Job summary
This is a dynamic Band 7 role combining advanced clinical expertise with delegated operational and professional leadership across the Transfer of Care Hub (TOCH) and Single Point of Access (SPOA). The Senior Clinical Practitioner will practise autonomously within their professional scope, applying specialist knowledge and accountable judgement to support safe, timely and person-centred care and discharge pathways across acute, community and out-of-area settings.

Working across TOCH and SPOA, the post holder will provide visible clinical leadership and coordinate multidisciplinary triage of Pathway 0, 1, 2 and 3 referrals. They will undertake advanced assessment, interpret complex information, advise on appropriate pathways, lead complex case discussions and support safe transitions that maximise independence and reduce avoidable delays or readmissions.

The post holder will undertake delegated line management, including supervision, appraisal, staff development, wellbeing, attendance and performance management. Working closely with the Operational Manager and multidisciplinary partners, they will coordinate day-to-day service delivery, support quality and performance standards, and ensure timely escalation of clinical risks, barriers, delays and capacity concerns.

Main duties of the job
Responsibilities

• Clinical Practice and Care Coordination
• Coordinate multidisciplinary triage across TOCH/SPOA, including Pathways 0-3.
• Apply advanced clinical judgement to complex referrals, identifying clinical, functional, safeguarding and social risks and recommending appropriate pathways.
• Provide specialist advice, lead complex case discussions and support safe, timely discharge, escalating barriers and risks appropriately.
• Quality and Service Improvement
• Lead delegated audit and quality improvement, monitor KPIs and use evidence, data and learning to improve services.
• Support reviews of incidents, concerns and complaints and implement improvement actions.
• Operational and Clinical Governance
• Support daily service delivery, workload prioritisation and effective use of resources across TOCH/SPOA.
• Identify and manage clinical, safeguarding and operational risks, escalating significant concerns appropriately.
• Maintain accurate records, data quality and service reporting.
• Leadership and People Management
• Provide visible clinical and operational leadership across TOCH/SPOA.
• Undertake delegated line management, including appraisal, development, wellbeing, attendance and performance management.
• Provide clinical supervision, coaching and specialist advice.
• Practise autonomously within professional scope and maintain professional development.
• Work with the Operational Manager to maintain safe, effective and resilient service delivery.

About us
What does Buckinghamshire Healthcare NHS Trust offer you?

• As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.
• We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.
• We provide a range of health and wellbeing services to promote a healthy, happy workforce.

Why work for us?

• We're committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
• As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
• Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.
• A keen supporter of the Armed Forces Community who know the value of employing a service leaver/veteran and their families.

What do we stand for?

• Our vision is to provide outstanding care, support healthy communities and be a great place to work.
• Our mission is to provide personal and compassionate care every time.
• Our care values are collaborate, aspire, respect and enable.

Details
Date posted: 15 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year per annum pro rata for part time
Contract: Permanent
Working pattern: Full-time, Part-time, Job share, Flexible working
Reference number: 434-CR8357488
Job locations: Across all sites, Mandeville Road, Aylesbury, HP21 8AL, United Kingdom

Essential Education, Qualifications & Training

• Current registration with HCPC/NMC/SWE.
• Recognised qualification in Physiotherapy/Occupational Therapy/Nursing/Social Work.
• Able to evidence CPD, in line with regulatory body standards.

Desirable Education, Qualifications & Training

• Master's degree in related field.
• Clinical educator course/Practice educator course.
• Training/Formal Courses in courses appropriate to post (e.g. Continuing Healthcare).

Essential Experience

• At least 3 - 4 years' experience in a clinical/frontline environment (Band 6 or equivalent).
• Evidence of commitment to continuing professional development, and reflective practice.
• Experience of working in hospital discharge/discharge planning/discharge pathways. Provides senior clinical leadership in triaging complex discharge referrals, assessing patient needs, and coordinating safe, person-centred care transitions across teams and services.

Desirable Experience

• Provides senior clinical leadership in triaging complex discharge referrals, assessing patient needs, and coordinating safe, person-centred care transitions across teams and services.

Essential Skills, Abilities & Knowledge

• Effective partnership working with health and social care colleagues.
• Proven ability to use a variety of IT programmes and databases.
• Comprehensive knowledge of discharge processes and pathways in Health & Social Care.
• Demonstrate skills in analysing complex patient needs, reviewing referrals accurately, and coordinating effective discharge plans to ensure seamless continuity of care. Knowledge of legislation relevant to post (Care Act, Mental Capacity Act, Health and Safety, Data Protection).
• Excellent communication skills (verbal & written) in English and interpersonal skills.

Desirable Skills, Abilities & Knowledge

• Knowledge of legislation relevant to post (Care Act, Mental Capacity Act, Health and Safety, Data Protection).

Essential Special Circumstances

• Willingness to work flexibly across locations.
• Ability to work flexibly (weekends/bank holidays).

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.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Buckinghamshire Healthcare NHS Trust
Employer's website: https://careers.buckshealthcare.nhs.uk/

For questions about the job, contact: TOCH Operational Manager, Jaya Theodore, selvin.theodore@nhs.net, 07584207175

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on bht.recruitment@nhs.net quoting the vacancy reference number. Apply through our website.