Job summary

This is a training role within Lewisham CAMHS and the Children and Young People's Psychological Therapies Programme (CYP-PT). The post-holder will work within the Lewisham CAMHS service providing interventions whilst undertaking a programme of training for this role. This intensive training post will equip the post - holder to provide interventions based on CYP-PT care principles and an evidence-based intervention consistent with their training course. The post- holder will work in the service for at least 2.5-3.0 days of the week using the newly developed skills whilst attending the training programme for the remaining 2.0-2.5 days.

The post holder will be a case manager, assessing and treating children with mental health difficulties presenting within your team context.

You will carry out risk assessments on children & young people in your care routinely and work under the supervision of the team manager and senior clinicians to manage these situations effectively.

You will work with other CAMHS practitioners in the service from all disciplines. You will be a member of a number of internal and external professional networks to ensure that care plans for individual children and services across agencies are co-ordinated efficiently and effectively. This post is a clinical post, and the expectation of time management is the majority of time is spent in actual clinical practice.

Main duties of the job

We are looking for committed and enthusiastic CAMHS practitioners who would like to undertake training in Cognitive Behavioural Therapy (CBT). You may be a nurse, social worker or occupational therapist or other professional with experience of working in CAMHS or transferrable skills. The successful post-holders will complete a post-graduate diploma through Kings College London, whilst working in one of our multi-disciplinary clinical teams. Two posts will be based in our CAMHS Horizon team and one in our community CAMHS team GP Youth Clinic. You will be expected to carry a clinical caseload, including delivering CBT therapy.

About us

Lewisham CAMHS is a thriving service serving a diverse inner London population. We provide comprehensive assessment and a range of evidence-based therapies. We have strong links to National and Specialist Services and to the IoPPN at KCL and are actively involved in clinically relevant research and PPI initiatives. The service has well-established connections with other local services including education and social care, and local voluntary agencies.

The posts are based in 2 of our teams:

Horizon CAMHS works with children and young people across the age range. We offer assessment and treatment to children and young people with more severe and complex mental health difficulties.

GP Youth Clinic works with young people age 13 to 18, we offer advice, consultation, assessment and treatment to children and young people with mild to moderate severity mental health concerns.

Each of our teams has a strong multi-disciplinary ethos with contributions from psychology, various psychological therapists, nursing, social work and psychiatry. Our teams are driven by their commitment and values and maintain a welcoming and supportive ethos and a commitment to evidence-based practice

Details

Date posted

04 November 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£47,951 to £56,863 a year per annum inclusive of inner HCAs

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

334-CLI-8336543

Job locations

Kaleidoscope/ Leemore Centre/ Mulberry Hub/ 124 Hub

London

SE6 4JF

United Kingdom

Job description

Job responsibilities

You may apply for any or all of these training posts in Lewisham CAMHS with one NHS employment application.

These are training positions and so all candidates will also need to apply to KCL for the Post Graduate Diploma in CYP-PT Therapy in order to be shortlisted.

Please note that anyone starting an NHSE-funded course is required to wait two years after their graduation exam board before starting another NHSE funded course.

This full-time training will begin in January 2027 with around 2.5 days a week for academic work (teaching and personal study), and 2.5 days seeing clients within the service related to training assignments. Trainees will be both an employee of the service and an enrolled student at KCL. Upon completion, qualified trainees will receive a KCL Postgraduate Diploma.

Application Process

This is a dual application process. In addition to applying for this position with us, you must also complete a KCL application for the Course Team to review. The Course Teams will liaise with us on whether you meet the academic requirements for the course during the recruitment process. You will only be offered a KCL training place if you are successful in securing this post and you meet the university training requirements (such as academic background, relevant experience, visa approval). You must be employed in a Recruit to Train funded job to also receive a place on the course, and vice-versa. If you are ineligible for the University Course, we will be unable to be offer the role. If you withdraw from an employment offer but you have accepted a university offer, you will be unable to join the course. Please note in this instance the course is not optional; the roles are dependent on meeting all course requirements.You must apply to the course at the same time as this job.

NB Please be aware that your application form may be shared with the KCL staff team as part of the recruitment process. By submitting your application to this role, you are agreeing to your details being shared for this purpose.

For candidates wishing to apply for KCL Courses: CBT

This course begins on 18thJanuary 2026.

You only need one application to KCL no matter how many Recruit to Train job posts you apply for.

For more information about the course and minimum entry criteria, please see the course page and brochures:CYP-PT Therapy PGDip (Recruit to Train (RtT)) (kings-cyp.com). Please also see attached documents for guidance re how to apply. Any queries on the course i.e. teaching/content can be sent to the course programme [email protected]

The KCL application link can be found here:

Login - King's Apply

Job description Job responsibilities You may apply for any or all of these training posts in Lewisham CAMHS with one NHS employment application. These are training positions and so all candidates will also need to apply to KCL for the Post Graduate Diploma in CYP-PT Therapy in order to be shortlisted. Please note that anyone starting an NHSE-funded course is required to wait two years after their graduation exam board before starting another NHSE funded course. This full-time training will begin in January 2027 with around 2.5 days a week for academic work (teaching and personal study), and 2.5 days seeing clients within the service related to training assignments. Trainees will be both an employee of the service and an enrolled student at KCL. Upon completion, qualified trainees will receive a KCL Postgraduate Diploma. Application Process This is a dual application process. In addition to applying for this position with us, you must also complete a KCL application for the Course Team to review. The Course Teams will liaise with us on whether you meet the academic requirements for the course during the recruitment process. You will only be offered a KCL training place if you are successful in securing this post and you meet the university training requirements (such as academic background, relevant experience, visa approval). You must be employed in a Recruit to Train funded job to also receive a place on the course, and vice-versa. If you are ineligible for the University Course, we will be unable to be offer the role. If you withdraw from an employment offer but you have accepted a university offer, you will be unable to join the course. Please note in this instance the course is not optional; the roles are dependent on meeting all course requirements.You must apply to the course at the same time as this job. NB Please be aware that your application form may be shared with the KCL staff team as part of the recruitment process. By submitting your application to this role, you are agreeing to your details being shared for this purpose. For candidates wishing to apply for KCL Courses: CBT This course begins on 18thJanuary 2026. You only need one application to KCL no matter how many Recruit to Train job posts you apply for. For more information about the course and minimum entry criteria, please see the course page and brochures:CYP-PT Therapy PGDip (Recruit to Train (RtT)) (kings-cyp.com). Please also see attached documents for guidance re how to apply. Any queries on the course i.e. teaching/content can be sent to the course programme [email protected] The KCL application link can be found here: Login - King's Apply

Person Specification

Qualifications

Essential

• First level qualification in Occupational therapy, Clinical or Counselling Psychology, Social work, or equivalent with related CAMHS experience. oQualification as a Systemic Psychotherapist (Family Therapist) with relevant CAMHS experience. oFirst level qualification in art, drama, music therapy or psychotherapy (leading to a registered qualification with one of the above statutory bodies) with related experience in the psychological aspects of caring for children and adolescent with mental health problems/needs.
• Registration with one of the following statutory bodies: the Nursing Midwifery Council (NMC), Health & Care Professions Council (HCPC), Association of Child Psychotherapists (ACP), UKCP or Social Work England.

Desirable

• Training in Clinical supervision Further post qualifying training and education in working with children and adolescents with mental health problems. ENB 998 or mentorship and or equivalent experience and training (Nursing only)

Experience

Essential

• Assessed supervised clinical experience working with children and adolescents with mental health problems/needs or clear evidence of transferable skills. Working in collaboration with supervisor, service user, carers and MDT in assessing needs, planning and implementing care Taking responsibility for care delivery in a specific area and maintaining a safe therapeutic environment A good understanding and some experience of the following: Group, individual and family work, multi-disciplinary work, clinical governance and audit and the process of clinical supervision in CAMHS

Desirable

• Working with families in a multi-racial urban environment

Knowledge / Skills

Essential

• A good working knowledge of the following: Mental health disorders in children and adolescents Difficulties common to Looked After Children e.g. attachment difficulties Key legislation relevant to CAMHS setting: The Children Act 1989, 2004 and The Mental Health Act 1983, Human Rights Act 1998 and Mental Capacity Act 2005 London Child protection procedures Assessment of risk and management of risk factors The principles of clinical governance and practice. The principles underlying confidentiality and information sharing
• Ability to work therapeutically with the client group, using a range of therapeutic. Ability to work under pressure. Ability to take on new concepts/forward thinking Good written and verbal presentation skills Basic IT and data entry skills to enter clinical information into databases. Ability to work within a changing environment Ability to be 'reflective' in therapeutic practice and adapt practice from this reflection Demonstrate an ability to work effectively as part of a multidisciplinary team interventions

Desirable

• Relevant research and its application to assessment, treatment and case management of CAMH disorders. Research informed and evidence-based methods of assessment, treatment and case management. Skill in using a specific therapy in practice

Person Specification Qualifications Essential First level qualification in Occupational therapy, Clinical or Counselling Psychology, Social work, or equivalent with related CAMHS experience. oQualification as a Systemic Psychotherapist (Family Therapist) with relevant CAMHS experience. oFirst level qualification in art, drama, music therapy or psychotherapy (leading to a registered qualification with one of the above statutory bodies) with related experience in the psychological aspects of caring for children and adolescent with mental health problems/needs. Registration with one of the following statutory bodies: the Nursing Midwifery Council (NMC), Health & Care Professions Council (HCPC), Association of Child Psychotherapists (ACP), UKCP or Social Work England. Desirable Training in Clinical supervision Further post qualifying training and education in working with children and adolescents with mental health problems. ENB 998 or mentorship and or equivalent experience and training (Nursing only) Experience Essential Assessed supervised clinical experience working with children and adolescents with mental health problems/needs or clear evidence of transferable skills. Working in collaboration with supervisor, service user, carers and MDT in assessing needs, planning and implementing care Taking responsibility for care delivery in a specific area and maintaining a safe therapeutic environment A good understanding and some experience of the following: Group, individual and family work, multi-disciplinary work, clinical governance and audit and the process of clinical supervision in CAMHS Desirable Working with families in a multi-racial urban environment Knowledge / Skills Essential A good working knowledge of the following: Mental health disorders in children and adolescents Difficulties common to Looked After Children e.g. attachment difficulties Key legislation relevant to CAMHS setting: The Children Act 1989, 2004 and The Mental Health Act 1983, Human Rights Act 1998 and Mental Capacity Act 2005 London Child protection procedures Assessment of risk and management of risk factors The principles of clinical governance and practice. The principles underlying confidentiality and information sharing Ability to work therapeutically with the client group, using a range of therapeutic. Ability to work under pressure. Ability to take on new concepts/forward thinking Good written and verbal presentation skills Basic IT and data entry skills to enter clinical information into databases. Ability to work within a changing environment Ability to be 'reflective' in therapeutic practice and adapt practice from this reflection Demonstrate an ability to work effectively as part of a multidisciplinary team interventions Desirable Relevant research and its application to assessment, treatment and case management of CAMH disorders. Research informed and evidence-based methods of assessment, treatment and case management. Skill in using a specific therapy in 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).

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

South London and Maudsley NHS Foundation Trust

Address

Kaleidoscope/ Leemore Centre/ Mulberry Hub/ 124 Hub

London

SE6 4JF

United Kingdom

Employer's website

https://www.slam.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

South London and Maudsley NHS Foundation Trust

Address

Kaleidoscope/ Leemore Centre/ Mulberry Hub/ 124 Hub

London

SE6 4JF

United Kingdom

Employer's website

https://www.slam.nhs.uk/ (Opens in a new tab)

Job summary

There is an exciting opportunity to join the dynamic Oncology Team at Imperial College Healthcare NHS Trust and Frimley Health NHS Foundation Trust, in a locum role covering Neuroendocrine and GI oncology in a growing service in Northwest London. ICHT is the regional cancer centre for an inner North West London population of approximately 2 million and is the largest recruiting centre to clinical trials in this sector.

This is a new additional post due to expansion of clinical activity, and to support research priorities for the trust. This post as per current job plan would ideally suit a medical oncologist although expressions of interest from clinical oncologists with a specialist interest in systemic anticancer treatments for these tumour sites, would also be welcome. This post is a new post, locum for one year, with a view to substantive appointment.

The Trust offers specialist care for almost all cancers (excluding paediatrics and sarcoma) and is a lead site for the National Gestational Trophoblastic Disease service (only one of 2 centres in England). There is a 50% component of the work at both ICHNHST & Frimley Health NHS Foundation and 50% ICHNHST. The former consists of working on the King Edward VII (outpatients) Windsor, & Wexham Park Hospital sites. The rest of the weekly responsibilities are out-patient clinics at Hammersmith Hospital (with occasional Charing Cross site for the inpatient care rotation shared by all consultants).

Main duties of the job

This 10PA post will:

Work collaboratively with the ICHT NET team across oncology, surgery, endocrine and nuclear med teams to provide care to patients of Northwest London and wider networked units

support the delivery and management of the GI medical oncology service for Frimley Health NHS Foundation Trust

Work collaboratively, offering cross cover, recruitment to and assessment of trials, active metastatic disease & complex case discussion with Prof Rohini Sharma for NET and Prof Harpreet Wasan for GI oncology

Offer support and training to all non-consultant grade doctors within the unit.

Boost the departments research output

About us

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.

Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.

Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.

Job summary

We are looking for a compassionate, enthusiastic and motivated Registered Nurse Associate to join our friendly and supportive clinical team on a full time, fixed-term 12-month contract to provide maternity cover. This is an exciting opportunity to work within a large, innovative GP training practice where high-quality patient care, teamwork and professional development are at the heart of everything we do. (We may also consider a Registered Nurse who is looking to gain experience in a primary care setting and develop their skills in which case the scope of the duties can be expanded accordingly).

As a valued member of our multidisciplinary team, you will play an important role in delivering safe, effective and patient-centred care to our diverse practice population. Working closely with GPs, nurses, pharmacists and other healthcare professionals, you will support the assessment, treatment and ongoing management of patients with both acute and long-term health needs. The successful candidate will have the opportunity to develop their skills across a broad range of clinical activities while contributing to the continuous improvement of services and helping to maintain our excellent standards of care. Working within your scope of practice and under the guidance of registered clinicians, you will be supported to make a meaningful difference to the health and wellbeing of our patients every day.

Interviews will be held 10/12/26 with a view to starting 22/2/27

Main duties of the job

Key duties include undertaking clinical procedures such as venepuncture, ECGs, wound care, health checks and basic observations, supporting the management of patients with long-term conditions, and assisting with vaccination and immunisation programmes where appropriately trained. The post-holder will provide health promotion advice, support patients in managing their health and wellbeing, maintain accurate clinical records using the practice's electronic patient record system, and contribute to quality improvement and infection prevention activities.

Working under the direction of registered nurses and GPs, the Nurse Associate will ensure care is delivered safely, effectively and compassionately while adhering to professional standards, practice policies and the NMC Code. The role requires excellent communication skills, a flexible approach and a commitment to delivering outstanding care.

About us

Spring Gardens Group Medical Practice is a thriving, forward-thinking GP training practice serving more than 20,000 patients from our modern city-centre base in Worcester. We are proud to combine the personal touch of traditional family medicine with an innovative approach to delivering high-quality healthcare for our diverse patient population.

Our multidisciplinary team brings together eight GP partners alongside salaried GPs, Advanced Clinical Practitioners, nurses, healthcare assistants, pharmacists and a highly skilled administrative team, all working collaboratively to provide outstanding patient care. We foster a culture where every team member is valued, supported and encouraged to contribute ideas that help shape and improve our services.

As an accredited training practice, learning and development are at the heart of what we do. We are committed to nurturing talent, supporting career progression and creating opportunities for professional growth at every stage. Our GP partners maintain a genuinely open-door approach, promoting accessible clinical support, shared decision-making and a strong sense of teamwork. This creates an environment where colleagues feel confident, supported and empowered to deliver the very best outcomes for patients.

At Spring Gardens, you will join a welcoming and ambitious practice that values compassion, innovation and continuous improvement, making it an excellent place to develop your career in primary care.

