Primary Care Clinical Lead: Long Term

City & Hackney Place-Based Partnership is seeking an experienced and passionate primary care clinician to join our clinical leadership team.

We are recruiting for a Primary Care Clinical Lead:
Long Term Conditions who will help shape the future of integrated neighbourhood working across one of London's most diverse and dynamic health systems.

This role is funded through ICB Integrated Care Transformation funds and hosted by City & Hackney Integrated Primary Care (IPC). Whilst based within the IPC, post holders work on behalf of the City & Hackney Place-Based Partnership as a whole, providing clinical leadership that spans primary, community, secondary and social care and the voluntary sector.

Building on City & Hackney's long history of successful collaboration between primary and secondary care, public health and clinical effectiveness organisations, this role provides primary care clinical leadership across the long term conditions agenda  post holder will use data, education and clinical evidence to support the development of approaches that improve the quality and consistency of LTC management across neighbourhoods, and will provide the primary care voice in system-wide work on pathways, service design and transformation.

• Currently practise within the City & Hackney footprint
• Have experience working across organisational and professional boundaries
• Are passionate about integrated neighbourhood working and reducing health inequalities
• Can influence and build effective relationships across complex systems
• Bring strategic thinking alongside a strong understanding of frontline primary care

Clinical leadership is at the heart of delivering the best possible outcomes for our population in City & Hackney. These roles exist to ensure that the voice of experienced, practising clinicians runs through everything we do, connecting the work of operational and managerial leads, partners across the system, and the patients and communities we serve. As our partnership continues to develop and our neighbourhood model matures, sustained clinical leadership is not a support function;

it is a core ingredient of success. These posts are designed to provide that leadership, ensuring that what we plan, and deliver is clinically credible, grounded in the reality of practice, and genuinely shaped by the needs and experiences of local people.

The post holder will provide clinical leadership across the following areas, with the precise scope agreed in partnership with the Chief Medical Officer and shaped by local intelligence:

Provide clinical leadership for the development and implementation of a proactive, neighbourhood-based approach to long term conditions management, including risk stratification, personalised care planning and case finding

Support PCN Clinical Directors and neighbourhood teams to use population health data to identify and act on unmet need and unwarranted variation in LTC outcomes across their registered populations

Contribute to the development and ongoing refinement of the LTC primary care contract and related enhanced service specifications

Promote and support improvement in clinical coding to ensure that disease registers accurately reflect local need

Provide clinical input into the design and development of integrated LTC pathways, spanning primary care, community services and secondary care, with a focus on reducing fragmentation and improving the patient experience

Responsible for supporting the development, review and maintenance of new and existing relevant pathways on our website

Contribute to the development of education and clinical…