LCW UCC

Deputy Medical Director Integrated Urgent Care (IUC)

The closing date is 16 March 2026

Job summary

The Deputy Medical Director is integral to the Clinical Leadership and Governance team and reports directly to the Medical Director. This role is responsible for ensuring quality, safety, performance, and innovation across Integrated Urgent Care services and combines corporate leadership with hands-on clinical practice.

Main duties of the job

The Deputy Medical Director is a senior member of the extended multidisciplinary leadership team, driving delivery of organisational priorities and providing clinical leadership across LCW Integrated Urgent Care (IUC) services.

The postholderis responsible forthe clinical delivery of IUC services, line managing Senior Clinical Navigators and GPs, and providing leadership to the substantive and sessional GP workforce. They will work closely with the IUC Service Manager and Head of Quality, Patient Safety and Experience to ensure contractual, quality, and regulatory standards are met, including oversight of audits, GP performance, and CQRG reporting.

The Deputy Medical Director will need to be a GP. The role requires regular clinical practice across unscheduled care services tomaintainoperational credibility, as well as participation in the clinical on-call rota and deputising for the Medical Director asrequired.

The postholder will support system partnership working, service transformation and innovation, contribute to bid development, and act as Deputy Clinical Safety Officer whererequired

About us

London Central & West Unscheduled Care Collaborative (LCW) is a social enterprise delivering high-quality urgent and primary care services across London. Now in its 29th year, LCW supports over 4.2 million patients andoperates24 hours a day, 365 days a year.

LCW is rated Good by the Care Quality Commission across all domains, reflecting our commitment to safe, effective, responsive,caringand well-led services.

Our portfolio includes GP practices, Urgent Treatment Centres, out-of-hours, and integrated urgent care services delivered in partnership with Trusts and providers in London.

We are clinically led, values-driven and committed to innovation, workforce development and strengthening neighbourhood-based care to meet the needs of London's diverse communities.

Details

Date posted

03 March 2026

Pay scheme

Other

Salary

£115,000 to £120,000 a year pro rata

Contract

Permanent

Working pattern

Flexible working

Reference number

B0441-26-0009

Job locations

St. Charles Hospital

Exmoor Street

London

W10 6DZ


Job description

Job responsibilities

Hours and Pay

£115,000 to £120,000 per annum, prorata

8 management sessions per week with the expectation of working 1 clinicalsessionper week in addition.

Key Relationships:

Key relationships include executive directors, clinical and governance teams, LCW Heads of post holders, employed and self-employed clinical staff, partner organisation Medical/Deputy Medical Directors, ICB Medical/Deputy Directors, Health Education England, GP training hubs, and GP partners in joint ventures.

Core Responsibilities:

Corporate Clinical Leadership & Governance

Work as part of an extended leadership team at LCW, including supporting organisation and team meetings.

Provide leadership to the LCW Clinical Leadership and Governance team.

Deputise for the Medical Director as and when required and to cover periods of leave.

Take part in the clinical on-call rota and stay up to date with EPRR systems and processes within LCW.

Work clinically in LCW services to cover all services, primarily within IUC, including a mix of triage and face-to-face sessions.

Input into stakeholder meetings, to include but not necessarily limited to:

Urgent Community Response Teams

Medicine providers

PCN/Federation/Alliance meetings

Local Authorities

ICBs

Local Trusts

Deal with ad-hoc clinical queries from clinicians.

Availability to undertake key responsibilities outside of usual working hours in critical circumstances.

Medicines Management

Chair LCW Medicines Management meetings.

Line manage the LCW Medicines Management Lead.

Ensure that LCW are meeting the requirements for its controlled drug licence.

Work with prescribers across the organisation to support LCW's use of ICB formularies.

Ensure medicines management policies and procedures aremaintained.

Safeguarding

Provide senior clinical oversight of safeguarding across IUC services.

Ensure safeguarding policies and SOPs are implemented consistently in operational settings.

Act as a senior clinical advisor on complex safeguarding cases.

IUC Clinical Delivery:

Line manage any substantively employed Senior Clinical Navigators and GPs in our IUC services

Clinical leadership for the substantive and self-employed GP workforce for LCW IUC services.

Work with the IUC service manager and Head of Quality, Patient Safety and Experience to ensure services meet specified and contractual requirements.

