Job Description

Job Title: Urgent Care Lead Nurse

Reference No: YAS517
Department: Urgent Care and Integration
Base: Wakefield HQ
Band: 8c

Organisational Relationships:

Responsible to: Director of Urgent Care and Integration

Accountable to: Deputy Director of Nursing and Quality
Responsible for: Responsibility for:
 Governance and Quality within the directorate
 Providing clinical leadership for the development and
implementation of integrated urgent care
 Contribution to professional nursing and clinical leadership
across the Trust
 Mental Health

Organisational Chart

Director Of Urgent
Care and Integration

Associate Director of Regional General Managing Director

Lead Nurse
Integrated Urgent Manager Urgent Patient Transport
Care Care & Integration UrgentCare
Services

Organisational Values
You will share a commitment to our values:

One Team
Innovation
Resilience
Empowerment
 Integrity
Compassion

Job Role Summary

The Urgent Care Lead Nurse will provide senior clinical leadership for the development and delivery
of the Trust’s strategy for urgent care services, working closely with the service Directors to ensure
the delivery of better outcomes for patients. This will include supporting the Integrated Urgent
Care, 999 and PTS services and also leading service developments as appropriate across the Trust. In
addition the Urgent Care Lead Nurse will provide operational guidance and support for the
development and implementation of new urgent care initiatives, including mental health, frailty,
advanced care planning, frequent callers, advanced practice and clinical advisory service
developments.
The post holder will provide guidance and clinical leadership to clinicians and managers regarding
urgent care delivery and related service developments including quality, care pathways, patient
involvement and best value for money. The post holder will work closely with the clinical directorate
and pathways advisors ensuring alignment in operational and clinical developments.

The post holder will provide nursing professional leadership in the Directorate, supporting the
development of the nursing workforce and maintenance of high professional standards of practice.

As a senior nurse in the organisation, the post holder will actively contribute to Trust-wide nursing
professional developments, working closely with the Deputy Director of Nursing and Quality and
other senior nurses.

The post holder to provide expert advice and support for Quality and Safety within the directorate,
PTS and IUC including oversight of compliance with CQC standards, systems for learning and
improvement and quality of patients’ experience.

The role will entail co-ordinating the contribution of other clinicians, clinical and operational leads,
and working with a wide range of stakeholders including primary care, community services,
commissioners and other urgent care providers, ensuring alignment of YAS developments to wider
health and social care system improvements.

Core Responsibilities

Communication and Relationship Responsibilities

 To ensure the Director for Urgent Care and Integration and other senior managers are kept fully
informed of all relevant issues related to Urgent Care.
 Report on service development and performance related issues, which may involve
 presentations to large groups of stakeholders.
 Maintain open and robust lines of communication between the senior managers within the
service, ensuring that they are informed of operational or clinical issues arising so that they can
cascade all relevant information to their staff.
 Represent the organisation:
o within the local healthcare economy, actively fostering and developing working
relationships with other healthcare professionals, promoting the vision of service
delivery and to continuously improve and learn from best practice and to promote a
positive organisational image.
o at national and regional forums in order to develop a network of contacts and
knowledge to support the delivery of service and to promote the directorate and trust in
the health economy.
o locally, including acting as media liaison when appropriate, in relation to the services
and visions of the Urgent Care and Integration directorate.

Key Relationships include

 NHS England
 NHS Improvement
 NHS Pathways
 System health and social care providers
 Commissioners – Clinical Commissioning Groups
 YAS Directors and Trust Management Group
 YAS Directorate management teams
 Executive Director of Quality, Governance and Performance Assurance, Deputy Director of
Nursing and Quality and other YAS senior nurses
 Clinical Directorate and Consultant Paramedic for Urgent Care
 Senior staff side representatives
 Yorkshire and Humber Clinical Quality Steering Groups (Regional and sub-Regional)
 Overview and Scrutiny Committees
 Professional colleagues and service users/carers/members of the public
 Other key provider organisations
 Relevant networks across the area and wider to represent the organisations where necessary
Internal audit

