Job description

Job responsibilities

• A range of face to face, telephone and triage sessions for patient contact, both same day and planned care where appropriate.
• Manage pathology results for tests generated through patient contacts.
• Use and adhere to practice systems for excellent communication and handover with lead GP and other relevant MDT colleagues, including any clinicians working off-site.
• Support the triage process for all patient-led demand.
• Contribute to clinical admin including evaluating, actioning and processing hospital correspondence and results. This includes ordering appropriate tests and ensuring safety netting and follow up. You will contact the patient to complete tasks where this is required.
• Supporting other members of the MDT including pharmacists, paramedics, nurses, physician associate, healthcare assistants and administrators with clinical and process questions as needed.
• Participating in and being visible as part of the practice team, including attendance at clinical team meetings and whole team meetings.
• QI and audit projects, depending on need.
• Pay attention to appropriate coding, note keeping and flagging of any system issues as they arise.
• Act on safeguarding concerns with named leads where appropriate.
• Demonstrate your commitment to high quality, safe care that supports clinical continuity for those patients and crucial clinical circumstances where this is crucial.
• Take part in learning events, audits, and discreet pieces of work where formally agreed.
• Respect ways of working that have been agreed among the clinical team.
• Commit to understanding your role in practice systems and to flagging where there are learning events so the system can improve.
• Commit to learning new IT systems and innovations in use of IT in service of patient care.
• Commit to supporting continuity where this is clearly best for the patient.
• By taking responsibility and ensuring you follow through and complete tasks where possible (therefore avoiding unnecessary follow up or work by others).
• Discuss cases with colleagues where appropriate with a commitment to learning from experience and sharing learning.
• Respect multidisciplinary colleagues.
• Work across organisational boundaries when this is in the interests of patient care.
• Keep up to date with new guidance.
• Your work will particularly support continuity of care, safety and quality for complex or urgent cases:
• You will take responsibility for managing complexity and facilitating continuity of care where appropriate.
• Informing other GPs about complex cases known to them.
• Display your clinical reasoning clearly in the records.

Person Specification

Qualifications

Essential

• GMC Registered.
• Qualified General Practitioner (MRCGP or equivalent).
• Currently on a performers list.

Desirable

• GP trainer.
• Desire to become a GP trainer.
• LARC insertion Trained.

Experience

Essential

• Experience of working in UK General Practice.
• Experience of working with diverse and vulnerable groups, including use of interpreters.
• Experience of being the named GP for a list of patients or of providing continuity of care.
• Experience of GP admin including eg PIP forms.
• Experience using EMIS Web, Docman, Accurx, MS Teams.
• Experience of clinical triage.

Desirable

• Clinical experience of 2+ years
• Experience of working with deprived populations.
• Delivery of clinical audit.
• QOF management.
• Experience of working in Islington/ NCL general practice.
• Experience of working in at-scale systems.
• Experience of safeguarding leadership/ desire to take this on.
• Supervision of other roles and staff members

Disclosure and Barring Service Check

This 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).

Employer details

Employer name

Islington GP Federation

Address

Northern Medical Centre

11 Hornsey St, London

Holloway Road

London

N7 8GG

United Kingdom

Employer's website

https://www.islingtongpfederation.org/ (Opens in a new tab)

Job description

Job responsibilities

I:HUB Clinical Lead and IGPF Clinical Quality Lead

Reports to:Chief Executive Officer

Responsible to: Medical Director

Working hours: 4 sessions per week, including 1 protected session for IGPF-wide clinical supervision and clinical records audit

Job Responsibilities

Clinical Leadership and Governance

• Provide clinical leadership across all aspects of I:HUB.
• Work in partnership with the Operations Manager to ensure the safe, effective and sustainable delivery of the service.
• Serve as the CQC Registered Manager for I:HUB, ensuring ongoing compliance with regulatory requirements and readiness for inspection.
• Lead the clinical governance framework for I:HUB, including audit, incidents, complaints, safeguarding, quality improvement and clinical performance review.
• Lead the development, implementation and review of clinical pathways, protocols and operating procedures.
• Ensure appropriate systems are in place to identify, monitor and mitigate clinical risk.
• Monitor patterns of clinical practice, including referral quality, prescribing, clinical documentation and adherence to agreed pathways, taking appropriate action where improvement is required.
• Provide advice and support in relation to clinical issues arising within the service.
• Chair regular I:HUB clinical meetings and ensure agreed actions are delivered.
• Attend Federation clinical governance meetings and other relevant governance forums.
• Lead and deliver a proportionate, risk-based programme of clinical records audit across IGPF services, providing objective scrutiny that is independent of the day-to-day management of the service being reviewed.
• Agree the scope, standards, methodology, sampling approach and schedule for audits with the Medical Director and relevant service leads, taking account of contractual, regulatory, patient-safety and organisational priorities.
• Review the quality and completeness of clinical documentation, clinical decision-making, prescribing, referrals, follow-up, coding and adherence to relevant pathways, policies and professional standards.
• Analyse audit findings to identify good practice, unwarranted variation, recurring themes and actual or potential clinical risk; escalate urgent patient-safety or professional concerns promptly through the appropriate governance route.
• Produce clear service-level and organisation-wide audit reports, present findings to the Medical Director and relevant IGPF governance forums, and make practical, evidence-based recommendations for improvement.
• Agree and monitor improvement actions with responsible leads, ensure learning is shared appropriately across services, and complete re-audit to provide assurance that required changes have been embedded.
• Maintain confidentiality, professional objectivity and appropriate information-governance controls throughout the audit process.