Lead the production of reports for CQRG meetings for IUC services.

Attend partner, ICB and regional meetings.

Oversight and understanding of IUC processes and pathways, including basic knowledge of NHS Pathways.

Ensurethat IUC services work in partnership with providers and commissioners across ICBs so that LCWremainsaligned with initiatives such asEnd of Lifecare and Urgent Care Plans.

GP Performance and Audit:

Ensure the LCW clinical audit function is high-performing and provides feedback when needed, both when it is positive and when improvement isrequired.

EnsureGP registrars have theappropriate complianceto work at LCW, are inducted into the service appropriately, and that any concerns raised by GP supervisors are managed.

Respond to any queriesregardingGP performance or behaviour raised by patients or staff.

Transformation and Innovation:

Contribute to bid writing for the service, including new business and procurements, to support the organisation's strategic direction.

Lead on innovation and support the transformation of our services that result in an improved patient experience. This would include taking the lead on innovation that isdeemedpart of LCW's vision and values, as well as collaborating with external stakeholders.

Act as the Deputy Clinical Safety Officer role for LCW, deputising for the Clinical Safety Officer asrequired.

Complaints, Incidents and Risk:

Role model the behaviours and approach set out within the PSIRF policy for LCW.

Lead on LCW clinical complaints for IUC services.

Work with the Head of Quality, Patient Safety and Experience to ensure clinical incidents are assigned, being investigated and that the learning is being acted upon.

Provide leadership to serious incidents, including:

Chair 72-hour review meetings and deciding if a commissioning investigation is required.

Investigateserious incident investigations using the PSIIRF framework

Deliver the responsible officer role for SI investigations.

Offer anappropriate level of pastoral support should a GP be involved in a complaint or incident where appropriate and not conflicted.

Support and champion patient engagement.

Recruitment, Onboarding and Training:

Support with the recruitment of GPs to the services, ensuring there are clinical inductions and overseeing their continuous training and compliance.

Work in conjunction with the recruitment team and HR to ensure that new clinical recruits have the necessary skills and resources to do their jobs. Working with HR to ensure that the clinical workforce is compliant with training and accreditation requirements and takes appropriate action when necessary. Lead the delivery of education/ updates to the substantive and self-employed GP workforce across 6 sessions a year.

Support the medical induction and mentoring of new GPs and clinicians working within the service.

Meeting Attendance:

Attend meetings and provide strategic input, including CQRG, Quality Assurance, Risk Register, Medicines Management, Safeguarding, Complaints, Medical Leadership, external stakeholders, and Regional/National Clinical Governance meetings. Deputise for the Medical Director when needed.

Main Conditions of Service

Confidentiality

All staff employed by LCWUCC have a duty to keep information about staff and patients confidential and not to discuss information unnecessarily or to unauthorised persons. Failure to maintain confidentiality will lead to disciplinary action.

Our Values

Equal Opportunities

The organisation aims to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, colour, religion, marital status, sexuality, age or disability, or is not placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end, LCWUCC has an Equal Opportunities Policy, and each employee is expected to contribute to its success.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors.

All LCWUCC employees are accountable, through the terms and conditions of their employment, professional regulations, clinical governance, and statutory health and safety regulations, and are responsible for reporting incidents, being aware of the risk management strategy and emergency procedures, and attending training as required.

All staff have a responsibility to manage risk within their sphere of responsibility. It is a statutory duty to take reasonable care of their own safety and the safety of others who may be affected by acts or omissions.

All managers throughout theorganisation have a responsibility to ensure that policies and procedures are followed, that staff receive appropriate training, that a local risk register is developed and monitored every quarter, and any changes are reported to the Fire, Health & Safety Committee.

No Smoking Policy

There is a no smoking policy in operation within theorganisation. In accordance with this policy, smoking is positively discouraged and is not permitted in any areas.

Data Protection

If you have contact with computerised data systems, you are required to obtain, process, or use information in a fair and lawful way, and to disclose data only to authorised persons or organisations as instructed, in accordance with the Data Protection Act.

Access to Health Records

All staff who contribute to patients' health records are expected to be familiar with and adhere to LCW's Standards of Record Keeping Policy. Staff should be aware that patients' records across LCW will be subject to regular audit.