Strategy, Policy and Service Developments

 To ensure alignment of YAS developments to the wider health and social care system
improvements.
 In collaboration with the Clinical Directorate support the development and implementation of
best practice days across YAS to lead a culture of innovation and change.
 To develop new and innovative ways of working in
alignment with the local health economy to provide a
consistent and safe access and assessment and entry
route for patients.
 To identify strategic business/service development
opportunities linked to urgent care through
engagement with stakeholders.
 Makes recommendations to appropriate groups within the Trust regarding implementations of
developments.
 To support the professional and personal development of directly reporting staff.
 To provide an expert contribution to support development of a patient focused urgent care
service within the organisation.
 To support and identify training required alongside the Associate Director of Paramedic Practice
for clinicians in delivering urgent care to enable improvements in patient care.
 Education and development of an open learning culture and staff engagement across the
organisation empowering and developing front line staff.
 To provide guidance and clinical leadership to clinicians and managers regarding urgent care
delivery and related service developments, including quality, care pathways, patient
involvement and best value for money.
 To lead the modernisation and development of the service, improving the quality of care,
leadership and development of staff by focusing on the clinical and technical aspects of the
patient pathway.
 In liaison with the Clinical Directorate:
o To ensure effective mechanisms are in place to audit clinical practice with Urgent Care
deliver a Continuous Quality Improvement programme for the directorate.
o To be responsible for the continuous monitoring and analysis of information against
quality standards, developing and implementing procedures to reduce clinical risk and to
improve clinical care in line with regulations, policies and procedures and national
guidelines.
o To be responsible for the monitoring and maintenance of clinical audits, i.e. use of
clinical pathways alongside the Clinical Directorate
 To review technical and operational procedures and policies in order to achieve and maintain
best practice across the directorate and implement change to ensure that long term aims are
achieved. To work with the Director for Urgent Care and Integration to review and develop
clinical policies and procedures in support of the directorate, reflecting the needs of patients at
all times, ensuring that the policies and practices operated within the Services and in line with
the wider Trust are clinically sound, safe and reflect those of the NHS strategic documents.
 To identify strategic business/service development opportunities linked to the directorate and
Trust through engagement with stakeholders.
 To understand what is happening in the Urgent Care arena, ensuring ongoing review with
commissioners to understand their needs and future requirements.
 To contribute to discussions with commissioners and other stakeholders to define the scope,
shape and delivery of future NHS Urgent and Emergency Care services.

Analytical and Judgemental Responsibilities

 Ensure any developments are patient focused and clinically safe.
 To clinically lead on the delivery of key developments
within the urgent care strategy, project managing the
achievement of specific improvement objectives,
with input from other Trust personnel and wider
stakeholders as required.
 Managing and supporting the developing of business
cases and financials associated with delivery of new models of care.
 Develop with other senior managers to implement an urgent care workforce in partnership,
ensuring provision of a modern workforce to meet changing health care needs and crossing
professional boundaries.
 Liaise closely with HR and staff side colleagues in the development of operational changes that
impact staff.
 To ensure a proactive and systematic approach to risk management in order that all risks
associated to Urgent and Emergency Care which have a potential adverse effect on the quality
of care, safety and wellbeing of patients, service users and the public are identified and that
appropriate actions and safe systems are implemented to eliminate or minimise the identified
risks.
 To actively manage risk by maintaining and updating a risk log and a lessons learnt log.
 To ensure that all incidents, accidents and serious untoward incidents are reported, investigated
and managed in line with Trust Policies and Procedures.
 To support the Trust’s incidents handling procedures by investigating incidents fully and
contributing to Clinical Incident Review and Serious Untoward Incident processes as required.
 To foster a fair and just culture where staff learn from incidents and are willing to report both
incidents and near misses.
 To be responsible for ensuring that robust procedures are in place within the directorate to
address any complaints in line with the Trust’s Complaints Policy, ensuring that any identified
changes are implemented and feedback is given to staff concerned.
 To be accountable for ensuring that evidence relating to the standards within CQC are
maintained for services within the directorate.
 To ensure that areas of activity relating to Infection Control, Child Protection and Security
Management are delivered in line with Trust policies and procedures, regional and national
guidance/requirements.
 To work within the trust standing financial instructions.
 Ensure optimum use of agency and bank staff within agreed financial targets providing safe
nursing standards within agreed financial parameters.
 Work closely with the finance team in implementing new models and understanding where cost
improvement plans can be made to improve quality.
 Manage resources appropriately being responsible for some procurement and an authorised
signatory for expense.

