Job summary Are you an experienced nurse looking for a supportive and rewarding workplace? We have a new vacancy for our Clinical Lead and would be delighted to invite you for a visit to Spa Medical Centre, Melksham. This is an excellent opportunity for an experienced Nurse to lead and develop the nursing and ACP team. Main duties of the job You will be responsible for: Leading the team in quality assurance & clinical governance Delivering Patient Care triage, managing patients with Acute and Chronic long-term conditions Develop and implement health and well-being programs Mentoring your team to ensure they are clinically competent and safe Management Duties which include monitoring and reporting on physical and financial resources, attending multi professional meetings. Lead on the implementation of polices Line Management duties; one to one meetings, appraisals, training Supporting a culture of learning and contributing to improvements and compliance We are looking for candidates who can provide strong management and clinical leadership. If this is you, you will have a proactive approach, strong leadership skills, and be passionate and committed to delivery high quality compassionate care. You will be registered with the NMC (or equivalent) You will have: RGN Qualification Clinical experience of working in General Practice or in Primary Care Experience in change management in both service delivery and within a staffing team Good interpersonal skills and able to work collaboratively About us We are an established training practice, looking after a growing population of 15,000 patients. We are passionate about education, with both ACP and GP trainers. Several of our GPs have a specialist interest in minor surgery, including skin surgery and carpal tunnel release performed in our purpose-built operating suite. Our wonderful team of ACPs, nurses, physios and HCAs work with a community visiting team to offer compassionate accessible care for our community. At Spa Medical Centre we have: CQC good rating with outstanding features Very high QOF achievement. Weekly staff running club Bean-to-cup coffee and a new staff wellbeing room Fantastic Christmas and Summer socials and wellbeing events through the year. Purpose built modern facilities with on-site staff parking Location in a rapidly growing area of North Wiltshire, with many affordable homes and excellent transport links by rail and the M4. Our staff enjoy short rural commutes from Chippenham, Bath and the surrounding villages. Date posted 05 February 2025 Pay scheme Other Salary £53,775 to £56,454 a year Contract Permanent Working pattern Full-time, Part-time, Job share, Flexible working Reference number A2319-25-02 Job locations Snowberry Lane Melksham Wiltshire SN12 6UN Job description Job responsibilities KEY RELATIONSHIPS: The Clinical Lead will forge strong relationships with the Practice Manager and the GP Clinical Lead. They will also liaise with the Department Head - Operations Manager and IT Lead. The role of Clinical Lead will sit within the Nursing, Paramedic and HCA team. JOB SUMMARY: Working in accordance with the NMC Code of Conduct, the Clinical Lead will lead and develop the Practice Nursing/Paramedic Team to deliver excellent patient care. The Clinical Lead will create, implement, and manage policies, protocols, and guidelines. The Clinical Lead will have exceptional managerial and leadership skills and will be able to demonstrate change management. The Clinical Lead will ideally be a Registered Nurse; however, the practice will consider other Health Care Professionals with relevant skills and experience for this role. MANAGEMENT DUTIES: Ensuring the nursing/paramedic team work efficiently and effectively to provide a high-quality service to patients, this may include group consultations or specialist clinics maximising the use of each individual nursing/paramedic team members skills. Monitor and report on the effective use of physical and financial resources including but not limiting stock control, consumables, use of technology etc. Lead and monitor the development and implementation of policies, standards, and guidelines across the practice nursing/paramedic team. Plan, allocate and monitor workloads for nursing/paramedic staff in the team and to ensure all professionals receive appropriate support and supervision. To ensure that workforce skill set is in line with the Practice strategic plan for delivery of services and that staff are appropriately trained within their job role and banding. To perform staff appraisals and one-to-ones to mentor and support the nursing/paramedic team. Assist nursing/paramedic staff to set their objectives and prepare a Personal Development Plan Lead, organise and participate in multi professional meetings, chairing nursing/paramedic meetings and allocating referrals and tasks as appropriate to team members. Attend all departmental meetings. Liaise with the Practice Manager and management team to monitor staff sickness/absences and take appropriate action as per Practice policy, and ensure appropriate cover is organised. To Liaise with the HR & Training role to ensure that members of staff have had the statutory amount of training as per their workforce development plan. To liaise with the Practice Manager to plan and address performance and discipline issues. To liaise, assist and investigate with the management team when complaints and significant events are raised. To assist and participate in the selection, recruitment, and induction of new staff. Act as mentor for more junior staff and students, assessing competence against set standards. Ensure the Nursing/Paramedic Lead Partner and Practice Manager are aware of any matters arising or problems / potential problems. CLINICAL DUTIES: Triage and manage patients presenting with acute and chronic long term conditions, providing expert advice to patients and referral pathways. Develop, implement, and embed health promotion and well-being programmes. Triage and manage patients presenting with a range of acute medical conditions, providing subject matter expert advice to patients and referral pathways. Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Ensure read codes are used effectively. Mentor and observe the nursing/paramedic team to evidence that they are clinically competent and safe to perform the duties of their job role. To take an active role in infection and prevention controls. To work in accordance with PGDs and PSDs. Disseminating information about the vaccine updates as well as MHRA alerts. Responsible for running alongside the Practice Pharmacy team, safety alerts in regard to medication and medical devices. Identify, assess, diagnose, and monitor patients with complex health needs across the practice population. Lead and develop programmes to improve health and well-being and meet the specific needs of communities, groups, and individuals. Lead the team in quality assurance, development, and clinical governance. To maintain accurate and relevant patient records, including recording of events and requests. Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations. Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team, as necessary. Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations. Notifying the GP of any significant patient issues. OTHER DUTIES: To liaise closely with Clinical Leads at PCN practices on a regular basis To participate and promote child and vulnerable adult safeguarding. To record patient consent. To act as a chaperone at the patient or GP request and to annotate the records thereafter. To participate and co-operate with any research projects. The above list of duties is not exhaustive and may be subject to changes as deemed necessary. CONFIDENTIALITY: While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post holder may have access to confidential information relating to patients and their carers, Practice staff and other Healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Not to enter patients records without clinical or administrative need to do so. PERSONAL/PROFESSIONAL DEVELOPMENT: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. COMMUNICATION: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. EQUALITY AND DIVERSITY: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues. Behaving in a manner that is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights. HEALTH AND SAFETY: Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines Responsible for correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage, and transport arrangements. Active observation of current working practices across the practice in relation to infection control, cleanliness, and related activities, ensuring that procedures are followed, and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process. Making effective use of training to update knowledge and skills and initiate and manage the training of others across the full range of infection control and patient processes. Routine management of own team / team areas, and maintenance of workspace standards Waste management, including collection, handling, segregation, container management, storage, and collection. Decontamination control procedures, management and training, and equipment maintenance Safe management of sharps procedures, including training, use, storage, and disposal Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Using appropriate infection control procedures, maintaining work areas in a tidy, clean, and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management. Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers Reporting potential risks identified Demonstrate due regard for safeguarding and promoting the welfare of children. Job description Job responsibilities KEY RELATIONSHIPS: The Clinical Lead will forge strong relationships with the Practice Manager and the GP Clinical Lead. They will also liaise with the Department Head - Operations Manager and IT Lead. The role of Clinical Lead will sit within the Nursing, Paramedic and HCA team. JOB SUMMARY: Working in accordance with the NMC Code of Conduct, the Clinical Lead will lead and develop the Practice Nursing/Paramedic Team to deliver excellent patient care. The Clinical Lead will create, implement, and manage policies, protocols, and guidelines. The Clinical Lead will have exceptional managerial and leadership skills and will be able to demonstrate change management. The Clinical Lead will ideally be a Registered Nurse; however, the practice will consider other Health Care Professionals with relevant skills and experience for this role. MANAGEMENT DUTIES: Ensuring the nursing/paramedic team work efficiently and effectively to provide a high-quality service to patients, this may include group consultations or specialist clinics maximising the use of each individual nursing/paramedic team members skills. Monitor and report on the effective use of physical and financial resources including but not limiting stock control, consumables, use of technology etc. Lead and monitor the development and implementation of policies, standards, and guidelines across the practice nursing/paramedic team. Plan, allocate and monitor workloads for nursing/paramedic staff in the team and to ensure all professionals receive appropriate support and supervision. To ensure that workforce skill set is in line with the Practice strategic plan for delivery of services and that staff are appropriately trained within their job role and banding. To perform staff appraisals and one-to-ones to mentor and support the nursing/paramedic team. Assist nursing/paramedic staff to set their objectives and prepare a Personal Development Plan Lead, organise and participate in multi professional meetings, chairing nursing/paramedic meetings and allocating referrals and tasks as appropriate to team members. Attend all departmental meetings. Liaise with the Practice Manager and management team to monitor staff sickness/absences and take appropriate action as per Practice policy, and ensure appropriate cover is organised. To Liaise with the HR & Training role to ensure that members of staff have had the statutory amount of training as per their workforce development plan. To liaise with the Practice Manager to plan and address performance and discipline issues. To liaise, assist and investigate with the management team when complaints and significant events are raised. To assist and participate in the selection, recruitment, and induction of new staff. Act as mentor for more junior staff and students, assessing competence against set standards. Ensure the Nursing/Paramedic Lead Partner and Practice Manager are aware of any matters arising or problems / potential problems. CLINICAL DUTIES: Triage and manage patients presenting with acute and chronic long term conditions, providing expert advice to patients and referral pathways. Develop, implement, and embed health promotion and well-being programmes. Triage and manage patients presenting with a range of acute medical conditions, providing subject matter expert advice to patients and referral pathways. Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health. Ensure read codes are used effectively. Mentor and observe the nursing/paramedic team to evidence that they are clinically competent and safe to perform the duties of their job role. To take an active role in infection and prevention controls. To work in accordance with PGDs and PSDs. Disseminating information about the vaccine updates as well as MHRA alerts. Responsible for running alongside the Practice Pharmacy team, safety alerts in regard to medication and medical devices. Identify, assess, diagnose, and monitor patients with complex health needs across the practice population. Lead and develop programmes to improve health and well-being and meet the specific needs of communities, groups, and individuals. Lead the team in quality assurance, development, and clinical governance. To maintain accurate and relevant patient records, including recording of events and requests. Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations. Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team, as necessary. Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations. Notifying the GP of any significant patient issues. OTHER DUTIES: To liaise closely with Clinical Leads at PCN practices on a regular basis To participate and promote child and vulnerable adult safeguarding. To record patient consent. To act as a chaperone at the patient or GP request and to annotate the records thereafter. To participate and co-operate with any research projects. The above list of duties is not exhaustive and may be subject to changes as deemed necessary. CONFIDENTIALITY: While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post holder may have access to confidential information relating to patients and their carers, Practice staff and other Healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Not to enter patients records without clinical or administrative need to do so. PERSONAL/PROFESSIONAL DEVELOPMENT: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. COMMUNICATION: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. EQUALITY AND DIVERSITY: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues. Behaving in a manner that is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights. HEALTH AND SAFETY: Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines Responsible for correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage, and transport arrangements. Active observation of current working practices across the practice in relation to infection control, cleanliness, and related activities, ensuring that procedures are followed, and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process. Making effective use of training to update knowledge and skills and initiate and manage the training of others across the full range of infection control and patient processes. Routine management of own team / team areas, and maintenance of workspace standards Waste management, including collection, handling, segregation, container management, storage, and collection. Decontamination control procedures, management and training, and equipment maintenance Safe management of sharps procedures, including training, use, storage, and disposal Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Using appropriate infection control procedures, maintaining work areas in a tidy, clean, and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management. Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers Reporting potential risks identified Demonstrate due regard for safeguarding and promoting the welfare of children. Person Specification Experience Essential 2 years Management Experience Experience in change management such as improvement to the delivery of services or working with staff members in change of roles Desirable 5 years Management Experience Experience of being an infection control lead Experience working in General Practice or Primary Care Experience in implementing protocols and clinical guidelines Qualities Essential Independent worker / Autonomous Can work collaboratively in a team Ability to multitask Flexible approach to demand Problem solver Forward thinking Logical Process driven Ability to positively motivate others in a team setting Calm and professional disposition Qualifications Essential Registered with the NMC (or equivalent) RGN Qualification (or equivalent) Desirable Full (UK) Clean Driving Licence Management Qualification Member of the CMI (Chartered Management Institute) Mentorship Qualification Knowledge and Skills Essential Microsoft Windows Applications Word Microsoft Windows Applications Excel Microsoft Windows Applications Outlook Excellent communication skills both verbal and written Excellent organisational skills Ability to delegate, mentor, supervise and develop staff Ability to work to tight deadlines and deal with conflicting demands Desirable Clinical computer systems SystmOne (TPP) Knowledge of infection control policies and procedures Basic knowledge and understanding of HR policies and procedures Knowledge and understanding of budget management Person Specification Experience Essential 2 years Management Experience Experience in change management such as improvement to the delivery of services or working with staff members in change of roles Desirable 5 years Management Experience Experience of being an infection control lead Experience working in General Practice or Primary Care Experience in implementing protocols and clinical guidelines Qualities Essential Independent worker / Autonomous Can work collaboratively in a team Ability to multitask Flexible approach to demand Problem solver Forward thinking Logical Process driven Ability to positively motivate others in a team setting Calm and professional disposition Qualifications Essential Registered with the NMC (or equivalent) RGN Qualification (or equivalent) Desirable Full (UK) Clean Driving Licence Management Qualification Member of the CMI (Chartered Management Institute) Mentorship Qualification Knowledge and Skills Essential Microsoft Windows Applications Word Microsoft Windows Applications Excel Microsoft Windows Applications Outlook Excellent communication skills both verbal and written Excellent organisational skills Ability to delegate, mentor, supervise and develop staff Ability to work to tight deadlines and deal with conflicting demands Desirable Clinical computer systems SystmOne (TPP) Knowledge of infection control policies and procedures Basic knowledge and understanding of HR policies and procedures Knowledge and understanding of budget management 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). Additional information 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 Spa Medical Centre Address Snowberry Lane Melksham Wiltshire SN12 6UN Employer's website https://www.spamedicalcentre.co.uk/ (Opens in a new tab)