Closing date: 22 June 2023

Main duties of the job

The Clinical Director will be responsible for our PCS practices services providing clinical leadership within the group and assurance to the executive team and board. The role will include 3-6 clinical sessions within the group practices with 3 management sessions. This is an exciting opportunity to lead innovation in the PCS practices, being responsible for clinical safety, quality and responsiveness of services whilst working in an integrated way with PCSs wider at scale provision. This will present a range of opportunities for personal development and to influence PCSs direction and that of General Practice in the city.

A key element of the role will be to build strong links and effective working relationships with Sheffields 15 Primary Care Networks and as such will require excellent interpersonal skills and the ability to rapidly establish your credibility with a diverse stakeholder group.

A team player, comfortable with strategic issues and improving operational performance, you will be excited by the opportunity to help shape the organisations future and that of primary care in the city whilst also ensuring sustained progress in the drive to continuously improve the experience of patients and their families.

About us

Primary Care Sheffield (PCS) is a GP-led organisation. Our shareholders are 71 GP practices in Sheffield covering around 600,000 patients. We have a social purpose; improving the quality of care through the reinvestment of surplus into patient services. We exist to provide services which make the health and care system work better for everyone in particular providing an infrastructure through which GP practices and primary care networks can flourish.

Job description

Job responsibilities

Job Purpose

To provide high quality clinical leadership to the PCS practices and to work with the clinical leads across all PCS services to unify the approach to quality, safety and effectiveness of the service.

• Take operational responsibility for the clinical quality and safety including clinical protocols for all of the PCS practices
• Share with the Head of Service, senior leadership and operational management responsibility for all aspects of service performance, delivery, finance and development within the practices
• Share responsibility, with the Clinical Quality Manager, for achieving high standards of clinical governance across all the practices and work to unify this across all services
• Provide Clinical Leadership across practices, together with line-management of Clinical Leads and shared responsibility for clinical staff performance and development with Clinical Nurse Manager and AHP lead
• Be responsible for the culture of the teams, developing a learning environment and a climate which fosters clear lines of responsibility and accountability, and effective multi-disciplinary working
• Develop genuine partnerships with service users and carers/ families and other statutory and non-statutory organisations/groups as required
• Be visible and lead the strategic development of the PCS strategy to develop the delivery of services within practices and at scale across the city
• Be an ambassador for Primary Care for PCS with external stakeholders and provide external representation at relevant meetings

Personal Clinical Responsibilities

• Undertakes all duties and responsibilities associated with a GP working within primary care, including a full range of medical services as defined in the core PMS/GMS contract and additional and enhanced services where appropriate

Primary Care Leadership

• Provide strong visible clinical leadership, in conjunction with the Head of Service
• Lead and develop the Primary Care GP team. Liaising closely and providing leadership to the Lead GPs and wider workforce
• Work with the Clinical Nurse Manager to develop the nursing team across the services
• Works with group management to lead the wider practice team including regular communications and meetings
• Ensure effective communication between all sites by facilitating Senior Management Team meetings and ensuring all practices are represented
• Ensure all services offer high quality of care to all patients
• Work with Head of Service to ensure budgets are met and work to increase revenue opportunities
• Represent the organisation externally and be outward facing e.g. working collaboratively with other practices, representation at network meetings, representation at CCG/LMC events and meetings with local councillors etc.
• Provide representation and ensure all PCS practices are fully involved in network working and adhering to the current requirements of the network contract
• Ensure teams are aware and achieving current contractual targets including QOF, Enhanced services and KPIs
• Ensure all practices are engaging with the long term condition review and work to embed the process in to everyday practice
• Work and provide supervision to ARRS staff working within the practices to ensure development of a cohesive team to enable the best possible quality of care for our patients
• Ensure effective two way communication between all members of the Primary Care team and the Management Team
• Ensure a plan for recruitment and retention of staff across the group which includes an approach to training for different skill mixes across all the sites
• Work with others to embed innovation within the services and to lead on implementing new ways of working across all sites and services for the benefit of patients
• Be a sounding board and critical friend in the development and delivery of PCSs wider services so that they grounded in and responsive to the needs of patients and general practices whether Clover or wider shareholders