Job summary

We are looking for a motivated, confident and forward-thinking Advanced Clinical Practitioner (ACP) to join our clinical team. This is an exciting opportunity for an enthusiastic clinician who is passionate about delivering high-quality patient care, developing their clinical skills and contributing to the continued development of our nursing services.

You will work alongside a supportive team of highly experienced GPs, with opportunities for professional development, shared learning and involvement in the supervision and education of medical students within the practice.

The successful candidate will provide comprehensive, evidence-based clinical care to patients presenting with a range of acute and chronic conditions, working autonomously within their professional scope of practice and recognising when further clinical input or referral is required.

Working arrangements:

• Hours: 32 hours per week.

• Patient contacts: Approximately 20 to 25 patient contacts per day.

• Appointment length: 15-minute appointments.

• Home visits: One home visit per day.

• Contract: Initial 12-month contract.

• Salary: Competitive, dependent on experience and qualifications.

Main duties of the job

• Assess, diagnose and manage patients presenting with a wide range of acute and chronic medical conditions.

• Provide advanced, specialist nursing care in line with evidence-based practice, NICE guidance and relevant national standards.

• Undertake comprehensive clinical assessments, prioritise health needs and initiate appropriate treatment plans.

• Recognise clinical deterioration, manage risk and escalate concerns or refer patients to secondary care and specialist services when appropriate.

• Recognise, assess and refer patients presenting with mental health needs.

• Support patients with substance misuse and addictive behaviours, referring to appropriate services when required.

• Participate in clinical emergencies and provide safe, effective care within your scope of practice.

• Act as an independent and/or supplementary prescriber, as appropriately qualified, registered and authorised.

• Prescribe safely and effectively in accordance with current legislation, professional guidance and practice policies.

• Review medication and support patients with the safe use of prescribed and over-the-counter medicines.

• Request, review and interpret investigations and pathology results, taking appropriate clinical action.

• Deliver chronic disease reviews and develop, implement and evaluate individualised treatment plans.

• Identify and support patients at risk of developing long-term conditions, promoting prevention and early intervention.

About us

We are friendly, dynamic, forward thinking and a supportive GMS practice, with above average earnings and have 3 GP partners, 1 salaried GP, 2 Nurse Practitioners, 2 Practice Nurses, 2 HCAs, pharmacists, physios, social prescribers, womens health nurse and a full comprehensive admin team. We work closely with our neighbouring practices, and engage actively with our PCN Bosvena and 3 Harbours. We have good supportive working relationships and have completed and manage many successful projects providing additional benefits to our patients.

Job summary

This is a home based post

• Home based, you will work from your home in the UK, delivering consultations by telephone and video.

• UK only, you must live in the UK and carry out all work from within the UK.

• In person at the start, you must be willing to travel to MBPCC head office to collect your equipment and attend a face to face induction.

• Suitable environment, you must have a private, secure and suitable space to work from, with reliable broadband.

• Audit and monitoring, your home working arrangements, records and information governance compliance will be audited and monitored.

The Mental Health Practitioner is the Enable team's specialist for working age adults whose mental health affects their ability to work. Working from home, you will see patients referred through Enable triage by telephone and video, assess their mental health, risk and work situation, and agree a time limited, work focused plan that supports them to stay in or return to work.

• You will also be the team's source of mental health expertise. You will advise and upskill colleagues completing workability plans, and help shape how the pilot manages mental health presentations. This is a primary care, early intervention role; it is not a crisis or secondary care service. Patients needing longer term or specialist treatment are referred on through agreed pathways.

Main duties of the job

• Carry out holistic bio psychosocial assessments of adults referred with common mental health problems for example anxiety, depression and work related stress by telephone or video.

• At the start of every remote consultation, confirm the patient's identity, current location and a contact number, so that urgent help can be directed to them if needed.

• Complete a structured risk assessment at every contact. Escalate urgent risk the same day through the crisis, safeguarding and GP pathways, and record the decision and rationale.

• Agree a time limited, work focused plan with each patient, typically an assessment and up to three follow up contacts. Draw on evidence based approaches such as motivational interviewing, behavioural activation, problem solving, guided self help and graded return to work.

• Use validated outcome measures at agreed points, PHQ-9, GAD-7 and the Work and Social Adjustment Scale to track progress and inform decisions.

• Refer or signpost to NHS Talking Therapies including employment advisers, community mental health teams, Access to Work, the Enable Social Prescriber and voluntary sector services, and follow up that the referral was received.

• The post holder is not expected to independently request diagnostic investigations unless specifically authorised through professional registration, local policy and competency assessment.

About us

Enable is one of four national pilots funded by the Department for Work and Pensions, DWP to test a better fit note process, and it is the most clinical of the four. MBPCC delivers it under an NHS contract across the Barrow and Mid Furness Primary Care Networks.

For participating practices, every fit note is issued by the multidisciplinary Enable service rather than the GP practice. There is no change to fit note legislation, so every patient still needs a valid, signed fit note. Working patients who agree to take part receive a workability assessment and a personalised workability plan that focuses on what they can do and how to stay in, or return to, work. Employers are contacted only with the patient's explicit agreement. The pilot generates data and learning for the DWP to shape future national policy.

The service uses EMIS, AccuRx, X-on Surgery Connect and Florey questionnaires. This post is home based, consultations are delivered by telephone and video, and the post holder works with the Enable team through Microsoft Teams and the service's clinical systems.

Details

Date posted

04 November 2026

Pay scheme

Other

Salary

£40,000 a year Pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Part-time, Flexible working

Reference number

B0160-26-0031

Job locations

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Job description

Job responsibilities

Key responsibilities

Clinical assessment and intervention

• Carry out holistic bio psychosocial assessments of adults referred with common mental health problems for example anxiety, depression and work-related stress by telephone or video.

• At the start of every remote consultation, confirm the patient's identity, current location and a contact number, so that urgent help can be directed to them if needed.

• Complete a structured risk assessment at every contact. Escalate urgent risk the same day through the crisis, safeguarding and GP pathways, and record the decision and rationale.

• Agree a time limited, work focused plan with each patient, typically an assessment and up to three follow up contacts. Draw on evidence based approaches such as motivational interviewing, behavioural activation, problem solving, guided self help and graded return to work.

• Use validated outcome measures at agreed points PHQ 9, GAD 7 and the Work and Social Adjustment Scale to track progress and inform decisions.

• Refer or signpost to NHS Talking Therapies including employment advisers, community mental health teams, Access to Work, the Enable Social Prescriber and voluntary sector services, and follow up that the referral was received.

• Provide clear, concise feedback to the referring clinician and the patient's GP, including any recommendations on medication for the prescriber to consider.

• The post holder is not expected to independently request diagnostic investigations unless specifically authorised through professional registration, local policy and competency assessment. Where investigations are indicated, recommendations will be communicated to the patient's GP or an appropriately authorised clinician for consideration.

• Work within the limits of your professional competence and seek advice from the Enable Clinical Lead where required.

Work and health

• Complete workability assessments and workability plans for patients whose main barrier to work is their mental health, within the standard appointment time.

• Demonstrable ability to build therapeutic rapport and undertake comprehensive mental health assessments via telephone and video consultation.

• Identify workplace factors that affect mental health, using recognised frameworks such as the HSE Management Standards, and recommend practical adjustments, phased return, amended hours or duties, workplace adaptations.

• With the patients explicit agreement only, communicate with employers by telephone, video or in writing to support adjustments and a sustainable return to work.

• Where your registration permits and once signed off as competent by the Clinical Lead, assess fitness for work and issue fit notes in line with DWP guidance. Registered Mental Health Nurses and Occupational Therapists are legally able to certify fit notes.

• Meet the service turnaround standards for fit notes and workability plans, raising early any capacity pressures that put them at risk.

Multidisciplinary working and advice

• Act as the mental health lead within the Enable team, giving same day advice by Teams or telephone to Occupational Health Nurses, the ANP and other colleagues on mental health presentations and risk.

• Take part in virtual multidisciplinary case discussions and present complex cases.

• Develop and deliver short virtual training sessions for the team on mental health, risk and work focused conversations.

• Build working relationships with local mental health services, NHS Talking Therapies, the participating practices and voluntary sector partners so that referral routes in and out of Enable are clear.

Records, data and governance

• Keep accurate, contemporaneous clinical records in EMIS, using the agreed Enable templates and codes, and use AccuRx and Florey questionnaires as the service requires.

• Record the data items needed for the DWP evaluation fully and on time. Data accuracy is a condition of the pilot's funding.

• Check that each patient's consent and eligibility for the service and for DWP data sharing are in place before completing a workability plan, and follow the Enable privacy notice.

• Report incidents, near misses and safeguarding concerns through MBPCC processes, and take part in audit, case review and service evaluation.

Service development

• Help design and refine the Enable mental health pathway, including triage criteria, referral thresholds and escalation routes, as the pilot moves from the first two practices to all practices in both PCNs.

• Feed patient experience and clinical learning into pilot meetings and DWP reporting.

• Contribute to written protocols, patient information and the final pilot evaluation.

• Ability to contribute to pathway design, quality improvement, audit and service evaluation within a test and learn environment.

Professional development

• Maintain professional registration and meet NMC standards and revalidation requirements.

• Attend monthly clinical supervision, delivered virtually and annual appraisal, and use reflective practice to improve your work.

• Complete MBPCC mandatory training and the DWP fit note training for healthcare professionals.

Working arrangements

Contract and hours

• This is a fixed term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model.

• The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period.

This is a home based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.

Location and in-person attendance

• Live in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted.

• Deliver patient consultations remotely by telephone and video, using MBPCC approved systems only.

• Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face to face induction.

• Attend MBPCC head office again where equipment needs to be collected, exchanged or returned, including at the end of employment.

Suitable home working environment

• Have a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication.

• Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them.

• Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems.

• Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls.

• Complete the MBPCC Homeworking Self Assessment, including display screen equipment and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements.

• Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.

Information governance and cyber security

• Use only MBPCC issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems.

• Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems.

• Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient identifiable information out of chat functions unless clinically necessary and authorised.

• Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient related calls from public places.

• Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.

Audit and monitoring

Because this post involves remote access to patient identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including:

• Periodic information governance audits and an annual information governance review.

• Verification that the home working environment is, and remains, secure and suitable.

• Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested.

• Compliance monitoring of mandatory training, information governance and cyber security training.

• Monitoring of availability, activity and performance against service standards, through one to ones, work plans, activity schedules, supervision and clinical audit.

• Quarterly one to one and wellbeing reviews, and an annual review of the home working arrangement.

Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.

Availability, communication and wellbeing

• Work contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly.

• Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.

• Follow the MBPCC Lone Working Guidance and use agreed routes, Teams or telephone, to escalate clinical risk to the Clinical Lead or Advanced Nurse Practitioner without delay.

Job description Job responsibilities Key responsibilitiesClinical assessment and interventionCarry out holistic bio psychosocial assessments of adults referred with common mental health problems for example anxiety, depression and work-related stress by telephone or video.At the start of every remote consultation, confirm the patient's identity, current location and a contact number, so that urgent help can be directed to them if needed.Complete a structured risk assessment at every contact. Escalate urgent risk the same day through the crisis, safeguarding and GP pathways, and record the decision and rationale.Agree a time limited, work focused plan with each patient, typically an assessment and up to three follow up contacts. Draw on evidence based approaches such as motivational interviewing, behavioural activation, problem solving, guided self help and graded return to work.Use validated outcome measures at agreed points PHQ 9, GAD 7 and the Work and Social Adjustment Scale to track progress and inform decisions.Refer or signpost to NHS Talking Therapies including employment advisers, community mental health teams, Access to Work, the Enable Social Prescriber and voluntary sector services, and follow up that the referral was received.Provide clear, concise feedback to the referring clinician and the patient's GP, including any recommendations on medication for the prescriber to consider.The post holder is not expected to independently request diagnostic investigations unless specifically authorised through professional registration, local policy and competency assessment. Where investigations are indicated, recommendations will be communicated to the patient's GP or an appropriately authorised clinician for consideration.Work within the limits of your professional competence and seek advice from the Enable Clinical Lead where required.Work and healthComplete workability assessments and workability plans for patients whose main barrier to work is their mental health, within the standard appointment time.Demonstrable ability to build therapeutic rapport and undertake comprehensive mental health assessments via telephone and video consultation.Identify workplace factors that affect mental health, using recognised frameworks such as the HSE Management Standards, and recommend practical adjustments, phased return, amended hours or duties, workplace adaptations.With the patients explicit agreement only, communicate with employers by telephone, video or in writing to support adjustments and a sustainable return to work.Where your registration permits and once signed off as competent by the Clinical Lead, assess fitness for work and issue fit notes in line with DWP guidance. Registered Mental Health Nurses and Occupational Therapists are legally able to certify fit notes.Meet the service turnaround standards for fit notes and workability plans, raising early any capacity pressures that put them at risk.Multidisciplinary working and adviceAct as the mental health lead within the Enable team, giving same day advice by Teams or telephone to Occupational Health Nurses, the ANP and other colleagues on mental health presentations and risk.Take part in virtual multidisciplinary case discussions and present complex cases.Develop and deliver short virtual training sessions for the team on mental health, risk and work focused conversations.Build working relationships with local mental health services, NHS Talking Therapies, the participating practices and voluntary sector partners so that referral routes in and out of Enable are clear.Records, data and governanceKeep accurate, contemporaneous clinical records in EMIS, using the agreed Enable templates and codes, and use AccuRx and Florey questionnaires as the service requires.Record the data items needed for the DWP evaluation fully and on time. Data accuracy is a condition of the pilot's funding.Check that each patient's consent and eligibility for the service and for DWP data sharing are in place before completing a workability plan, and follow the Enable privacy notice.Report incidents, near misses and safeguarding concerns through MBPCC processes, and take part in audit, case review and service evaluation.Service developmentHelp design and refine the Enable mental health pathway, including triage criteria, referral thresholds and escalation routes, as the pilot moves from the first two practices to all practices in both PCNs.Feed patient experience and clinical learning into pilot meetings and DWP reporting.Contribute to written protocols, patient information and the final pilot evaluation.Ability to contribute to pathway design, quality improvement, audit and service evaluation within a test and learn environment.Professional developmentMaintain professional registration and meet NMC standards and revalidation requirements.Attend monthly clinical supervision, delivered virtually and annual appraisal, and use reflective practice to improve your work.Complete MBPCC mandatory training and the DWP fit note training for healthcare professionals.Working arrangementsContract and hoursThis is a fixed term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model.The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period.This is a home based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.Location and in-person attendanceLive in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted.Deliver patient consultations remotely by telephone and video, using MBPCC approved systems only.Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face to face induction.Attend MBPCC head office again where equipment needs to be collected, exchanged or returned, including at the end of employment.Suitable home working environmentHave a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication.Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them.Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems.Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls.Complete the MBPCC Homeworking Self Assessment, including display screen equipment and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements.Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.Information governance and cyber securityUse only MBPCC issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems.Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems.Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient identifiable information out of chat functions unless clinically necessary and authorised.Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient related calls from public places.Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.Audit and monitoringBecause this post involves remote access to patient identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including:Periodic information governance audits and an annual information governance review.Verification that the home working environment is, and remains, secure and suitable.Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested.Compliance monitoring of mandatory training, information governance and cyber security training.Monitoring of availability, activity and performance against service standards, through one to ones, work plans, activity schedules, supervision and clinical audit.Quarterly one to one and wellbeing reviews, and an annual review of the home working arrangement.Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.Availability, communication and wellbeingWork contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly.Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.Follow the MBPCC Lone Working Guidance and use agreed routes, Teams or telephone, to escalate clinical risk to the Clinical Lead or Advanced Nurse Practitioner without delay.

Person Specification

Personal Qualities

Essential

• Committed to helping people stay in or return to work, with a recovery focused, strengths based approach
• Comfortable with change and able to work in a new, evolving service
• Able to work autonomously and as part of a team, and to prioritise under pressure
• Self motivated and well organised, able to manage your own time and stay connected to the team while working from home

Other

Essential

• Lives in the UK and able to work from a UK address for the duration of employment
• Willing and able to travel to MBPCC head office to collect equipment and attend a face to face induction
• Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance
• Satisfactory enhanced DBS check

Remote working, confidentiality and IG

Essential

• Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment
• Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals
• Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities
• Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working
• Ability to process, access, store, share and dispose of information securely and only for authorised business purposes
• Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements

Experience

Essential

• At least 2 years post registration experience in adult mental health
• Independent assessment and risk management of adults with mental health problems
• Managing your own caseload and making autonomous clinical decisions
• Working in a multidisciplinary team and with other agencies
• Experience of assessing and managing suicidal ideation, self-harm risk and deterioration in mental state within remote consultations.

