Go back
Central and North West London NHS Foundation Trust

Borough Based Clinical Lead (NWL Clinical Effectiveness Programme)

The closing date is 26 April 2026

Apply for this job

Job summary

As a Clinical Borough Lead for Clinical Effectiveness, you will provide strong clinical leadership to embed a clinical effectiveness approach across your borough. You will support the interpretation of data and incentives through a clinical lens, helping to shape local priorities that enable frontline teams to deliver equitable care and drive sustainable improvements in population health.

You will work closely with clinical facilitators, analysts, pharmacists, Primary Care Networks (PCNs), GP Federations, and wider system partners to ensure that clinical effectiveness insights are relevant, credible, and delivered in a supportive and actionable way. A key aspect of your role will be to build and sustain trusted relationships with frontline teams, creating the conditions for learning, reflection, and continuous improvement in the delivery of key local services.

You will ideally have current or prior experience of working with primary care teams in the borough, allowing you to build on prior professional relationships that enable effective engagement and influence across the local health and care system.

Applicants are required to specify the primary and preferred borough (Brent, Ealing, Hammersmith & Fulham, Harrow, Hillingdon, Hounslow, Kensington & Chelsea, Westminster). If you wish to be considered for additional boroughs please specify these in order in your application (max of of 3).

Main duties of the job

Acting as the clinical interface between GP practices, Primary Care Networks (PCNs), GP Federations, and the central programme team, you will support neighbourhood teams to implement improvements in priority areas, including hypertension, CVD prevention, digital transformation, and other system wide programmes.

The post holder will translate ICS priorities into practical, locally owned activity that reflects neighbourhood need and variation, while contributing to prevention, population health improvement, and the reduction of health inequalities.

Using evidence driven insight, including population health intelligence and the WSIC dataset, you will prioritise and deliver targeted quality improvement aligned to CORE20PLUS, ensuring that improvement activity reaches both engaged and underserved populations.

About us

The Clinical Effectiveness Programme (CEP) leads system wide clinical quality improvement across North West London (NWL), using primary care and population health data to understand variation, reduce inequalities, and support better outcomes for local residents. While its core focus is NWL, the programme is not limited to this geography and its approach can be extended across the wider West North London ICS footprint where beneficial. Working as part of a provider hosted Integrated Care System (ICS) function, CEP collaborates across neighbourhood, borough, and NWL wide structures to turn data into meaningful insights that improve everyday clinical practice.

Details

Date posted

17 April 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£109,725 to £145,478 a year (plus £2162 London allowance) per annum pro rata

Contract

Fixed term

Duration

10 months

Working pattern

Part-time

Reference number

333-C-HQ-C-0001

Job locations

Trust HQ, Regents Place

350 Euston Road

London

NW1 3AX


Job description

Job responsibilities

1. Strategic Clinical Leadership and Alignment: the post holder will:

Act as the clinical lead for the boroughs delivery of the Clinical Effectiveness and Change Management Programme, ensuring alignment with WNL ICS priorities.

Provide clinical leadership at neighbourhood and borough level, translating system priorities into practical, locally owned improvement activity.

Work closely with the NWL Clinical Effectiveness Lead and other Borough Clinical Leads to ensure alignment, shared learning, and consistency across NWL.

Participate in cross-borough and NWL-level meetings to support coordination and consistency.

Lead and contribute to peer-to-peer learning sessions, borough forums, and NWL-wide communities of practice.

Share local learning and best practice to support consistent implementation.

2. Quality Improvement and Change Management: the post holder will:

Champion the adoption of the Modern General Practice Model, including proactive long-term condition (LTC) management and improved access.

Champion and support the use of structured quality improvement (QI) methodologies, including PDSA cycles, Theory of Change, and other recognised improvement approaches.

Support practices and PCNs to translate improvement theory into day-to-day operational change, tailored to local and neighbourhood context.

Use clinical insight to identify barriers, enablers, and opportunities for improvement, co-developing solutions with frontline teams.

Promote a culture of continuous improvement, reflective practice, and learning across borough clinicians.

Support local audit, evaluation, incident learning, and quality assurance processes in collaboration with programme leadership.

Apply clinical judgement to identify risks, gaps, and unintended consequences, supporting practices to co-develop mitigation actions.

Escalate clinical risks, safety concerns, and quality issues through agreed programme and organisational governance routes.

Support practices to embed safe systems of working, including effective triage, clinical oversight, and continuity of care.

Work jointly with Borough Facilitators to deliver targeted change support to practices and neighbourhood teams.