Operational Partnership

• Work collaboratively with the Operations Manager and I:HUB Operations Team to support effective day-to-day service delivery.
• Provide clinical input into operational planning and decision-making.
• Support the management of demand, capacity, workforce planning and service resilience.
• Maintain positive working relationships with host practices, Federation colleagues and partner organisations.
• Support the review and resolution of clinical aspects of complaints, incidents and service concerns.
• Contribute to service reporting and performance review processes.
• Maintain a clear work programme for the protected IGPF-wide session, balancing planned supervision and audit activity with emerging clinical risks and agreed organisational priorities.
• Provide regular assurance updates on delivery of the supervision and audit programme, including themes, risks, actions and evidence of improvement, while preserving individual confidentiality where appropriate.

Workforce Leadership and Development

• Lead the clinical induction and onboarding of new clinicians working within I:HUB.
• Ensure clinicians receive clear and timely communication regarding clinical updates, governance matters and service developments.
• Provide clinical leadership to a workforce comprised predominantly of sessional clinicians and support consistent engagement with service priorities, governance processes and clinical standards.
• Foster a shared culture, values and clinical approach across the workforce to support consistency in patient care and service delivery.
• Support clinicians to understand and adhere to agreed pathways, referral criteria and service protocols.
• Develop effective mechanisms for communication and engagement with clinicians who work varying numbers of shifts and may have limited regular contact with the wider service.
• Lead the review of concerns relating to clinical performance, professional behaviour or clinical practice, ensuring appropriate feedback, support and escalation processes are followed.
• Support the integration and development of multidisciplinary clinical teams, including ARRS-funded staff and other emerging workforce models, to ensure that patients are seen by the most appropriate clinician
• Support the development of I:HUB as a training environment, including the successful integration of GP trainees and other learners.
• Provide planned, structured clinical supervision for non-medical prescribers across IGPF services, with supervision arrangements proportionate to role, experience, scope of practice and service risk.
• Use supervision to support safe prescribing, clinical reasoning, case review, reflective practice, professional development and consistent application of evidence-based guidance and local pathways.
• Agree supervision objectives and frequency, maintain an appropriate confidential record of supervision, and ensure actions and development needs are followed through.
• Support non-medical prescribers to work within their professional competence and agreed scope of practice, identifying where additional training, competency assessment, mentorship or service support is required.
• Identify and respond to concerns arising through supervision, providing constructive feedback and support and escalating patient-safety, performance, conduct or capability concerns to the Medical Director and relevant operational or professional lead in line with IGPF policy.
• Work with service leads, operational managers and relevant professional leads to address recurring supervision themes and strengthen multidisciplinary learning, prescribing governance and clinical consistency across IGPF.

Stakeholder Engagement

• Build and maintain strong relationships with member practices, Primary Care Networks, neighbourhood teams, commissioners and provider partners.
• Support the development of effective borough and neighbourhood-based models of care through collaborative working with partners across the health and care system.
• Represent I:HUB at relevant borough-wide and North Central London meetings and forums.
• Act as a clinical ambassador for the service internally and externally.
• Present relevant IGPF-wide audit and supervision themes at clinical governance and other assurance forums, supporting transparent organisational learning and effective follow-through of actions.

Digital Innovation and Service Improvement

• Support the ongoing development of digital access routes into I:HUB.
• Promote innovative approaches that improve patient access, experience and operational effectiveness.
• Work with operational and digital teams to design, implement and evaluate new ways of working.
• Support the safe and effective adoption of new technologies and digital solutions.
• Use service data, patient feedback and clinical insight to identify opportunities for improvement.
• Champion continuous improvement and innovation across the service.
• Use aggregated findings from clinical records audit and supervision to identify cross-service improvement priorities, inform training and pathway development, and evaluate whether changes have improved quality and safety.

