Lewisham and Greenwich NHS Trust

Transformation and High Impact Area Lead 0-19

The closing date is 30 April 2026

Job summary

Are you a dynamic and forward thinking experienced health visitor, with a proven track record and passion for service improvement? Following the recent restructure of Lewisham Health Visiting Service and exciting new role has been created - the Transformation and High Impact Areas Lead role is a corner stone element of the 0-19 Leadership model.

The Transformation and High Impact Area Health Visitor Lead is a strategic role with a small clinical component, focused on developing and driving innovative evidence-based interventions to support the transformation of the 0-19 Public Health Nursing agenda.The post holder will implement transformation projects to improve child and family health outcomes in key areas. This involves integrating services with relevant stakeholders, supporting the Healthy Child Programme through best practices, inclusive leadership, and collaborative partnerships. The post holder will lead with transparency, authenticity, and a commitment to equality, diversity and inclusion principles, inspiring a multidisciplinary workforce and engaging communities to reduce health inequalities.

Main duties of the job

Key Result Areas and Performance:

Workforce:

Act as a role model, supervise, mentor and offer peer support to colleagues, junior staff and students in line with Trust Values and Behaviours.

To share and develop good practice and promote evidence-based practice.

Develop strategies to communicate new developments to staff and other colleagues actively.

To line manage the team and develop the 0-19 public health nursing service ensuring that performance, appraisals and mandatory training is in accordance with Trust standards.

To participate in the development and delivery of pre-registration and post-registration education effectively to deliver the Trust's objectives.

To ensure optimum liaison and co-ordination of care for patients between primary, community and secondary care.

To develop, influence and update policy, guidelines/protocols and integrated care pathways within the service and implement service improvement, while ensuring a high standard of care continues through ongoing review.

To provide expert clinical information and advice to patients, carers and GPs and staff through telephone advice lines / email, which is appropriate and responsive.

Act as lead investigator to selected clinical incidents and provide reports to a high standard.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream

Date posted

16 April 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

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

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

197-RF8125

Job locations

Lewisham - Community Site in Lewisham TBC

Lewisham

SE6 4JD

Job description

Job responsibilities

Please see attached JD

1. Strategic Leadership & Vision

Development and Implementation: The Transformation and High Impact Areas Lead will devise strategic plans that align with the 0-19 Public Health Nursing agenda, focusing on the Healthy Child Programme, the High Impact Areas and the interface with stakeholders.

Advocate for evidence-based initiatives that tackle local inequalities and drive measurable improvements in community healthcare.

Inspirational Leadership:

The Transformation and High Impact Areas Lead will adopt an inclusive and collaborative leadership style that motivates teams to share and deliver a common vision.

Lead by example with authenticity and compassion, ensuring all team members feel valued, listened too and supported in their professional journey.

There is an expectation to be a visible leader on community sites, the base location is yet to be decided.

Clinical Leadership:

The Transformation and High Impact Areas Lead will line manage a team of specialist health visitors and/or clinical nurse specialists to ensure that enhanced service provision is implemented overseeing pathway re-design, transformation and integration where necessary.

2. Collaborative Working & Stakeholder Engagement

Multidisciplinary Collaboration:

The Transformation and High Impact Areas Lead will foster positive, productive relationships across health visiting, school nursing, maternity, and other allied services.

Facilitate joint working projects and integrated service planning with local authorities, early years settings and providers, community organisations, making use of well-established networks and partnerships.

Engagement and Communication:

The Transformation and High Impact Areas Lead will act as the key contact point with internal and external stakeholders.

They will represent the Trust at regional and national forums, ensuring that diverse service users, families, and professionals have opportunities to contribute to service development.

3. Equality, Diversity, and Inclusion (EDI)

Embedding EDI Principles:

The Transformation and High Impact Areas Lead will integrate EDI into every facet of service planning, leadership, and transformation. They will serve as an advocate for fairness and inclusivity, embedding these values in policies, practices, and team culture to ensure that everyone benefits from equitable healthcare services.

Inclusive Service Design:The Transformation and High Impact Areas Lead will work closely with EDI teams and local communities to design services that cater to diverse populations, reducing barriers to access and ensuring culturally sensitive care. Lead initiatives that actively address health inequalities and promote a culture where diverse voices are heard and respected.

4. Innovation & Transformation

Driving Change:The Transformation and High Impact Areas Lead will identify innovative solutions and champion transformation projects in conjunction with the 0-19 AGM Public health Bursting and Children Looked After Services, Operational NHVL and Education and Governance 0-19 Lead. They will see collect and analyse data and emerging evidence to inform strategies and continuously evaluate service effectiveness, ensuring that improvements are cost effective, sustainable and scalable.
Service Integration:The Transformation and High Impact Areas Lead will liaise with local authority family hub colleagues, maternity services and other public health areas to create seamless care pathways were interventions support child health from early years through adolescence. Ensure that innovative practices are consistently shared, reviewed, and refined across disciplines.

5. Professional Development & Mentorship

Building Leadership Capacity:The Transformation and High Impact Areas Lead will mentor and support the professional development of health visiting and related teams. Create a learning environment that values reflective practice and continuous improvement, ensuring that leadership at all levels aligns with the Trusts values and strategic goals.

