IUCS Head of Clinical Delivery in Nottingham

Head of Clinical Delivery in the IUCS service of NEMS Community Benefit Services, covering the Urgent Care Coordination Hub, 111 Clinical Assessment Service, care navigation, out-of-hours GP appointments and home visiting. The postholder manages the clinical workforce and is accountable for care quality and standards, in a three-lead team with a Medical Lead and an Operational Service Manager. Around 60% of time is clinical, mainly telephone assessment as an autonomous ACP, with the rest on management. Applicants need a Masters in Advanced Clinical Practice and professional regulator registration.

What the job involves

• Lead clinical delivery across the Urgent Care Coordination Hub, 111 Clinical Assessment Service, care navigation, out-of-hours GP appointments and home visiting, taking responsibility for the standard and safety of care
• Practise autonomously as an ACP, mainly on 111 clinical assessment and telephone consultations, with occasional face-to-face appointments or home visits
• Line-manage the IUCS clinical workforce, including ACPs, UCPs, telephone practitioners and trainee ACPs
• Lead clinical safety and quality across IUCS, including telephone assessment, safeguarding, CQC readiness and drafting of SOPs and policies
• Work with the Clinical Governance Lead on incidents, complaints and patient feedback, and make sure local actions are completed
• Monitor staffing levels and skill mix day to day, and set out the clinical staffing required with the Operational Service Manager and Rota Team
• Hold appraisals, address performance and conduct concerns, and hold regular one-to-ones on wellbeing and workload
• Agree each clinician's scope of practice and supervision, and arrange support for skills gaps
• Support recruitment and onboarding with the Education Team, and mentor clinical staff and trainee ACPs
• Keep an overview of clinical finances and budget, identify pressures early and contribute to service planning and business cases
• Represent IUCS in clinical discussions with NHS 111 partners, EMAS, the ICB and primary and secondary care providers
• Attend senior and service meetings, lead clinical team meetings, and deputise for the Associate Director of Nursing and Quality when requested

What's required

Qualifications

• Masters-level qualification in Advanced Clinical Practice
• Training or substantial experience in clinical leadership, staff supervision and performance management

Registration & licences

• Current registration with the NMC, HCPC, GPhC or another appropriate UK professional regulator

Experience

• Substantial ACP experience in urgent, primary, community or emergency care
• Telephone consultation and remote clinical assessment experience
• Managing clinical staff, including appraisal and performance concerns
• Improving clinical quality or service performance, and contributing to incident learning, audit or complaints review

Skills & knowledge

• Professional standards, scope of practice and clinical supervision
• Safe telephone assessment, clinical risk, safety-netting and escalation
• Clinical governance, patient safety and safeguarding; CQC fundamental standards and NHS urgent primary care requirements
• Patient flow and referral across urgent primary care, ambulance, community and hospital services
• Fair staff management, confidentiality and equality; addressing performance concerns fairly and promptly
• Sound clinical judgement under pressure, including knowing when to seek advice; clear telephone communication and risk assessment without visual cues

Other

• Current autonomous ACP practice and continuing professional development
• Using service data to identify problems and check changes; writing clear procedures, reports and staff communications
• Balancing clinical and management work, working across professional boundaries and leading service change

Nice to have

• NHS 111 and integrated urgent care pathways, or experience in NHS 111 or comparable urgent care clinical assessment
• Nottinghamshire urgent care pathways and local partners
• Patient Safety Incident Response Framework (PSIRF)
• Experience supporting out-of-hours GP appointments or home-visiting services
• Senior clinical service management, service mobilisation or workforce redesign
• Budget or contractual performance management, and working with commissioners and external providers
• Leadership or management qualification, or education, supervision or mentorship qualification
• Business case preparation, Adastra or comparable clinical and reporting systems, and chairing clinical or performance meetings

What's offered

• Established programme of learning and development

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