Job summary This Clinical Lead post for North Mid in the Community is the perfect challenge for someone looking to combine their clinical and managerial skills. The team you will be leading comprises of SLTs Band 7/6/5 and SLT assistants. You will be working closely with the Adult Community Therapy leads with support from the Therapies Service Manager and liaising with acute colleagues at both The North Middlesex Hospital and The Royal Free Foundation NHS Trust. We invite experienced Band 7/8 to apply. We are expecting candidates to demonstrate advanced communication, clinical reasoning, analytical and problem-solving skills. You will act as a resource of highly specialist advice to the rest of the community rehabilitation and therapy services and others within wider Trust multidisciplinary services. The Trust supports identified CPD needs and your individual clinical and leadership development. We are committed to staff wellbeing and provide a collection of services and initiatives to promote the emotional and physical health and wellbeing of all staff which includes the employee assistance programme, occupational health services and the staff wellbeing forum. Main duties of the job To have ultimate responsibility for the organisation of the service including ensuring appropriate cover. To be aware of and manage any clinical governance issues pertaining to the service and to highlight these in line with policy To perform comprehensive highly specialist SLT assessments of patients with diverse presentations and complex physical and psychological conditions, to provide a clinical diagnosis and develop and deliver an individualised treatment programme. Hold full responsibility for own caseload within this specialty, working without direct supervision. Clinical work is not routinely evaluated To ensure an appropriate supervision for all staff in place Working in partnership with the Trust's Quality Improvement lead to identify the need for audit, evaluation and research projects, co-ordinating their implementation to further own and team's performance. To lead the implementation of specific changes to practice and service protocols for the team. Ongoing review of effectiveness of service delivery introducing where appropriate new ways of working Work with the AHP Lead and other lead therapists across the Trust to develop and implement a Trust wide AHP strategy which develops and strengthens networks across the Trust and beyond with relevant professional groups (e.g. GPs with special interests, nurse practitioners and other AHPs and health care professionals) About us North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches. We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities. Take a tour of our hospital here After several years of ever closer working, North Mid and Royal Free London are planning to come together as one organisation to enable them to go further and faster in improving services for patients and the health of the local community than they can achieve separately. The merger of North Mid into the RFL group is currently expected to take place on 1 January 2025, subject to NHS England and Secretary of State approval Date posted 02 January 2025 Pay scheme Agenda for change Band Band 8a Salary £59,490 to £66,239 a year per annum inclusive of HCAs Contract Permanent Working pattern Full-time Reference number 393-NMUH-1953-AB-B Job locations St Micheal's Hospital Gater Drive Enfield EN2 0JB Job description Job responsibilities On a daily basis to make decisions on allocation of available resources which directly affect level of SLT intervention to specific patients and be able justify those decisions to patients, carers and others. To deal sensitively at an advanced level with patients and carers who have high levels of anxiety as a result of their condition e.g. pain, loss of mobility, poor prognosis, cognitive impairment (e.g. dementia, learning difficulties) To support and educate patients and carers in managing complex SLT needs. To undertake a comprehensive highly specialist assessment of patients including those with diverse or complex presentations/multi pathologies: use highly advanced clinical reasoning skills and assessment techniques to provide an accurate clinical diagnosis of their conditions Formulate and deliver individual SLT treatment programmes based on an extensive knowledge of evidence based practice and ability to apply a wide range of treatment options. Evaluate patient progress, reassess and modify treatment programmes as required. Develop comprehensive management plans in conjunction with other members of the multi-disciplinary team. This includes recommendations based on sound clinical judgment, for referral/transfer to other in or outpatient services for specialist ongoing management. This will include discussion of patient care, patient progress and prognosis and involvement in ongoing management planning To comply with the Child Protection Policy and Enfield Protection of Vulnerable Adults policy where appropriate. To monitor that the service delivery is patient goal led and in line with best practice. People (HR) Management Lead on day to day supervision of staff/local induction for the service. Teach, assess and contribute to the performance assessment and appraisal of less experienced SLTs, TIs and assistant staff, evaluating competence as appropriate. Participate in the staff appraisal scheme both as an appraisee and as an appraiser and be responsible for complying with your