Job summary
We are looking for an experienced and motivated Primary Care Clinical Lead to lead the delivery and ongoing development of high-quality primary care services within our prison healthcare setting in Bristol. This is an opportunity to combine clinical leadership, operational management and service improvement in a challenging and rewarding environment where your work will directly improve patient care and outcomes.

Working as part of an integrated multidisciplinary team, you will provide visible and supportive leadership to nursing, paramedic and wider healthcare colleagues. You will help ensure that services are safe, effective, efficient and responsive to the needs of patients, while maintaining strong working relationships with prison colleagues, partner organisations and community services.

Important Sponsorship Information for this post: We are currently unable to offer a certificate of sponsorship for this post.

Main duties of the job
In this role, you will provide clinical and operational leadership for the primary care service. You will manage, support, supervise and appraise staff, promoting professional development and high standards of practice, while coordinating staffing and rotas to support safe, efficient and timely service delivery.

You will oversee referral, triage, care coordination and clinical review processes, maintain a small clinical caseload and provide evidence-based care for patients with acute, complex and long-term health needs.

You will also lead quality improvement, clinical audit and service evaluation activity, monitor performance, patient safety and standards of care, and take action where improvements are required. Working collaboratively with HMPPS, healthcare partners, community providers and other statutory and voluntary agencies, you will support integrated care and continuity of treatment.

About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We're Kind
• We're Fair
• We Listen
• We Care

Details
Date posted: 28 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year pa
Contract: Permanent
Working pattern: Full-time
Reference number: 277-8390879-BRIS
Closing date: 08 November 2026

Job responsibilities
Key Task and Responsibilities

• The post holder will act as clinical lead in the inpatient service.
• To provide quality primary care interventions to offenders.
• Provide direct line management, leadership and support to junior colleagues.
• Assist and support senior staff to deliver care within the service.
• Develop specialist practice-based clinical models of care.
• Provide a range of quality services and intervention.
• The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway

Management responsibilities

• To play a lead role in the on-going development and delivery of an effective integrated healthcare service team clinical model.
• To be responsible for rotas, taking into account efficient use of resources, staff capacity and changing service needs.
• Ensure all clinics are delivered in a clinically effective, efficient and timely way, in line with service needs.
• Deliver strategies designed to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as directed

Leadership

• Responsible for staff supervision and annual appraisals.
• To demonstrate and provide robust clinical leadership to junior staff with a sound understanding of evidence based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis.
• To lead in the professional clinical supervision programme, to ensure all junior staff receive appropriate supervision, training and annual appraisal to ensure that it becomes an integral part of team practice

Clinical

• The post holder will exercise a degree of personal and professional autonomy, make complex and critical judgments under the supervision of the Inpatient manager and have decision making skills to satisfy the expectations of the role.
• To manage a clinical caseload.
• Maintain an effective case management service to ensure care and continuity of treatment is maintained throughout an offenders care pathway whilst detained in prison

Research

• To support and undertake research, clinical audit and evaluate the service as directed. This will include acute care, long term conditions management and health promotion activities and be in line with the NHS Plan, public health and National Service Frameworks.
• To participate in all monitoring systems to promote the development of evidence based practice in the specialist field and to promote research as appropriate.

Communication

• To liaise with others to share expertise, promote ideas and work collaboratively with key stakeholders, agencies and organisations as required.
• Develop and maintain inter-disciplinary and inter-agency working with all relevant agencies and organisations.

Person Specification
Qualifications (Essential)

• Registered Nurse (Adult/General)
• Post graduate qualification to Masters level or equivalent experience

Experience (Essential)

• Substantial post-qualification practice
• Demonstrates senior management level or supervisory role including managing change and introducing new ways of working.
• Experience of multi-professional collaboration including working in partnership with other statutory and voluntary organisations.
• Experience of setting, monitoring and evaluating standards of care.

Experience (Desirable)

• Experience of working within secure and prison settings
• Working knowledge of current issues and agendas facing prison/offender healthcare

Skills (Essential)

• Demonstrate an understanding of change management and new ways of working.

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

Apply through our website.