Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Clinical and Operational Lead HIOWH Clinical Advisory Team
The closing date is 26 November 2026

Job summary
Help shape the future of the HIOWH Clinical Advisory Team

We are looking for an experienced and compassionate leader to join Long Term Conditions as Clinical and Operational Lead for HIOWH CAT Service. This is an opportunity to provide visible, credible clinical and operational leadership across this specialist service and to work with the team and stakeholders to develop and improve pathways, strengthen professional practice and support high-quality, person-centred care.

The role forms part of the new multidisciplinary LTC leadership model. You will work closely with the Quality Matron so that clinical quality, operational delivery and governance are considered together. You will also remain connected to clinical practice and support complex clinical decision-making, professional development and service transformation.

Main duties of the job
The Clinical and Operational Lead will provide integrated clinical, professional, strategic and operational leadership for the HIOWHCAT service within the Long Term Conditions subdivision. The postholder will be accountable for the safe, effective, responsive and financially sustainable delivery of the service, while acting as the senior clinical authority for the specialty.

The postholder will bring together responsibility for clinical standards, specialist practice, service performance, workforce, finance, access, transformation and partnership working. They will ensure that operational decisions are informed by clinical evidence and that clinical priorities are translated into deliverable, affordable and measurable service plans.

Working in partnership with the Quality Matron, Head of Clinical Services, Clinical Director and wider leadership team, the postholder will provide visible and compassionate leadership, maintain professional credibility and ensure robust oversight of quality, safety, patient experience and performance. The role will lead service and pathway development across organisational boundaries and support integrated, person-centred care across Hampshire and the Isle of Wight.

About us
Hampshire and Isle of Wight Healthcare NHS Foundation Trust provides joined-up mental and physical healthcare for around two million people across our communities. With over 13,000 staff working in the community and local hospitals, we deliver care at every stage of life, helping people live their best and healthiest lives.

Our mental health services include community-based support and early intervention in psychosis (EIP) for both adults and young people, alongside a network of specialist inpatient wards covering forensic, learning disability, eating disorder and older person's care.

We deliver extensive physical health services too, from urgent community response teams helping frail and older patients remain safely at home, to hospitals at home teams providing acute-level care in familiar surroundings. Our neurological services offer rehabilitation and treatment for conditions including Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease, Head Injury, Cerebral Palsy and Stroke. Across Hampshire, our community hospitals provide inpatient rehabilitation as a step down from acute care, and our dedicated teams also staff Treetops Sexual Assault Referral Centre in Portsmouth, offering expert, compassionate support.

Everything we do is underpinned by our CARE values of compassion, accountability, respect and excellence

Details
Date posted: 12 November 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £57,528 to £64,750 a year, based on full time hours
Contract: Permanent
Working pattern: Part-time, Flexible working
Reference number: 348-CSS-13018
Job locations: St.Mary's Community Health Campus (Portsmouth), Milton Road, Portsmouth, Hampshire, PO3 6AD, United Kingdom

Job description
Job responsibilities
The Long Term Conditions subdivision supports adults with chronic and complex health needs across Hampshire and the Isle of Wight. The Clinical Advisory Team provides specialist education, training and advice and offers recommendations for specialist equipment and positioning. The service works with multiple services including Adult social care, Neuro rehab, Paediatric services, Community Nursing, Tissue Viability and many others. The service collaborates with primary care, acute services, community teams, social care, voluntary sector partners and other providers to deliver coordinated care and reduce health inequalities.