Strategic Development and Service Transformation

I:HUB operates within a changing primary care and commissioning environment. The Clinical Lead will play a key role in ensuring the service remains clinically effective, adaptable and sustainable.

Responsibilities include:

• Support the strategic development of I:HUB alongside Federation leaders and operational colleagues.
• Contribute to service redesign, mobilisation and transformation programmes.
• Support the development of clinically excellent, operationally sustainable and financially viable workforce models, including multidisciplinary and ARRS-led approaches where appropriate.
• Contribute to discussions regarding future commissioning and recommissioning opportunities.
• Identify opportunities to improve quality, productivity, value and patient outcomes through innovation, technology and new models of care.
• Advise Federation leaders on organisation-wide clinical quality priorities arising from audit and supervision, helping to shape governance, workforce development and service transformation plans.

Person Specification

Skills & Knowledge

Essential

• Strong understanding of safeguarding, clinical governance and regulatory requirements.
• Excellent communication, influencing, written reporting and presentation skills across a wide range of stakeholders.
• Detailed knowledge of clinical audit methodology, including standard setting, proportionate sampling, analysis, action planning and re-audit.
• Ability to analyse information, exercise independent clinical judgement, recognise material risk and escalate concerns proportionately.
• Ability to provide constructive and appropriately challenging clinical supervision while maintaining psychological safety and clear professional boundaries.
• Knowledge of prescribing governance, professional accountability, scope of practice and the supervision needs of non-medical prescribers.
• Understanding of confidentiality, UK GDPR, information governance and secure handling of patient-identifiable information in audit and supervision.
• Strong organisation and prioritisation skills, including delivery of supervision and audit within protected time and support for change across a predominantly sessional workforce.

Desirable

• Knowledge of the North Central London primary care landscape and relevant commissioning and contractual frameworks.
• Knowledge of CQC fundamental standards and the responsibilities associated with being a Registered Manager.
• Knowledge of clinical governance across extended access, urgent care and other at-scale primary care services.
• Understanding of professional standards and competency frameworks for non-medical prescribing roles.
• Understanding of digital innovation and modern models of primary care access.

Experience

Essential

• Clinical leadership and clinical governance experience within primary care, including risk management, audit and quality improvement.
• Experience of managing clinical incidents, complaints, safeguarding concerns and clinical risk.
• Experience of developing and reviewing clinical policies, pathways, protocols or standards.
• Experience of structured clinical supervision for non-medical prescribers or other autonomous multidisciplinary clinicians.
• Experience of designing and delivering clinical records audits, analysing findings and completing the audit cycle through action planning and re-audit.
• Experience of presenting clinical quality or assurance findings to senior clinical leaders or governance committees.
• Experience of identifying and appropriately escalating patient-safety, prescribing, performance or capability concerns.
• Experience of collaborative, cross-service working and influencing improvement without direct line-management authority.

Desirable

• Experience within I:HUB or a comparable extended access, urgent care or at-scale primary care service.
• Experience as a CQC Registered Manager.
• Experience of service redesign, mobilisation or transformation programmes.
• Experience of working with multidisciplinary teams incorporating ARRS roles.
• Experience of organisation-wide clinical assurance, prescribing governance or support for a multidisciplinary non-medical prescribing workforce.
• Experience of using digital technologies to improve access, clinical safety or service efficiency.

Personal Attributes & Abilities

Essential

• Collaborative and inclusive leadership style with a commitment to high-quality patient care.
• Flexible, adaptable and committed to innovation and continuous improvement.
• Calm and effective under pressure, with the credibility and resilience to lead through influence.
• Objective, professionally independent and confident in providing external scrutiny and constructive challenge.
• High level of integrity, discretion and respect for confidentiality.
• Commitment to reflective practice, multidisciplinary learning and the development of others.

Desirable

• Able to build trust across different professional groups while retaining appropriate independence and accountability.

Qualifications

Essential

• GP registered with the GMC and included on the NHS England
• Performers List.
• Minimum three years post-CCT experience.
• Evidence of clinical leadership within primary care.
• Current licence to practise, satisfactory appraisal and revalidation, and appropriate professional indemnity.
• Evidence of training, competence or substantial experience in the clinical supervision of healthcare professionals.

Desirable

• Continuing professional development relevant to clinical leadership, governance and patient safety.
• Recognised clinical educator, trainer or supervisor qualification.
• Formal training or qualification in clinical audit, quality improvement, patient safety or healthcare leadership.

Disclosure and Barring Service Check

This 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).

Employer details

Employer name

Islington GP Federation

Address

Unit 16-18

The Studios, Hornsey Street

Holloway

London

N7 8EG

United Kingdom

Employer's website

https://www.islingtongpfederation.org/ (Opens in a new tab)