Desirable

• Experience in primary care, NHS Talking Therapies or an occupational health setting
• Experience of issuing fit notes or advising on fitness for work
• Experience in a pilot, service development or evaluation project
• Experience of delivering training to other professionals
• Experience of assessing and managing risk by telephone or video

Qualifications

Essential

• Registered Mental Health Nurse, NMC
• Evidence of continuing professional development

Desirable

• Postgraduate qualification in a mental health intervention, for example CBT, low intensity CBT or motivational interviewing
• Occupational health or vocational rehabilitation qualification, practice educator or mentorship qualification

Knowledge & Skills

Essential

• Evidence based brief interventions for common mental health problems
• Mental Health Act, Mental Capacity Act and adult and child safeguarding
• Local mental health services and referral pathways, or the ability to learn them quickly
• Understanding of the relationship between health, work and recovery, and the evidence supporting good work as a health outcome.
• Excellent verbal and written communication, including clear and concise clinical letters
• Structured risk assessment and safety planning
• Confident with IT and accurate data entry, including Microsoft 365 and Teams
• Confident delivering consultations by telephone and video

Desirable

• The fit note, the DWP's work and health agenda and the link between good work and health
• Employment law relevant to reasonable adjustments, such as the Equality Act 2010
• Mental health services in South Cumbria
• Ability to formulate and implement safety plans and urgent escalation pathways.
• Using validated outcome measures to evaluate interventions
• Using EMIS, AccuRx and Florey
• Analysing and presenting service data

Person Specification Personal Qualities Essential Committed to helping people stay in or return to work, with a recovery focused, strengths based approach Comfortable with change and able to work in a new, evolving service Able to work autonomously and as part of a team, and to prioritise under pressure Self motivated and well organised, able to manage your own time and stay connected to the team while working from home Other Essential Lives in the UK and able to work from a UK address for the duration of employment Willing and able to travel to MBPCC head office to collect equipment and attend a face to face induction Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance Satisfactory enhanced DBS check Remote working, confidentiality and IG Essential Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working Ability to process, access, store, share and dispose of information securely and only for authorised business purposes Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements Experience Essential At least 2 years post registration experience in adult mental health Independent assessment and risk management of adults with mental health problems Managing your own caseload and making autonomous clinical decisions Working in a multidisciplinary team and with other agencies Experience of assessing and managing suicidal ideation, self-harm risk and deterioration in mental state within remote consultations. Desirable Experience in primary care, NHS Talking Therapies or an occupational health setting Experience of issuing fit notes or advising on fitness for work Experience in a pilot, service development or evaluation project Experience of delivering training to other professionals Experience of assessing and managing risk by telephone or video Qualifications Essential Registered Mental Health Nurse, NMC Evidence of continuing professional development Desirable Postgraduate qualification in a mental health intervention, for example CBT, low intensity CBT or motivational interviewing Occupational health or vocational rehabilitation qualification, practice educator or mentorship qualification Knowledge & Skills Essential Evidence based brief interventions for common mental health problems Mental Health Act, Mental Capacity Act and adult and child safeguarding Local mental health services and referral pathways, or the ability to learn them quickly Understanding of the relationship between health, work and recovery, and the evidence supporting good work as a health outcome. Excellent verbal and written communication, including clear and concise clinical letters Structured risk assessment and safety planning Confident with IT and accurate data entry, including Microsoft 365 and Teams Confident delivering consultations by telephone and video Desirable The fit note, the DWP's work and health agenda and the link between good work and health Employment law relevant to reasonable adjustments, such as the Equality Act 2010 Mental health services in South Cumbria Ability to formulate and implement safety plans and urgent escalation pathways. Using validated outcome measures to evaluate interventions Using EMIS, AccuRx and Florey Analysing and presenting service data

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.

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. 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

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Employer details

Employer name

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Job summary

Lancashire and South Cumbria Integrated Care Board (ICB) has been selected to take part in one of four national Fit Note Reform Pilots commissioned by the Department for Work and Pensions, testing a new approach that aims to improve support for people whose health affects their ability to work. The pilot addresses a recognised challenge in the current system, where fit notes often focus on certifying sickness absence rather than providing practical support to help people remain in work or return to work safely.

The Occupational Health Nurse is one of the senior clinical assessment resources within the Enable team. Working from home, the post holder will undertake work and health assessments by telephone and video for patients referred into the pilot, form an occupational health judgement about functional capacity and fitness for work, and produce Workability Plans that are clinically defensible, practical for employers and genuinely useful to the patient.

This is a test-and-learn service. The post holder is expected not only to deliver assessments, but to help shape the clinical model itself contributing to protocol development, escalation criteria, triage rules and the evaluation evidence that will inform national policy.

Main duties of the job

• Undertake structured work and health assessments with patients referred into the pilot by telephone or video, according to patient need and clinical appropriateness. Where a face-to-face assessment is clinically necessary, arrange this through agreed pathways.
• At the start of each remote consultation, confirm the patient's identity, location and a contact number.
• Assess the interaction between a person's health condition, their functional ability and the demands of their role, taking account of all appropriate physical, psychological, social and workplace factors.
• Formulate and co-produce personalised Workability Plans focused on functional capability, phased return, adjustments and the practical support required to sustain work.
• Exercise autonomous professional judgement in determining whether a period away from work is clinically appropriate, and articulate that judgement clearly, proportionately and defensibly.
• Provide specialist advice on reasonable adjustments, graduated return to work, workplace modification and phased hours, informed by an understanding of the Equality Act 2010 and relevant health and safety legislation.
• Review and update Workability Plans at agreed intervals, adjusting recommendations as recovery, circumstances or employer response change.
• Recognise the limits of the pilot service and of personal professional competence, and escalate promptly and appropriately.

About us

Enable is one of four national pilots funded by the Department for Work and Pensions (DWP) to test a better fit note process, and it is the most clinical of the four. MBPCC delivers it under an NHS contract across the Barrow and Mid Furness Primary Care Networks.

For participating practices, every fit note is issued by the multidisciplinary Enable service rather than the GP practice. There is no change to fit note legislation, so every patient still needs a valid, signed fit note. Working patients who agree to take part receive a workability assessment and a personalised workability plan that focuses on what they can do and how to stay in, or return to, work. Employers are contacted only with the patient's explicit agreement. The pilot generates data and learning for the DWP to shape future national policy.

The service uses EMIS, AccuRx, X-on Surgery Connect and Florey questionnaires. This post is home-based: consultations are delivered by telephone and video, and the post holder works with the Enable team through Microsoft Teams and the service's clinical systems.

Details

Date posted

04 November 2026

Pay scheme

Other

Salary

£41,590 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

B0160-26-0032

Job locations

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Job description

Job responsibilities

Main duties and responsibilities

Clinical assessment and workability planning

• Undertake structured work and health assessments with patients referred into the pilot by telephone or video, according to patient need and clinical appropriateness. Where a face-to-face assessment is clinically necessary, arrange this through agreed pathways.

• At the start of each remote consultation, confirm the patient's identity, location and a contact number.

• Assess the interaction between a person's health condition, their functional ability and the demands of their role, taking account of all appropriate physical, psychological, social and workplace factors.

• Formulate and co-produce personalised Workability Plans focused on functional capability, phased return, adjustments and the practical support required to sustain work.

• Exercise autonomous professional judgement in determining whether a period away from work is clinically appropriate, and articulate that judgement clearly, proportionately and defensibly.

• Provide specialist advice on reasonable adjustments, graduated return to work, workplace modification and phased hours, informed by an understanding of the Equality Act 2010 and relevant health and safety legislation.

• Review and update Workability Plans at agreed intervals, adjusting recommendations as recovery, circumstances or employer response change.

• Recognise the limits of the pilot service and of personal professional competence, and escalate promptly and appropriately.

Triage, caseload and pathway management

• Contribute to the triage of incoming referrals, applying agreed criteria to determine the appropriate assessment route, practitioner and priority.

• Manage a personal caseload, prioritising effectively against service standards and pilot appointment targets.

• Identify patients whose needs fall outside the pilot model including those requiring urgent clinical assessment, safeguarding intervention or mental health crisis support and escalate through agreed routes without delay.

• Refer and signpost to wider support, including WorkWell coaching, therapy services, musculoskeletal pathways, social prescribing, debt and housing advice and employment support.

• Support colleagues in the wider team with clinical advice on complex or borderline cases, within scope of practice, by Teams or telephone.

Employer and stakeholder liaison

• With patient consent, take part in three-way conversations by telephone or video between the patient, their employer and the service to agree practical adjustments and maintain workplace connection from day one of absence.

• Produce clear, objective written advice for employers and managers that answers the question asked, respects medical confidentiality and avoids unnecessary clinical detail.

• Communicate sensitively with employers who may hold differing views, using negotiation and persuasion to reach workable outcomes for the patient.

• Build constructive relationships with referring practices, providing feedback that supports referral quality and confidence in the pilot model.

Clinical governance, safety and record keeping

• Practise at all times within the NMC Code, professional standards, pilot protocols and standard operating procedures.

• Maintain accurate, contemporaneous and legible records in the approved clinical system, in line with the Data Sharing Agreement and information governance requirements.

• Obtain and record valid informed consent for assessment, for information sharing and for any contact with employers or third parties.

• Discharge safeguarding responsibilities for children and adults at risk, escalating concerns in accordance with agreed policy.

• Report incidents, near misses, complaints and risks through the pilot governance framework, and contribute to learning from them.

• Take part in virtual clinical supervision, case review and multidisciplinary discussion, including reflective review of complex or contested cases.

• Maintain professional indemnity and NMC registration, and comply with revalidation requirements.

Service design, data and evaluation

• Contribute to the development and refinement of assessment templates, triage criteria, escalation thresholds, business rules and standard operating procedures as the pilot matures.

• Capture the agreed management information and evaluation data set accurately and at the point of care, understanding that incomplete data weakens the national evidence base.

• Take part in audit, service evaluation, quality improvement and test-and-learn cycles, and act on the findings.

• Support the independent national evaluation, including interviews, case note review and data collection, within the limits of patient confidentiality.

Education, promotion and professional development

• Promote the pilot positively to practices, patients, employers and partners.

• Provide informal supervision, coaching and clinical advice to non-clinical members of the team.

• Maintain and extend personal expertise in occupational health, work and health policy and fitness for work assessment; undertake training identified as necessary for the role, including any pilot-specific training.

• Take part in appraisal, personal development planning and mandatory training.

Working arrangements

Contract and hours

• This is a fixed-term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model.

• Some flexibility over working hours may be needed to accommodate patients who are in work and employers who are only available outside core hours, such as Saturday working.

• The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period.

This is a home-based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.

Location and in-person attendance

• Live in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted.

• Deliver patient consultations remotely by telephone and video, using MBPCC-approved systems only.

• Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face-to-face induction.

• Attend MBPCC head office again where equipment needs to be collected, exchanged or returned, including at the end of employment.

Suitable home working environment

• Have a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication.

• Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them.

• Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems.

• Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls.

• Complete the MBPCC Homeworking Self-Assessment (including display screen equipment) and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements.

• Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.

Information governance and cyber security

• Use only MBPCC-issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems.

• Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems.

• Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient-identifiable information out of chat functions unless clinically necessary and authorised.

• Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient-related calls from public places.

• Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.

Audit and monitoring

Because this post involves remote access to patient-identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including:

• Periodic information governance audits and an annual information governance review.

• Verification that the home working environment is, and remains, secure and suitable.

• Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested.

• Compliance monitoring of mandatory training, information governance and cyber security training.

• Monitoring of availability, activity and performance against service standards, through one-to-ones, work plans, activity schedules, supervision and clinical audit.

• Quarterly one-to-one and wellbeing reviews, and an annual review of the home working arrangement.

Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.

Availability, communication and wellbeing

• Work contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly.

• Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.

Follow the MBPCC Lone Working Guidance.

Job description Job responsibilities Main duties and responsibilitiesClinical assessment and workability planning Undertake structured work and health assessments with patients referred into the pilot by telephone or video, according to patient need and clinical appropriateness. Where a face-to-face assessment is clinically necessary, arrange this through agreed pathways. At the start of each remote consultation, confirm the patient's identity, location and a contact number. Assess the interaction between a person's health condition, their functional ability and the demands of their role, taking account of all appropriate physical, psychological, social and workplace factors. Formulate and co-produce personalised Workability Plans focused on functional capability, phased return, adjustments and the practical support required to sustain work. Exercise autonomous professional judgement in determining whether a period away from work is clinically appropriate, and articulate that judgement clearly, proportionately and defensibly. Provide specialist advice on reasonable adjustments, graduated return to work, workplace modification and phased hours, informed by an understanding of the Equality Act 2010 and relevant health and safety legislation. Review and update Workability Plans at agreed intervals, adjusting recommendations as recovery, circumstances or employer response change. Recognise the limits of the pilot service and of personal professional competence, and escalate promptly and appropriately.Triage, caseload and pathway management Contribute to the triage of incoming referrals, applying agreed criteria to determine the appropriate assessment route, practitioner and priority. Manage a personal caseload, prioritising effectively against service standards and pilot appointment targets. Identify patients whose needs fall outside the pilot model including those requiring urgent clinical assessment, safeguarding intervention or mental health crisis support and escalate through agreed routes without delay. Refer and signpost to wider support, including WorkWell coaching, therapy services, musculoskeletal pathways, social prescribing, debt and housing advice and employment support. Support colleagues in the wider team with clinical advice on complex or borderline cases, within scope of practice, by Teams or telephone.Employer and stakeholder liaison With patient consent, take part in three-way conversations by telephone or video between the patient, their employer and the service to agree practical adjustments and maintain workplace connection from day one of absence. Produce clear, objective written advice for employers and managers that answers the question asked, respects medical confidentiality and avoids unnecessary clinical detail. Communicate sensitively with employers who may hold differing views, using negotiation and persuasion to reach workable outcomes for the patient. Build constructive relationships with referring practices, providing feedback that supports referral quality and confidence in the pilot model.Clinical governance, safety and record keeping Practise at all times within the NMC Code, professional standards, pilot protocols and standard operating procedures. Maintain accurate, contemporaneous and legible records in the approved clinical system, in line with the Data Sharing Agreement and information governance requirements. Obtain and record valid informed consent for assessment, for information sharing and for any contact with employers or third parties. Discharge safeguarding responsibilities for children and adults at risk, escalating concerns in accordance with agreed policy. Report incidents, near misses, complaints and risks through the pilot governance framework, and contribute to learning from them. Take part in virtual clinical supervision, case review and multidisciplinary discussion, including reflective review of complex or contested cases. Maintain professional indemnity and NMC registration, and comply with revalidation requirements.Service design, data and evaluation Contribute to the development and refinement of assessment templates, triage criteria, escalation thresholds, business rules and standard operating procedures as the pilot matures. Capture the agreed management information and evaluation data set accurately and at the point of care, understanding that incomplete data weakens the national evidence base. Take part in audit, service evaluation, quality improvement and test-and-learn cycles, and act on the findings. Support the independent national evaluation, including interviews, case note review and data collection, within the limits of patient confidentiality.Education, promotion and professional development Promote the pilot positively to practices, patients, employers and partners. Provide informal supervision, coaching and clinical advice to non-clinical members of the team. Maintain and extend personal expertise in occupational health, work and health policy and fitness for work assessment; undertake training identified as necessary for the role, including any pilot-specific training. Take part in appraisal, personal development planning and mandatory training.Working arrangementsContract and hours This is a fixed-term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model. Some flexibility over working hours may be needed to accommodate patients who are in work and employers who are only available outside core hours, such as Saturday working. The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period.This is a home-based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.Location and in-person attendance Live in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted. Deliver patient consultations remotely by telephone and video, using MBPCC-approved systems only. Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face-to-face induction. Attend MBPCC head office again where equipment needs to be collected, exchanged or returned, including at the end of employment.Suitable home working environment Have a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication. Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them. Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems. Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls. Complete the MBPCC Homeworking Self-Assessment (including display screen equipment) and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements. Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.Information governance and cyber security Use only MBPCC-issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems. Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems. Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient-identifiable information out of chat functions unless clinically necessary and authorised. Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient-related calls from public places. Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.Audit and monitoringBecause this post involves remote access to patient-identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including: Periodic information governance audits and an annual information governance review. Verification that the home working environment is, and remains, secure and suitable. Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested. Compliance monitoring of mandatory training, information governance and cyber security training. Monitoring of availability, activity and performance against service standards, through one-to-ones, work plans, activity schedules, supervision and clinical audit. Quarterly one-to-one and wellbeing reviews, and an annual review of the home working arrangement.Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.Availability, communication and wellbeing Work contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly. Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.Follow the MBPCC Lone Working Guidance.