3. Data-Driven Improvement and Evaluation: the post holder will:

Use data- and evidence-driven insight, including population health intelligence, to prioritise and target improvement activity.

Support the use of outcomes data, including access metrics, LTC indicators, and patient experience feedback, to measure progress and impact.

Promote high standards of data quality, supporting practices to capture accurate, meaningful, and timely information.

Contribute to regular reporting on borough delivery, outcomes, and impact.

Provide qualitative insights, case studies, and examples of improvement to support evaluation, learning, and communications across the system.

4. Reducing Health Inequalities and Promoting Equity: the post holder will:

Support prevention, population health improvement, and the reduction of health inequalities, aligned to CORE20PLUS and local priorities.

Ensure that improvement activity reaches underserved and vulnerable populations, as well as those already engaged with primary care services.

Advocate for equitable care and support practices to reduce unwarranted variation in outcomes across the borough.

5. Clinical Assurance and Safety: the post holder will:

Ensure that all proposed changes to clinical pathways, workflows, and models of care are clinically safe, evidence-based, and aligned with national guidance (e.g. NICE, NHS England), ICB priorities, and professional standards.

6. Collaboration and Stakeholder Engagement: the post holder will:

Act as the clinical interface between GP Practices, PCNs, GP Federations, and the central programme team, building strong, trusted relationships.

Promote collaboration, shared learning, and professional support among borough clinicians and partners.

Contribute to engagement with lived experience representatives and patient voice activities, ensuring feedback informs improvement design and evaluation.

Act as a bridge between frontline clinical teams and programme leadership, ensuring two-way communication and feedback.

Provide clinical input to local playbooks, Clinical Effectiveness Guides, improvement frameworks, and decision-support tools.

7. Other Responsibilities: the post holder will:

Maintain confidentiality of patient, staff, and organisational information in line with Data Protection and Trust policies

Undertake any other duties commensurate with the role, in line with the evolving needs of the Clinical Effectiveness Programme.

8. Knowledge, skills, abilities: The post holder will:

Hold strong clinical knowledge and experience relevant to primary care, including long term condition management, prevention, and population health

Be an established GP or clinical leader within their area who has pre-existing relationships with local GPs.

Have an understanding of evidence based practice and the ability to apply national guidance, local ICB priorities, and professional standards in a borough context

Have working knowledge of quality improvement principles and methodologies, with the ability to support practices to deliver structured and measurable improvement

Be able to interpret and use clinical and population health data to identify variation, prioritise improvement, and support evaluation of impact

Understand health inequalities and the CORE20PLUS framework, with a commitment to reducing unwarranted variation in outcomes

Be able to exercise clinical judgement to ensure that changes to pathways, workflows, and models of care are clinically safe and appropriate

Have strong communication and influencing skills, with the ability to engage and work collaboratively with GPs, PCNs, Federations, facilitators, and system partners

Be able to provide credible clinical leadership, build trusted relationships, and support peer learning across neighbourhood and borough settings

Have experience of working across organisational boundaries within complex health systems

Be able to manage competing priorities, work flexibly, and contribute effectively within a matrix managed programme

Be committed to patient centred care, confidentiality, and professional standards.

Job description

Job responsibilities

1. Strategic Clinical Leadership and Alignment: the post holder will:

Act as the clinical lead for the boroughs delivery of the Clinical Effectiveness and Change Management Programme, ensuring alignment with WNL ICS priorities.

Provide clinical leadership at neighbourhood and borough level, translating system priorities into practical, locally owned improvement activity.

Work closely with the NWL Clinical Effectiveness Lead and other Borough Clinical Leads to ensure alignment, shared learning, and consistency across NWL.

Participate in cross-borough and NWL-level meetings to support coordination and consistency.

Lead and contribute to peer-to-peer learning sessions, borough forums, and NWL-wide communities of practice.

Share local learning and best practice to support consistent implementation.

2. Quality Improvement and Change Management: the post holder will:

Champion the adoption of the Modern General Practice Model, including proactive long-term condition (LTC) management and improved access.

Champion and support the use of structured quality improvement (QI) methodologies, including PDSA cycles, Theory of Change, and other recognised improvement approaches.

Support practices and PCNs to translate improvement theory into day-to-day operational change, tailored to local and neighbourhood context.

Use clinical insight to identify barriers, enablers, and opportunities for improvement, co-developing solutions with frontline teams.

Promote a culture of continuous improvement, reflective practice, and learning across borough clinicians.

Support local audit, evaluation, incident learning, and quality assurance processes in collaboration with programme leadership.

Apply clinical judgement to identify risks, gaps, and unintended consequences, supporting practices to co-develop mitigation actions.

