About this role
Job summary
Unfortunately NPC does not hold a license for Visa Sponsorship and cannot progress any applications for candidates without the right to work in the UK.
Fixed Term Contract: 31 March 2029
Base:Norfolk Primary Care Head Office, 3rd Floor, Reed House, Peachman Way, Norwich, NR7 0WF, with regular travel to WorkWell neighbourhood delivery sites across Norfolk and some remote working.
Salary:£56,000
Main duties of the job
Employed by NPC and working within the Norfolk WorkWell service, lead by Future Projects the Advanced Nurse Practitioner (ANP) provides the senior clinical oversight of the WorkWell Single Point of Access (SPOA) and chairs the WorkWell Multidisciplinary Team (MDT). The postholder leads clinical triage of all referrals, making sure every participant is safely and appropriately triaged within one working day, that clinical risk (including risk of suicide or self harm) is robustly considered, and that anyone for whom WorkWell is not the right service receives a handover under a no wrong door approach.
As MDT Chair, the ANP leads case discussion, co-ordination and decision making across clinical and non-clinical colleagues, agreeing clinical input, onward referral, escalation and discharge so that each participant's WorkWell plan is safe, holistic and joined up with their GP and wider care. The postholder also practises autonomously as an advanced clinician: undertaking joint assessments with Work and Health Coaches, certifying fit notes (Med3) on behalf of primary care, and providing clinical supervision and education to the team, employers and system partners. The role requires sound clinical judgement, confident chairing and facilitation, and a flexible, positive approach to mobilising a new service across a multi-organisational environment.
About us
Norfolk Primary Care (NPC) is a Community Interest Company (CIC) delivering clinical services across the Norfolk & Waveney region. Our membership consists of GP practices within the area. NPC's purpose is to:
Sustain the delivery of Primary Care by supporting workforce development and improving patient access.Strengthen and enhance Primary Care by working with, and on behalf of, local practices to drive quality improvement. Support practices in addressing key challenges such as workload pressures, GP recruitment, best practice sharing, and opportunities for at scale working. Respond to the evolving landscape of Primary Care by helping ensure services meet the needs of the local population. Provide benefits to patients, clinicians, administrative teams, and practice organisations across Norfolk. Work collaboratively within the wider health system to deliver patient care in innovative, solution focused ways.
Job description Job responsibilities
1.1 Clinical Triage and Single Point of Access
Lead clinical triage for the Norfolk WorkWell SPOA, ensuring all referrals (self-referral, GP and primary care, employers, VCFSE, Local Authority and DWP partners, education and Population Health Management case finding) are triaged within one working day of receipt, against the contractual threshold of 85%. Provide clinical oversight and monitoring of triage completed by non-clinical SPOA colleagues, reviewing decisions so that clinical risk is robustly considered, and personally triaging referrals that are clinically complex or flagged as higher risk. Determine whether WorkWell is the most appropriate service against the acceptance criteria in line with the NHS Constitution. Individually assess safety risk where participants express thoughts of suicide or self-harm (which is not an exclusion criterion), deciding whether WorkWell is appropriate at that time; where accepted, ensure care is delivered in partnership with the participant's GP and/or mental health worker, and where not, facilitate timely transfer to the right service. Ensure referrals that are not appropriate for WorkWell receive a warm handover to the most appropriate service, and escalate gaps in provision to the ICB to inform future commissioning. Manage cross-border referrals with the Suffolk WorkWell SPOA, offering participants choice of where they are seen and completing warm handovers where appropriate. Use access to the participant's GP clinical record (SystmOne or EMIS) to inform triage decisions and manage clinical risk, recording triage outcomes accurately with appropriate SNOMED coding. Develop, maintain and review the WorkWell clinical triage protocol, risk stratification tool and escalation pathways, aligned to the service's clinical governance framework. Lead the quarterly Clinical Triage Audit required under the contract's local quality requirements, reporting findings, themes and improvement actions.