agreed personal development programmes to meet individual and service objectives. Performance manage staff within own service and, where appropriate, dealing with competency issues as required. Be responsible for the SLT in-service training programme, including tutorials, individual training sessions, delivering presentations and peer review. Attend external training as appropriate and identified in own PDP. Lead in recruitment for the service and skill mix reviews as appropriate To take responsibility for operational management of the adult SLTteam, allocating and organising the work of all staff both senior and less experienced staff to meet service priorities. Job description Job responsibilities On a daily basis to make decisions on allocation of available resources which directly affect level of SLT intervention to specific patients and be able justify those decisions to patients, carers and others. To deal sensitively at an advanced level with patients and carers who have high levels of anxiety as a result of their condition e.g. pain, loss of mobility, poor prognosis, cognitive impairment (e.g. dementia, learning difficulties) To support and educate patients and carers in managing complex SLT needs. To undertake a comprehensive highly specialist assessment of patients including those with diverse or complex presentations/multi pathologies: use highly advanced clinical reasoning skills and assessment techniques to provide an accurate clinical diagnosis of their conditions Formulate and deliver individual SLT treatment programmes based on an extensive knowledge of evidence based practice and ability to apply a wide range of treatment options. Evaluate patient progress, reassess and modify treatment programmes as required. Develop comprehensive management plans in conjunction with other members of the multi-disciplinary team. This includes recommendations based on sound clinical judgment, for referral/transfer to other in or outpatient services for specialist ongoing management. This will include discussion of patient care, patient progress and prognosis and involvement in ongoing management planning To comply with the Child Protection Policy and Enfield Protection of Vulnerable Adults policy where appropriate. To monitor that the service delivery is patient goal led and in line with best practice. People (HR) Management Lead on day to day supervision of staff/local induction for the service. Teach, assess and contribute to the performance assessment and appraisal of less experienced SLTs, TIs and assistant staff, evaluating competence as appropriate. Participate in the staff appraisal scheme both as an appraisee and as an appraiser and be responsible for complying with your agreed personal development programmes to meet individual and service objectives. Performance manage staff within own service and, where appropriate, dealing with competency issues as required. Be responsible for the SLT in-service training programme, including tutorials, individual training sessions, delivering presentations and peer review. Attend external training as appropriate and identified in own PDP. Lead in recruitment for the service and skill mix reviews as appropriate To take responsibility for operational management of the adult SLTteam, allocating and organising the work of all staff both senior and less experienced staff to meet service priorities. Person Specification EDUCATION AND QUALIFICATIONS Essential RCSLT Recognised Diploma/Degree in SLT HCPC Registered. Evidence of up to date RCSLT CPD portfolio Desirable A qualification at Master's Degree level or equivalent, in a relevant subject relating to this client group EXPERIENCE AND KNOWLEDGE Essential Experience of working with out-patients and community MDT setting Experience in clinical supervision Experience in working with diverse cultures and with complex clinical problems. SKILLS AND ABILITIES Essential Fluent in written and spoken English including the ability to generate letters and reports of a high calibre. Highly advanced communication skills including the ability to participate in high level meetings regarding either patient care or clinical strategy. Highly advanced clinical reasoning, analytical and problem solving skills especially in relation to patients with neurological conditions and adult acquired pathology. Person Specification EDUCATION AND QUALIFICATIONS Essential RCSLT Recognised Diploma/Degree in SLT HCPC Registered. Evidence of up to date RCSLT CPD portfolio Desirable A qualification at Master's Degree level or equivalent, in a relevant subject relating to this client group EXPERIENCE AND KNOWLEDGE Essential Experience of working with out-patients and community MDT setting Experience in clinical supervision Experience in working with diverse cultures and with complex clinical problems. SKILLS AND ABILITIES Essential Fluent in written and spoken English including the ability to generate letters and reports of a high calibre. Highly advanced communication skills including the ability to participate in high level meetings regarding either patient care or clinical strategy. Highly advanced clinical reasoning, analytical and problem solving skills especially in relation to patients with neurological conditions and adult acquired pathology. 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 North Middlesex University Hospital NHS Trust Address St Micheal's Hospital Gater Drive Enfield EN2 0JB Employer's website https://www.northmid.nhs.uk/ (Opens in a new tab)