Person Specification

Remote working, confidentiality and IG

Essential

• Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment
• Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals
• Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities
• Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working
• Ability to process, access, store, share and dispose of information securely and only for authorised business purposes
• Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements

Knowledge & Skills

Essential

• Ability to assess functional capacity and to relate health conditions to the demands of work
• Understanding of the principles of fitness for work assessment and the health benefits of good work
• Excellent verbal and written communication skills, including the ability to convey complex clinical information clearly and sensitively to patients, employers and non-clinical colleagues
• Negotiation, motivational and de-escalation skills, including where professional opinions differ
• Sound understanding of consent, confidentiality, information governance and the boundaries of disclosure to third parties
• Knowledge of safeguarding responsibilities for children and adults at risk
• Competent use of clinical record systems and Microsoft 365, including Teams for virtual consultation and meetings
• Confident delivering consultations by telephone and video
• Ability to record data accurately and consistently for reporting and evaluation purposes

Desirable

• Knowledge of the Equality Act 2010 as it applies to reasonable adjustments in the workplace
• Knowledge of relevant health and safety legislation
• Understanding of the national fit note reform policy context and the Workability Plan model
• Familiarity with EMIS or occupational health information systems
• Understanding of audit and quality improvement methodology
• Knowledge of local employment support, WorkWell and VCFSE provision

Personal Qualities

Essential

• Comfortable working in a new, evolving service where processes are still being designed and tested
• Self-directed and able to work autonomously from home, managing own time while recognising the limits of personal competence
• Resilient, tactful and diplomatic when dealing with distressed patients or contested cases
• Non-judgemental, person-centred approach with a commitment to reducing health inequalities
• Collaborative and willing to contribute to shared learning and reflective practice
• Committed to accurate record keeping and to the integrity of the pilot evidence base

Desirable

• Enthusiasm for influencing national policy through a test-and-learn programme

Qualifications

Essential

• Registered Nurse on the NMC register, Part 1 (Adult, Mental Health or Learning Disability) or Registered Midwife, with a current unrestricted registration
• Evidence of continuing professional development and compliance with NMC revalidation
• Willingness to undertake pilot-specific training in workability assessment, fit note practice and work and health conversations

Desirable

• Specialist Community Public Health Nurse (Occupational Health) registration, or an occupational health degree, diploma or certificate
• Degree or postgraduate study in occupational health, public health or a related field
• Training in fit note completion or DWP work and health assessment
• Teaching, assessing or mentoring qualification
• Motivational interviewing, health coaching or case management training

Experience

Essential

• Significant post-registration experience as an autonomous practitioner
• Experience of undertaking structured clinical assessment and formulating advice or recommendations independently
• Experience of managing a personal caseload and prioritising competing demands without close supervision
• Experience of producing clear written reports or care records for a non-clinical audience
• Experience of working within a multidisciplinary team

Desirable

• Experience in occupational health, or a demonstrable interest in occupational health and the work and health agenda
• Practical experience of issuing, advising on or contributing to fit notes
• Experience of management referral or case management consultations
• Experience of sickness absence management, rehabilitation or return to work planning
• Experience of liaising directly with employers, HR or line managers
• Experience of working in primary care, community services or a WorkWell or vocational rehabilitation service
• Experience of contributing to service design, pilots, audit or quality improvement
• Experience of remote or telephone consultation

Other requirements

Essential

• Lives in the UK and able to work from a UK address for the duration of employment
• Willing and able to travel to MBPCC head office to collect equipment and attend a face-to-face induction
• Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance
• Flexible approach to working patterns and duties in line with service requirements
• Satisfactory Disclosure and Barring Service check at the level appropriate to the post
• Able to commit to the full 12-month pilot period

Desirable

• Availability for occasional work outside core hours to accommodate working patients and employers

Person Specification Remote working, confidentiality and IG Essential Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working Ability to process, access, store, share and dispose of information securely and only for authorised business purposes Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements Knowledge & Skills Essential Ability to assess functional capacity and to relate health conditions to the demands of work Understanding of the principles of fitness for work assessment and the health benefits of good work Excellent verbal and written communication skills, including the ability to convey complex clinical information clearly and sensitively to patients, employers and non-clinical colleagues Negotiation, motivational and de-escalation skills, including where professional opinions differ Sound understanding of consent, confidentiality, information governance and the boundaries of disclosure to third parties Knowledge of safeguarding responsibilities for children and adults at risk Competent use of clinical record systems and Microsoft 365, including Teams for virtual consultation and meetings Confident delivering consultations by telephone and video Ability to record data accurately and consistently for reporting and evaluation purposes Desirable Knowledge of the Equality Act 2010 as it applies to reasonable adjustments in the workplace Knowledge of relevant health and safety legislation Understanding of the national fit note reform policy context and the Workability Plan model Familiarity with EMIS or occupational health information systems Understanding of audit and quality improvement methodology Knowledge of local employment support, WorkWell and VCFSE provision Personal Qualities Essential Comfortable working in a new, evolving service where processes are still being designed and tested Self-directed and able to work autonomously from home, managing own time while recognising the limits of personal competence Resilient, tactful and diplomatic when dealing with distressed patients or contested cases Non-judgemental, person-centred approach with a commitment to reducing health inequalities Collaborative and willing to contribute to shared learning and reflective practice Committed to accurate record keeping and to the integrity of the pilot evidence base Desirable Enthusiasm for influencing national policy through a test-and-learn programme Qualifications Essential Registered Nurse on the NMC register, Part 1 (Adult, Mental Health or Learning Disability) or Registered Midwife, with a current unrestricted registration Evidence of continuing professional development and compliance with NMC revalidation Willingness to undertake pilot-specific training in workability assessment, fit note practice and work and health conversations Desirable Specialist Community Public Health Nurse (Occupational Health) registration, or an occupational health degree, diploma or certificate Degree or postgraduate study in occupational health, public health or a related field Training in fit note completion or DWP work and health assessment Teaching, assessing or mentoring qualification Motivational interviewing, health coaching or case management training Experience Essential Significant post-registration experience as an autonomous practitioner Experience of undertaking structured clinical assessment and formulating advice or recommendations independently Experience of managing a personal caseload and prioritising competing demands without close supervision Experience of producing clear written reports or care records for a non-clinical audience Experience of working within a multidisciplinary team Desirable Experience in occupational health, or a demonstrable interest in occupational health and the work and health agenda Practical experience of issuing, advising on or contributing to fit notes Experience of management referral or case management consultations Experience of sickness absence management, rehabilitation or return to work planning Experience of liaising directly with employers, HR or line managers Experience of working in primary care, community services or a WorkWell or vocational rehabilitation service Experience of contributing to service design, pilots, audit or quality improvement Experience of remote or telephone consultation Other requirements Essential Lives in the UK and able to work from a UK address for the duration of employment Willing and able to travel to MBPCC head office to collect equipment and attend a face-to-face induction Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance Flexible approach to working patterns and duties in line with service requirements Satisfactory Disclosure and Barring Service check at the level appropriate to the post Able to commit to the full 12-month pilot period Desirable Availability for occasional work outside core hours to accommodate working patients and employers

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.

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. 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

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Employer details

Employer name

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Job summary

To provide occupational therapy assessment and intervention for working-age adults whose health is affecting their ability to stay in or return to work, as part of the Enable service. The post is home-based, with consultations delivered by telephone and video.

• Carry out functional and work-focused assessments with patients from pilot GP practices who request a fit note.

• Issue and sign fit notes as the certifying healthcare professional.

• Complete workability assessments and plans with eligible patients, setting practical, occupation-focused goals to support a sustainable return to work.

• Work as part of a multidisciplinary team with the Advanced Nurse Practitioner, Occupational Health Nurses and admin team.

• Record activity and outcomes accurately so the pilot can supply data and learning to the Department for Work and Pensions (DWP).

Main duties of the job

Key responsibilities

Fit note certification

• Assess patients' fitness for work and issue and sign fit notes in your own name, as permitted for HCPC-registered occupational therapists under the Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2022.

• Assess the patient by video or telephone consultation, or by reviewing a written report from another healthcare professional, before issuing a fit note.

• Certify only within your own scope of practice and competence. Refer to the ANP or Clinical Lead when the presenting condition, complexity or risk falls outside it.

• Issue fit notes through EMIS, including correct dates, condition wording and review periods.

• Meet the service turnaround standard for fit note requests (currently 3 working days).

• Take part in audit of your fit notes for quality and consistency, and act on feedback from the Clinical Lead.

About us

Enable is one of four national pilots funded by the Department for Work and Pensions (DWP) to test a better fit note process, and it is the most clinical of the four. MBPCC delivers it under an NHS contract across the Barrow and Mid Furness Primary Care Networks.

For participating practices, every fit note is issued by the multidisciplinary Enable service rather than the GP practice. There is no change to fit note legislation, so every patient still needs a valid, signed fit note. Working patients who agree to take part receive a workability assessment and a personalised workability plan that focuses on what they can do and how to stay in, or return to, work. Employers are contacted only with the patient's explicit agreement. The pilot generates data and learning for the DWP to shape future national policy.

The service uses EMIS, AccuRx, X-on Surgery Connect and Florey questionnaires. This post is home-based: consultations are delivered by telephone and video, and the post holder works with the Enable team through Microsoft Teams and the service's clinical systems.

The service expects to handle more than 20,000 fit note requests a year at full rollout.

Details

Date posted

04 November 2026

Pay scheme

Other

Salary

£35,000 to £39,000 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

B0160-26-0033

Job locations

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Job description

Job responsibilities

Fit note certification

• Assess patients' fitness for work and issue and sign fit notes in your own name, as permitted for HCPC-registered occupational therapists under the Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2022.

• Assess the patient by video or telephone consultation, or by reviewing a written report from another healthcare professional, before issuing a fit note.

• Certify only within your own scope of practice and competence. Refer to the ANP or Clinical Lead when the presenting condition, complexity or risk falls outside it.

• Issue fit notes through EMIS, including correct dates, condition wording and review periods.

• Meet the service turnaround standard for fit note requests (currently 3 working days).

• Take part in audit of your fit notes for quality and consistency, and act on feedback from the Clinical Lead.

Clinical assessment and workability plans

• Manage a defined caseload of working-age adults referred through the fit note pathway.

• Complete workability assessments and plans with eligible patients, assessing physical, cognitive, psychological and environmental factors affecting work through remote assessment.

• Where an in-person functional assessment is clinically necessary, arrange this through agreed pathways and record the rationale.

• Advise on graded return to work, activity pacing, fatigue and symptom management, and practical workplace adjustments.

• With the patient's explicit agreement, liaise with employers by telephone, video or in writing about reasonable adjustments and return-to-work arrangements.

• Signpost and refer to other services and community resources.

• Identify and act on risk, including mental health risk, escalating promptly to the Clinical Lead and Advanced Nurse Practitioner. At the start of each remote consultation, confirm the patient's identity, location and a contact number.

• Undertake comprehensive assessments of occupational performance, functional capability and the impact of physical, mental health and social factors on work participation.

• Assess an individual's ability to undertake the functional demands of their role and identify opportunities for reasonable workplace adjustments and support.

• Identify and respond appropriately to safeguarding concerns, deterioration in mental or physical health and risks which may impact patient safety or ability to work.

• Escalate concerns in accordance with organisational policies and agreed clinical pathways.

Communication and teamwork

• Communicate complex and sometimes sensitive information about health and work, adapting to each patient's needs and overcoming barriers to understanding, including those that arise in telephone and video consultations.

• Work as an active member of the Enable multidisciplinary team and attend virtual team meetings, case discussions and huddles.

• Build good working relationships with pilot GP practices, PCN teams and partner organisations.

• Contribute an occupational therapy perspective to the development of pathways, templates and patient information.

Records, data and evaluation

• Keep accurate, contemporaneous clinical records in EMIS to professional and MBPCC standards.
• Record activity and outcome data accurately and on time, as needed for DWP evaluation.

• Contribute to service evaluation, audit and quality improvement, including sharing learning from the pilot.

Professional development

• Take part in annual appraisal and agree a personal development plan.

• Maintain a CPD portfolio that meets HCPC requirements.

• Develop knowledge of vocational rehabilitation, occupational health and work and health policy.

Working arrangements

Contract and hours

• This is a fixed-term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model.

• Some flexibility over working hours may be needed to accommodate patients who are in work and employers who are only available outside core hours, such as Saturday working.

• The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period, and to lead others through that change.

This is a home-based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.

Location and in-person attendance

• Live in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted.

• Deliver patient consultations remotely by telephone and video, using MBPCC-approved systems only.

• Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face-to-face induction.

• Attend MBPCC head office when equipment needs to be collected, exchanged or returned, including at the end of employment.

Suitable home working environment

• Have a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication.

• Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them.

• Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems.

• Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls.

• Complete the MBPCC Homeworking Self-Assessment (including display screen equipment) and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements.

• Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.

Information governance and cyber security

• Use only MBPCC-issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems.

• Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems.

• Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient-identifiable information out of chat functions unless clinically necessary and authorised.

• Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient-related calls from public places.

• Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.

Audit and monitoring

Because this post involves remote access to patient-identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including:

• Periodic information governance audits and an annual information governance review.

• Verification that the home working environment is, and remains, secure and suitable.

• Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested.

• Compliance monitoring of mandatory training, information governance and cyber security training.

• Monitoring of availability, activity and performance against service standards, through one-to-ones, work plans, activity schedules, supervision and clinical audit.

• Quarterly one-to-one and wellbeing reviews, and an annual review of the home working arrangement.

Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.

Availability, communication and wellbeing

• Work contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly.

• Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.

• Follow the MBPCC Lone Working Guidance and use agreed routes (Teams or telephone) to escalate clinical risk to the Clinical Lead or Advanced Nurse Practitioner without delay.

• Take regular screen breaks, raise wellbeing or workload concerns early, and report any accident that happens during work activities.

• If you become unwell while working, tell your manager at the earliest opportunity, stop work if you are unfit to continue and follow normal sickness reporting procedures.

Remote working, confidentiality and information governance

The successful candidate will be required to work remotely whilst maintaining the highest standards of confidentiality, information security and professional conduct. These essential requirements are also assessed through the person specification.

Essential requirements

• Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information.

• Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals.

• Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities.

• Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working.

• Ability to process, access, store, share and dispose of information securely and only for authorised business purposes.

