Job summary
Are you an experienced senior nurse or advanced clinical practitioner looking for an opportunity to lead and develop high-quality healthcare within a custodial setting? Oxleas NHS Foundation Trust is seeking a Primary Care Clinical Lead to join the integrated healthcare team at HMP Guys Marsh. This is a senior clinical leadership role with responsibility for the delivery and development of primary care and clinical substance misuse services. Working closely with the Head of Healthcare, you will provide expert clinical leadership, support the day-to-day management of services and help ensure that patients receive safe, effective and evidence-based care. You will also contribute to the wider senior leadership team and deputise for the Head of Healthcare when required. Applicants should be a registered healthcare professional with significant primary care experience, a non-medical prescribing qualification or be working towards one, and hold or be completing a master's-level Advanced Clinical Practice qualification.

Main duties of the job
You will lead and coordinate the primary care service, ensuring that care is responsive to the needs of the prison population and integrated with mental health, medicines management, GP, dental and wider healthcare provision. The role includes providing expert clinical advice, supervision and leadership to multidisciplinary staff; overseeing clinical pathways, referrals and care planning; and supporting the effective management of acute presentations, long-term conditions, health promotion, screening, immunisation and substance misuse treatment. You will promote strong clinical governance through audit, risk management, incident review, evidence-based practice and service evaluation. You will also support workforce planning, recruitment, staff development, performance management and the effective use of resources. Working with prison colleagues, commissioners, community services and other partner organisations, you will help ensure continuity of care throughout custody and on release.

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

Job responsibilities
As Primary Care Clinical Lead, you will provide visible, professional and compassionate leadership for the primary care service. You will exercise a high level of professional autonomy, making complex clinical decisions while maintaining accountability for the quality and safety of care. You will undertake advanced clinical assessment, diagnosis and treatment of patients presenting with undifferentiated, acute or complex needs. Within your professional scope, you will prescribe and review medication, support the management of long-term conditions and ensure patients receive appropriate health promotion, preventative care and self-management advice. You will lead the development, implementation and evaluation of evidence-based clinical pathways, including chronic disease management, acute care, immunisations, screening, detoxification, rehabilitation and harm-reduction interventions. You will ensure that patients with complex needs receive coordinated, individualised and regularly reviewed care plans. The post holder will provide clinical and managerial supervision, support appraisal and professional development, and promote a culture of reflective learning and continuous improvement. You will monitor performance, maintain high standards of clinical documentation and ensure staff work in accordance with Trust, prison and national policies. You will contribute to clinical audit, research, quality improvement and service evaluation, using findings to improve patient outcomes and experience. As a member of the Senior Leadership Team, you will work collaboratively across professional and organisational boundaries and deputise for the Head of Healthcare when required. This is an excellent opportunity to shape the delivery of integrated healthcare in a complex and rewarding environment while supporting improvements in the health and wellbeing of people in prison.

IMPORTANT INFORMATION, PLEASE READ:
All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.

You will need to provide:

• Proof of right to work documentation
• Proof of ID, needs to include 1 photographic ID
• Proof of address documentation
• Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.

Address History:
5 years address history will be needed.

Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.

Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.

In order to assist you in obtaining a Police Certificate, guidance can be sought from: https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants

If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).

Person Specification
Qualifications
Essential

• Registered healthcare professional, with current professional registration.
• Master's-level Advanced Clinical Practice qualification, or currently working towards completion
• Non-Medical Prescribing qualification, or currently working towards completion
• Leadership or management qualification, or equivalent demonstrable experience

Experience
Essential

• Significant post-registration experience within primary care and/or clinical substance misuse services
• At least three years' management experience within a multidisciplinary healthcare environment
• Experience of service development, change management, clinical audit and quality improvement

Desirable

• Experience of delivering care within a prison, secure or similarly complex healthcare setting

Skills and knowledge
Essential

• Strong clinical leadership and management skills, with the ability to work autonomously and make complex decisions
• Advanced assessment, diagnostic and clinical decision-making skills within professional scope of practice
• Good understanding of clinical governance, risk management, safeguarding, patient safety and evidence-based practice

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).

Employer details
Employer name: Oxleas NHS Foundation Trust
Address: HMP Guys Marsh, Shaftesbury, SP7 0AH, United Kingdom
Employer's website: http://oxleas.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact:
Head of Healthcare
Danielle Blackmore
danielle.blackmore3@nhs.net

Details
Date posted: 09 October 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £57,528 to £64,750 a year pa
Contract: Permanent
Working pattern: Full-time
Reference number: 277-8341791-GUYS
Job locations: HMP Guys Marsh, Shaftesbury, SP7 0AH, United Kingdom

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.