NHS England and Improvement

Job Description and Person Specification

Position

Job title Clinical Advisor (GP) x 3 (7.5 hours/week - 0.2 Directorate/ Region NHSX WTE)

Pay band Medical Ad Hoc Responsible to Clinical Lead - eRS to eBRAMS

Salary Medical Ad Hoc Accountable to SRO eRS to eBRAMS, Director Mission 5

Part time – Existing terms & conditions, subject to approval (payment for Clinical Excellence Awards will remain with current employer)

Tenure Fixed term contract until 31 March 2022 Responsible for Providing clinical advice and leadership

Funding Programme Funded Base Quarry House, Leeds or Skipton House, London Arrangements

NHSX NHS England and NHS Improvement

NHSX is leading the largest digital health and social care transformation NHSX is a joint unit between DHSC and NHSE/I. This role is being recruited programme in the world and has been created to give staff and citizens the into NHSE/I. technology they need. NHS England and NHS Improvement (NHSE/I) came together on 1 April 2019 We are a joint unit made up of colleagues in the Department of Health and as a new single organisation. The NHS Long Term Plan focuses on delivering Social Care (DHSC) and NHS England and Improvement (NHSE/I) and integrated care to patients at the local level and we can best support the NHS will harness the best expertise from industry, the NHS, Government and to deliver this as a single integrated organisation. the health and care sectors. Our new operating model represents a strong shift to regional delivery NHSX will deliver the Health Secretary’s T​ech Vision,​ building on the N​ HS supported by expert corporate teams. Local health systems are supported by Long Term Plan.​ We will speed up the digital transformation of the NHS our integrated regional teams who play a major leadership role in the and social care. We have set ourselves five missions, which are focused geographies they manage. on how we can make things better for patients and staff. These are: Mission 1: Reducing the burden on clinicians and staff, so they We are jointly committed to creating and maintaining a fair and supportive ​ can focus on patients working environment and culture, where contributions are fully recognised and Mission 2: Giving people the tools to access information and valued by all and staff feel empowered to carry out their duties to the best of ​ services directly their abilities. As employers we are committed to promoting and protecting the Mission 3: Ensuring clinical information can be safely accessed, physical and mental health and well-being of all our staff. This underpins our ​ wherever it’s needed values as set out in the NHS Constitution, supports us to be an Employer of Mission 4: Improving patient safety across the NHS ​

Mission 5: Improving NHS productivity with digital technology Choice and ultimately enables our employees to support the effective care of ​ our patients.

The seven integrated regions of our joint enterprise will work with local systems to support and improve how care is provided to patients and communities. These regions will be supported by the corporate centre providing expertise and developing policy. The focus will be on guiding and managing the delivery of services through local integrated health systems, sustainability and transformation partnerships, and devolution areas.

Having listened to our staff over the last year, we aim to create a healthy and high performing organisation, underpinned by the NHS Constitution values: ● Working together for patients ● Respect and dignity ● Commitment to quality of care ● Compassion ● Improving lives ● Everyone counts

Our people all have a part to play in helping to shape and develop our culture and in embedding and living these values.

Service and team About the role

The key responsibilities of NHSX are outlined h​ere ​and this will include The work programmes within NHSX are in the process of being formed. Over work to deliver: the coming months, each work programme will establish a strategy and ● Coordination and Consistency across data, digital and NHS conduct business planning for work in 2020/21 and beyond. The purpose of ​ technology this role is to provide clinical input and oversight to this process and support ● Setting Standards for the use of technology and innovation within the development of an emerging work programme. ​ the NHS and wider health and care system

● Driving implementation ● Radical Innovation to sup​porting the use of new, emergent and The post holder will be an experienced GP clinician with professional credibility ​ effective technologies by the NHS and have a strong track record in understanding strategic and operational ● Common technologies and services such as the NHSapp so that ​ delivery across the NHS and social care with knowledge, skills and experience providers don’t need to reinvent the wheel in the sharing of information and digital transformation through business ● Reforming procurement change. ● Cyber policy ● Digital capability by championing digital training, skills and culture ​ They will also have experience of effective clinical engagement with major ● Governance processes projects / initiatives that have delivered substantial service improvements.

We have established NHSX on 4 core values, which a​re: In this role, the person should expect to: ● Openness ● Help to shape and establish the strategy of an emerging national work ● Respect programme ● Collaboration ● Provide clinical leadership across a number of projects ● Innovation ● Contribute to national policy development and implementation

● Ensure the directorate and project team are compliant with all These values are guiding the way that NHSX works now and develops in corporate requirements e.g. business planning, corporate performance the future, we would expect applicants to demonstrate, at interview, a reporting, risk management, health and safety, clinical due diligence commitment to these values. and compliance with organisational policies.

NHSX is still a developing organisation. Our five missions are forming into Through their clinical experience, they will bring: work programmes focused on how we use digital technology to make ● An in-depth understanding of clinical systems, the experience of things better for patients and staff. There is a structured recruitment clinicians and service users, especially in relation to the use of digital process currently underway in order to fill vacancies within each work technology programme. ● Experience of managing patient safety and clinical risk with an

understanding of how digital technology systems may influence this

● Insights into the benefits and challenges of leading transformation

using digital technology

Key Job specifics and responsibilities Key accountabilities

Improving quality and outcomes The clinical advisors will have a number of accountabilities which include: ● To position clinical advice and leadership at the centre of NHSX and NHS England with the aim of increasing quality and value Operational requirements throughout the system and taking forward the ambitions of the NHS ● Contributing to the development of the strategy and vision for an Long Term Plan emerging eRS to eBRAMS programme ● To provide clinical input to align commissioning and provider ● Developing and communicating the vision of this work to the system. support resources and enablers including the NHS Standard ● Working with providers and clinical experts in an effective manner to Contract, Enhanced Services elements of the GMS contract, deliver strategies and processes to meet development needs service specifications, best practice tariff, CQUINs, Quality ● Contributing towards briefings and other communications Accounts and commissioning guidance to enable improvement in ● Speaking publicly about their work and the wider work of NHSX outcomes ● Contributing to the wider development of NHSX as an organisation ● To generate advice and resources which facilitate NHS providers in ● Enabling patient and public involvement in work and championing patients and their interests. priority-setting and in local commissioning reflecting their priority- ● To identify potential clinical issues, assess their potential impact, take setting. steps to mitigate them and escalate them as appropriate. ● To provide clinical advice and leadership into the development of indicators for performance and outcomes Financial and Physical Resources ● To ensure that specialist insight and advice is designed to support ● Assisting in the development of business plans for subsequent work in NHS providers and local integrated health and care systems 2020/21 and beyond ● To support increased utilisation of quality improvement ● Contribute to commissioning / service models that ensures value for methodologies in the design and delivery of specific health and money and promote excellence care service improvement programmes at both local system and People Management organisational levels. ● Helping to recruit and manage Clinical Fellows and project team members, as work programmes develop Enabling National Clinical Directorship

● To provide national influence and clinical leadership to the health ● Transfer expertise and knowledge as appropriate, regarding innovation system, to the Department of Health and Ministers, focussing on issues throughout the team and also externally to providers – including improving outcomes for patients and carers developing and delivering formal briefing/training to promote innovation ● Working as part of a team within NHSX Mission 5 - provide, collate ● Support an effective matrix approach to achieve NHS objectives ● To mentor, motivate, inspire and develop staff within the team to and assure clinical and professional advice for a range of purposes ensure that they are able to deliver the responsibilities of NHSX including to the commissioning system and other organisations ● Provide senior clinical input in support of direct commissioning Planning and Organisation including specialised commissioning (through the clinical reference ● Developing and championing new initiatives or project as necessary groups) and other direct commissioning functions ● Contributes to the strategic planning process and delivery of priorities ● Support the development of a network of clinical leadership and and manages consequential adjustments to activities advice nationally across NHSX, NHS England and NHS ● Develop plans and seize opportunities, mitigate threats and deliver improvement including local and regional teams and clinical strategic objectives. Within own function making recommendations for service delivery networks senates ● Promote the adoption of innovative strategies and techniques ● To champion the principle of making clinical leadership and engagement in improving eRS to eBRAMS programme to Policy and Service Development discussions and decisions across commissioning ● Providing subject matter expertise towards the development of best practice methodologies, policies and strategies Enabling patient and public involvement ● Assisting in developing relevant policy and standards, clearly ● To act as a champion for patients and their interests identifying links to national, regional and local priorities and policy ● To work within NHSX, NHS Improvement and NHS England’s objectives co-production approach for involving patients, carers and citizens in ● Contributing to the wider development of NHSX as an organisation the development of commissioning tools and resources ● To embed patient and public involvement into the organisations’ Key Working Relationships decision making and practice at all levels ● Engaging with a wide range of stakeholders across different departments and at all levels, maintaining relationships with key and Promoting equality and reducing inequalities high profile stakeholders, such as key strategic regional and national ● To uphold organisational policies and principles on the promotion policy makers of equality

