Senior Clinical Decision Maker

About Us:

The Confederation, Hillingdon CIC works with General Practice and other healthcare providers to deliver its vision for “Hillingdon to deliver the best primary care outcomes for patients in the whole of London”. We are a not-for-profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves both at scale and complementary to General Practice. We are the provider representative voice for local General Practice into the wider NHS and other Partners. We are ‘of the NHS’ but independent, innovative and transformational.

The Confederation determines to develop as an attractive place to work, providing rewarding roles and opportunities to grow in order to attract and retain great staff that in turn delivers our vision.

Our Values:

Organisational Summary - HHCP

Hillingdon Health and Care Partnership (HHCP) brings together local health and social care providers to deliver coordinated, person-centred services in the community.

The Reactive Care Coordination Hub forms part of HHCP’s urgent and proactive care model, providing rapid clinical assessment, crisis response, and short-term interventions to avoid unnecessary hospital admissions. The Hub works collaboratively with the Urgent Community Response (UCR) team, Virtual Ward, Discharge to Assess (D2A) services,

Your Life Line (YLL), primary, community, secondary care, local authority and voluntary sector partners.

The Reactive Care Programme is improving urgent and crisis care so residents receive the right care, in the right place, at the right time when health or social care needs escalate.

It brings together our Integrated Urgent Response, hospital avoidance services, and discharge support – creating a single pathway for unplanned care outside of the acute hospital.

The goal is a 24/7 community-based urgent care system able to respond to crises within two hours, deliver short-term treatment and monitoring at home, and coordinate a smooth return to routine or planned care.

This transformation is vital to:

• Reduce pressure on A&E and 999
• Prevent unnecessary admissions
• Enable timely discharges
• Improve patient outcomes and system flow

Role Summary

The Senior Clinical Decision Maker (SCDM) will provide advanced clinical oversight, decision-making, and coordination within the Reactive Care Coordination Hub. They will support timely responses to community-based crises, working collaboratively across UCR, Virtual Ward, and other teams to prevent unnecessary hospital admissions. The SCDM will also provide expert input on clinical referrals, diagnostics, and frailty management, ensuring safe and effective patient outcomes.

Key aspects of the role include:

• Clinical support during morning handovers (2 hours)
• Rapid assessment and clinical decision-making for urgent referrals
• Follow-up of cases managed by UCR, Virtual Ward, D2A, and YLL
• Diagnostic review and interpretation to guide care decisions
• Liaison with the Reactive Care Coordination Hub Consultant and community partners
• Case-based clinical decision-making earlier in the referral process
• Input into the coordination hub on appropriate referral pathways and actions
• Creation and updating urgent care plans via Valida for anticipatory care planning
• Support to all community services for urgent patient needs

Key Responsibilities

Clinical Leadership and Decision-Making

• Provide senior clinical oversight for patients referred to the Reactive Care Coordination Hub.
• Undertake timely clinical assessments and determine the most appropriate care pathway to prevent avoidable admissions.
• Support clinical handovers, offering guidance and clarity on patient management plans.
• Review and interpret diagnostic results to inform safe, evidence-based decisions.
• Liaise with the Reactive Care Coordination Hub Consultant, UCR, Virtual Ward, D2A, YLL, GPs, and community providers to coordinate care.
• Participate in joint visits and follow-ups with multidisciplinary teams as required.
• Contribute to the early clinical decision-making process to ensure rapid response and patient safety.

Governance, Quality, and Data

• Record clinical decisions and outcomes accurately in line with SOPs and systems.
• Support the collection of metrics for evaluation of the pilot’s effectiveness and outcomes.
• Participate in audit, service evaluation, and quality improvement projects.
• Ensure all decisions meet clinical governance and safety standards.

Professional Collaboration and Standards

• Work within a multidisciplinary environment to deliver patient-centred care.
• Communicate effectively with colleagues, patients, and families to ensure shared understanding of care plans.
• Respect professional scopes of practice and ensure safe delegation of clinical responsibilities.
• Contribute to pathway and process improvement across reactive and proactive care models.

Education, Training, and Development

• Maintain professional registration and continuous professional development.
• Participate in induction and relevant system training.
• Support mentoring and case-based learning for colleagues within UCR and the Hub.
• Develop knowledge of frailty assessment and management (training provided if needed).

Indemnity

• Clinical practice will be covered by your own indemnity arrangements if you are employed as a locum.

Working Relationships

The post holder will work closely with:

• Reactive Care Coordination Hub team, including other Clinical staff, Clinical Operational Manager, and administrative coordinators
• UCR, Virtual Ward, D2A, YLL teams and NWL UCR and ICC Hub
• Community nurses, paramedics, therapists, and GPs
• HHCP system partners and acute hospital teams
• Consultant support within the Reactive Care Coordination Hub

Person Specification

Essential Criteria

• GMC Registration
• Qualified GP
• Extensive experience in urgent care clinical services
• Extensive experience of virtual clinical consultations
• Ability to plan, co-ordinate and deliver programmes of work on time and to a high standard
• Excellent organisational skills with an attention to detail and an ability to finish tasks completely and to a high standard
• Ability to keep full, accurate and up to date records to a high standard
• Ability to assimilate information quickly and make clear and effective decisions under pressure
• Excellent communication skills, written, verbal and listening – explaining, promoting, listening, learning, to / at all levels of the healthcare system
• Ability to motivate and engender trust and team identity
• In depth user knowledge of EMIS

Desirable Criteria

• Extensive experience of working in primary care in Hillingdon