Governance

• Be the Governance Lead / Caldicott Officer for the practices including assisting the PCS Caldicott Guardian
• Work with PCS CQC Registered Manager, Medical Director, Clinical Quality Manager, Clinical Nurse Manager, AHP lead and Head of Service to ensure practices comply with CQC standards
• Ensure implementation of NICE and other best practice guidelines throughout the practices
• Ensure that services can respond in the event of a major incident and that business contingency plans are in place
• Ensure that staff enact their responsibilities for Infection, Prevention and Control, Safeguarding Adults and Children and Health and Safety requirements
• Work with the Medical Director to develop clinical governance strategies, systems and processes and ensure the active participation by all medical staff
• Promote an organisational culture committed to learning from complaints, incidents, audit, research and development
• Work with the Responsible Officer, HR and Exec Team to resolve issues relating to the poor performance of medical staff and the implementation of disciplinary procedures
• Ensure appraisal, job planning and continuing professional development (CPD) takes place for Doctors, Nurses and Allied Health Professionals
• Ensure to Clinical Governance Committee the clinical safety and effectiveness of the PCS practices

Quality and Appropriateness of Clinical Care

Work with the Clinical Quality Manager, Clinical Nurse Manager, AHP lead and Clinical Leads and Medical Director to ensure an organisational approach across all clinical services to address such areas as:

Peer support and review

Clinical protocol development and streamlining this for the organisation

Appropriate clinical policies and procedures standardised for the organisation

Clinical staff appraisal

Clinical audit and research

Recruitment, induction and appraisal of suitably qualified and experienced staff

Investigation of incidents and complaints

Clinical record keeping and documentation

Management of conflicts between clinicians

Management of clinician impairment or behavioural issues

Key Working Relationships

• GP Leads at practice sites
• GP Leads for extended access and other PCS at scale services
• Clinical Quality Manager
• Clinical Nurse Manager
• AHP lead
• Head of Service for Primary Care
• Medical Director
• PCS Executive Team
• PCS Clinical Governance Committee Chair and Members

Wider Stakeholders

• PCS Board
• Clinical Directors of PCNs
• Practice Staff
• NHS Sheffield CCG
• Sheffield Health and Care Partnership
• South Yorkshire ICS
• LMC
• Public Health and Local Authority Departments

Performance Review

The post will be subject to agreed objectives set with the PCS board and regular review of performance.

This Job Description will be subject to review within 6 months of appointment or sooner if agreed between the Post Holder and PCS.

Person Specification

Experience

Essential

• Experienced practicing clinician
• Experience of medical leadership
• Understanding of current issues affecting primary care
• IT skills
• Good communication skills and ability to influence a wide audience
• Understanding of effective clinical governance
• Ability to utilise a range of personal skills to suit different situations where appropriate
• Experience of working in a multi-disciplinary team
• Line management or supervision experience

Desirable

• Experience of medical education with relevant qualification
• Be aware of national initiatives impacting on primary care and how these can be integrated in the PCS system
• Experience of working within areas of deprivation
• Experience of leading a multi-site practice

Qualifications

Essential

• Medical Degree and Royal College Membership
• Full GMC registration and licence to practice

Desirable

• Recognised post graduate management qualification

Disposition

Essential

• Evidence of development of effective relationships with clinical/non-clinical staff
• Ability to seek initiatives to introduce new ways of working to improve patient care
• To be able to demonstrate the values of PCS – be open, person-centred, innovative, ambitious and empowering

Desirable

• Possess a full driving license or be mobile

Skills and Aptitudes

Essential

• Highly motivated self- starter
• Leadership skills
• Financial Acumen
• Ability to build high performing cohesive teams
• Ability to enthuse and involve others
• A strong commitment to developing the quality of primary care
• Ability to manage conflict and harness different opinion
• Drive, energy and enthusiasm

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).

Enquire about this position