Escalate clinical risks, safety concerns, and quality issues through agreed programme and organisational governance routes.

Support practices to embed safe systems of working, including effective triage, clinical oversight, and continuity of care.

Work jointly with Borough Facilitators to deliver targeted change support to practices and neighbourhood teams.

3. Data-Driven Improvement and Evaluation: the post holder will:

Use data- and evidence-driven insight, including population health intelligence, to prioritise and target improvement activity.

Support the use of outcomes data, including access metrics, LTC indicators, and patient experience feedback, to measure progress and impact.

Promote high standards of data quality, supporting practices to capture accurate, meaningful, and timely information.

Contribute to regular reporting on borough delivery, outcomes, and impact.

Provide qualitative insights, case studies, and examples of improvement to support evaluation, learning, and communications across the system.

4. Reducing Health Inequalities and Promoting Equity: the post holder will:

Support prevention, population health improvement, and the reduction of health inequalities, aligned to CORE20PLUS and local priorities.

Ensure that improvement activity reaches underserved and vulnerable populations, as well as those already engaged with primary care services.

Advocate for equitable care and support practices to reduce unwarranted variation in outcomes across the borough.

5. Clinical Assurance and Safety: the post holder will:

Ensure that all proposed changes to clinical pathways, workflows, and models of care are clinically safe, evidence-based, and aligned with national guidance (e.g. NICE, NHS England), ICB priorities, and professional standards.

6. Collaboration and Stakeholder Engagement: the post holder will:

Act as the clinical interface between GP Practices, PCNs, GP Federations, and the central programme team, building strong, trusted relationships.

Promote collaboration, shared learning, and professional support among borough clinicians and partners.

Contribute to engagement with lived experience representatives and patient voice activities, ensuring feedback informs improvement design and evaluation.

Act as a bridge between frontline clinical teams and programme leadership, ensuring two-way communication and feedback.

Provide clinical input to local playbooks, Clinical Effectiveness Guides, improvement frameworks, and decision-support tools.

7. Other Responsibilities: the post holder will:

Maintain confidentiality of patient, staff, and organisational information in line with Data Protection and Trust policies

Undertake any other duties commensurate with the role, in line with the evolving needs of the Clinical Effectiveness Programme.

8. Knowledge, skills, abilities: The post holder will:

Hold strong clinical knowledge and experience relevant to primary care, including long term condition management, prevention, and population health

Be an established GP or clinical leader within their area who has pre-existing relationships with local GPs.

Have an understanding of evidence based practice and the ability to apply national guidance, local ICB priorities, and professional standards in a borough context

Have working knowledge of quality improvement principles and methodologies, with the ability to support practices to deliver structured and measurable improvement

Be able to interpret and use clinical and population health data to identify variation, prioritise improvement, and support evaluation of impact

Understand health inequalities and the CORE20PLUS framework, with a commitment to reducing unwarranted variation in outcomes

Be able to exercise clinical judgement to ensure that changes to pathways, workflows, and models of care are clinically safe and appropriate

Have strong communication and influencing skills, with the ability to engage and work collaboratively with GPs, PCNs, Federations, facilitators, and system partners

Be able to provide credible clinical leadership, build trusted relationships, and support peer learning across neighbourhood and borough settings

Have experience of working across organisational boundaries within complex health systems

Be able to manage competing priorities, work flexibly, and contribute effectively within a matrix managed programme

Be committed to patient centred care, confidentiality, and professional standards.

Person Specification

Education and Qualifications

Essential

  • Clinically qualified and registered with the appropriate regulatory body (e.g. GMC, NMC, GPhC,GDC)
  • Listed on a relevant Performers List with evidence of ongoing continuing professional development since qualification.

Desirable

  • Trained or currently practicing or previously practised within the NWL borough to which the application is directed for a minimum of one year
  • Currently undertaking at least one clinical session per month in that NWL borough to which the application is directed

Experience

Essential

  • Minimum of three years' experience working in the NHS or General Practice or within Primary Care Networks (PCNs)
  • Experience of leading quality improvement activity and translating best practice into operational change at scale within the NHS, primary care or a comparable healthcare setting (i.e. beyond own immediate practice). Demonstrates ability to identify priorities and barriers and to support best practice solutions and maintain focus on delivery.
  • Experience planning, facilitating, and chairing meetings effectively

Desirable

  • Experience working within primary care, GP Federation or Primary Care Network (PCN) or Integrated Care Board (ICB)
  • Formal training in quality improvement, leadership, and/or project management or change management (e.g. PRINCE2, ILM, Lean)
  • Experience of incorporating patient voice or lived experience into improvement design and evaluation.
  • Experience providing formal peer-to-peer support or formal coaching/mentoring/facilitation