Job description

Job responsibilities

Please see attached JD

1. Strategic Leadership & Vision

Advocate for evidence-based initiatives that tackle local inequalities and drive measurable improvements in community healthcare.

Inspirational Leadership:

The Transformation and High Impact Areas Lead will adopt an inclusive and collaborative leadership style that motivates teams to share and deliver a common vision.

Lead by example with authenticity and compassion, ensuring all team members feel valued, listened too and supported in their professional journey.

There is an expectation to be a visible leader on community sites, the base location is yet to be decided.

Clinical Leadership:

2. Collaborative Working & Stakeholder Engagement

Multidisciplinary Collaboration:

The Transformation and High Impact Areas Lead will foster positive, productive relationships across health visiting, school nursing, maternity, and other allied services.

Engagement and Communication:

The Transformation and High Impact Areas Lead will act as the key contact point with internal and external stakeholders.

They will represent the Trust at regional and national forums, ensuring that diverse service users, families, and professionals have opportunities to contribute to service development.

3. Equality, Diversity, and Inclusion (EDI)

Embedding EDI Principles:

Inclusive Service Design:The Transformation and High Impact Areas Lead will work closely with EDI teams and local communities to design services that cater to diverse populations, reducing barriers to access and ensuring culturally sensitive care. Lead initiatives that actively address health inequalities and promote a culture where diverse voices are heard and respected.

4. Innovation & Transformation

Driving Change:The Transformation and High Impact Areas Lead will identify innovative solutions and champion transformation projects in conjunction with the 0-19 AGM Public health Bursting and Children Looked After Services, Operational NHVL and Education and Governance 0-19 Lead. They will see collect and analyse data and emerging evidence to inform strategies and continuously evaluate service effectiveness, ensuring that improvements are cost effective, sustainable and scalable.
Service Integration:The Transformation and High Impact Areas Lead will liaise with local authority family hub colleagues, maternity services and other public health areas to create seamless care pathways were interventions support child health from early years through adolescence. Ensure that innovative practices are consistently shared, reviewed, and refined across disciplines.

5. Professional Development & Mentorship

Building Leadership Capacity:The Transformation and High Impact Areas Lead will mentor and support the professional development of health visiting and related teams. Create a learning environment that values reflective practice and continuous improvement, ensuring that leadership at all levels aligns with the Trusts values and strategic goals.

Person Specification

Qualifications and Training

Essential

Degree
Registered nurse [Part 1] / or Registered Midwife
Post registration qualification or equivalent experience in specialty.
Master's degree in relevant discipline or in process of studying to Masters level.

Desirable

Independent non-medical prescribing qualification.

Experience

Essential

Proven experience of delivering service transformation.
Senior clinical experience of developing and delivering services within high impact areas within Health visiting.
Effective budget management.
Partnership/multi-professional working.
Managing staff.
Developing and implementing service development initiatives
Demonstrate experience of change management.
Developing and implementing educational programmes for patients and staff.
Research and audit.
Proven track record of staff development and team working.

Desirable

Service/professional presentations to a wide group.

Knowledge and Skills

Essential

Advanced nursing skills relevant to specialty.
Advanced verbal, written and interpersonal communication skills.
Experience of managing and leading a team.
Working with and within a diverse community.
Demonstrates innovative thinking. Facilitation skills.
Understanding of the health and social care agenda and commissioning processes in the current political environment.
IT skills word/excel.
Keyboard skills
Project management skills.

Desirable

Presentation and publishing experience.
Finance and resource management.
Knowledge base of research methodology.

Person Specification

Qualifications and Training

Essential

Degree
Registered nurse [Part 1] / or Registered Midwife
Post registration qualification or equivalent experience in specialty.
Master's degree in relevant discipline or in process of studying to Masters level.

Desirable

Independent non-medical prescribing qualification.

Experience

Essential

Proven experience of delivering service transformation.
Senior clinical experience of developing and delivering services within high impact areas within Health visiting.
Effective budget management.
Partnership/multi-professional working.
Managing staff.
Developing and implementing service development initiatives
Demonstrate experience of change management.
Developing and implementing educational programmes for patients and staff.
Research and audit.
Proven track record of staff development and team working.

Desirable

Service/professional presentations to a wide group.

Knowledge and Skills

Essential

Advanced nursing skills relevant to specialty.
Advanced verbal, written and interpersonal communication skills.
Experience of managing and leading a team.
Working with and within a diverse community.
Demonstrates innovative thinking. Facilitation skills.
Understanding of the health and social care agenda and commissioning processes in the current political environment.
IT skills word/excel.
Keyboard skills
Project management skills.

Desirable

Presentation and publishing experience.
Finance and resource management.
Knowledge base of research methodology.

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

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

Lewisham and Greenwich NHS Trust

Address

Lewisham - Community Site in Lewisham TBC

Lewisham

SE6 4JD

Employer's website

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

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Lewisham - Community Site in Lewisham TBC

Lewisham

SE6 4JD

Employer's website

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