Planning, and Organisational Responsibilities

 To work collaboratively and effectively in partnership with YAS directors and managers to deliver
the highest standards of patient care and experience, ensuring that clinical risk is minimised and
patients are assessed, advised and referred to the most appropriate health care facility for their
needs.
 To actively contribute to the successful team working
of the Trust Management Group to ensure that the
Trust achieves its corporate objectives including key
service targets.
 To highlight potential risks to delivery of patient care
and achievement of Trust objectives.
 To contribute to the development of corporate strategy, policy and decision making activity and
promote the mission, vision and values of the organisation.
 To contribute to the establishment and maintenance of good corporate governance
arrangements.
 To advise on recommended areas of internal audit focus in relation to urgent care.
 To represent the Trusts management group to create, review, monitor, and revise existing
policies in order to ensure and support the strategic development of the Trust for urgent care.

Research and Audit Responsibilities, Clinical Advice and Direction

 To identify the population at risk using local data and information from a variety of sources and
to make recommendations for the focus of current and future service development, audit and
research.
 To critically evaluate and interpret evidence-based research findings from diverse sources
making informed judgements about their implications for changing and / or developing services
and clinical practice. Using this to inform organisation clinical developments.
 To continually evaluate evidence and audit the quality and effectiveness of the practice of self
and others, selecting and applying a wide range of valid and reliable approaches and methods
that is appropriate to needs.
 Work closely with the universities to identify areas of improvement and courses that need to be
commissioned to deliver new services.
 In conjunction with the Medical Lead, provide clear and direct clinical advice to the Directorate
regarding clinical standards, appropriate treatment regimes and its statutory duties with regard
to clinical care.
 Support and advise clinical and other staff on clinical care issues and the resolution of clinical
problems and questions that arise following the provision of care, with escalation to the Medical
Director according to Trust policy.
 Advise and contribute to the development of new models of service delivery which increase
efficiency and lead to better health outcomes for patients, in line with current Department of
Health recommendations and Trust plans.
 To participate in the dissemination of clinical advice and direction that are applicable to the
directorate given from bodies such as NICE or JRCALC (as examples) and ensure local
implementation.
 Support and develop systems to provide clinical information to Trust staff to enable them to
benchmark and audit their practice so as to improve the patient experience ensuring safe and
reliable care

