A 12-month fixed-term clinical post in the Enable service, a national fit note reform pilot run by Morecambe Bay Primary Care Collaborative for participating GP practices. The post holder carries out work and health assessments for referred patients and co-produces Workability Plans covering functional capacity, phased return and adjustments. Consultations are face to face, by phone or by video, with hybrid home working and some Saturday hours. Applicants need current unrestricted NMC registration and a full UK driving licence.
What the job involves
- Undertake structured work and health assessments with referred patients, face to face, by telephone or by video
- Assess how a health condition, functional ability and job demands interact, considering physical, psychological, social and workplace factors
- Co-produce personalised Workability Plans covering functional capability, phased return, adjustments and support to sustain work
- Make autonomous judgements on whether time away from work is clinically appropriate and explain them clearly
- Advise on reasonable adjustments, graduated return, workplace modification and phased hours, with the Equality Act 2010 and health and safety law in mind
- Review and update Workability Plans at agreed intervals as recovery and circumstances change
- Triage incoming referrals against agreed criteria and manage a personal caseload against pilot targets
- Identify and escalates cases outside the pilot model, including urgent, safeguarding and mental health crisis needs
- Refer and signpost to wider support such as WorkWell, therapy, musculoskeletal and employment services
- Hold three-way conversations with patients and employers, with consent, and write objective advice for employers
- Keep accurate clinical records and follow consent, safeguarding and governance rules under the NMC Code and Data Sharing Agreement
- Contribute to assessment templates, data capture, audit and the independent national evaluation
What’s required
Qualifications
- Registered Nurse (Part 1 Adult, Mental Health or Learning Disability) or Registered Midwife, unrestricted
- Evidence of continuing professional development and NMC revalidation compliance
Experience
- Significant post-registration experience as an autonomous practitioner
- Structured clinical assessment and formulating advice independently
- Managing a personal caseload without close supervision
- Writing clear reports or care records for non-clinical audiences
- Working within a multidisciplinary team
Skills & knowledge
- Assessing functional capacity and relating health conditions to work demands
- Understanding of fitness for work principles and the health benefits of good work
- Excellent verbal and written communication with patients, employers and non-clinical colleagues
- Negotiation, motivational and de-escalation skills, including where opinions differ
- Knowledge of consent, confidentiality, information governance and safeguarding for children and adults at risk
- Competent use of clinical record systems and Microsoft 365 including Teams, recording data accurately for reporting
Checks & eligibility
- Full UK driving licence and access to a vehicle
Other
- Willingness to undertake pilot-specific training in workability assessment, fit note practice and work and health conversations
Nice to have
- Specialist Community Public Health Nurse (Occupational Health) registration, or an occupational health degree, diploma or certificate
- Practical experience of issuing, advising on or contributing to fit notes
- Training in fit note completion or DWP work and health assessment
- Knowledge of the Equality Act 2010 as it applies to workplace reasonable adjustments
- Experience in primary care, community services or a WorkWell or vocational rehabilitation service
- Experience of sickness absence management, rehabilitation or return to work planning
- Experience of liaising directly with employers, HR or line managers
- Experience of contributing to service design, pilots, audit or quality improvement
What’s offered
- Hybrid and flexible working with occasional home working
- 30% enhanced hourly rate for Saturday working
- Pilot-specific and other necessary training
- Consideration of passporting training records from other relevant employment
- Appraisal and personal development planning
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Contact Details:
The Methodist Church in Britain Recruitment Team
