Job summary
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

• 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.

About us
We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.

What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.

Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Job responsibilities
Successful applicants will be required to demonstrate alignment with the Trusts values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.

Person Specification
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

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

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)

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.