Job summary
The postholder is a senior GPwER providing assessment and management of patients with ear, nose and throat conditions in a community setting, working within an agreed scope of practice at the primary-secondary care interface. The postholder works with a broader scope, greater clinical autonomy and a higher threshold of complexity than a standard GPwER post, and acts as a point of clinical escalation within the service. The post exists to expand timely, high-quality ENT care closer to home, reduce avoidable secondary care referrals, and improve equity of access for the populations served.

Main duties of the job
Clinical

• Assess, diagnose and manage patients presenting with ENT conditions within the agreed scope of practice (ENT UK competence framework).
• Make safe, defensible decisions on investigation, treatment, onward referral and discharge, and recognise presentations that fall outside scope or require escalation.
• Maintain accurate, contemporaneous records and communicate clearly with consultant colleagues, referring clinicians and patients.

Supervision and clinical leadership

• Provide day-to-day clinical supervision, advice and case discussion for other practitioners in the service.
• Review and sign off defined elements of others' caseload as agreed in the supervision framework.
• Support recruitment, induction and ongoing competence assurance of the clinical team.

Service development and quality improvement

• Contribute to the design, evaluation and continuous improvement of the community ENT pathway.
• Lead or participate in audit, outcome monitoring and service evaluation.

Education and training

• Deliver teaching and contribute to the GPwSI/GPwER training and accreditation programme.
• Support workforce development across the wider ENT community service.

Governance

• Participate in clinical governance activity: audit, significant event analysis, complaints response and the duty of candour.
• Maintain personal accreditation and work strictly within the agreed scope of practice, escalating concerns about safety or capacity.

About us
Manchester University NHS Foundation Trust (MFT) is a leading centre of clinical excellence, renowned for pioneering patient care, advanced medical research, and a collaborative multi-speciality environment. We are the largest provider of specialist services, and our Oxford Road Campus in Manchester is the largest health academic campus in Europe - a great place to progress your career.

With over 30,000 employees, a turnover exceeding £3 billion, and 10 hospital and community services, join our team to help us deliver outstanding healthcare to our diverse communities.We offer an engaging and supportive environment, with access to state-of-the-art facilities and cutting-edge technology. Research and Innovation are at the heart of our work, offering opportunities to lead research that shapes the future of medicine, working alongside experts, advancing clinical practice, and improving patient outcomes.

At MFT, we foster a culture where every colleague is valued and empowered to thrive. Your expertise is recognised, your ambitions are supported, and your impact is felt at every level. Whether you want to develop your clinical skills, pursue research interests, or seek leadership opportunities, MFT provides the ideal environment to achieve your medical or professional aspirations.If you are dedicated to driving clinical innovation and delivering compassionate patient care, join us to shape tomorrow's healthcare; where clinical excellence, innovation, and your career will thrive.

Details
Date posted: 05 August 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £78,699 to £118,759 a year
per annum / pro rata
Contract: Permanent
Working pattern: Part-time
Reference number: 349-MRI-8091154-RL4
Job locations: Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, United Kingdom

Job description
Job responsibilities
To find out more about the key responsibilities and the specific skills and experience youll need for this role, take a look at the Job Description & Person Specification attachments under the Supporting Documents heading.

Explore Inside MFT Your Candidate Place
To help you feel confident, prepared and fully informed before you apply, we invite you to explore Inside MFT Your Candidate Place. This welcoming onestop hub gives you a real sense of who we are what we stand for, how we reward and support you, and the many ways we care for you as you care for others. Youll also find practical hints and tips for submitting a great application, along with the essential information you need to know before you apply.

To access Inside MFT Your Candidate Place, simply click on the relevant PDF document under the Supporting Documents section and once opened, you can where either scan QR code or click on the link provided.

Closing vacancy listings early
We welcome applications from a wide range of backgrounds and experiences.To help us manage applications fairly and give each one the time it deserves, our adverts may close early if we receive a high level of interest. Early applications are therefore encouraged.

Diversity Matters MFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, please contact the manager named below.

Use of Artificial Intelligence (AI) in your application
Here at Manchester University NHS Foundation Trust, were proud to be ALL HERE FOR YOUfor our patients, our communities, and each other.As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your applicationespecially personal statements and responses to role-specific questionsis written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone.

Thank you for helping us uphold the values that make our Trust a place where people belong, grow, and thrive. We look forward to receiving your application.

Person Specification
Qualifications
Essential

• Full GMC registration with a licence to practise Inclusion on the GMC GP Register
• MRCGP or equivalent Relevant postgraduate ENT qualification or diploma

Desirable

• No conditions or undertakings relevant to the role

Experience
Essential

• Ongoing post-CCT primary care practice (a currently and continuously practising GP) Demonstrable experience managing ENT presentations in a community or intermediate setting

Desirable

• Experience working at the primary-secondary care interface in ENT Experience of remote / asynchronous clinical assessment
• Experience of remote / asynchronous clinical assessment

Leadership Skills
Essential

• Demonstrable clinical leadership Ability to supervise and support other clinicians (GPwSIs, ANPs, audiologists)

Desirable

• Experience of service development, pathway design or QI at scale Teaching or training role within a GPwSI/GPwER programme
• Teaching or training role within a GPwSI/GPwER programme

Personal
Essential

• Effective communication across professional boundaries Commitment to equity of access and reducing health inequalities

Desirable

• Awareness of the populations served and their access barriers

Clinical skills
Essential

• Competence across the agreed ENT scope of practice
• Sound judgement on referral thresholds and recognition of red-flag / out-of scope presentations

Desirable

• Procedural competencies relevant to the service (e.g. microsuction)

Governance
Essential

• Understanding of clinical governance, audit, significant event analysis and the duty of candour as they apply to extended-role practice

Desirable

• Experience of contributing to safety cases or regulatory / commissioning processes

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 (Opens in a new tab).

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 (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

MFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve.