Clinical Lead: Inpatient Nursing Services

Job Title               Clinical Lead: Inpatient Nursing Services

Call 01753 665468
to apply or for
more information

Reports To          Head of Clinical Services

Hospital               Spire Thames Valley Hospital

Job Purpose      

To provide exemplary planned care for patients while managing more than one clinical team.  To ensure the teams deliver effective patient care by providing excellent clinical and managerial leadership

Overall Responsibilities

  • Develop practice in the assessment of health and well-being needs
  • Develop practice in addressing individual’s health and well-being needs
  • Provide and receive complex, sensitive or contentious information
  • Develop own knowledge and practice and assist others to continually professionally develop
  • Develop a working environment and culture that actively improves health, safety and security
  • Develop and improve services
  • Improve quality
  • Support and enable equality, diversity and rights
  • Lead others in the development of knowledge, ideas and work practices
  • Delegate work to others
  • Determine the effective use of efficient use of physical and financial resources
  • Undertake Human resource activities for all members of the team
  • Acknowledge the risk of Healthcare Associated Infections (HCAI) and understand own responsibility as agreed with line manager in the prevention and control of HCAI

Specific Responsibilities

Develop practice in the assessment of health and well-being needs

  • Discuss, and agree with colleagues capabilities and competencies in practice, across the team.
  • Compare current practices, trends and developments against appropriate benchmarks.
  • Explain clearly to patients whose needs are being assessed own and others’ responsibilities and how they inter-relate.
  • Identify peoples health needs through observation discussion and the use of technical assessment methods, obtain informed consent prior to the commencement of the assessment.
  • Obtain information on patients’ needs within the overall context of their personal and care requirements, follow processes of reasoning which allows optimum outcomes to be achieved. .
  • Collect, collate and organise data, interpret all of the information and make a justifiable assessment relating to patients’ needs, promoting their wellbeing and reducing risks in the short and long term.
  • Identify and discuss with colleagues the implication of assessment against the programme of care, enabling them to think through the risks and their effective management and the need for referral to others.
  • Provide advice and support on assessment approaches and conclusions to colleagues and others, proactively and on request.

Develop practice in addressing individual’s health and well-being needs

  • Identify patients’ goals that are appropriate to their needs, wishes and circumstances, compare current practice against appropriate benchmarks .
  • Develop plans of care that are appropriate to the patients that take into consideration the care pathway, risks and their wellbeing. Compare current practice against appropriate benchmarks
  • Undertake evidence based practice be an exemplary role model
  • Obtain informed consent prior to implementing patients’ plan of care. Promoting patients’ rights and wishes explaining to colleagues particular aspects which may be prejudiced during the process
  • Enable colleagues to develop their own competence in using different interventions designed to address people’s health and wellbeing needs and promote their health and well-being
  • Transfer and apply skills and knowledge to meet arising needs and issues explaining clearly to colleagues rationale and reasoning processes
  • Discuss outcomes with colleagues to enable them to think through the risks and their effective management and the need for referral to others.
  • Identify and discuss with colleagues outcomes and their implication for further action
  • Provide advice and support on approaches to care and outcomes of care proactively and on request

Provide and receive complex , sensitive or contentious information.

  • Identify potential communication differences, relevant contextual factors and the risk of communicating or not communicating information at that time.
  • Communicate information in a manner that is consistent with the level of culture, background, understanding using patients preferred method, being open and honest whenever possible.
  • Recognise and manage differences of opinion and the longer term importance of communication enabling a constructive outcome to be achieved.
  • Proactively use a range of skills and styles of communication with others to improve long terms goals.
  • Promote and model good practice consistent with legislation and Spire Healthcare policies.
  • Communicate within the hospital network to ensue good practice, learning and improving self and others helping to build consistency across Spire Healthcare.

Develop own knowledge and practice and assist others to continually professionally develop

  • Evaluate own knowledge and practice plans and make effective use of appropriate learning opportunities
  • Prepare for and actively take part in Spire Healthcare’s enabling excellence programme and set personal development objective.
  • Undertake enabling excellence reviews of team leaders and appropriate others, ensuring every team member has a personal development plan
  • Feedback to team members allows closure of development gaps, provide specific feedback to highlight comments
  • Maintain personal development portfolio, evaluating the currency and sufficiency of own knowledge and practice, generate and use appropriate learning opportunities, apply this to future practice development
  • Encourage others to make realistic self-assessments and their application of knowledge and skills, challenge complacency and actions which are not in the patients’ or the public’s interest
  • Contribute to the development of a learning culture within Spire Healthcare. Identify when local developments and thinking may benefit the practice of others and publicise local developments in wider forums
  • Create a culture where continuous learning is encouraged and valued
  • Work with others to develop, identify and implement appropriate learning opportunities within and outside the workplace
  • Alert senior managers to resource issues which affect learning, development and performance
  • Deal quickly, fairly and consistently with poor performance in line with HR policy

Develop a working environment and culture that actively improves health, safety and security

  • Regularly assesses risk to health, safety and security using the results to promote and improve practice
  • Ensure that the working environment is as safe as possible and complies with organisational, professional and legal requirements and guidelines
  • Take appropriate action when problems arise
  • Ensure individuals and teams are aware of their rights and responsibilities and know the factors that may adversely affect health, safety and security
  • Ensure individuals and teams are able to access suitable learning opportunity to enable them to work in a healthy, safe and productive way, and are able to voice their concerns without fear of reproach
  • Secure appropriate resources for education and training in health and safety
  • Support others in managing risk to, and improving, health, safety and security
  • Act as a role model in promoting health, safety and security and engage in appropriate exercises and training and investigations to update and extend knowledge. Encourage these characteristics within the teams

Develop strategies and policies for service improvement

  • Ensure that legislation, policies and procedures are correctly applied within the teams
  • Evaluate the information available on services and identify isses that the organisation needs to address
  • Discuss and debate with relevant people the effectiveness, efficiency and appropriateness of services that are being provided with particular attention to risks and priorities, service issues, impact of strategies on service development and delivery
  • Agree with others specification for services within a given time scale, resource availability, benchmarks, and peoples’ roles and responsibilities
  • Lead the development of effective information and support for service improvement, working with others to identify the effectiveness of the service against agreed criteria
  • Actively encourage, and use, ideas and suggestions from all members of the perioperative team
  • Support, stretch and challenge while recognizing and appreciating high quality work by team members
  • Contribute to the formulation of organisational policies and procedures
  • Undertake own agreed areas of responsibility effectively alerting other decision makers to issues which affect developments.
  • Work with others to evaluate strategies and policies following their implementation making the necessary changes as a result of feedback and contextual development

Improve quality

  • Act as a role model in quality improvement offering advice and support to others
  • Maintain continual professional development in quality improvement, make recommendations on how quality in own area of work can be improved
  • Alert others to new developments and the implications of this to their practice
  • Enable others to understand their contribution to quality against expected standards and evidence while assessing and manage risks to quality and offering ideas and suggestions for improvement
  • Enable and energise others to take an active role in auditing, meeting within formal and informal networks allowing pertinent issues to be addressed and resolved
  • Continuously monitor activities against quality standards, anticipate factors that may reduce quality and take effective action to address them
  • Begin the investigation of incidents and complaints immediately
  • Constantly look for ways of ‘doing things smarter’
  • Review changes in practice and the extent to which quality has been improved

Enable people to exercise their rights and promote their equality and diversity

  • Interpret the rights and responsibilities of people in ways that are consistent with legislation and policies
  • Plan care for vulnerable people and those who may lack capacity to make decisions for themselves; whilst ensuring the patient remains at the centre of decision making and is fully safeguarded
  • Value diverse professional experience
  • Build openness and trust within the team demonstrating this trait within all your working practices
  • Actively promote equality, diversity, rights and responsibilities treating everyone with respect whatever the situation
  • Provide clear, up to date information and support to people on exercising their rights and making a complaint
  • Develop solutions that are capable of wider application when rights have been compromised
  • Monitor the effectiveness of equality, diversity and rights policies and procedures, regularly review how they are being implemented and provide support to improve effectiveness
  • Challenge discrimination by individuals and oppression by Spire Healthcare and other organisations
  • Develop solutions that are capable of wider application when people’s equality, diversity and rights have been compromised. Monitor their effectiveness providing additional support when necessary

Lead others in the development of knowledge, ideas and work practice

  • Identify clearly the wider benefits that develop knowledge, ideas and work practices
  • Establish with others goals and methods for developing knowledge, ideas and work practices, and inspire others with values and vision for the future
  • Lead others in taking forward the clearly articulated Spire Healthcare values and vision and business strategy
  • Challenge those whose views and actions are not consistent with developing knowledge and practice and a learning culture within the team, by encouraging continuous learning and professional development
  • Link the development of knowledge, ideas and work practices to the role, functions, interests and concerns of others
  • Support and encourage others to understand their contribution, offer suggestions and ideas, and take an active part in developing knowledge and practice
  • Enable people to communicate their views about improvements and listen to what they are saying
  • Identify the reason for rejecting ideas and recommendations and offer suitable alternatives
  • Overcome barriers to improvement including those within senior and influential positions  
  • Maintain and sustain the vision and objectives of improvements until they are firmly embedded into culture, values and activities
  • Support and encourage people to understand their contribution towards challenging tradition and successfully managing change for the enhancement of working practices
  • Accept joint responsibility for any arising problems and tensions and using these to inform future practice
  • Recognise, communicate and reward achievements