● To create an inclusive working environment where diversity is ● Working collaboratively with key stakeholders to develop best practice valued, everyone can contribute, and everyday action ensure we to meet the needs of the organisation and all its stakeholders meet our duty to uphold and promote equality ● Ensure professional, ethical, legal and policy standards are applied ● To influence and shape the commissioning of services to eliminate within the eBRAMS Clinical Council. social and cultural inequalities for disadvantaged groups ● Partnership and cross boundary working Alongside their primary role, this position will provide them with opportunities to ● To harness expertise and advocacy by engaging with a range of become involved with other projects and initiatives, as time allows. organisations; including, the voluntary sector, Royal Colleges, specialist professional associations, patient groups, community health services and social care to develop a shared focus on improvement and alignment of purpose ● To act as a spokesperson for NHSX, NHS England and NHS Improvement (e.g. with the media) when appropriate ● To develop excellent clinical partnerships with, and provide advice to, other bodies including NHS England & Improvement (NHSE&I), Health Education England (HEE), Department of Health and Social Care (DHSC), NHS Digital (NHSD) and Public Health England (PHE) as required ● To work closely with clinical networks and senates to deliver objectives ● Leadership for transformational change ● To model a collaborative and influencing style of working, negotiating with others to achieve the best outcomes ● To promote and use an agreed change model, influencing others across the commissioning system to bring about transformation ● To promote innovation and research through leadership, promoting data scrutiny, evidence synthesis and thereby influence commissioning

Developing an excellent organisation

● To value and model matrix working at all levels in the organisation ● To actively support the development of individuals and the team through appraisal, personal development planning, coaching and mentoring ● To work in partnership with others and as part of cross directorate teams to deliver successful outcomes ● To support the organisation’s ways of working, model its values and champion the NHS Constitution ● To ensure the health, safety and wellbeing of all staff within the team ● To ensure compliance with all confidentiality and governance requirements within the directorate ● To adhere to the NHS Managers Code of Conduct and any other relevant professional codes of conduct at all times ● To ensure regular, productive and open communication with staff who they lead (e.g. Directorate and matrix teams)

Person specification

Criteria Essential Desirable Evidence*

Qualifications Educated to degree level in a relevant medical discipline √ A/I

NHS Digital Academy participant √

Career Development Associate, member or fellow at the Faculty of Clinical Informatics √ A/I

Knowledge and Knowledge and experience of working in or with the DHSC, arm’s length bodies and other √ A/I experience national health organisations

Good understanding of health system dynamics and the reform programme √

Knowledge of evidence based policy making and corporate DHSC and NHS governance √

A good understanding of how to use data and financial incentives to improve quality and √ productivity

Track record of delivering major technology change programme to transform clinical √ services Leadership experience in the NHS/DHSC, or at regional or system level operating at or close to Board level. √

Experience of operating in complex, highly political environments

√ Experienced clinician with credibility and the ability to command the respect of all clinical and non-clinical professionals. √

Experience of developing, applying and reviewing an evidence-based approach to structured methodology. √

Experience in reviewing business plans √ Experience in managing clinical risk or patient safety in relation to digital technology √ Experience in leading a digital transformation project √ Understanding of the benefits, challenges and barriers to implementing digital technology at all levels of system √

Demonstrates expert knowledge any of the following area(s): ● Digital health technology √ ● Digital transformation ● Patient/Consumer facing technology ● Digital referrals ● Clinical communication tools

Skills Capabilities & Track record of delivering major change programme to transform clinical services √ A/I Attributes Apply skill and experience to drive quality through clinical leadership to achieve the √ required domain outcome

√

Use resourcefulness and judgment to navigate and negotiate across the NHS and the wider health, social care and political landscape √ Experience in clinical leadership at a national, regional or system level and the ability to build excellent collaborative networks √

The ability to deal with ambiguity and complexity √ Able to navigate and negotiate the NHS and the wider health, social care and political landscape. √ Excellent leadership skills and the ability to build and motivate high performing teams √ Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills. √ Able to assimilate complex and lengthy information and make decisions in an ambiguous and fast moving environment √ Ability to communicate with stakeholders and the media, and convey complex messages to different recipient groups. √ Able to develop effective and mutually supportive relationships with key partners within and without organisations. √ Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes.

Values and Demonstrable commitment to and focus on quality, promotes high standards to √ A/I Behaviours consistently improve patient outcomes

Demonstrably involves patients and the public in their work √

Consistently puts clinicians at the heart of implementing advisories. √

Values diversity and difference, operates with integrity and openness √

Works across boundaries, looks for collective success, listens, involves, respects and √ learns from the contribution of others

Uses evidence to make improvements, seeks out innovation √

Actively develops themselves and others √

Demonstrable commitment to focusing on both the mental and physical health of the √ service users

Demonstrable commitment to partnership working with a range of external organisations √

Equality, diversity Will consider the most effective way to promote equality of opportunity and good working √ A/I and inclusion relationships in employment and service delivery and has the ability to take actions which support and promote this agenda

Values diversity and difference, operates with integrity and openness √

Self-awareness in terms of emotional intelligence, biases and personal triggers with √ cultural sensitivity and awareness

* Evidence will take place with reference to the following information:

A Application form

I Interview

T Test or Assessment

C Certificate