Responsibilities

• Provide visible, compassionate and accountable leadership for the Clinical Advisory Team service, creating clear direction and shared ownership of priorities.
• Be accountable for clinical standards and day-to-day operational delivery, ensuring that services are safe, evidence-based, person-centred, responsive and delivered within agreed resources.
• Lead the translation of Trust, divisional, national and system priorities into practical service plans, pathways and delivery arrangements.
• Work in partnership with the Quality Matron to maintain effective quality, safety and governance oversight, with clear roles, escalation and assurance.
• Represent the service at internal and external forums and deputise for the Head of Clinical Services when required.
• Act as the senior clinical lead for the Clinical Advisory Team providing expert advice, guidance and professional leadership within the specialty.
• Maintain highly specialist clinical expertise, undertaking assessment, intervention, advice, and onward referral within scope of practice.
• Make autonomous, evidence-based clinical decisions in complex, high-risk and unpredictable situations, working within professional, legal and medico-legal frameworks.
• Lead the development, implementation and review of clinical pathways, protocols and models of care aligned with national guidance, professional standards and best practice.
• Promote consistency of clinical practice, reduce unwarranted variation and support equitable access and improved patient outcomes.
• Provide expert case advice, clinical supervision, education and support to staff and partner professionals.
• Maintain accurate, timely and complete clinical records in accordance with legislation, policy and professional standards.
• Be accountable for delivery against service specifications, key performance indicators, contractual requirements, access standards and locally agreed objectives.
• Oversee demand, capacity, waiting lists, caseloads, productivity, workforce deployment and service flow, taking timely action where performance or patient safety is at risk.
• Use qualitative and quantitative data to understand demand, variation and outcomes, enabling exception reporting and evidence-based decision-making.
• Ensure effective rostering, business continuity, digital, estates, procurement and administrative arrangements support safe and efficient service delivery.
• Provide timely, accurate reports and assurance, escalating significant clinical, operational, workforce or financial risks appropriately.
• Enable ways of working that embed "No Decision About Me, Without Me" with patients, carers and families.
• Lead clinical audit, quality improvement, evaluation and evidence-based practice, using findings to improve care and outcomes.
• Triangulate incidents, complaints, claims, audits, patient feedback, workforce information and performance data to identify risk, learning and improvement priorities.
• Work with the Quality Matron to ensure effective investigation, action planning, learning, implementation and monitoring following incidents, complaints and reviews.
• Ensure compliance with safeguarding requirements, professional standards, Trust policies, information governance, regulatory requirements and relevant legislation.
• Lead or contribute expert clinical input to case reviews, debriefs, policy development, service reviews and accreditation activity.
• Promote research, innovation and the adoption of appropriate new developments, treatments and technologies.
• Provide line management and professional leadership for staff within the service, including recruitment, induction, supervision, appraisal, attendance, capability and performance management.
• Lead workforce planning, skill-mix review, succession planning and development of sustainable staffing models aligned with service need and available resources.
• Ensure effective clinical supervision, mentorship and continuing professional development for registered and unregistered staff.
• Identify education, training and competency requirements and ensure staff are appropriately supported to practise safely and effectively.
• Promote staff wellbeing, engagement, inclusion and retention through accessible, fair and supportive leadership.
• Create a high-support, high-challenge culture that promotes openness, learning, accountability and continuous improvement.
• Be accountable for delegated budgets and cost centres, ensuring resources are used safely, effectively and within the agreed financial envelope.
• Monitor workforce and non-pay expenditure, authorise expenditure within delegated limits and take corrective action where financial performance is off plan.
• Lead and deliver agreed cost improvement plans without compromising patient safety, clinical quality or statutory responsibilities.
• Identify opportunities for service development, productivity improvement and business growth, contributing to robust business cases and mobilisation or demobilisation plans.
• Ensure procurement, equipment, stock and physical resources are managed appropriately and provide value for money.
• Lead service redesign, pathway transformation and change programmes, ensuring effective clinical engagement, co-production, equality impact consideration and implementation planning.
• Work across organisational and professional boundaries with primary care, acute providers, community services, commissioners, provider collaboratives, voluntary organisations and other system partners.
• Contribute specialist expertise to integrated pathways and system-wide service development, improving continuity, outcomes and patient experience.
• Support complex consultations and service reconfigurations, communicating clearly and sensitively with staff, patients and stakeholders.
• Build constructive relationships and model collaborative behaviours that enhance the reputation of the Trust and the service.
• Communicate complex, sensitive or potentially distressing clinical and organisational information clearly and appropriately to patients, families, staff and stakeholders.
• Anticipate barriers to communication and use appropriate methods to support informed consent, shared decision-making and meaningful involvement.
• Produce high-quality written reports, business cases, briefings and recommendations that are accurate, evidence-based and proportionate.
• Lead and support education, training and knowledge-sharing within Speech and Language Therapy and across partner services.
• Use a range of communication approaches to keep staff informed, involved and connected to service priorities and change.
• Line management and professional leadership of clinical, support and administrative staff within the service as determined by the agreed structure.
• Recruitment, appraisal, supervision, attendance management, capability, performance management and staff development.
• Work allocation, workforce planning, rostering, skill mix, competency and service resilience.
• Provision and oversight of clinical supervision, mentorship and professional guidance.
• Creation of an inclusive, safe and supportive working environment.

Further information about the Trust and this role can be found on the Job Description and Person Specification document attached. It is important to us that we ensure our recruitment processes are accessible and inclusive to everyone - if as a potential candidate you are concerned a person specification may prevent or restrict your application for employment as a result of unintentional barriers on the grounds of your sex, race, age, sexual orientation, religion/belief or disability please initially contact the Trust's Recruitment team - detailed in the advert. The Trust will seek to resolve this issue wherever possible.
We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Person Specification
Qualifications
Essential

• Registered Nurse, Occupational or Physio Therapist with current HCPC or NMC registration.
• Master's level / Level 7 postgraduate qualification, or equivalent relevant experience.
• Recognised post-registration qualification in relevant clinical area

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: Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Address: St.Mary's Community Health Campus (Portsmouth), Milton Road, Portsmouth, Hampshire, PO3 6AD, United Kingdom
Employer's website: https://hiowhealthcare.nhs.uk/

Employer contact details
For questions about the job, contact: Hiring Manager, Debra O'Brien, debra.obrien3@nhs.net, 07788565077