Job description Job responsibilities Fit note certificationAssess patients' fitness for work and issue and sign fit notes in your own name, as permitted for HCPC-registered occupational therapists under the Social Security (Medical Evidence) and Statutory Sick Pay (Medical Evidence) (Amendment) Regulations 2022.Assess the patient by video or telephone consultation, or by reviewing a written report from another healthcare professional, before issuing a fit note.Certify only within your own scope of practice and competence. Refer to the ANP or Clinical Lead when the presenting condition, complexity or risk falls outside it.Issue fit notes through EMIS, including correct dates, condition wording and review periods.Meet the service turnaround standard for fit note requests (currently 3 working days).Take part in audit of your fit notes for quality and consistency, and act on feedback from the Clinical Lead.Clinical assessment and workability plansManage a defined caseload of working-age adults referred through the fit note pathway.Complete workability assessments and plans with eligible patients, assessing physical, cognitive, psychological and environmental factors affecting work through remote assessment.Where an in-person functional assessment is clinically necessary, arrange this through agreed pathways and record the rationale.Advise on graded return to work, activity pacing, fatigue and symptom management, and practical workplace adjustments.With the patient's explicit agreement, liaise with employers by telephone, video or in writing about reasonable adjustments and return-to-work arrangements.Signpost and refer to other services and community resources.Identify and act on risk, including mental health risk, escalating promptly to the Clinical Lead and Advanced Nurse Practitioner. At the start of each remote consultation, confirm the patient's identity, location and a contact number.Undertake comprehensive assessments of occupational performance, functional capability and the impact of physical, mental health and social factors on work participation.Assess an individual's ability to undertake the functional demands of their role and identify opportunities for reasonable workplace adjustments and support.Identify and respond appropriately to safeguarding concerns, deterioration in mental or physical health and risks which may impact patient safety or ability to work.Escalate concerns in accordance with organisational policies and agreed clinical pathways.Communication and teamworkCommunicate complex and sometimes sensitive information about health and work, adapting to each patient's needs and overcoming barriers to understanding, including those that arise in telephone and video consultations.Work as an active member of the Enable multidisciplinary team and attend virtual team meetings, case discussions and huddles.Build good working relationships with pilot GP practices, PCN teams and partner organisations.Contribute an occupational therapy perspective to the development of pathways, templates and patient information.Records, data and evaluationKeep accurate, contemporaneous clinical records in EMIS to professional and MBPCC standards.Record activity and outcome data accurately and on time, as needed for DWP evaluation.Contribute to service evaluation, audit and quality improvement, including sharing learning from the pilot.Professional developmentTake part in annual appraisal and agree a personal development plan.Maintain a CPD portfolio that meets HCPC requirements.Develop knowledge of vocational rehabilitation, occupational health and work and health policy.Working arrangementsContract and hoursThis is a fixed-term post funded through the national pilot. Continuation beyond the pilot period cannot be guaranteed and is subject to national decisions on the future of the model.Some flexibility over working hours may be needed to accommodate patients who are in work and employers who are only available outside core hours, such as Saturday working.The post holder will be expected to work in a rapidly evolving service where processes, systems and documentation change during the pilot period, and to lead others through that change.This is a home-based post. MBPCC's Homeworking, Hybrid Working and Remote Learning Guidance applies in full, and the post holder remains subject to the same professional, contractual, governance and performance expectations as staff working from MBPCC premises.Location and in-person attendanceLive in the UK and carry out all work from a UK address for the duration of employment. Working from outside the UK is not permitted.Deliver patient consultations remotely by telephone and video, using MBPCC-approved systems only.Travel to MBPCC head office at the start of employment to collect MBPCC equipment and to attend a face-to-face induction.Attend MBPCC head office when equipment needs to be collected, exchanged or returned, including at the end of employment.Suitable home working environmentHave a suitable, dedicated workspace that supports concentration, minimises distractions and enables professional communication.Ensure consultations and confidential conversations cannot be overheard, and that screens cannot be seen by family members, visitors or anyone else not authorised to view them.Have a suitable desk or workstation, appropriate seating, adequate lighting, ventilation and heating, and reliable internet access sufficient for video consultations and clinical systems.Use a headset whenever patient or confidential information is being discussed, and use the MBPCC background on video calls.Complete the MBPCC Homeworking Self-Assessment (including display screen equipment) and sign the Employee Homeworking Agreement before starting, and tell your manager of any significant change to your home working arrangements.Home working is not a replacement for childcare or dependant care arrangements. Where caring responsibilities affect your ability to work, discuss this with your manager.Information governance and cyber securityUse only MBPCC-issued devices, organisational accounts and approved systems and video conferencing platforms. Do not store confidential information on personal or unapproved systems.Lock screens when away from the workstation, keep passwords, smartcards and fingerprint access to yourself, and do not allow anyone else to use MBPCC devices or systems.Verify who is present before discussing confidential information, share only the minimum necessary, and keep patient-identifiable information out of chat functions unless clinically necessary and authorised.Do not record, screenshot or photograph consultations, meetings or training unless this has been authorised. Do not join patient-related calls from public places.Secure and dispose of any paper records using approved methods, and report any information governance or cyber security incident immediately.Audit and monitoringBecause this post involves remote access to patient-identifiable clinical information, enhanced governance controls apply. The post holder will be subject to audit and monitoring, including:Periodic information governance audits and an annual information governance review.Verification that the home working environment is, and remains, secure and suitable.Asset and equipment audits, at least annually. MBPCC equipment remains organisational property and must be cared for, faults reported promptly and items returned when requested.Compliance monitoring of mandatory training, information governance and cyber security training.Monitoring of availability, activity and performance against service standards, through one-to-ones, work plans, activity schedules, supervision and clinical audit.Quarterly one-to-one and wellbeing reviews, and an annual review of the home working arrangement.Failure to meet these requirements may be managed under MBPCC's disciplinary, information governance and data protection procedures.Availability, communication and wellbeingWork contracted hours, be visible and contactable during agreed working times, keep your electronic calendar up to date and respond to communications promptly.Attend virtual team meetings, huddles, multidisciplinary discussions, supervision and training punctually and in full. Training during working hours is working time and must not be combined with caring or domestic tasks.Follow the MBPCC Lone Working Guidance and use agreed routes (Teams or telephone) to escalate clinical risk to the Clinical Lead or Advanced Nurse Practitioner without delay.Take regular screen breaks, raise wellbeing or workload concerns early, and report any accident that happens during work activities.If you become unwell while working, tell your manager at the earliest opportunity, stop work if you are unfit to continue and follow normal sickness reporting procedures.Remote working, confidentiality and information governanceThe successful candidate will be required to work remotely whilst maintaining the highest standards of confidentiality, information security and professional conduct. These essential requirements are also assessed through the person specification.Essential requirementsAbility to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information.Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals.Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities.Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working.Ability to process, access, store, share and dispose of information securely and only for authorised business purposes.

Person Specification

Registration

Essential

• Current HCPC registration as an Occupational Therapist, with no conditions affecting practice

Desirable

• Membership of the Royal College of Occupational Therapists

Qualifications

Essential

• Degree or diploma in Occupational Therapy

Desirable

• Vocational rehabilitation or occupational health qualification or module

Knowledge & Skills

Essential

• Understanding of how health conditions affect function and the ability to work
• Understanding of clinical risk assessment, safeguarding and when to escalate
• Understanding of confidentiality, consent and information governance
• Knowledge of workplace adjustments, graded return-to-work approaches and vocational rehabilitation interventions.
• Knowledge of the fit note, Statutory Sick Pay, Access to Work and understanding of the Equality Act 2010 and the principles of reasonable workplace adjustments.
• Clear, professional decision-making on fitness for work within own scope of practice
• Effective verbal and written communication, including sensitive conversations about health and work
• Good IT skills, including using clinical systems, Microsoft 365 and Teams to record consultations and data
• Able to manage own time and prioritise a caseload to meet turnaround standards
• Ability to undertake effective occupational therapy assessment and intervention through telephone and video consultation.
• Ability to formulate practical workplace recommendations based on functional assessment findings.

Desirable

• Awareness of the DWP Fit Note Reform Pilot and national work and health policy
• Knowledge of standardised work-related assessments, such as the Worker Role Interview or Work Environment Impact Scale
• Experience of quality improvement or service evaluation
• Motivational interviewing or health coaching skills
• Experience of EMIS, AccuRx or another GP clinical system

Experience

Essential

• At least 12 months' post-registration OT experience, including preceptorship, with working-age adults in physical or mental health
• Experience of assessing and managing an individual caseload
• Experience of vocational rehabilitation, workability assessments, return-to-work planning or employment-focused occupational therapy interventions.
• Ability to contribute to pathway design, quality improvement, audit and service evaluation within a test-and-learn environment.

Desirable

• Experience in primary care, occupational health, vocational rehabilitation, musculoskeletal or community mental health services
• Experience of telephone or video consultations

Personal Qualities

Essential

• Commitment to person-centred, enabling practice that supports people to stay in or return to work
• Able to work autonomously and as part of a new multidisciplinary team, using supervision well
• Flexible and comfortable working in a pilot where processes are still being developed
• Self-motivated and well organised, able to stay connected to the team while working from home
• Ability to build rapport and assess risk within a remote working environment.

Other

Essential

• Lives in the UK and able to work from a UK address for the duration of employment
• Willing and able to travel to MBPCC head office to collect equipment and attend a face-to-face induction
• Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance
• Satisfactory enhanced DBS check and occupational health clearance

Remote working, Confidentiality and IG

Essential

• Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment
• Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals
• Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities
• Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working
• Ability to process, access, store, share and dispose of information securely and only for authorised business purposes
• Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements

Person Specification Registration Essential Current HCPC registration as an Occupational Therapist, with no conditions affecting practice Desirable Membership of the Royal College of Occupational Therapists Qualifications Essential Degree or diploma in Occupational Therapy Desirable Vocational rehabilitation or occupational health qualification or module Knowledge & Skills Essential Understanding of how health conditions affect function and the ability to work Understanding of clinical risk assessment, safeguarding and when to escalate Understanding of confidentiality, consent and information governance Knowledge of workplace adjustments, graded return-to-work approaches and vocational rehabilitation interventions. Knowledge of the fit note, Statutory Sick Pay, Access to Work and understanding of the Equality Act 2010 and the principles of reasonable workplace adjustments. Clear, professional decision-making on fitness for work within own scope of practice Effective verbal and written communication, including sensitive conversations about health and work Good IT skills, including using clinical systems, Microsoft 365 and Teams to record consultations and data Able to manage own time and prioritise a caseload to meet turnaround standards Ability to undertake effective occupational therapy assessment and intervention through telephone and video consultation. Ability to formulate practical workplace recommendations based on functional assessment findings. Desirable Awareness of the DWP Fit Note Reform Pilot and national work and health policy Knowledge of standardised work-related assessments, such as the Worker Role Interview or Work Environment Impact Scale Experience of quality improvement or service evaluation Motivational interviewing or health coaching skills Experience of EMIS, AccuRx or another GP clinical system Experience Essential At least 12 months' post-registration OT experience, including preceptorship, with working-age adults in physical or mental health Experience of assessing and managing an individual caseload Experience of vocational rehabilitation, workability assessments, return-to-work planning or employment-focused occupational therapy interventions. Ability to contribute to pathway design, quality improvement, audit and service evaluation within a test-and-learn environment. Desirable Experience in primary care, occupational health, vocational rehabilitation, musculoskeletal or community mental health services Experience of telephone or video consultations Personal Qualities Essential Commitment to person-centred, enabling practice that supports people to stay in or return to work Able to work autonomously and as part of a new multidisciplinary team, using supervision well Flexible and comfortable working in a pilot where processes are still being developed Self-motivated and well organised, able to stay connected to the team while working from home Ability to build rapport and assess risk within a remote working environment. Other Essential Lives in the UK and able to work from a UK address for the duration of employment Willing and able to travel to MBPCC head office to collect equipment and attend a face-to-face induction Accepts audit and monitoring of home working arrangements, clinical records and information governance compliance Satisfactory enhanced DBS check and occupational health clearance Remote working, Confidentiality and IG Essential Ability to maintain a secure, private and professional remote working environment suitable for the handling of confidential and sensitive information, with reliable broadband and meeting the MBPCC Homeworking Self-Assessment Ability to conduct telephone, video and online meetings in a location where conversations cannot be overheard by unauthorised individuals Demonstrable understanding of confidentiality, information governance, cyber security and data protection responsibilities Commitment to complying with all organisational policies relating to information governance, confidentiality, records management, acceptable use of IT systems and remote working Ability to process, access, store, share and dispose of information securely and only for authorised business purposes Ability to work independently, manage workload effectively and maintain accurate records in line with organisational requirements

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.

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. 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

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Employer details

Employer name

Morecambe Bay Primary Care Collaborative

Address

Remote/Home Working

Remote

LA14 2HG

United Kingdom

Employer's website

https://mbpcc.co.uk/ (Opens in a new tab)

Job summary

Job Overview

We are looking for an enthusiastic assistant photographer to join our busy team at The Medical Photography Department at the Royal Free London Hospital. The Trust provides a wide range of general and specialist clinical services and is one of London's key medical research and learning establishments, enjoying a long partnership with University College London.

You will be helping to provide a medical photography service at the Royal Free and other Trust locations.

Medical Photography is comprised of six staff, who are based at The Royal Free London Hospital and work across various Trust sites in North London. This position is for 6 month period, part time hours.

Candidates should ideally have a qualification in photography and have had experience of working within the photography field. Evidence of work experience within a Medical Photography department would be highly desirable.

Principle duties will be clinical photography for various specialties including Dermatology, , Plastics, Rheumatology and Tissue Viability. Initially this will be under supervision until the post holder is able to work independently.

For informal enquiries please contact David Bishop

Main duties of the job

Undertake clinical photography and clinical videography working under the supervision of the medical photography team for diagnosis, case records, treatment planning, education, research and publication.

Utilise specialist clinical photography techniques and skills including; dermoscopy.

Interpretation of diagnostic and anatomical terminology, working under the supervision of the medical photography team and with clinical staff for clarification of photographic requirements.

To provide post-production for all photography and videography using professional editing software (Adobe) following standardised workflow protocols.

Follow national guidelines for audit purposes and working to department protocols and Standard Operating Procedures to enable accurate recording of all stages of treatment and assessment.

Using the clinical image database systems (WABA MIM / EPR) for management of and online delivery of images.

Observing Trust policies and procedures.

Provide front of house support as necessary

About us

About the Royal Free London NHS Foundation TrustThe Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 2 million patients, treat more than 500,000 in A&E, deliver over 11,000 babies and carry out more than 17million tests.

Working ContextMedical Photography is part of the Surgical Associated Services Division and exists to support the Trust and enhance clinical services, learning and teaching and associated administrative processes and to contribute to the development of Trust policies.

Medical Photography ServiceMedical Photography is comprised of six staff, who are based at The Royal Free London Hospital and work across various Trust sites in North London. Responsible for providing a photographic / video support service covering patient care and medical education.The group offers a wealth of experience in all aspects of medical photography, with a clear focus on excellence; its staff regularly winning industry awards.

Details

Date posted

04 November 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£38,488 to £46,852 a year inclusive of Inner HCAS pro rata, per annum

Contract

Fixed term

Duration

6 months

Working pattern

Part-time, Flexible working

Reference number

391-RFL-8298865

Job locations

The Royal Free London Hospital

POND STREET

LONDON

NW3 2QG

United Kingdom

Job description

Job responsibilities

Clinical responsibilities

1.1Undertake and develop clinical photography (2D and 3D imaging systems)and videography ensuring that the clinical condition has been accuratelyinterpreted. Translating clinician requests into final imagery through the useof anatomical and physiological knowledge in conjunction with the correctuse and set up of all studio lighting and camera equipment as well as onlocation using portable equipment.

1.2 Responsible for deciding the most appropriate photographic technique tobest demonstrate the patients condition from the options available thismight include cross-lighting, ultraviolet and infrared photography.

1.3 To ensure ethical practices are followed, patient management skills and tact and diplomacy are used at all times throughout the photographic session. Being mindful of cultural and religious views and beliefs, to ensure all patients and customers specific photographic needs are fulfilled, and that clinical priorities are met

1.4Working in different locations e.g. studio, wards, clinics and operatingtheatres and at heights / confined spaces as dictated by circumstance.

