Job description

Job responsibilities

• To participate in assessment, planning and delivery of direct patient care across the Urgent Treatment Centre
• Must be able to clearly demonstrate specialist knowledge and skills at an advanced level
• Will practice autonomously and within a defined multidisciplinary team in accordance with local guidelines and protocols
• Provide initial history taking clinical assessment, diagnosis, treatment and evaluation of care
• Demonstrate critical thinking in the decision-making process
• Deliver a professional approach to the provision of high-quality care
• To be fully accountable and responsible for own patient list and managing workload during shift
• Independently assess, investigate, diagnose and treat patients within competency.
• Manage see and treat environment safely, ensure safe and effective practice at all times from all key personnel working within that area.
• To initiate, promote and maintain high standards of practice within the team in line with departmental requirements.
• To provide clinical expertise both on shift and when representing the department.

Person Specification

Qualifications

Essential

• NMC registered Nurse or HCPC registered Paramedic
• Evidence of relevant CPD
• Qualifications to support emergency and/or urgent care practice

Desirable

• Advanced Life Support Instructor
• Advanced practice qualifications

Experience

Essential

• Extensive experience in relevant field in current clinical practice in an emergency or urgent care environment
• Relevant transferable skills
• Ability to demonstrate advanced clinical skills e.g. history taking, physical assessments and clerking of patients presenting with undifferentiated diagnoses
• Evidence of innovative practice developments and significant achievements gained

Skills & Abilities

Essential

• Strong clinical decision maker
• Demonstrates excellent leadership, organisational, time management and motivational skills
• Advocate to service users
• Ability to identify training needs of self
• Ability to request relevant investigations and interpret findings
• Ability to apply critical thinking/independent judgement to identify solutions to variable problems
• Ability to organise and delegate appropriately
• Advanced theoretical and practical knowledge of a wide range of approaches to the management of the patient caseload, demonstrated by advanced clinical reasoning, specialist knowledge and experience
• Excellent communicator of complex matters at all levels
• Ability to communicate complex or sensitive information about wellbeing to anxious patients and relatives
• Ability to build effective working relationships with clinicians and Managers at all levels
• Effective partnership with the wider multidisciplinary team
• Excellent computer/IT skills.

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

LCW UCC

Address

West Middlesex University Hospital

Twickenham Road

Isleworth

Middlesex

TW7 6AF

United Kingdom

Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Job description

Job responsibilities

• To participate in assessment, planning and delivery of direct patient care across the Urgent Treatment Centre
• Must be able to clearly demonstrate specialist knowledge and skills at an advanced level
• Will practice autonomously and within a defined multidisciplinary team in accordance with local guidelines and protocols
• Provide initial history taking clinical assessment, diagnosis, treatment and evaluation of care
• Demonstrate critical thinking in the decision-making process
• Deliver a professional approach to the provision of high-quality care
• To be fully accountable and responsible for own patient list and managing workload during shift
• Independently assess, investigate, diagnose and treat patients within competency.
• Manage see and treat environment safely, ensure safe and effective practice at all times from all key personnel working within that area.
• To initiate, promote and maintain high standards of practice within the team in line with departmental requirements.
• To provide clinical expertise both on shift and when representing the department.

Person Specification

Qualifications

Essential

• NMC registered Nurse or HCPC registered Paramedic
• Evidence of relevant CPD
• Qualifications to support emergency and/or urgent care practice

Desirable

• Advanced Life Support Instructor
• Advanced practice qualifications

Experience

Essential

• Extensive experience in relevant field in current clinical practice in an emergency or urgent care environment
• Relevant transferable skills
• Ability to demonstrate advanced clinical skills e.g. history taking, physical assessments and clerking of patients presenting with undifferentiated diagnoses
• Evidence of innovative practice developments and significant achievements gained

Skills & Abilities

Essential

• Strong clinical decision maker
• Demonstrates excellent leadership, organisational, time management and motivational skills
• Advocate to service users
• Ability to identify training needs of self
• Ability to request relevant investigations and interpret findings
• Ability to apply critical thinking/independent judgement to identify solutions to variable problems
• Ability to organise and delegate appropriately
• Advanced theoretical and practical knowledge of a wide range of approaches to the management of the patient caseload, demonstrated by advanced clinical reasoning, specialist knowledge and experience
• Excellent communicator of complex matters at all levels
• Ability to communicate complex or sensitive information about wellbeing to anxious patients and relatives
• Ability to build effective working relationships with clinicians and Managers at all levels
• Effective partnership with the wider multidisciplinary team
• Excellent computer/IT skills.