All staff who have access to patients' records have a responsibility to ensure that these are maintained and that confidentiality is protected in line with the organisation's Confidentiality of Health Records Policy.

All staff have an obligation to ensure that health records are maintained efficiently and that confidentiality is protected. Staff are also subject to this obligation, both on an implied basis and on the basis that, by accepting their job description, they agree to maintain both patient/client and staff confidentiality.

In addition, all health professionals are advised to compile records on the assumption that they are accessible to patients in line with the Access to Health Records Act 1990.

Waste Disposal

All staff must ensure that waste produced within LCWUCC is disposed of in ways that control risks to the health and safety of staff and the public alike, in accordance with relevant legislation and the procedures set out in the policy.

Patient's Charter

We are committed to meeting the rights and standards set out in the Patients' Charter. We expect our staff to be aware of these rights and standards and to be fully involved and cooperate in meeting them.

Review of this Job Description

This is a description of the duties of the post as they are at present. This list is not intended to be exhaustive and does not, therefore, form part of your contract of employment. The job will be reviewed regularly to ensure the duties meet the service's requirements and to make any necessary changes. This procedure would be conducted by each manager in consultation with those working directly with them. You will, therefore, be expected to participate fully in such discussions. LCWUCC would aim to reach agreement to changes.

Job description

Job responsibilities

Hours and Pay

£115,000 to £120,000 per annum, prorata

8 management sessions per week with the expectation of working 1 clinicalsessionper week in addition.

Key Relationships:

Key relationships include executive directors, clinical and governance teams, LCW Heads of post holders, employed and self-employed clinical staff, partner organisation Medical/Deputy Medical Directors, ICB Medical/Deputy Directors, Health Education England, GP training hubs, and GP partners in joint ventures.

Core Responsibilities:

Corporate Clinical Leadership & Governance

Work as part of an extended leadership team at LCW, including supporting organisation and team meetings.

Provide leadership to the LCW Clinical Leadership and Governance team.

Deputise for the Medical Director as and when required and to cover periods of leave.

Take part in the clinical on-call rota and stay up to date with EPRR systems and processes within LCW.

Work clinically in LCW services to cover all services, primarily within IUC, including a mix of triage and face-to-face sessions.

Input into stakeholder meetings, to include but not necessarily limited to:

Urgent Community Response Teams

Medicine providers

PCN/Federation/Alliance meetings

Local Authorities

ICBs

Local Trusts

Deal with ad-hoc clinical queries from clinicians.

Availability to undertake key responsibilities outside of usual working hours in critical circumstances.

Medicines Management

Chair LCW Medicines Management meetings.

Line manage the LCW Medicines Management Lead.

Ensure that LCW are meeting the requirements for its controlled drug licence.

Work with prescribers across the organisation to support LCW's use of ICB formularies.

Ensure medicines management policies and procedures aremaintained.

Safeguarding

Provide senior clinical oversight of safeguarding across IUC services.

Ensure safeguarding policies and SOPs are implemented consistently in operational settings.

Act as a senior clinical advisor on complex safeguarding cases.

IUC Clinical Delivery:

Line manage any substantively employed Senior Clinical Navigators and GPs in our IUC services

Clinical leadership for the substantive and self-employed GP workforce for LCW IUC services.

Work with the IUC service manager and Head of Quality, Patient Safety and Experience to ensure services meet specified and contractual requirements.

Lead the production of reports for CQRG meetings for IUC services.

Attend partner, ICB and regional meetings.

Oversight and understanding of IUC processes and pathways, including basic knowledge of NHS Pathways.

Ensurethat IUC services work in partnership with providers and commissioners across ICBs so that LCWremainsaligned with initiatives such asEnd of Lifecare and Urgent Care Plans.

GP Performance and Audit:

Ensure the LCW clinical audit function is high-performing and provides feedback when needed, both when it is positive and when improvement isrequired.

EnsureGP registrars have theappropriate complianceto work at LCW, are inducted into the service appropriately, and that any concerns raised by GP supervisors are managed.

Respond to any queriesregardingGP performance or behaviour raised by patients or staff.

Transformation and Innovation:

Contribute to bid writing for the service, including new business and procurements, to support the organisation's strategic direction.

