clinical view to wider service development and help put agreed changes into
practice. Work
with local and national healthcare providers to improve patient pathways and
develop service models. Explain how NEMS services contribute to care across the
wider health system.Partnerships, guidance and NEMS leadership: Represent
PC24 in local clinical discussions with Sherwood Forest Hospitals, including
regular meetings with Emergency Department, paediatric and other specialty
teams. Raise matters that need wider medical or organisational decisions
through the appropriate NEMS lead. Attend
and present at the weekly Management Meeting. Chair the meeting when the usual
chair is absent. Attend
and contribute to the monthly Clinical Performance Group, and chair it when
required. Attend
Senior Leadership Team meetings on a rolling rota, representing the
departments local leaders. Lead
the drafting and review of departmental SOPs and policies. Arrange medical
review and sign-off, and submit them for executive approval where required.
Develop clinical guidelines with the Medical Lead, who provides final clinical
sign-off.Person Specification
Qualifications
EssentialCurrent registration with the NMC, HCPC, GPhC or another appropriate UK professional regulator.Completed Masters-level qualification in Advanced Clinical Practice.Current autonomous ACP practice and continuing professional development.Training or substantial experience in clinical leadership, staff supervision and performance management.DesirableLeadership or management qualification.Education, supervision or mentorship qualification.
Experience
EssentialSubstantial ACP experience in urgent, primary, community or emergency care.Experience assessing face-to-face urgent primary care presentations.Experience managing clinical staff, including appraisal and performance concerns.Experience improving clinical quality or service performance.Experience contributing to incident learning, audit or complaints review.DesirableSenior clinical service management.UTC practice or service mobilisation.Workforce redesign and budget or contractual performance management.Working with commissioners and external providers.
Knowledge and Skills
EssentialProfessional standards, scope of practice and clinical supervision.Clinical governance, patient safety, safeguarding and clinical risk.CQC fundamental standards and NHS urgent primary care requirements.Patient flow and referral between urgent primary care and an Emergency Department.Fair staff management, confidentiality and equality.Sound clinical judgement under pressure, including when to seek further advice.Addresses performance concerns fairly and promptly.Uses service data to identify problems and check whether changes work.Writes clear procedures, reports and staff communications.Balances clinical work and management, and knows when to escalate.Works across professional boundaries and leads service change.DesirableUTC specifications and minor injury pathways.Patient Safety Incident Response Framework (PSIRF).Nottinghamshire urgent care pathways and local partners.Business case preparation.Use of Adastra or comparable clinical and reporting systems.Chairing clinical or performance meetings.
Person Specification
Qualifications
EssentialCurrent registration with the NMC, HCPC, GPhC or another appropriate UK professional regulator.Completed Masters-level qualification in Advanced Clinical Practice.Current autonomous ACP practice and continuing professional development.Training or substantial experience in clinical leadership, staff supervision and performance management.DesirableLeadership or management qualification.Education, supervision or mentorship qualification.
Experience
EssentialSubstantial ACP experience in urgent, primary, community or emergency care.Experience assessing face-to-face urgent primary care presentations.Experience managing clinical staff, including appraisal and performance concerns.Experience improving clinical quality or service performance.Experience contributing to incident learning, audit or complaints review.DesirableSenior clinical service management.UTC practice or service mobilisation.Workforce redesign and budget or contractual performance management.Working with commissioners and external providers.
Knowledge and Skills
EssentialProfessional standards, scope of practice and clinical supervision.Clinical governance, patient safety, safeguarding and clinical risk.CQC fundamental standards and NHS urgent primary care requirements.Patient flow and referral between urgent primary care and an Emergency Department.Fair staff management, confidentiality and equality.Sound clinical judgement under pressure, including when to seek further advice.Addresses performance concerns fairly and promptly.Uses service data to identify problems and check whether changes work.Writes clear procedures, reports and staff communications.Balances clinical work and management, and knows when to escalate.Works across professional boundaries and leads service change.DesirableUTC specifications and minor injury pathways.Patient Safety Incident Response Framework (PSIRF).Nottinghamshire urgent care pathways and local partners.Business case preparation.Use of Adastra or comparable clinical and reporting systems.Chairing clinical or performance meetings.Disclosure and Barring Service CheckThis 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 CheckThis 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. xsabvtc For further information please see
NHS Careers website (opens in a new window).Employer detailsEmployer nameNEMS Community Benefit Services LtdAddressKings Mill HospitalMansfield RoadSutton-in-AshfieldNottinghamshireNG17 4JLUnited KingdomEmployer's websiteEmployer detailsEmployer nameNEMS Community Benefit Services LtdAddressKings Mill HospitalMansfield RoadSutton-in-AshfieldNottinghamshireNG17 4JLUnited KingdomEmployer's website
PC24 Head of Clinical Delivery in Witchford employer: National Health Service
Betsi Cadwaladr University Health Board is an exceptional employer, offering a supportive and collaborative work environment for healthcare professionals in North Wales. With a commitment to employee development and a focus on compassionate care, staff have access to continuous professional development opportunities and the chance to make a meaningful impact in both acute and community paediatrics. The Health Board's integrated approach ensures that employees are part of a dynamic team dedicated to improving health outcomes for the local population.