Skills and Knowledge

Essential

  • Strong understanding of general practice operations, workflows, and current primary care challenges
  • Knowledge of national and local population health priorities, clinical guidelines, and ability interpret population health data and to use these to shape local pathways and models of care
  • Clear understanding of clinical governance, quality assurance, and patient safety principles
  • Strong facilitation, presentation and communication skills and ability to engage, influence, and build effective relationships with a wide range of stakeholders

Desirable

  • Knowledge of digital tools and systems within general practice and primary care including eConsult, the NHS App, and cloud telephony EMIS or SystemOne, care navigation, and the Modern General Practice Model

Attitudes, aptitudes, personal characteristics

Essential

  • Demonstrates credible clinical leadership and sound professional judgement within complex multi-organisational environments working effectively across organisational boundaries to engage and collaborate with a wide range of professionals and stakeholders
  • Strong commitment to population health improvement, patient-centred care, quality and safety
  • Values collaboration, shared learning, and reflective practice, actively supporting peer-to-peer learning among clinicians
  • Upholds professional values and ethical standards at all times

Other

Essential

  • Flexible and willing to travel within the ICB area to provide face-to-face support, with a commitment to setting aside the time needed to carry out the role effectively
Person Specification

Education and Qualifications

Essential

  • Clinically qualified and registered with the appropriate regulatory body (e.g. GMC, NMC, GPhC,GDC)
  • Listed on a relevant Performers List with evidence of ongoing continuing professional development since qualification.

Desirable

  • Trained or currently practicing or previously practised within the NWL borough to which the application is directed for a minimum of one year
  • Currently undertaking at least one clinical session per month in that NWL borough to which the application is directed

Experience

Essential

  • Minimum of three years' experience working in the NHS or General Practice or within Primary Care Networks (PCNs)
  • Experience of leading quality improvement activity and translating best practice into operational change at scale within the NHS, primary care or a comparable healthcare setting (i.e. beyond own immediate practice). Demonstrates ability to identify priorities and barriers and to support best practice solutions and maintain focus on delivery.
  • Experience planning, facilitating, and chairing meetings effectively

Desirable

  • Experience working within primary care, GP Federation or Primary Care Network (PCN) or Integrated Care Board (ICB)
  • Formal training in quality improvement, leadership, and/or project management or change management (e.g. PRINCE2, ILM, Lean)
  • Experience of incorporating patient voice or lived experience into improvement design and evaluation.
  • Experience providing formal peer-to-peer support or formal coaching/mentoring/facilitation

Skills and Knowledge

Essential

  • Strong understanding of general practice operations, workflows, and current primary care challenges
  • Knowledge of national and local population health priorities, clinical guidelines, and ability interpret population health data and to use these to shape local pathways and models of care
  • Clear understanding of clinical governance, quality assurance, and patient safety principles
  • Strong facilitation, presentation and communication skills and ability to engage, influence, and build effective relationships with a wide range of stakeholders

Desirable

  • Knowledge of digital tools and systems within general practice and primary care including eConsult, the NHS App, and cloud telephony EMIS or SystemOne, care navigation, and the Modern General Practice Model

Attitudes, aptitudes, personal characteristics

Essential

  • Demonstrates credible clinical leadership and sound professional judgement within complex multi-organisational environments working effectively across organisational boundaries to engage and collaborate with a wide range of professionals and stakeholders
  • Strong commitment to population health improvement, patient-centred care, quality and safety
  • Values collaboration, shared learning, and reflective practice, actively supporting peer-to-peer learning among clinicians
  • Upholds professional values and ethical standards at all times

Other

Essential

  • Flexible and willing to travel within the ICB area to provide face-to-face support, with a commitment to setting aside the time needed to carry out the role effectively

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

Trust HQ, Regents Place

350 Euston Road

London

NW1 3AX


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

Trust HQ, Regents Place

350 Euston Road

London

NW1 3AX


Employer's website

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

Employer contact details

For questions about the job, contact:

Clinical Lead for Clinical Effectiveness Program

Dr Pervis Azaraia

p.asaria@nhs.net

Details

Date posted

17 April 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£109,725 to £145,478 a year (plus £2162 London allowance) per annum pro rata

Contract

Fixed term

Duration

10 months

Working pattern

Part-time

Reference number

333-C-HQ-C-0001

Job locations

Trust HQ, Regents Place

350 Euston Road

London

NW1 3AX


Supporting documents

Privacy notice

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