Lead on innovation and support the transformation of our services that result in an improved patient experience. This would include taking the lead on innovation that isdeemedpart of LCW's vision and values, as well as collaborating with external stakeholders.

Act as the Deputy Clinical Safety Officer role for LCW, deputising for the Clinical Safety Officer asrequired.

Complaints, Incidents and Risk:

Role model the behaviours and approach set out within the PSIRF policy for LCW.

Lead on LCW clinical complaints for IUC services.

Work with the Head of Quality, Patient Safety and Experience to ensure clinical incidents are assigned, being investigated and that the learning is being acted upon.

Provide leadership to serious incidents, including:

Chair 72-hour review meetings and deciding if a commissioning investigation is required.

Investigateserious incident investigations using the PSIIRF framework

Deliver the responsible officer role for SI investigations.

Offer anappropriate level of pastoral support should a GP be involved in a complaint or incident where appropriate and not conflicted.

Support and champion patient engagement.

Recruitment, Onboarding and Training:

Support with the recruitment of GPs to the services, ensuring there are clinical inductions and overseeing their continuous training and compliance.

Work in conjunction with the recruitment team and HR to ensure that new clinical recruits have the necessary skills and resources to do their jobs. Working with HR to ensure that the clinical workforce is compliant with training and accreditation requirements and takes appropriate action when necessary. Lead the delivery of education/ updates to the substantive and self-employed GP workforce across 6 sessions a year.

Support the medical induction and mentoring of new GPs and clinicians working within the service.

Meeting Attendance:

Attend meetings and provide strategic input, including CQRG, Quality Assurance, Risk Register, Medicines Management, Safeguarding, Complaints, Medical Leadership, external stakeholders, and Regional/National Clinical Governance meetings. Deputise for the Medical Director when needed.

Main Conditions of Service

Confidentiality

All staff employed by LCWUCC have a duty to keep information about staff and patients confidential and not to discuss information unnecessarily or to unauthorised persons. Failure to maintain confidentiality will lead to disciplinary action.

Our Values

Equal Opportunities

The organisation aims to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, colour, religion, marital status, sexuality, age or disability, or is not placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end, LCWUCC has an Equal Opportunities Policy, and each employee is expected to contribute to its success.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors.

All LCWUCC employees are accountable, through the terms and conditions of their employment, professional regulations, clinical governance, and statutory health and safety regulations, and are responsible for reporting incidents, being aware of the risk management strategy and emergency procedures, and attending training as required.

All staff have a responsibility to manage risk within their sphere of responsibility. It is a statutory duty to take reasonable care of their own safety and the safety of others who may be affected by acts or omissions.

All managers throughout theorganisation have a responsibility to ensure that policies and procedures are followed, that staff receive appropriate training, that a local risk register is developed and monitored every quarter, and any changes are reported to the Fire, Health & Safety Committee.

No Smoking Policy

There is a no smoking policy in operation within theorganisation. In accordance with this policy, smoking is positively discouraged and is not permitted in any areas.

Data Protection

If you have contact with computerised data systems, you are required to obtain, process, or use information in a fair and lawful way, and to disclose data only to authorised persons or organisations as instructed, in accordance with the Data Protection Act.

Access to Health Records

All staff who contribute to patients' health records are expected to be familiar with and adhere to LCW's Standards of Record Keeping Policy. Staff should be aware that patients' records across LCW will be subject to regular audit.

All staff who have access to patients' records have a responsibility to ensure that these are maintained and that confidentiality is protected in line with the organisation's Confidentiality of Health Records Policy.

All staff have an obligation to ensure that health records are maintained efficiently and that confidentiality is protected. Staff are also subject to this obligation, both on an implied basis and on the basis that, by accepting their job description, they agree to maintain both patient/client and staff confidentiality.

In addition, all health professionals are advised to compile records on the assumption that they are accessible to patients in line with the Access to Health Records Act 1990.

Waste Disposal

All staff must ensure that waste produced within LCWUCC is disposed of in ways that control risks to the health and safety of staff and the public alike, in accordance with relevant legislation and the procedures set out in the policy.

Patient's Charter

We are committed to meeting the rights and standards set out in the Patients' Charter. We expect our staff to be aware of these rights and standards and to be fully involved and cooperate in meeting them.

