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Job overview
We are seeking a dynamic and experienced Service Lead to help shape and lead community services across the Borough of Harrow. This role is focused on delivering compassionate, patient centred care that keeps people safe and well at home, while preventing unnecessary hospital admissions and supporting timely discharges.
We are looking for a motivated clinician from a Nursing, Paramedic, or Allied Health Professional background, with strong urgent care experience and advanced clinical decision making skills. The successful candidate will thrive in a fast paced community setting, managing complex cases while leading and supporting a high performing team.
The ideal candidate will be a confident and collaborative leader, committed to service improvement, patient safety, and high quality care. Strong communication, professionalism, organisation, and the ability to work effectively under pressure are essential for this role.
Main duties of the job
The Clinical Service Lead will deliver patient-centred, high-quality care by practising with a high level of professional and personal autonomy.
- Deliver patient-centred, high-quality care with a high level of professional and personal autonomy.
- Apply specialist knowledge and skills in clinical assessment, diagnosis, and treatment within an agreed scope of evidence-based practice.
- Act as the Advanced Decision Maker in collaboration with non-medical consultants or medical colleagues, ensuring safe and effective patient care.
- Support a patient-focused and efficient service, managing potentially undifferentiated and undiagnosed presentations across the service.
- Work collaboratively with the multidisciplinary team (MDT) to provide clinical care, emotional and psychological support, and education to patients, service users, and carers.
- Promote and undertake research, service improvement, and clinical audits within the pathways to drive continuous improvement in patient outcomes.
- Design and deliver education and training—both practical and theoretical—to staff groups, including nurses and Allied Health Professionals (AHPs), internally across the Trust and externally as required.
- Maintain a minimum of 20% clinical practice, with the remaining time allocated across other service pillars, pathways, and Trust responsibilities.
- Provide operational leadership for the Falls and Care Homes services, ensuring smooth running and oversight even where direct clinical input is not required.
Detailed job description and main responsibilities
Successful applicants will be required to demonstrate alignment with the Trust’s values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.'
Person specification
Other
Essential
- Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
Experience
Essential
- Significant experience in urgent care services
- Significant experience of teaching and assessing clinical practice of colleagues.
- Experience in providing clinical expertise to patients with complex undifferentiated health problems, requesting and interpreting investigations as indicated and formulating a plan of care based on differential diagnosis’s
- Experience in managing clinical complexity within urgent care setting of advanced clinical practice.
- Established relevant experience of service transformation
- Experience in recruitment, retention, and staff performance
- Knowledge of the expectation of Advanced Practice Supervision, and it’s importance to safe, high quality patient centred care.
- Experience in assessment of personal and team competencies, capabilities and learning/training needs; able to establish training package to address needs.
- Experience, understanding and application of research
Desirable
- Evidence of presentations at local / national level
- In depth knowledge of research and audit systems relevant to profession and ability to apply to practice and/or urgent care setting
- Leadership experience in delegating and managing workload of team members.
Skills & Knowledge
Essential
- Advanced knowledge and skills in assessment, diagnosis and clinical decision making.
- Non-medical prescribing experience and qualification.
- Confidence to adapt to an evolving and changing service.
- Well-developed IT skills.
- Proven leadership skills, with a vision to work with others
- Change management skills, for example evidence of Quality Improvement or Service improvement knowledge and experience.
- Professional Portfolio of evidence showing achievements, reflections and on-going learning in practice/speciality
- Understand the importance of clinical supervision, and can reflect to participate in Clinical Supervision.
- Evidence of ability and knowledge on how to undertake research and audit, and be able to provide feedback outcomes and plan.
- Critical appraisal skills and ability to utilise research evidence in practice.
- Knowledge of research processes.
- Implementation of audit/research recommendations
- Evidence of research/audits undertaken and outcomes
- In depth understanding of quality issues including clinical governance
- Knowledge of the NHSE Centre for Advancing Practice “Multi-professional Framework for Advanced Clinical Practice (2017)”, “Multi-professional Framework for Advanced Clinical Practice Capabilities”, and “Minimum Standard of Supervision” for advanced practice
Education/Qualification
Essential
- Relevant registered professional qualification (NMC/HCPC/GPhC)
- MSc Advanced Clinical Practice, Equivalent Level 7 course, or completion of the NHSE e-Portfolio Route
Desirable
- Recognised teaching qualification
- Recognised leadership qualification
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Applying for this NHS job
This advert is for Urgent Community Response-Falls-Care Homes Clinical & Operational Lead with Central London Community Healthcare NHS Trust in London, London, England. It is listed as a Band 8 Manager and corporate role. The advertised salary is £63,665 - £70,887 per annum inclusive of HCAS. The contract type is Permanent: Mon - Fri. The application deadline is 28 Jun 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (19 Jun 2026) to decide whether this role fits your current NHS job search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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