Job summary

This post is responsible for the operational and clinical leadership of the Brent and Harrow Early Supported Discharge (ESD) teams, ensuring safe, effective and equitable stroke rehabilitation across both boroughs.

The post holder will lead service development and clinical governance, including monitoring and delivery of KPIs, SSNAP measures and stroke performance standards, working with lead consultants and the Clinical Manager for Stroke. They will provide highly specialist clinical expertise, maintain a clinical caseload and support the delivery of high-quality multidisciplinary rehabilitation.

The role includes line management, supervision, appraisal and development of staff, alongside leadership of audit, research, education and service improvement.

The post holder will work collaboratively with patients, carers, multidisciplinary teams, GPs, consultants, local authorities, social care and voluntary sector partners to ensure coordinated, patient-centred care across organisational boundaries.

They will demonstrate and promote the Trust HEART values of Honesty, Equity, Accountability, Respect and Teamwork throughout their leadership, clinical practice and partnership working.

Main duties of the job

Lead the clinical and operational delivery of Brent and Harrow ESD services, providing expert stroke rehabilitation assessment, clinical decision-making and management of complex patients. Maintain a specialist caseload and provide expert advice, second opinions and clinical support to staff and partner organisations.

Provide leadership and line management to the multidisciplinary team, including recruitment, supervision, appraisal, development, workload management and appropriate use of workforce resources. Lead specialist education and training for staff, students and wider professional groups.

Lead service development, clinical governance, audit, research and quality improvement, using evidence, national guidance, outcomes and performance data to improve care. Develop and implement clinical pathways, protocols and policies and contribute to delivery of national stroke standards.

Work collaboratively across acute, community, primary care, social care and voluntary sector services, ensuring effective communication, coordinated discharge and person-centred rehabilitation. Communicate complex and sensitive information effectively with patients and carers, adapting approaches to individual communication, cultural and emotional needs.

Hold delegated budget responsibilities and ensure resources are used effectively. Promote safe practice, safeguarding, information governance and Trust HEART values.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.