Leadership, Management, Training and Supervision Responsibilities

 Provide professional nursing leadership within the Urgent Care and Integration Directorate.
 Contribute to Trust professional nursing and clinical developments working closely with the
Deputy Director of Nursing and Quality, IUC Head of Nursing and other senior nurses within the
organisation.
 Provide professional leadership working closely with the Deputy Medical Director and the clinical
directorate in development of integrated urgent care.
 Ensure systems are in place to provide assurance on quality and safety in the Urgent Care and
Integration directorate, including compliance with CQC standards and delivery of CQUIN
priorities.
 Actively support engagement with patients and carers in service development and evaluation.
 In conjunction with the Director of Urgent Care and Integration, Medical Lead for Integrated
Urgent Care and the Clinical Directorate to provide strong clinical leadership at all levels
(strategic, tactical and operational) throughout the Trust.
 Improve practice and health outcomes so that they are consistent with national and
international standards through managing and facilitating change in ways which are effective in
their own context.
 Contribute to the wider development of their area of practice, through publishing and
disseminating developments in the interests of patients, clients and carers.
 Act as an expert resource by offering appropriate advice to their own and other professions on
care practices, delivery and service development.
 Challenge professional and organisational boundaries in the interests of patients, clients and
carers to improve care outcomes.
 To support the delivery of appropriate standards of care through clinical staff responsible for
delivering care in emergency, urgent and primary care settings.
 Act in a consultancy capacity regarding the therapeutic care of complex cases. This will include
taking the lead role in the multidisciplinary pre-hospital care team, including qualified
paramedics, emergency care support workers, emergency medical dispatchers and other groups
working either directly within the ambulance service or in roles supporting the ambulance
services task.
 At all times to place patient safety at the centre of Directorate activity.
 To participate in systems to monitor the delivery of clinical care across all areas of Trust activity
to ensure the safe and integrated care or treatment for patients across both health and social
care systems.
 Establish a working relationship with key stakeholders and external partners to ensure that the
needs of patients across the service are met including the liaison with other health care
providers, social care departments and commissioners to facilitate the management of patient
care across healthcare systems to maximise patient benefit.
o As a member of the Directorate Management team, positively contribute to the delivery
of the team’s objectives.

Corporate Responsibilities
 It is the responsibility of each member of staff to
ensure that they maintain the confidentiality and
security of all information in accordance with the
requirements of the Data Protection Act 1998 and the
principles of Caldicott.
 Managers should also ensure that their staff are
aware of their obligations under legislation such as the Freedom of Information Act 2000;
Computer Misuse Act 1990, and that staff are updated with any changes or additions relevant to
legislation.
 Staff must be aware of and adhere to the provisions of the Health and Safety at Work Act and to
ensure their own safety and the safety of colleagues and patients.
 Mandatory training requirements that are relevant to the post must be decided during Personal
Development Review and a training plan developed.
 Staff should be aware of their individual responsibilities under the Equal Opportunities Policy
and ensure that they adhere to the provisions of the policy.
 Individuals are also required to comply with the policies, procedures and protocols in place
within the Trust.
 This job description is not meant to be exhaustive. It describes the main duties and
responsibilities of the post. It may be subject to change in the light of developing organisational
and service needs and wherever possible change will follow consultation with the post holder.
 To ensure that areas of activity relating to Infection Control, Child Protection and Security
Management are delivered in line with Trust policies and procedures, regional and national
guidance/requirements.

Safeguarding Children and Adults

 To recognise and report to the appropriate authorities any concerns regarding Child Protection
issues to include possible child abuse.
 Under section 11 of the Children Act 2004 all NHS staff must ensure that their functions are
discharged with regard to the need to safeguard and promote the welfare of children (Working
Together to Safeguard Children 2015). http://www.workingtogetheronline.co.uk/index.html
 To recognise and report to the appropriate authorities any concerns regarding Vulnerable Adult
issues to include social care and mental health.
 All staff must comply with mandatory training requirements and ensure that adult safeguarding
is embedded as an essential part of their daily practice.

For Administrative Purposes only:

Prepared/Reviewed by:
Approval Date:
Review Date:
 Person Specification

COMPETENCY PROFILE
Experience and work achievements

Evidence of significant clinical experience in primary care and emergency care environment. Essential

Can demonstrate experience of leading, introducing or managing change programmes Essential

across primary care with ambulance services or secondary care/other health care systems.