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

LCW UCC

Address

West Middlesex University Hospital

Twickenham Road

Isleworth

Middlesex

TW7 6AF

United Kingdom

Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Job description

Job responsibilities

Approx Hours Split:

• 50% Time Patient Facing
• 50% Time Practice Development

Role Responsibilities:

Clinical Responsibilities

• Deliver a full range of primary care services in line with APMS contract requirements
• Manage patients with undifferentiated and complex conditions
• Provide continuity of care and holistic patient management
• Undertake routine and urgent consultations (face-to-face, telephone, and digital)
• Develop and implement evidence-based care plans
• Prescribe safely in line with local and national guidance
• Maintain accurate, contemporaneous clinical records
• Support management of long-term conditions and population health
• Contribute to clinical audits, QOF, and enhanced services delivery
• Work collaboratively within the multidisciplinary team

2. Leadership Responsibilities

• Act as a senior clinical leader within the practice
• Support strategic planning and service development
• Contribute to decision-making on workforce, service delivery, and operational priorities
• Promote a culture of continuous improvement, innovation, and accountability
• Provide clinical leadership across the MDT, including supervision and mentoring
• Support recruitment, retention, and development of clinical staff
• Lead on specific portfolios (e.g. digital, quality, long-term conditions)

3. Digital & Service Transformation

• Lead or support digital transformation across the practice, including:

- Online consultation systems

- Digital triage and access models

- Remote monitoring and patient communication tools

• Ensure safe and effective use of digital systems in line with NHS standards
• Promote improvements in:

- Patient access

- Workflow efficiency

- Clinical safety and outcomes

• Support data-driven decision-making using population health insights
• Contribute to innovation and redesign of care pathways

4. Quality, Governance & Performance

• Lead and support delivery of:

- Quality and Outcomes Framework (QOF)

- Enhanced Services

- ICB and PCN performance targets

• Participate in clinical governance, audits, and quality improvement initiatives
• Support investigation of complaints, incidents, and significant events
• Ensure compliance with:

- CQC standards

- GMC guidance

- Local and national policies

5. Stakeholder Engagement

• Act as a key clinical representative at:

- Primary Care Network (PCN) level

- At borough level with any emerging federations.

- Integrated Care Board (ICB) level with the commissioners or the NWL wide GP Federation.

- West London Mental Health Foundation Trust

• Work collaboratively with partner organisations, including:

- Acute trusts

- Mental health services

- Community providers

• Support partnership working to improve patient outcomes and service integration

6. Risk Management & Patient Safety

• Identify and manage clinical and operational risks
• Support a culture of safety and learning
• Ensure appropriate escalation and documentation of risks
• Contribute to resilience planning and service continuity

7. Professional Development

• Maintain up-to-date clinical knowledge and skills
• Participate in CPD, appraisal, and revalidation
• Engage in teaching, mentoring, or training where appropriate

Person Specification

Experience

Essential

• Minimum 5 years experience as a GP
• Experience working in primary care with complex patient populations
• Experience delivering QOF and contractual targets
• Experience in clinical audit and quality improvement

Desirable

• Experience in leadership responsibilities
• Experience in digital health or service transformation
• Experience working across organisations (PCN/ICB level)
• Involvement in change management or service redesign

Personal Skills and Qualities

Essential

• Strong clinical decision-making and autonomy
• Leadership and team-working skills
• Excellent communication (written and verbal)
• Organisational and time management skills
• Ability to work under pressure and manage competing priorities
• Commitment to high-quality, patient-centred care
• IT proficiency relevant to modern general practice

Values

Essential

• Exhibits behavior's in line with Organisation Values:
• - Patient First
• - Drive Change
• - Together
• - Belonging
• - Community Focused

Qualifications

Essential

• MBBS or equivalent
• Full registration with GMC
• MRCGP
• Inclusion on Performers List
• Certification of Completion of Training (CCT) or equivalent experience

Other Attributes

Essential

• Flexible and adaptable to change to meet the needs of the service.

