Central and North West London NHS Foundation Trust

Primary Care Service Lead - HMP High Down

The closing date is 17 November 2025

Job summary

Central and North West London NHS Foundation Trust, Health and Justice Services, Children and Young people service line provides delivers high quality integrated and trauma informed service for young people within the youth justice settings

We are looking to recruit a highly motivated, innovative and enthusiastic Primary Care Service Lead to join our team at HMP High Down.

Byjoiningour Prisons Health Care Team,you willnot only look after the healthcare needs ofour patientsresidingin secure environments, but who alsocanhave a real impact on promoting health and well-being.Our healthcare services work to a7-dayweek working model, to ensure our patient's healthcare isalways managed andmaintainedto the highest of standards.

Our motto is"Caring NOT Judging"so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable and high-quality primary care and mental health services tothose who may have offendedand those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion.

Why not see what our staff say about working within ouraward-winningteams:https://www.cnwl.nhs.uk/health-and-justice/find-out-what-its-work-health-and-justice

Main duties of the job

  • Overall responsibility for the line-management,clinical,operational & performance functions. This will involve ensuring effective & efficient resource utilisation,awareness of financial impact,the delivery of evidence-based patient care & a safe service.
  • With the HoH, you will provide clear, visible leadership, vision & clinical expertise to enhance the service user experience.
  • Implementation of the contracted service development & improvements,day-to-day service clinical performance,workforce & budget management,professional clinical leadership & clinical governance incorporating meeting service quality,patient/offender safety & care standards.
  • With the HoH the you will be responsible for monitoring & reporting on all relevant contractual targets including the DoHs Prison Health Performance & Quality Indicators.
  • Be the senior nurse manager contact for primary care on all managerial & all clinical matters.
  • Attending Trust & Prison led meetings as required. The effective integration of primary care services with all other aspects of the prison health service & the prison's core day is an essential responsibility.
  • Operate flexibly within a challenging healthcare environment,involving multiple providers,while being an ambassador for Healthcare & CNWL.
  • Support the Team in the creation of effective pathways of care for the patients served.
  • Deputise for the HoH & oversee peer healthcare service manager areas as required.
  • Working within a multi-disciplinary service team approach.

About us

Central and North West London NHS Foundation Trust offers its staff ongoing career progression through:

  • Monthly supervision
  • Annual personal development plans/appraisals
  • Access to exciting internal and external training opportunities.

Excellent progression through various career pathway opportunities such as but not limited to:

  • Preceptorship Programme
  • Support and guidance with Revalidation
  • Hidden Gem and annual award ceremonies

Excellent staff benefits, our benefit packages are amongst the best in London and include:

  • Childcare vouchers
  • Health and wellbeing services
  • Season ticket loans
  • Cycle to work scheme
  • Relocation package *subject to meeting criteria*

The trust also values itsstaff,and you are entitled to become a memberofMyTrustBenefits.MyTrustBenefitsis an online portal for all CNWL staff, as well as their family and friends. It offers over 1400 discounts at hundreds of retailers nationwide. Save money on your weekly food shops, toiletries, cosmetics, cinema, meals out, holidays,traveland entertainment.You can also access free online courses on a variety of topics, professional and personal, ranging from business management, languages,lawand teaching.

Allour sites in Surrey offer free use of the onsite leisure facilities and free parking for staff.

Details

Date posted

03 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£61,631 to £68,623 a year per annum inc. Outer HCAS (pro rata if P/T)

Contract

Permanent

Working pattern

Full-time

Reference number

333-D-HJ-1922

Job locations

HMP High Down

Sutton Lane

Sutton

SM2 5PJ


Job description

Job responsibilities

Please see attached job description and personal specification for full list of role and responsibilities

As Primary Care Lead for the service the post holder will:

  • To deliver effective leadership and direction to all staff within the Primary Care Team.

  • To ensure the service is cost effective, well organised, evidence based & service user focussed.

  • To ensure that all targets and performance indicators as agreed with the Head of Healthcare are met, and where they are at risk to communicate with the Regional Operations Manager and Business and Performance Lead as soon as a risk is identified.

  • To be responsible for implementing service changes when required, ensuring effective implementation with measurable outcomes and to agreed timescales.

  • To advance innovative ideas and strategies and provide vision and inspiration to enable staff to deliver care more effectively.

  • Provide clinical leadership to the multidisciplinary teams across the wider healthcare service.

  • Provide specialist primary care nursing advice to the GPs and other colleagues in the prison.

  • Lead the realisation of every day practice within a Clinical Governance framework including; setting the developmental agenda and work programme, incident and complaint management.

  • To ensure the effective clinical management of patients in In-patients, Segregation, the wings/houseblocks, and any other area of the prison.

  • Death in custody reviews and action plans, determining standards and measuring/auditing performance against those standards, management of clinical risk, identification of best practice and addressing remedial actions as required.

  • Lead in the development of nursing practice in the area of primary care and chronic disease management.

  • Ensure the clinical environment meets acceptable levels and to monitor cleanliness, safety and infection control.

  • To act, as a suitable role model for your grade of employment.

  • To ensure that all relevant documentation is completed in accordance with Nursing and Midwifery Council and CNWL Trust policy.

  • To maintain standards of Caldicott and Data Protection Act for patient confidentiality at all times.

  • To represent the prison healthcare service and CNWLs Health & Justice Service at appropriate meetings as and when required.

  • To be compliant with the Modern Matrons Charter

  • To ensure service work within the guidelines set out by the NMC, NICE, CNWL and prison standards

  • To ensure that a professional practice and accountability culture is established and maintained.

  • To ensure services are compliant with the Care Quality Commissions Provider Compliance Assessments for Quality and Safety.

  • To ensure that working conditions and the use of resources satisfies current legislation and establishment guidelines.

  • To implement a culture that focuses on improving outcomes across the care pathway for clients.

  • To work in partnership with the Prison and other healthcare providers to ensure there are clear and responsive operational policies, procedures and protocols.

  • To take actively take part in the ACCT process and other risk management processes.

  • To ensure that service users health needs are met through equity, fairness, respect and entitlement.

  • To line manage the Primary Care Clinical Team leads and other nurses in primary care and ensure each had monthly supervision and an annual appraisal in line with Trust policy.

  • To ensure the entire primary care workforce, including healthcare assistants and administrators, receive monthly supervision and an annual appraisal.

  • To lead on the recruitment, as requested by Head of Healthcare to vacant clinical posts in primary care for Health & Justice Directorate.

  • To ensure all primary care nursing staff maintain their professional registration and personal development by completing mandatory training and pursuit of special interests e.g. phlebotomy, wound management etc.

  • To take the lead on implementing care quality standards. This will include keeping updated with national policy and legislation, attending relevant Trust meetings, policy development and implementation of improvement programmes across the service.

  • To provide cover for the Head of Healthcare as required.

Job description

Job responsibilities

Please see attached job description and personal specification for full list of role and responsibilities

As Primary Care Lead for the service the post holder will:

  • To deliver effective leadership and direction to all staff within the Primary Care Team.

  • To ensure the service is cost effective, well organised, evidence based & service user focussed.

  • To ensure that all targets and performance indicators as agreed with the Head of Healthcare are met, and where they are at risk to communicate with the Regional Operations Manager and Business and Performance Lead as soon as a risk is identified.

  • To be responsible for implementing service changes when required, ensuring effective implementation with measurable outcomes and to agreed timescales.

  • To advance innovative ideas and strategies and provide vision and inspiration to enable staff to deliver care more effectively.

  • Provide clinical leadership to the multidisciplinary teams across the wider healthcare service.

  • Provide specialist primary care nursing advice to the GPs and other colleagues in the prison.

  • Lead the realisation of every day practice within a Clinical Governance framework including; setting the developmental agenda and work programme, incident and complaint management.

  • To ensure the effective clinical management of patients in In-patients, Segregation, the wings/houseblocks, and any other area of the prison.

  • Death in custody reviews and action plans, determining standards and measuring/auditing performance against those standards, management of clinical risk, identification of best practice and addressing remedial actions as required.

  • Lead in the development of nursing practice in the area of primary care and chronic disease management.

  • Ensure the clinical environment meets acceptable levels and to monitor cleanliness, safety and infection control.

  • To act, as a suitable role model for your grade of employment.

  • To ensure that all relevant documentation is completed in accordance with Nursing and Midwifery Council and CNWL Trust policy.

  • To maintain standards of Caldicott and Data Protection Act for patient confidentiality at all times.

  • To represent the prison healthcare service and CNWLs Health & Justice Service at appropriate meetings as and when required.

  • To be compliant with the Modern Matrons Charter

  • To ensure service work within the guidelines set out by the NMC, NICE, CNWL and prison standards

  • To ensure that a professional practice and accountability culture is established and maintained.

  • To ensure services are compliant with the Care Quality Commissions Provider Compliance Assessments for Quality and Safety.

  • To ensure that working conditions and the use of resources satisfies current legislation and establishment guidelines.

  • To implement a culture that focuses on improving outcomes across the care pathway for clients.

  • To work in partnership with the Prison and other healthcare providers to ensure there are clear and responsive operational policies, procedures and protocols.

  • To take actively take part in the ACCT process and other risk management processes.

  • To ensure that service users health needs are met through equity, fairness, respect and entitlement.

  • To line manage the Primary Care Clinical Team leads and other nurses in primary care and ensure each had monthly supervision and an annual appraisal in line with Trust policy.

  • To ensure the entire primary care workforce, including healthcare assistants and administrators, receive monthly supervision and an annual appraisal.

  • To lead on the recruitment, as requested by Head of Healthcare to vacant clinical posts in primary care for Health & Justice Directorate.

  • To ensure all primary care nursing staff maintain their professional registration and personal development by completing mandatory training and pursuit of special interests e.g. phlebotomy, wound management etc.

  • To take the lead on implementing care quality standards. This will include keeping updated with national policy and legislation, attending relevant Trust meetings, policy development and implementation of improvement programmes across the service.

  • To provide cover for the Head of Healthcare as required.

Person Specification

Education/Qualifications

Essential

  • Professional Registration RGN - Nursing and Midwifery Council
  • Evidence of continued professional development e.g. ANP

Desirable

  • Management qualification and an understanding of management theory

Experience

Essential

  • Experience of senior nursing positions in healthcare services for adults
  • Experience of high level leadership qualities. Multi-professional and multi-agency working.
  • Preparation of reports and presentations to internal/external agencies
  • Experience of Safeguarding legislation
  • Experience of delivering nurse/AHP led clinics and led on the development of these clinics

Other

Essential

  • The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job.
  • Ability to promote anti-discriminatory and anti-racist practices.
  • Ability to promote and work in line with the working model of a 7 day a week service

Knowledge & Skills

Essential

  • Knowledge of the complexities of multi-disciplinary/multi-agency issues affecting Prison healthcare provision.
  • Knowledge of human resources processes including training & education, recruitment, workforce planning, staff budget management, performance management, union negotiation and disciplinary action.
  • Good interpersonal skills including diplomacy, negotiating, problem solving
  • Working to deadlines under pressure.
  • Developing training opportunities for professional and unqualified staff.
  • Computer literate
  • Ability to work with and engage service users, carers and advocates to ensure their involvement in services
  • Ability to manage and deliver new services in a rapidly changing environment
  • Good communication skills, both verbal and written
  • The ability to influence people in a positive way.
  • Ability to manage, motivate and develop others to achieve objectives
  • Ability to build and maintain partnerships, internal and external to the organisation
  • Ability to work as part of a senior management team
  • Ability to manage change in a positive and proactive manner

Desirable

  • Linking and networking effectively with statutory and non-statutory service providers
  • Chairing interdisciplinary meetings.
Person Specification

Education/Qualifications

Essential

  • Professional Registration RGN - Nursing and Midwifery Council
  • Evidence of continued professional development e.g. ANP

Desirable

  • Management qualification and an understanding of management theory

Experience

Essential

  • Experience of senior nursing positions in healthcare services for adults
  • Experience of high level leadership qualities. Multi-professional and multi-agency working.
  • Preparation of reports and presentations to internal/external agencies
  • Experience of Safeguarding legislation
  • Experience of delivering nurse/AHP led clinics and led on the development of these clinics

Other

Essential

  • The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job.
  • Ability to promote anti-discriminatory and anti-racist practices.
  • Ability to promote and work in line with the working model of a 7 day a week service

Knowledge & Skills

Essential

  • Knowledge of the complexities of multi-disciplinary/multi-agency issues affecting Prison healthcare provision.
  • Knowledge of human resources processes including training & education, recruitment, workforce planning, staff budget management, performance management, union negotiation and disciplinary action.
  • Good interpersonal skills including diplomacy, negotiating, problem solving
  • Working to deadlines under pressure.
  • Developing training opportunities for professional and unqualified staff.
  • Computer literate
  • Ability to work with and engage service users, carers and advocates to ensure their involvement in services
  • Ability to manage and deliver new services in a rapidly changing environment
  • Good communication skills, both verbal and written
  • The ability to influence people in a positive way.
  • Ability to manage, motivate and develop others to achieve objectives
  • Ability to build and maintain partnerships, internal and external to the organisation
  • Ability to work as part of a senior management team
  • Ability to manage change in a positive and proactive manner

Desirable

  • Linking and networking effectively with statutory and non-statutory service providers
  • Chairing interdisciplinary meetings.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Central and North West London NHS Foundation Trust

Address

HMP High Down

Sutton Lane

Sutton

SM2 5PJ


Employer's website

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


Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

HMP High Down

Sutton Lane

Sutton

SM2 5PJ


Employer's website

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


Employer contact details

For questions about the job, contact:

Head of Healthcare

Verity Miles

verity.miles@nhs.net

Details

Date posted

03 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£61,631 to £68,623 a year per annum inc. Outer HCAS (pro rata if P/T)

Contract

Permanent

Working pattern

Full-time

Reference number

333-D-HJ-1922

Job locations

HMP High Down

Sutton Lane

Sutton

SM2 5PJ


Supporting documents

Privacy notice

Central and North West London NHS Foundation Trust's privacy notice (opens in a new tab)