Experience of working in the ambulance environment Desirable

Experience of clinical pathway development. Essential

Evidence of participation in or oversight of, clinical audit and/or research programmes. Essential

Experience of integrating healthcare systems and developing alternative pathways of care Essential

Significant senior management experience representing a large organisation Desirable

Experience of working at a senior level in an NHS setting

Senior management experience working in an NHS organisation or ambulance trust Essential

(minimum of 5 years)

Experience of working at an NHS regional level, working with other providers and Essential
commissioners

Experience of working at a national level Desirable

Has strong analytic and critical reasoning skills and capable of effective problem solving. Essential

Ability to lead on clinical developments and capable of monitoring their progress and Essential
outcomes.

Can motivate and inspire others Essential

Credible to internal and external stakeholders Essential

Able to make sense of conflicting priorities and reach effective and timely solutions. Essential

Ability to integrate evidence-based medicine into clinical processes Essential

Evidence of well-developed communication skills, both verbal and written. Essential

Ability to assess risks, anticipate difficulties and successfully address them. Essential

Personal attributes

Is a role model for openness and inclusion. Essential

Demonstrate strategic and critical thinking, with strong problem solving, conflict resolution Essential
and analytical skills

Able to communicate highly complex, sensitive or contentious information to other senior Essential
managers, staff or external agencies

Innovative and creative Desirable

Demonstrates resilience, confidence and self-belief when under pressure Essential

Can demonstrate self-awareness which includes awareness of impact on others. Essential

Ability to work under pressure and meet deadlines. Essential

Has personal integrity. Essential

Demonstrates a leadership style which is visible and democratic. Essential

Committed to promoting diversity and awareness of equal opportunities Essential

Demonstrates commitment to the values, principles of public service and health and social Essential
care in particular.

Able to communicate highly complex, sensitive or contentious information to other senior Essential
managers, staff or external agencies

Knowledge and educational achievements

Registered nurse with a minimum of 5 years community/urgent care experience. Essential

Evidence of relevant recent continuing professional development. Essential

Experience of working at a senior level in an ambulance or urgent care organisation Desirable

Working towards or has achieved a Masters in a Healthcare-related discipline Essential

Participation in a Recognised Leadership Programme Desirable

Understanding of the NHS and infrastructure, and NHS policy Essential

Understanding of the NHS Safety and Quality agenda Essential

Understanding of Ambulance Service Policies, Procedures and Strategy and of broader Essential
NHS/Ambulance issues
Job Risk Profile
Details of Risk Level
This role involves: Yes No Rare Occasional Frequent Examples
Lifting Weights / objects between 6
– 15 kilos X
Lifting weights / objects above 15
kilos X
Using equipment to lift, push or pull
patients / objects X
Lifting heavy containers or
equipment X
Running in an emergency
X
Driving alone / with passengers /
with goods X
Invasive surgical procedures
X
Working at height
X
Concentration to assess patients / Concentration required to review data and develop
analyse information X X strategies/business plans and write proposals.
Response to emergency situations
X
To change plans and appointments / Frequent requirement to change plans as a result the
meetings depending on the needs of X X changing nature of the service / issues requiring immediate
the role responses.
Clinical Interventions
X
Informing patients / family / carers Will attend regular meetings with providers and
/stakeholders of unwelcome news X X commissioners to discuss performance issues at a high
level.
Caring for terminally ill patients
X
Dealing with difficult family
situations X
Caring for / working with patients
with severely challenging behaviour X
Typing up of minutes / case
conferences X
Clinical / hands on patient / client
care X
Contacts with blood / bodily fluids
X
Exposure to verbal aggression May be exposure to verbal aggression from patients when
dealing with serious complaints and incidents for the
X X service and when implementing contentious service
changes.
Exposure to physical aggression
X
Exposure to unpleasant working
conditions dust / dirt / fleas X
Exposure to harmful chemicals /
radiation X
Attending the scene of an
emergency X
Food preparation and handling
Working on a computer for majority
of work
Use of road transport
X
Requirement to work on a computer for majority of the
X X working day / standard keyboard use.
Frequent travel required across the two main call centres
and wider YAS bases for integrated working. External
X X meetings across the region and on a national basis as
required.