Delegate work to others

  • Act in a manner which promotes equality of opportunity to all those who have the necessary ability or potential to take on delegated responsibility and authority
  • Delegate responsibility and authority to people who are capable of delivering the required outcomes. Be clear, explicit, and allow sufficient time for action. Inspire commitment and enthusiasm
  • Agree clear and specific targets that are consistent with operational activity. Ensure fair and timely review
  • Allocate and provide sufficient resources and support for care activities to take place in an agreed time scale
  • Accurately identify problems and possible solutions whilst maintaining people’s autonomy and authority
  • Promote the benefit of delegated work to others clearly and effectively
  • Identify threats to delegated work and take the appropriate action to counter them

Determine the effective use of physical and financial resources

  • Give those who use resources opportunities to provide information, and negotiate and agree, on the resources that are needed and how they should be used
  • Make and present to the relevant people recommendation on resource availability and use that takes account of relevant past experience
  • Take account and present trends, developments and other factors that are likely to affect resources and their use and how this relates to Spire Healthcare objectives and strategies
  • Offer financial justification and sufficient valid information to allow a realistic evaluation. Emphasise benefits
  • Analyse the financial performance of the team in terms of cost effectiveness and return on investments
  • Communicate business decisions in a positive manner in alignment with organizational policy and senior managers’ decisions.
  • Clarify and resolve any areas of uncertainty or disagreement, until business decision is made
  • Negotiate resource availability and use in a manner which maintains good working relationships and is completed within an agreed time scale
  • Monitor and control resource availability and if necessary use corrective action when there is a variation from plan
  • Maintain accurate, legible and complete records of resource availability use and make them available to authorised people

Undertake Human Resource activities for all members of the team

  • Select individuals for posts within the team using agreed methods based on objective assessments against agreed selection criteria
  • Induct all new members to the team clarifying rules, policies and procedures that apply to each employee acknowledging standard of performance that is expected
  • Continue to monitor the performance of all team members on an ongoing basis and formally provide feedback at least every six months through the enabling excellence process
  • Manage the Grievance and Disciplinary Policy and Procedure as appropriate regarding team members work, working environment or working relationships
  • Manage sickness and absence within the team, monitor absence rate statistics, with sickness and absence interviews at the earliest opportunity. Ensure team members know what is expected of themselves and their work activity and attendance
  • Support business redesign within the team members’ working patterns and practices
  • Suggest workforce requirements that meet organisational needs and legal requirements
  •  Undertake the Service Organisation Profile within the team and feedback personal and departmental action plans to the team at the earliest opportunity

Person Profile

E = Essential       D = Desirable

Qualifications and Training

E              Registered Nurse
D             Clinical or management degree
D             Evidence of substantial post registration continual professional development
                in management and other clinically related and relevant subjects.


E              Meeting financial and key performance indicators
E              Management, motivation and development of teams in particular a track record
                of successfully applying performance management
E              Evidence of management of change and supporting strategic management initiatives
E              Supporting the commercial development of clinical services including supporting the
                creation of new business and innovative opportunities
E              Experience of consultant engagement to increase business performance, plus the
                ability to challenge consultants to influence best practice
E              Positive working relationship with regulators
E              Dealing with serious adverse events
D              Strategic planning and development
D              Previous experience of managing multidisciplinary teams

Knowledge and Technical Ability

E              Knowledge of effective resource management tools e.g. finance  - cost control;
                people- job design, restructuring, scheduling hours
E              MS Office and other relevant packages
E              Business Development skills e.g. creation of business cases
E              Understanding of marketing products and services
E              HR policies and procedures, particularly Performance Review
E              Comprehensive knowledge of all clinical competency frameworks and how these
                are effectively applied in practise
E              Numerical and verbal ability
E              Root cause analysis


E              Leadership
E              Strategic planning
E              Caring for others
E              Team working
E              Flexible and adaptable
E              Initiative and ownership
E              Pride and enthusiasm


E             Practitioner registration and regulation
E              Empathy for principles and importance of equal opportunities and dignity at work
E              Occasional need to exceed contracted hours due to the urgent/unforeseen needs
                of the business
E              Flexible work processes across multidisciplinary clinical area
E              Willing to travel on company business and to share expertise between hospital

Judgment Skills

  • Involves a range of complex facts; analysis, interpretation comparison of a range of options.
  • Exhibit high performances practices to customers.
  • Think strategically while being commercially astute.

Freedom to Act

  • Not directly supervised
  • Use initiative while working within established procedures, and practice to acceptable standards for teams results. Holds ward budget.
  • Work within a wide range of nursing procedures and professional guidelines.
  • Responsible for day to day management of self and other members of the teams. Leads teams and allocates teams’ activities while managing and developing individuals
  • Act as an accountable practitioner guided by the precedent and clearly defined occupational policies and procedures, including the Nursing and Midwifery Council Code of Conduct. .


Demonstrates own activities or workplace routines to new or less experienced employees in own work area. Provides clinical supervision to other staff


The post holder will function within a predictable work pattern which requires moderate physical skills which are normally obtained through practice over a period of time. The post holder will work within a care environment.

To apply for this role, please either call us on 01753 665468 and/or email your CV to us at:

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