Please refer to the job description and person specification for further details

Job description Job responsibilities Clinical responsibilities 1.1Undertake and develop clinical photography (2D and 3D imaging systems)and videography ensuring that the clinical condition has been accuratelyinterpreted. Translating clinician requests into final imagery through the useof anatomical and physiological knowledge in conjunction with the correctuse and set up of all studio lighting and camera equipment as well as onlocation using portable equipment. 1.2 Responsible for deciding the most appropriate photographic technique tobest demonstrate the patients condition from the options available thismight include cross-lighting, ultraviolet and infrared photography. 1.3 To ensure ethical practices are followed, patient management skills and tact and diplomacy are used at all times throughout the photographic session. Being mindful of cultural and religious views and beliefs, to ensure all patients and customers specific photographic needs are fulfilled, and that clinical priorities are met 1.4Working in different locations e.g. studio, wards, clinics and operatingtheatres and at heights / confined spaces as dictated by circumstance. Please refer to the job description and person specification for further details

Person Specification

Person Specification

Essential

• Degree in photography
• Ability to work as a part of a team.
• Commitment to undertake CPD activities and to undertake training.
• .Ability to demonstrate a good knowledge and understanding of clinical and general photographic techniques and procedures
• Ability to communicate effectively with patients and staff
• Knowledge of 2D and 3D Digital imaging equipment.
• Knowledge of photographic lighting and lighting techniques
• Flexible, creative and problem-solving approach
• Proven ability in producing standardised and demonstrative clinical photographs
• Knowledge of photographic equipment
• Ability to demonstrate initiative and solve problems.
• Be a positive role model with the ability to demonstrate a credible and professional approach.
• Ability to work closely with other members of the team or autonomously depending on circumstances
• Promote good working relationships and support colleagues when needed.
• Enthusiastic and assertive.
• Diplomatic and calm.
• Flexible, creative and problem-solving approach. Ability to organise and prioritise own workload
• Flexibility in shift and working patterns to meet the needs of the service.

Desirable

• BSc Medical Illustration / Degree in photography plus Post Graduate Certificate.
• Membership of Institute of Medical Illustrators (IMI)
• Registered Medical Photographer - AHCS.
• Experience of general photographic practice.
• Experience of videography and video editing (if no previous experience training will be provided).
• Experience of 3D imaging (Training will be provided).
• Experience of using image management systems.
• Good level of computer literacy including working knowledge and experience using Microsoft Office, desktop publishing (DTP), photo manipulation and graphics software on A Mac or PC e.g.: Adobe Creative Suite Microsoft Office
• Knowledge of clinical conditions, anatomy and physiology.
• Knowledge of policies and procedures related to the acquisition and storage of clinical images.
• Knowledge of colour management.
• Knowledge and use of design and illustration software e.g.: Adobe Illustrator Adobe InDesign Web Management Software

Discussion - Questions

Essential

• Questions asked on clinical photography, taking photographs, working as a team,

Portfolio demonstration of work practice

Essential

• Portfolio of work (12 images)

Photographic test

Essential

• Photograph a single lesion with portable camera equipment (supplied)

Person Specification Person Specification Essential Degree in photography Ability to work as a part of a team. Commitment to undertake CPD activities and to undertake training. .Ability to demonstrate a good knowledge and understanding of clinical and general photographic techniques and procedures Ability to communicate effectively with patients and staff Knowledge of 2D and 3D Digital imaging equipment. Knowledge of photographic lighting and lighting techniques Flexible, creative and problem-solving approach Proven ability in producing standardised and demonstrative clinical photographs Knowledge of photographic equipment Ability to demonstrate initiative and solve problems. Be a positive role model with the ability to demonstrate a credible and professional approach. Ability to work closely with other members of the team or autonomously depending on circumstances Promote good working relationships and support colleagues when needed. Enthusiastic and assertive. Diplomatic and calm. Flexible, creative and problem-solving approach. Ability to organise and prioritise own workload Flexibility in shift and working patterns to meet the needs of the service. Desirable BSc Medical Illustration / Degree in photography plus Post Graduate Certificate. Membership of Institute of Medical Illustrators (IMI) Registered Medical Photographer - AHCS. Experience of general photographic practice. Experience of videography and video editing (if no previous experience training will be provided). Experience of 3D imaging (Training will be provided). Experience of using image management systems. Good level of computer literacy including working knowledge and experience using Microsoft Office, desktop publishing (DTP), photo manipulation and graphics software on A Mac or PC e.g.: Adobe Creative Suite Microsoft Office Knowledge of clinical conditions, anatomy and physiology. Knowledge of policies and procedures related to the acquisition and storage of clinical images. Knowledge of colour management. Knowledge and use of design and illustration software e.g.: Adobe Illustrator Adobe InDesign Web Management Software Discussion - Questions Essential Questions asked on clinical photography, taking photographs, working as a team, Portfolio demonstration of work practice Essential Portfolio of work (12 images) Photographic test Essential Photograph a single lesion with portable camera equipment (supplied)

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

Royal Free London NHS Foundation Trust

Address

The Royal Free London Hospital

POND STREET

LONDON

NW3 2QG

United Kingdom

Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

The Royal Free London Hospital

POND STREET

LONDON

NW3 2QG

United Kingdom

Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Job summary

An exciting opportunity has arisen for an experienced senior clinician to join Retrieve as Peninsula Base Lead Nurse/Practitioner (Band 8a) on a 12-month fixed-term basis.

Retrieve is the South West's dedicated Adult Critical Care Transfer Service (ACCTS), part of a national network of services commissioned by NHS England. Operating 24/7/365 from two bases, Peninsula (Launceston, Cornwall) and Severn (Bristol), we manage referrals and safely transfer critically ill and injured adults between hospitals across the region. Both bases deliver an identical service, so every patient in the South West gets equal access to our care.

We are looking for an experienced clinician with established management experience who is ready to take the next step in their career. You may come from a nursing or Allied Health Professional background, with a strong grounding in critical care, emergency medicine, anaesthetics, theatres or another high-acuity setting. You will be a confident leader and a professional role model, with a passion for improving care for some of the sickest patients in our region.

This is a rare chance to lead in a unique, high-profile regional service, to influence how critical care transfers are delivered across the South West and nationally, and to develop your leadership career in a supportive, forward-thinking team.

If you're ready for your next challenge, we'd love to hear from you.

Main duties of the job

As Peninsula Base Lead, you will be responsible for the operational delivery and continued development of the base. You will lead and inspire a skilled multi-professional team, drive quality improvement, and work in close partnership with the Severn Base Lead, Clinical Director and Base Lead Consultants to shape the service across the South West. You will also oversee training and education, manage the service budget, and use audit and data to measure our performance against national quality indicators.

About us

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations,operatingfrom three main sites at Southmead, Bristol citycentreand Weston.

With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that theSouth Westhas to offer.

Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Details

Date posted

04 November 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£57,528 to £64,750 a year per annum, pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

387-S9761-ALX-A

Job locations

Retrieve - Peninsula Base

Launceston Community Hospital

Launceston, Cornwall

PL15 9JD

United Kingdom

Job description

Job responsibilities

As Peninsula Base Lead Nurse/Practitioner, you will:

• Lead and be a role model for the multi-professional team, making sure clinical care is of the highest quality and in line with national guidance and the NHS England Service Specification.

In partnership with the Clinical Director, Base Lead Consultants and key stakeholders develop and maintain up to date, evidence-based transfer protocols and guidelines.

• Oversee the Training and Education team to support the delivery of a high-quality in-house education programme that develops and maintains the skills of the team.
• Develop and deliver the Peninsula base strategy and business plan, working closely with the Severn Base Lead to keep the service consistent across both bases.
• Co-lead clinical governance, including protocols, complaints, incidents, risk and audit benchmarked against NHS England Quality Indicators.
• Manage the Peninsula base budget,
• Advocate for patients and families, and work closely with Critical Care Units, partner services and contractors across the South West.
• Use transfer data, trends and incident reports to manage risk and continuously improve the service.
• Monitor staffing, absence, training compliance and resources, and recruitment.
• Make sure data submitted to national databases is accurate and timely, and that documentation meets professional and Retrieve standards.
• Represent Retrieve regionally and nationally, including through the South West Critical Care Network Transfer Group and the national ACCTS Operational & Clinical Group

Please see the attached job description and person specification for full details.

For an informal discussion, please contact Caroline Hindley Peninsula base Lead Nurse 07885589223

Job description Job responsibilities As Peninsula Base Lead Nurse/Practitioner, you will: Lead and be a role model for the multi-professional team, making sure clinical care is of the highest quality and in line with national guidance and the NHS England Service Specification. In partnership with the Clinical Director, Base Lead Consultants and key stakeholders develop and maintain up to date, evidence-based transfer protocols and guidelines. Oversee the Training and Education team to support the delivery of a high-quality in-house education programme that develops and maintains the skills of the team. Develop and deliver the Peninsula base strategy and business plan, working closely with the Severn Base Lead to keep the service consistent across both bases. Co-lead clinical governance, including protocols, complaints, incidents, risk and audit benchmarked against NHS England Quality Indicators. Manage the Peninsula base budget, Advocate for patients and families, and work closely with Critical Care Units, partner services and contractors across the South West. Use transfer data, trends and incident reports to manage risk and continuously improve the service. Monitor staffing, absence, training compliance and resources, and recruitment. Make sure data submitted to national databases is accurate and timely, and that documentation meets professional and Retrieve standards. Represent Retrieve regionally and nationally, including through the South West Critical Care Network Transfer Group and the national ACCTS Operational & Clinical Group Please see the attached job description and person specification for full details. For an informal discussion, please contact Caroline Hindley Peninsula base Lead Nurse 07885589223

Person Specification

Knowledge and Experience

Essential

• o Significant recent leadership experience (E)
• oAbility to demonstrate significant and recent clinical experience in a high-acuity setting, such as critical care, emergency medicine or anaesthetics (E)
• oAbility to lead and manage a team (E)
• oUnderstanding of the principles and application of effective staff and HR management/appraisals (E)
• oUnderstanding the theory and application of clinical governance (E)
• oUnderstanding and evidence of the use of audit in clinical practice (E)
• oAbility to act as a role model, providing excellent patient care and promoting a culture where staff feel valued (E)
• oPrevious experience of change management and problem solving (E)
• oPrevious experience of ensuring a safe environment (E)

Desirable

• oLeadership Program or equivalent (D)
• oALS provider (D)

Skills and Abilities

Essential

• oAttention to detail in the development, production and dissemination of documents and information (E)
• oAbility to work in a highly demanding specialist environment and use of reflective practice (E)
• oStrong organisational skills - prioritising complex situations (E)
• oAble to work across professional team and organisational boundaries (E)
• oDemonstrates ability to implement and utilise audit data to improve quality (E)
• oAble to advise on and implement improvements to the quality and efficiency of care for patients in the service (E)
• oAbility to analyse, interpret and compare complex facts or situations and act appropriately (E)
• oAbility to work with advanced technologies (E)
• oFlexibility, adaptability to meet needs of a changing service (E)
• oSelf-motivated and able to motivate others (E)
• oEvidence of continued leadership / management development (E)
• oKnowledge of national and local specialty specific issues (E)
• oPrevious experience of research and audit (E)

Desirable

• oExperience of presentations at local and regional level (D)
• oCritical care clinical skills

IM & T

Essential

• oCompetent in the use of IT packages such as Microsoft Word, Excel and PowerPoint (E)
• oCompetent in videoconferencing using Microsoft Teams (E)

Desirable

• oGood knowledge of, and experience of the management of, Electronic Patient Record systems (D)

Qualifications and Training

Essential

• oCurrent Professional Registration (E)
• oDegree or equivalent clinical qualification (E)
• oRelevant accredited post registration (E)
• oQualification in Teaching, Assessing and mentoring (E)
• oEvidence of Masters level academic study or willingness to work towards Masters (in relevant health related subject) (E)

Desirable

• o Completion of Step 1-3 competencies or equivalent experience in critical care. (E)

Person Specification Knowledge and Experience Essential o Significant recent leadership experience (E) oAbility to demonstrate significant and recent clinical experience in a high-acuity setting, such as critical care, emergency medicine or anaesthetics (E) oAbility to lead and manage a team (E) oUnderstanding of the principles and application of effective staff and HR management/appraisals (E) oUnderstanding the theory and application of clinical governance (E) oUnderstanding and evidence of the use of audit in clinical practice (E) oAbility to act as a role model, providing excellent patient care and promoting a culture where staff feel valued (E) oPrevious experience of change management and problem solving (E) oPrevious experience of ensuring a safe environment (E) Desirable oLeadership Program or equivalent (D) oALS provider (D) Skills and Abilities Essential oAttention to detail in the development, production and dissemination of documents and information (E) oAbility to work in a highly demanding specialist environment and use of reflective practice (E) oStrong organisational skills - prioritising complex situations (E) oAble to work across professional team and organisational boundaries (E) oDemonstrates ability to implement and utilise audit data to improve quality (E) oAble to advise on and implement improvements to the quality and efficiency of care for patients in the service (E) oAbility to analyse, interpret and compare complex facts or situations and act appropriately (E) oAbility to work with advanced technologies (E) oFlexibility, adaptability to meet needs of a changing service (E) oSelf-motivated and able to motivate others (E) oEvidence of continued leadership / management development (E) oKnowledge of national and local specialty specific issues (E) oPrevious experience of research and audit (E) Desirable oExperience of presentations at local and regional level (D) oCritical care clinical skills IM & T Essential oCompetent in the use of IT packages such as Microsoft Word, Excel and PowerPoint (E) oCompetent in videoconferencing using Microsoft Teams (E) Desirable oGood knowledge of, and experience of the management of, Electronic Patient Record systems (D) Qualifications and Training Essential oCurrent Professional Registration (E) oDegree or equivalent clinical qualification (E) oRelevant accredited post registration (E) oQualification in Teaching, Assessing and mentoring (E) oEvidence of Masters level academic study or willingness to work towards Masters (in relevant health related subject) (E) Desirable o Completion of Step 1-3 competencies or equivalent experience in critical care. (E)

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

Bristol NHS Foundation Trust

Address

Retrieve - Peninsula Base

Launceston Community Hospital

Launceston, Cornwall

PL15 9JD

United Kingdom

Employer's website

https://www.uhbw.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Bristol NHS Foundation Trust

Address

Retrieve - Peninsula Base

Launceston Community Hospital

Launceston, Cornwall

PL15 9JD

United Kingdom

Employer's website

https://www.uhbw.nhs.uk/ (Opens in a new tab)

Job summary

We are looking for a Retinal Screener / Photographer for our Diabetic Eye Screening Programme in North East London area (City and Hackney, Newham, Barking and Dagenham, Redbridge, Tower Hamlets and Waltham Forest.

The post-holder will deliver a consistently high quality care for the service for the patient with diabetes. The role requires you to work unsupervised within a community based environment; you will be working in a team with team leaders support.

Diabetes is the most common chronic illness affecting people in East London. The detection and early treatment of diabetes-associated problems can prevent disability and premature death. The Diabetes Eye Screening Service aims to detect and offer early treatment to peoplewith diabetes who are developing sight threatening eye disease.

***ADVERT MAY CLOSE EARLY DUE TO HIGH APPLICATIONS***

Main duties of the job

The post holder will already have an easy rapport with people and have good organisational skills. You will be someone who enjoys patient contact, and who can make a clinic visit a positive experience for anyone with diabetes and will work on a one to one basis with patients for much of the day and will be responsible for both examining and gathering information from patients to support the clinical assessment of whether or not diabetes eye disease is present.

You will need no prior skill in diabetes eye screening and will be trained by us. This training will include the use of eye screening software initially and later on using the retinal camera. In time the post holder is expected to enrol in, and then to undertake the Health Screening Diploma, supported by local training and mentoring. When fully trained you will be expected to rotate between screener, photographer and receptionist roles, and at times undertaking database entry.

Screener Photographers will have a main base where they are predominantly located, but must be flexible, and able to work across any other screening location as required by the service.

About us

Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.

Job summary

We are seeking an enthusiastic and motivated Clinical Fellow (F2 level) to join the Trauma and Orthopaedics team at Somerset NHS Foundation Trust, based at Musgrove Park Hospital in Taunton. This fixed-term post runs from 2nd December 2026 until 6th April 2027 and has arisen due to a gap within the training rotation.This is an excellent opportunity for a doctor who has completed Foundation Training and is considering a future career in Trauma and Orthopaedics. The successful candidate will join a well-established multidisciplinary team, gaining valuable experience across a busy and supportive department whilst contributing to the delivery of high-quality patient care.In addition to daytime departmental duties, the post holder will participate in a 1:14 on-call rota, including long days, nights and weekends. Study leave will be supported, and successful applicants will be encouraged to participate in local teaching programmes with dedicated clinical and educational supervision.