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

LCW UCC

Address

Hammersmith and Fulham Centres for Health

Hammersmith Hospital

Du Cane Road

London

W12 0HS

United Kingdom

Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities

Daily GP Responsibilities

• Provide a full range of medical services as defined in the GMS contract, additional and enhanced services where appropriate.
• Make professional, autonomous decisions in relation to presenting problems whether self-referred or referred from other healthcare professionals within the organisation.
• Assess the healthcare needs of patients with undifferentiated and undiagnosed problems.
• Screen patients for disease risk factors and early signs of illness.
• Develop care plans for health in consultation with patients and in line with current practice; disease management protocols, provide counselling and health education.

• Maximise the effective use of current clinical computer systems. Record clear and contemporaneous consultation notes to an agreed standard.
• Compile and issue computer generated acute and repeat prescriptions (avoiding handwritten prescriptions whenever possible).
• To take part in areas including clinical auditing and data collection.
• Contribute to QOF and Northwest London Standard requirements and recording & code data appropriately
• Attend team meetings and other clinical meetings as necessary.
• In general, the post holder will be expected to undertake all the normal duties and responsibilities associated with a GP working with primary care, as set by Royal College of General Practitioners, General Medical Council, all other Royal Colleges and Councils applicable to the staff within the Practice, Department of Health, ICB, CQC, and all other regulatory and standard setting organisations.

• Work as part of the multi-disciplinary clinical team to support management and target delivery in patient with long term conditions.
• work flexibly between sites, to provide the best continuity of care for patients.

Work in partnership with patients to provide high quality patient centred care

Quality & Compliance

• Be responsible for maintaining professional development. Attendance at clinical meetings, staff meetings and multidisciplinary meetings contribute towards CPD. Protected CPD time will be agreed upon appointment.
• Work within current ICB policy for prescribing.
• To take part and contribute to clinical auditing and data collection
• Attend and present at monthly LCW Quality Assurance Group

Stakeholder Engagement & Service Development

• Key member in the PCN network, supporting the delivery of co-ordinated, high quality care across all network practices
• Respond to stakeholder enquiries and ensure satisfactory resolution.
• Support service improvement initiatives and change management projects.
• Assist in investigating complaints, feedback, and patient safety incidents (PSIRF), ensuring timely action and shared learning.
• Support LCW in its work to understand and continually improve patient experience through gaining feedback and taking actions to address.

Risk & Resilience

• Identify and mitigate risks, ensuring they are logged in LCWs quality management system.

Person Specification

Experience

Essential

• Experience of providing primary care in and out of hours
• Experience of audit and improving care for patients

Desirable

• Experience of working in primary care in an area with significant health problems
• Development of areas of clinical expertise

Knowledge and Understansing

Desirable

• Understanding the role of medical services in a wider public health agenda
• Knowledge of the demographic characteristics that affect health and health care in the area
• Understanding current NHS policies

Personal Skills and Qualities

Essential

• Ability to communicate clearly and effectively in English, both written and verbally.
• Good organisational skills
• Time management skills
• Able to work under pressure
• Working on own initiative
• IT skills (including word processing and database work) as relevant to General Practice
• Committedtoqualityandpatient satisfaction
• Committed to equal opportunities
• Team worker

Qualifications

Essential

• MBBS or equivalent medical degree
• Full registration with GMC
• Certification of Completion of Training (JCPTGP/PMETB)
• Inclusion on Performers List
• Evidence of a commitment to on-going personal & professional development

Desirable

• MRCGP

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

LCW UCC

Address

Hammersmith and Fulham Centres for Health

Hammersmith Hospital

Du Cane Road

London

W12 0HS

United Kingdom

Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Job description

Job responsibilities

Session Availability

Sessions are managed through RotaMaster. Available shifts are regularly published, and clinicians may express interest in individual sessions or blocks of sessions, subject to service demand and mutual agreement.

There is no obligation for LCW to offer work, nor for clinicians to accept offered sessions.

Engagement Basis

This opportunity is offered on a self-employed contractor basis. Successful applicants will provide services as independent practitioners and will be responsible for their own tax and National Insurance arrangements.

Person Specification

Experience

Essential

• Relevant urgent care, UTC, out-of-hours or emergency medicine experience.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively in a fast-paced urgent care environment.

Qualifications

Essential

• Full GMC registration and licence to practise.
• Inclusion on a GP Performers List.
• Appropriate professional indemnity arrangements.

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

LCW UCC

Address

Royal Free Hospital

Pond Street

London

NW3 2QG

United Kingdom

Employer's website

https://www.lcwucc.com/ (Opens in a new tab)