Review of this Job Description

This is a description of the duties of the post as they are at present. This list is not intended to be exhaustive and does not, therefore, form part of your contract of employment. The job will be reviewed regularly to ensure the duties meet the service's requirements and to make any necessary changes. This procedure would be conducted by each manager in consultation with those working directly with them. You will, therefore, be expected to participate fully in such discussions. LCWUCC would aim to reach agreement to changes.

Person Specification

Skills

Essential

  • Commitment to multi-disciplinary working and evidence of leading such a team.
  • Mature influencing and negotiating skills and of delivering solutions to complex problems.
  • Excellent communications skills, written and oral and ability to communicate at all levels.
  • Ability to influence and motivate staff to deliver challenging targets.
  • Highly developed interpersonal skills.
  • Highly skilled at matrix working
  • Able to decision make within sphere of responsibility with good judgement on escalation.

Other Attributes

Essential

  • Flexible and adaptable to change to meet the needs of the service.

Qualifications

Essential

  • Senior clinical leader with at least 5 years clinical experience post CCT or equivalent
  • Full Registration with GMC without any conditions or restrictions on licence to practise
  • Evidence of participation in annual appraisal
  • Evidence of CPD
  • Inclusion on performers list

Experience

Essential

  • Experience of senior clinical leadership at service or Divisional level.
  • Experience of audit and audit tools.
  • Experience of operation delivery, including clinical quality and people management.
  • Budget responsibility.
  • Partnership working and credibility at a senior level.

Values

Essential

  • Demonstrate behaviours in line with Organisation Values:
  • Patient First
  • Drive Change
  • Together
  • Belonging
  • Community Focused

Knowledge

Essential

  • Knowledge and experience of delivering meaningful change programmes.
  • Substantial knowledge of clinical governance.
  • Knowledge of challenges facing the healthcare system.
  • Knowledge and experience of providing strong professional and clinical leadership.
  • Sound knowledge and understanding of complex governance arrangements.
  • Knowledge and experience of managing clinical performance issues and regulatory environment
  • Experience of managing risk in a clinical environment
  • Demonstrable leadership experience
Person Specification

Skills

Essential

  • Commitment to multi-disciplinary working and evidence of leading such a team.
  • Mature influencing and negotiating skills and of delivering solutions to complex problems.
  • Excellent communications skills, written and oral and ability to communicate at all levels.
  • Ability to influence and motivate staff to deliver challenging targets.
  • Highly developed interpersonal skills.
  • Highly skilled at matrix working
  • Able to decision make within sphere of responsibility with good judgement on escalation.

Other Attributes

Essential

  • Flexible and adaptable to change to meet the needs of the service.

Qualifications

Essential

  • Senior clinical leader with at least 5 years clinical experience post CCT or equivalent
  • Full Registration with GMC without any conditions or restrictions on licence to practise
  • Evidence of participation in annual appraisal
  • Evidence of CPD
  • Inclusion on performers list

Experience

Essential

  • Experience of senior clinical leadership at service or Divisional level.
  • Experience of audit and audit tools.
  • Experience of operation delivery, including clinical quality and people management.
  • Budget responsibility.
  • Partnership working and credibility at a senior level.

Values

Essential

  • Demonstrate behaviours in line with Organisation Values:
  • Patient First
  • Drive Change
  • Together
  • Belonging
  • Community Focused

Knowledge

Essential

  • Knowledge and experience of delivering meaningful change programmes.
  • Substantial knowledge of clinical governance.
  • Knowledge of challenges facing the healthcare system.
  • Knowledge and experience of providing strong professional and clinical leadership.
  • Sound knowledge and understanding of complex governance arrangements.
  • Knowledge and experience of managing clinical performance issues and regulatory environment
  • Experience of managing risk in a clinical environment
  • Demonstrable leadership experience

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

LCW UCC

Address

St. Charles Hospital

Exmoor Street

London

W10 6DZ


Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Employer details

Employer name

LCW UCC

Address

St. Charles Hospital

Exmoor Street

London

W10 6DZ


Employer's website

https://www.lcwucc.com/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Details

Date posted

03 March 2026

Pay scheme

Other

Salary

£115,000 to £120,000 a year pro rata

Contract

Permanent

Working pattern

Flexible working

Reference number

B0441-26-0009

Job locations

St. Charles Hospital

Exmoor Street

London

W10 6DZ


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