Main duties of the job

• Provide clinical support to the Trauma and Orthopaedics service at Musgrove Park Hospital.
• Assess, investigate and manage patients presenting with trauma and orthopaedic conditions appropriate to the level of experience.
• Participate in a 1:14 resident on-call rota, including long days, nights and weekend working.
• Work collaboratively with consultants, junior doctors, nursing staff and allied health professionals to deliver safe, effective and patient-centred care.
• Contribute to clinical governance, audit and quality improvement activities within the department.
• Attend and contribute to departmental teaching, training and educational opportunities.
• Maintain high standards of clinical documentation, communication and professional practice in line with GMC and Trust standards.

About us

At Somerset NHS Foundation Trust, we're committed to supporting our employees with a range of benefits designed to enhance your professional and personal life. We offer:

• Flexible working options to help you balance work and life
• NHS pension scheme for long-term financial security
• Generous annual leave allowance to recharge and relax
• A strong focus on career development to help you grow and achieve your potential

Additionally, you'll gain access to our Blue Light Card, unlocking exclusive discounts on shopping, dining, and leisure activities, as well as NHS-specific perks to support you both inside and outside of work.

We are proud to foster a diverse, skilled, and inclusive workforce, and we encourage applications from all backgrounds.

Why Somerset? Somerset offers the perfect blend of idyllic countryside, outstanding areas of natural beauty, and breathtaking coastlines, with vibrant cities like Bristol, Bath, and Exeter just a short drive away - and only two hours to London.

The region is home to excellent educational facilities, and with affordable housing compared to other parts of the country, it's a great place to build both your career and your future.

Somerset truly has it all - the peaceful countryside and cosmopolitan city life, with something for everyone to enjoy.

Job summary

We have an exciting opportunity for an experienced Band 7 Dietitian to join the Pre-Operative Assessment (POA) and Surgical Prehabilitation Service at Central Middlesex Hospital, working closely alongside the St Mark's Hospital multidisciplinary team (MDT). This is a fixed-term maternity cover position providing an opportunity to work within a specialist and developing area of dietetic practice.

This role will lead on the nutritional assessment, optimisation and management of patients preparing for major surgery, supporting improved surgical outcomes through evidence-based dietetic interventions. The post holder will provide specialist dietetic assessment, advice and support in both outpatient and inpatient settings, identifying patients at nutritional risk and developing tailored management plans to optimise nutritional status before and after surgery.

Based at Central Middlesex Hospital, home to St Mark's Hospital, a national centre for gastroenterology and intestinal failure, the post holder will work as part of an established and highly regarded multidisciplinary team. The role will also provide support and cover to the intestinal failure dietetic service when required.

Main duties of the job

• Lead, plan, deliver and evaluate the clinical dietetic service within the Pre-Operative Assessment and Surgical Prehabilitation Service, supporting patients undergoing colorectal surgery and the expanding surgical pathways, including head and neck, orthopaedic and other major surgical specialties.
• Manage and optimise nutritional care for patients before and after surgery, including complex colorectal surgical patients.
• To support patients with weight management pre-operatively.
• To share an in-patient caseload on the gastroenterology ward (including the enhanced care unit).
• To lead and carry out regular clinical audit or research into this specialist area.
• To provide theoretical and practical training, teaching and professional development support for dietitians, student dietitians, medical, nursing staff and allied health professionals in this area.
• To ensure work is in line with departmental, Trust and national dietetic standards.
• To participate in the organisation, management and development of the dietetic team.

Please see attached job description and person specification for full duties.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job summary

We are looking to recruit a Band 3 Assistant Audiology Practitioner based at Northwick Park Hospital. You will be working Cross site across the three main hospital sites, Central Middlesex, Ealing and Northwick park hospital. The position is for 24 months fixed term to cover a substantive role while the individual is on secondment.

We are a friendly, forward thinking warm and expanding team.

You will be an enthusiastic individual with demonstrable experience of working in healthcare environments, with a warm personality and great people skills.

The post holders will be well-motivated and innovative, have excellent interpersonal and communication skills and the ability to manage both time and workload. They will be responsible for providing Adult audiology hearing aid repairs and stock control

You should have GCSE English and Maths grade C or above; with demonstrable experience of working in healthcare environments.

Main duties of the job

Duties and Responsibilities:

1. The role requires IT skills, ability to work autonomously and to interact in empathetically manner with patients with hearing loss.
2. You will be seeing patients for routine hearing aid repair and maintenance , making any necessary adjustments patient hearing aids and impression taking.
3. Ordering and maintaining Audiology stock across all sites.
4. Auditing stock levels.
5. You will carry out various administrative duties, which includes scanning of patient referrals and reports, daily checks of both Adult and Paediatric email inboxes, responding to emails or forwarding to relevant service.
6. A clear speaking voice is essential when working with Deaf and hard of hearing people.
7. Assists with clinical supervision and training of junior staff and students.
8. Updates own professional knowledge, keeping abreast of new digital hearing aid technology, assessment techniques and best clinical practice.
9. Ensure that clinical equipment used is calibrated, decontaminated and maintained according to national and departmental protocols

To view the main responsibility, please see the attached the Job Description and Person Specification

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job summary

Audiology Service at London North West University Healthcare NHS trust is looking for a qualified audiologist to work within their busy department in Northwick Park and Central Middlesex Hospitals.

The successful individual will be responsible for delivering comprehensive diagnostic and rehabilitative services for adults. The workload will involve working across mainly at Northwick Park Hospital and some cross site working across Central Middlesex Hospital and Ealing Hospital. The applicant must be flexible enough to travel across all sites.

The post holder will be well-motivated and innovative, have excellent interpersonal and communication skills and the ability to manage both time and workload. The applicant will also be involved in training of BSC students and some research.

Applicants should possess a BSc Audiology Honours degree or equivalent qualification.

Applicants should be registered or eligible with RCCP/HCPC registration.

This post is suitable for newly qualified graduate audiologists.

Main duties of the job

Undertake full Audiological assessments of patients and to assist in complex and non-routine cases such as those with multiple disabilities and severe communication difficulties. This include history taking and carrying out hearing and auditory function tests to include pure tone audiometry, tympanometry, acoustic reflex testing and speech audiometry.

Carry out examination of the ear by Otoscopy in patients including complex cases, to identify the anatomy of an individual's ear, any abnormalities or pathology.

Analyse results to determine the next stage of diagnostics required, and to problem solve inconsistent or erroneous findings.

Take medical histories of patients directly referred from primary care to exclude pathologies requiring a medical opinion

Develop and implement Individual Plans for patients, including complex and routine cases.

Holistically obtain history including the assessment of disability, handicap and expectations.

Take accurate ear impressions using suitable material for patients to include postoperative patients and those with additional needs.

Modify ear moulds using the range of laboratory equipment available.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job summary

We are seeking a dedicated and compassionate Practice Nurse to join our healthcare team. The successful candidate will play a vital role in delivering high-quality patient care within a busy clinical environment. This position offers an excellent opportunity for a motivated nursing professional to utilise their skills in a supportive setting, contributing to the wellbeing of our patients and the efficiency of our practice.

Training will be offered to registered nurses that does not have practice nurse experience

Main duties of the job

• Providing comprehensive patient care, including health assessments, wound management, and health education
• Administering medications and injections accurately and safely in accordance with prescribed protocols
• Assisting with minor procedures and clinical examinations
• Monitoring patient vital signs and recording medical histories
• Supporting GPs with administrative tasks such as updating patient records and managing appointments
• Offering health advice and promoting preventative care strategies to patients
• Ensuring infection control procedures are strictly followed within the practice
• Maintaining confidentiality and adhering to all relevant healthcare regulations and standards

Experience in the following areas chronic disease management, immunisations, vaccinations, minor wounds, complex wounds, leg ulcers, smears, ECG, blood samples etc. However, training will be offered to suitable candidates.

About us

Greet Medical Practice is a GP training practice located at 50 Percy Road, Greet, Birmingham, B11 3ND. It provides primary care medical services to approximately 6,500 registered patients from a diverse local community. The practice delivers a wide range of NHS services, including consultations, chronic disease management, vaccinations, cervical screening, health promotion, safeguarding, and preventative healthcare. As a training practice, it supports the development of healthcare professionals through the supervision and education of medical students, trainee GPs, and other healthcare staff.

Job summary

Are you an innovative and ambitious Consultant Child and Adolescent Psychiatrist looking for the opportunity to shape a new service from the ground up?

We are recruiting a full-time or part-time Consultant Psychiatrist to join our newly developing BSW CAMHS Liaison Service across Bath & North East Somerset, Swindon and Wiltshire for a 12 month fixed term contract to expand and transform our liaison offer for children and young people presenting in mental health crisis within acute hospital settings.

You'll provide clinical leadership across three District General Hospitals - the Royal United Hospital (Bath), Great Western Hospital (Swindon) and Salisbury District Hospital - working alongside a newly established leadership team and expanded multidisciplinary workforce.

This is far more than a traditional liaison post. You will help design and develop a future model of care, strengthen pathways with crisis and inpatient services, influence system-wide practice, and play a key role in demonstrating the impact of the service to secure permanent funding.

We are looking for a clinician who thrives on innovation, service development and collaborative working. You'll have the opportunity to improve outcomes for young people in crisis, reduce avoidable admissions and ensure children and families receive timely, compassionate and effective care.

Join us and help create the next generation of CAMHS liaison services.

Main duties of the job

• Lead the development of a new CAMHS Liaison model across BSW as part of a newly established clinical leadership team, shape and enhance the CAMHS Liaison Service, helping to develop a comprehensive urgent mental health offer and supporting the case for permanent funding.
• Provide senior clinical leadership across three District General Hospitals offering psychiatric expertise and clinical oversight to multidisciplinary liaison teams working within the Royal United Hospital (Bath), Great Western Hospital (Swindon) and Salisbury District Hospital.
• Assess and manage young people presenting with high-risk mental health crises supporting complex assessments, providing specialist consultation, undertaking Mental Health Act work when required, and advising colleagues managing high-risk presentations.
• Work collaboratively across urgent care pathways through developing strong links with the Crisis and Home Treatment Service (CAHTS), inpatient services, acute hospitals and wider networks to improve care, reduce avoidable admissions and promote least restrictive interventions.
• Lead and support multidisciplinary teams through clinical leadership, governance, supervision and consultation to liaison clinicians and medical trainees, fostering a culture of quality improvement, learning and compassionate care.

About us

Oxford Health provides physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and Northeast Somerset. Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible.

Our vision is that 'our teams support every person to achieve their best quality of life through compassionate and evidence-based care informed by research'.

Our values are to be caring, safeand excellent.

We offer a wide range of benefits designed to support your career and wellbeing. These include:

o Excellent opportunities for career progressiono Access to tailored individual and Trust wide learning and developmento 33 days annual leave, plus bank holidays, rising to 35 days with continuous serviceo NHS Discount across a wide range of shops, restaurants and retailerso Competitive pension schemeo Lease car schemeo Cycle to work schemeo Employee Assistance Programmeo Staff accommodation (please note waiting lists apply)o Staff networking and support groups hosted by our Equality, Diversity & Inclusion team

Find out more about us here: https://oxfordhealth.nhs.uk/about-us/overview/

Give yourself the best chance of success by reviewing our Applicant Guide before applying. Your supporting statement should clearly demonstrate how you meet the essential criteria for the role.

Details

Date posted

04 November 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£113,565 to £150,569 a year per annum | pro-rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time, Flexible working

Reference number

267-CAMHSLIAS-2D-A

Job locations

Melksham Community Hospital

Spa Road

Melksham

SN12 7NZ

United Kingdom

Job description

Job responsibilities

We have described the job in detail in the attached Job Description and Person Specification, but we would be delighted to answer any questions you might have and to find out more about you.

You can start getting to know by having a look at our recruitment video made by members of the team and children, young people and young adults who have accessed our services:

BSW RECRUITMENT - YouTube

We offer rewarding career development with protected SPA time as part of your job plan, encouraging you to take leadership courses to enhance your skills. We also offer a relocation allowance of up to £8,000 for external applicants (subject to eligibility criteria).

Job description Job responsibilities We have described the job in detail in the attached Job Description and Person Specification, but we would be delighted to answer any questions you might have and to find out more about you. You can start getting to know by having a look at our recruitment video made by members of the team and children, young people and young adults who have accessed our services: BSW RECRUITMENT - YouTube We offer rewarding career development with protected SPA time as part of your job plan, encouraging you to take leadership courses to enhance your skills. We also offer a relocation allowance of up to £8,000 for external applicants (subject to eligibility criteria).

Person Specification

Qualifications and Registration

Essential

• Medical degree
• Full GMC registration
• Eligible for inclusion in the GMC Specialist Register (or Specialist Registrar within 6 months of gaining CCT at time of interview)
• Eligible for Section 12 Approval (Mental Health Act)/ Approved Clinician or willing to apply for such approval once in post

Desirable

• MSc or higher degree
• Membership or Fellowship of the Royal College of Psychiatrists or equivalent qualification (in accordance with Royal College of Psychiatrists guidelines)

Experience

Essential

• Experience of clinical work in specialty at SpR, SAS/Specialist grade or consultant level within the last 3 years
• Excellent working knowledge and experience of the application of the Mental Health Act
• Appreciation and understanding of ethnic minority issues and a commitment to developing culturally sensitive practices

Desirable

• Experience of service development and introducing new services in mental health
• Experience of working at consultant level in an inpatient environment

Knowledge and Skills

Essential

• Leadership skills
• Commitment to fostering a culture in the team that is respectful, fair, supportive and compassionate and role modelling these behaviours
• Ability to manage complex workloads and support others to do that
• Ability to manage clinical complexity and uncertainty

Desirable

• Formal leadership and management training
• Experience of team /service leadership

Person Specification Qualifications and Registration Essential Medical degree Full GMC registration Eligible for inclusion in the GMC Specialist Register (or Specialist Registrar within 6 months of gaining CCT at time of interview) Eligible for Section 12 Approval (Mental Health Act)/ Approved Clinician or willing to apply for such approval once in post Desirable MSc or higher degree Membership or Fellowship of the Royal College of Psychiatrists or equivalent qualification (in accordance with Royal College of Psychiatrists guidelines) Experience Essential Experience of clinical work in specialty at SpR, SAS/Specialist grade or consultant level within the last 3 years Excellent working knowledge and experience of the application of the Mental Health Act Appreciation and understanding of ethnic minority issues and a commitment to developing culturally sensitive practices Desirable Experience of service development and introducing new services in mental health Experience of working at consultant level in an inpatient environment Knowledge and Skills Essential Leadership skills Commitment to fostering a culture in the team that is respectful, fair, supportive and compassionate and role modelling these behaviours Ability to manage complex workloads and support others to do that Ability to manage clinical complexity and uncertainty Desirable Formal leadership and management training Experience of team /service leadership

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

Oxford Health NHS Trust

Address

Melksham Community Hospital

Spa Road

Melksham

SN12 7NZ

United Kingdom

Employer's website

https://www.oxfordhealth.nhs.uk (Opens in a new tab)

Employer details

Employer name

Oxford Health NHS Trust

Address

Melksham Community Hospital

Spa Road

Melksham

SN12 7NZ

United Kingdom

Employer's website

https://www.oxfordhealth.nhs.uk (Opens in a new tab)

Job summary

We are looking for an enthusiastic and highly motivated Band 7 CT Specialist Radiographer to join our radiology department based in CT. This is a fixed term contract to cover maternity leave for 12 months.

The CT service is over four sites, King George and Queens which provide acute and elective scanning and Barking Community Hospital and St George's wellbeing hub in Hornchurch, which is elective only scanning in a purpose-built unit.

It is essential that you are a good communicator and good team player. You must be capable of working unassisted, within a team and taking the lead in organising the day to day running within the modality. You will be required to manage members of the team and ensure training and appraisals are completed.

You will form part of a team of staff in the Imaging Department responsible for the provision of a safe, efficient, high-quality service working in accordance with Imaging Department and Trust protocols. The post holder will be expected to maintain and develop high standards of patient care amongst all users of imaging services.

Although this position is a 12 months fixed-term contract, the actual contract duration will be adjusted to account for the time taken to advertise the post, complete the hiring process, and finalise pre-employment checks. This means the contract will begin when the candidate starts the role and may be slightly shorter than 12 months.

Main duties of the job

To lead the technical/radiographer staff, and to further develop an efficient CT service for BHRUT.

The post-holder will participate in the effective day to day running of the CT service, standardising protocols, managing the patient bookings, and waiting list and managing radiographers and radiology support worker throughout all areas.

Ensuring CT service is maintained with training of staff to perform in accordance with Trusts policy including comprehensive competency assessments.

In conjunction with CT Superintendent Radiographer, promote continuous improvements in service delivery and quality within all areas of the CT service, using modern methods to improve productivity, leading in the delivery of service and workforce transformation, and re-design.

The post-holder will manage the work of staff in the department and help develop culture in which members of staff are continuously improving the delivery of high-quality service. Ensuring the development and acceptance of challenging but realistic objectives for staff through leadership, motivation and systematic performance management achieved the required results.

About us

We're an organisation that is getting better and better and our improvements are driven by a determination to deliver care we're proud of and our patients are happy with.

They are benefitting from a new electronic patient record (we were the last acute trust in London to introduce one) and our maternity services have been rated good by the Care Quality Commission.

We operate from two main sites - KGH in Goodmayes and Queen's Hospital in Romford. We have two busy emergency departments with more than 346,000 people visiting them last year. We're campaigning to secure the £35m we need to transform the A&E at Queen's and get rid of corridor care.

We're proud of our regional Neurosciences Centre, Radiotherapy Centre and Hyper Acute Stroke Unit. We're also part of the North East London Cancer Alliance.

We run a Women's Health Hub in Ilford; an Ageing Well Centre in Hornchurch; and Community Diagnostic Centres (CDC) at Barking Community Hospital and at St George's Health and Wellbeing Hub. These CDCs are open 12 hours a day, 7 days a week.

The majority of our 8,400 staff - who come from 146 different countries - live in the three diverse London boroughs we serve and are from black, Asian and minority ethnic groups. Many can work flexibly and more than 400 of them are on our Ofsted accredited apprenticeship programmes. We're proud to be a London Living Wage employer.

Job summary

An exciting opportunity is available for a paediatric trainee or post-CCT paediatrician seeking to obtain experience in specialist paediatric palliative medicine. Based at Shooting Star Childrens Hospice, the successful applicant will join the specialist paediatric palliative care team (SPACE), with the opportunity to spend at least one day per week at The Royal Marsden Hospital, gaining experience in oncology palliative care. The post also offers the opportunity to undertake SPIN training in Paediatric Palliative Medicine. Our specialist teams support approximately 235 children and young people annually with oncology and non-oncology life-limiting conditions, from antenatal referrals through to transition into adult services. The fellowship offers broad clinical experience across hospital, hospice and community settings, including complex symptom management, advance care planning, end-of-life care, ethical decision-making and sensitive communication. The postholder will work closely with multidisciplinary teams and have opportunities to participate in teaching, clinical audit, research and publication.

Main duties of the job

The post includes a 1-in-6 non-resident on-call commitment. A driving licence and access to a vehicle are required for hospital and community visits. For further information or an informal discussion, please contact Dr AK Anderson at [email protected].

About us

Shooting Star Childrens Hospices provides specialist care and support to families who have a baby, child or young person with a life-limiting condition, or who have been bereaved. At the heart of what we do are our dedicated staff; their exceptional commitment and professionalism means every family has the opportunity to make every moment count. To help each member of our team to excel in their role, we provide a range of skills training, staff benefits, discounts and wellbeing events. Discover the difference you can make today.

Job summary

Fixed Term Part Time Specialist

We are looking for a motivated and committed individual to join a forward-thinking organisation, which is committed to providing healthier communities and outstanding care for all. Providing outstanding care, promoting health and wellbeing whilst continuously learning and improving are just some of our strategic objectives in our five-year plan, with these in mind if you are looking for an exciting opportunity to join our friendly and supportive Emergency Department then look no further.

If successful you will be working alongside our 17 Consultants in Emergency Medicine and a strong team of Speciality Doctors and Speciality Trainees providing clinical services to the Mansfield, Ashfield, Newark, and surrounding areas in Nottinghamshire from two trust sites, King's Mill Hospital in Sutton-in-Ashfield, and Newark Hospital in Newark.

You will be fully supported in your day to day working within a team where we have a full complement of substantive Registered Nurses, Health Care Assistants and Admin and Clerical staff. We also have a highly motivated team of Advanced Clinical Practitioners and Emergency Nurse Practitioners.

We offer plenty of opportunities to become involved in teaching and audit and we have regular cohorts of medical students who require training for critical illness and musculoskeletal modules.

We also run in-house ALS/ATLS/EPLS and Ultrasound courses that attract attendees from across the region.

Main duties of the job

The over-riding purpose is to support the provision of the highest quality patient care through personal actions and continuous improvement.

Whilst on duty a doctor has clinical and professional responsibility for their patients. It is also the duty of a doctor to:

• Keep patients (and/or their carers if appropriate) informed about their condition.
• Involve patients (and/or their carers if appropriate) in decision making about their treatment.
• Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply with GMC's guidance on 'Good Medical Practice' as amended or substituted from time to time.

A doctor is responsible for carrying out any work related to and reasonably incidental to the duties set out in the Job Plan such as:

• The keeping of records and the provision of reports.
• The proper delegation of tasks.
• Maintaining skills and knowledge.

Doctors will be expected to be flexible and to cooperate with reasonable requests to cover for their colleagues' absence where they are safe and competent and where it is practicable to do so.

About us

You would be joining a multi award winning team (HSJ Winner for Emergency Care in 2017, 1st place Royal College of Emergency Medicine, Improvement Project of the Year 2018, HSJ Patient Safety shortlist for Best Partnership Solution for improving patient safety in 2019), who were graded as Outstanding for Leadership in the latest Care Quality Commission assessment in 2018. Consistently providing examples of best practice and excellence, the team is proud to have been featured in several NHSI and ECIST information videos. The Emergency Department performs well against the 4-hour and our Ambulance Turn Around target and is consistently within the top 20 Trust's nationally for our performance.

We are a level 2 trauma unit and actively contribute to the regional trauma network. We run a single front door model where we have 24/7 co-located primary care service, where we stream circa 20-22% of attendances from ED to primary care. We have a fully integrated frailty and discharge service at our front door, including therapy and social care.

Our new, recently built Same Day Emergency Care Unit (SDEC) running 7am - midnight 7 days a week supports the Emergency Department with several pathways supporting admission avoidance and improving flow throughout. Our highly regarded High Intensity Service User programme is led by Nurse Specialists and supported with Consultant input to work with patients who frequently attend ED with the aim in reducing the frequency they use the service.

Job summary

Full and Part Time posts available for Band 6 Midwives

12 Month Fixed Term Maternity Cover

We are seeking an enthusiastic and motivated Midwife to join our outstanding team of supportive and dedicated Midwifery and Medical staff, across all areas of Maternity, including Maternity Triage and the Community, helping to further the outstanding 5 star patient care provided by all.

We are expanding unit an increase of expectant mothers choosing to have their care from our Maternity Services. The Maternity Unit is furnished with state of the art, modern facilities for mothers and their babies.

An Enhanced DBS with barred lists for both Adults & Children is required for this post.

Please note the job description and person specification are subject to change as per AfC review.

Main duties of the job

To achieve women's expectations we offer a friendly, supportive and safe service for women, their partners, babies and their families. We believe in promoting normality in pregnancy and Intrapartum care. We will support our women in their choice of Birth place we currently offer three choices home, Delivery Suite or our Midwifery Led Unit.

The Maternity Team consists of a dedicated group of Midwives, Obstetrician's, Paediatricians, Anaesthetists, Health Care Assistants, a House Keeper and Admin Staff.

About us

Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.

We strongly believe that the communities we serve should all have access to Five Star Patient Care.

Our Services:

Acute Care

Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.

Primary Care

Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.

Community Services

Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.

Specialist Regional Services

We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.

Achievements:

o Rated Outstanding by CQC Inspection August 2018

o Top 100 places to work in the NHS (NHS Employers & Health Service Journal)

o National Preceptorship Accreditation 2023 for Nursing & AHP Preceptorship Programme

Job summary

Are you passionate about improving outcomes for children and young people? Do you have the clinical knowledge, decision-making skills, and compassion needed to ensure children and families receive the right support at the right time?

We are seeking a Clinical Prioritiser to join our Children's ADHD Service, playing a pivotal role within our multi-disciplinary team. This is an exciting opportunity to help shape and develop a responsive, equitable, and family-centred service while supporting children and young people throughout their ADHD assessment and intervention journey.

Main duties of the job

As a Clinical Prioritiser, you will review, triage, and process referrals into the Children's ADHD Service using electronic patient records (RIO) and other relevant systems. You will ensure referrals are managed consistently, fairly, and within agreed timescales, helping children, young people, and their families access the most appropriate care and support.

Working closely with colleagues across health, education, social care, and partner agencies, you will use your clinical judgement to identify needs, prioritise referrals, and signpost families to the right services at the right time.

You will also proactively monitor waiting lists and identify children and young people whose circumstances, risks, or support needs may have changed, ensuring appropriate escalation for MDT discussion and intervention when required.

About us

We're an NHS community and mental health provider Trust based in Cornwall and the Isles of Scilly. We deliver community and hospital-based care to improve people's physical and mental health. We also provide specialist support to people with dementia or a learning disability.

We are a people organisation and people matter to us. As part of the team, you'll help support the health and wellbeing of the people who live and visit this beautiful part of the UK.

Over 5,000 people make up the Trust. This includes doctors, nurses, therapists, plus admin and support staff.

We work in people's homes, in community clinics and bases. Some staff work from one of our 10 community hospitals. Our aspiration is to have great people, provide great care, be a great place to work and a great partner.

Approximately 568,000 people live here. A third of people who live in Cornwall are supported by acute hospital services in Devon. As a result, we also work closely with our partners in Devon. In the summer, and during other holidays lots of people choose to visit the area. This increase the numbers of people who use out services.

Job summary

An exciting 12 month fixed term or secondment opportunity has arisen for a self motivated nurse to join the acute care at home team based at Truro Health Park.

You will be part of a multi-disciplinary team delivering services to people in the community, striving to deliver high quality personalised care. The aim of the service is to ensure that an integrated approach is taken when delivering care.

The post will deliver a range of skills and experience to all aspects of community care and will involve working with patients in their own homes or in the community setting.

Please note:If you are an internal candidate and wanting to apply for this position as a secondment opportunity. Before applying, please ensure you have discussed the post with your current line manager and obtained their agreement to support your release for the duration of the secondment.

Main duties of the job

The post holder, as a registered nurse within the acute care at home team, is responsible for the delivery of high-quality evidence-based care for acutely ill patients within their homes, with the aim of preventing hospital admission or facilitating rapid discharge.

The post holder will liaise with the referring hospital or GP when arranging admission to the service and will take responsibility to effectively assess, develop, implement and evaluate patient care.

The Acute Care at Home Team work on a flexible rota shift system. The service covers a period of 0800 hours to 22.00 hours 7 days a week. The geographical area when on duty is anywhere within the Central and West of Cornwall. The post holder is predominantly a lone worker within this area.

About us

We're an NHS community and mental health provider Trust based in Cornwall and the Isles of Scilly. We deliver community and hospital-based care to improve people's physical and mental health. We also provide specialist support to people with dementia or a learning disability.

We are a people organisation and people matter to us. As part of the team, you'll help support the health and wellbeing of the people who live and visit this beautiful part of the UK.

Over 5,000 people make up the Trust. This includes doctors, nurses, therapists, plus admin and support staff.

We work in people's homes, in community clinics and bases. Some staff work from one of our 10 community hospitals. Our aspiration is to have great people, provide great care, be a great place to work and a great partner.

Approximately 568,000 people live here. A third of people who live in Cornwall are supported by acute hospital services in Devon. As a result, we also work closely with our partners in Devon. In the summer, and during other holidays lots of people choose to visit the area. This increase the numbers of people who use out services.

Job summary

East Lancashire Hospitals NHS Trust are looking to appoint a Senior Clinical Fellow in Ear, Nose and Throat.

We are a friendly supportive department and are firmly committed to education. We receive good feedback from trainees. This will require some ability to work independently although Consultant cover is always available.

Main duties of the job

On appointment the successful candidate will work across both principal sites, Royal Blackburn and Royal Burnley Teaching Hospitals and associated ENT outpatient departments including St Peter's health Centre in Burnley, providing general ENT outpatient and elective surgical care.

The post holder will be responsible for ensuring safe working practices by maintaining and providing evidence of their skills as outlined nationally in the generic capabilities framework for the Specialist grade. They will also conduct their duties with regard to the Trust's vision and values and behaviour framework.

This role will include cross site 2nd on call cover with wigan and requires the individual to have their own transport, full registration with GMC, and 6 months experience in NHS.

About us

At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area.

We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.

Job summary

North West Newham Proactive Care Team are looking for an enthusiastic and proactive Local Facilitator to help connect residents with services, community resources, and support that enables them to live healthier and more independent lives.

The Local Facilitator will play a vital role in engaging residents, coordinating access to local services, and ensuring support plans are delivered effectively. Working alongside the Clinical Care Coordinator and partner agencies, the postholder will help residents navigate health, social care, voluntary sector, and community support systems.

This role is ideal for someone with experience in community engagement, social prescribing, health improvement, care navigation, or community development.

The post is offered as a six-month fixed-term appointment, with the potential for extension subject to funding and service requirements. Applications for secondment opportunities will also be considered, subject to the agreement of the applicant's substantive employer Flexible working and job-share arrangements will be considered.

The closing date for applications is 18.11.2026, however, we reserve the right to close the advert earlier due to volume of applications

Main duties of the job

The Local Facilitator provides operational and administrative coordination for the proactive care programme, ensuring residents are identified, cases are prepared efficiently, MDT processes run effectively, and actions are tracked through to completion. The role acts as a critical link between residents, care coordinators, MDT members and partner organisations.

About us

Newham Health Collaborative (NHC) CIC is a GP federation representing all the GP practices within the Newham borough boundaries. This covers a population of approximately 400,000 patients. We are established as a Community Interest Company, wholly owned by our 43 GP practice members. We invest any surplus we secure into services for primary care and our patients.

Job summary

An exciting opportunity has arisen to join the Homerton University Hospital as a Senior Specialty Doctor in Early Pregnancy and Acute Gynaecology. We are looking to recruit a full-time Senior Specialty Dr/Post CCT clinical fellow to complete our staff of 16 Consultants, 4 Senior Specialty Drs, 17 Registrars and 16 SHOs.

12 months initial appointment with potential to extend for a further 12 months.

The post will ideally suit a senior/post CCT candidate (ST7 level and above) with intermediate/ advanced ultrasound skills, who wishes to develop their scanning and operative gynaecology as well as leadership and management experience prior to applying for a consultant post. The candidate will work alongside our Early Pregnancy and Acute Gynaecology consultants and nurses.

Main duties of the job

The candidate will be mentored by the local Early Pregnancy and Acute Gynaecology consultants whilst undertaking full day scanning clinics. The postholder will also undertake general gynaecology clinics and theatre lists. They will support elective obstetric work where required for 2 sessions per month. There will also be the opportunity to help develop the Early Pregnancy and Acute Gynaecology service as well as train junior colleagues.

The 4 Specialty Doctors work a 1 in 4 full shift rota to provide Senior Registrar cover at night, working alongside another registrar and 2 SHOs (the on-call consultant is non-resident after 2200 hrs). This is done by doing a fixed weekday night every week and a Friday-Sunday weekend set of nights every month.

The post is offered on a full-time basis on a 12 PA (Programmed Activity) Specialty Doctor/ SAS contract (2021). The contract will be reviewed after 12 months or sooner to ensure that the sessional commitments reflect the needs of the service.

Please note that the job is not compliant with the minimum 46 hour rest period before and after transition between day and night shift as per the 2021 Specialty Doctor Contract. Furthermore, prospective cover for annual leave is not provided.

About us

Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.