1.2 MDT Chair
Chair the WorkWell MDT on a regular scheduled basis (frequency TBC, e.g. weekly) setting the agenda and ensuring appropriate clinical and non-clinical representation (for example Occupational Therapists, Mental Health practitioners, Physiotherapists, Occupational Health professionals, GP input and Work and Health Coaches). Facilitate structured case presentation and discussion by Work and Health Coaches, ensuring each participant's physical, psychological and social needs are considered through a biopsychosocial, personalised care approach. Lead MDT decision making on clinical input, joint assessment, onward referral and signposting, escalation and discharge, ensuring decisions, rationale and actions are recorded accurately in the participant's record and communicated to those responsible. Agree next steps for referrals returned to the SPOA where contact has not been achieved within five working days, including contacting the person and the referrer. Ensure onward referrals to delivery partners are supported by due diligence that the partner can meet the participant's needs, and that support received elsewhere is integrated into their return-to-work or thrive-in-work plan. Review complex, higher-risk or stalled cases and plans extending beyond the expected intervention period, ensuring discharge decisions are clinically safe and that the participant's GP is informed of discharge and outcomes. Foster an inclusive, psychologically safe MDT culture in which non-clinical colleagues' contributions are valued, and use the MDT as a forum for reflective practice and shared learning. Identify themes from MDT discussion (unmet need, gaps in local provision, skill mix pressures) and feed these into service improvement, workforce planning and reporting.
1.3 Advanced Clinical Practice
Practise autonomously across the four pillars of advanced practice (clinical practice, leadership and management, education and research) in line with the Multi-professional Framework for Advanced Clinical Practice in England. Undertake joint assessments with the participant's Work and Health Coach where clinical assessment or intervention is required, so the participant only needs to tell their story once. Deliver evidence-based, low-intensity clinical interventions and self-management support (for example conservative pain management and stress management advice), embedding Making Every Contact Count (MECC). Certify Med3 fit notes for participants under WorkWell care in line with DHSC and DWP guidance, updating the participant's clinical record and communicating with their GP, and maintaining the required competence (reviewed at least annually). Apply mental health competencies in assessment and care planning, recognising that depression and anxiety are the most common conditions among the WorkWell cohort. Advise participants, Work and Health Coaches and (with consent) employers on the clinical aspects of reasonable adjustments, phased returns and changes of duties. Refer participants to their GP or other health professionals where needs go beyond what the core WorkWell MDT can provide.
1.4 Clinical Governance, Safety and Supervision
Provide clinical supervision to Work and Health Coaches and other non-clinical MDT members who deliver low-level health interventions, ensuring they practise within their competence. Contribute to the WorkWell clinical governance framework so that triage, assessment, intervention and discharge are clinically safe, evidence based and delivered in line with professional standards. Report and support the review of patient safety incidents in line with the Patient Safety Incident Response Framework (PSIRF), sharing themes and learning across the team. Act as the clinical point of escalation for safeguarding concerns arising through the SPOA and MDT, applying adult and children safeguarding procedures and the Mental Capacity Act in line with ICB and NPC policies. Ensure clinical records are contemporaneous, accurate and appropriately coded (accepted participants allocated a SNOMED code), and handled in line with UK GDPR and NPC information governance policies. Provide clinical evidence for the contract's quality schedule, including triage performance, audit results, incident themes and participant feedback.
1.5 Education, Partnership and Service Development
Build trusted relationships with GP practices and PCNs, as the main source of referrals, so that referral, record sharing and fit note arrangements work smoothly. Support service evaluation, including baseline and discharge EQ-5D and Attitudes to Work and Health questionnaires, the 12-week post-discharge follow-up and participant feedback. Contribute to the design of pathways for cohorts at greater risk of health-related economic inactivity, drawing on population health data and learning from the national WorkWell pilots.
2. Communication and Stakeholder Engagement
Build and maintain effective relationships with stakeholders across the WorkWell pathway, including (but not limited to) GPs and practice staff, Primary Care Networks, mental health and physical health services, VCFSE partners, Local Authority and DWP colleagues, and employers. Handle complex and sensitive clinical conversations with participants, carers and professionals, including discussions about risk, capacity to work and onward referral. Communicate MDT and triage decisions clearly and promptly to participants, referrers and GPs, ensuring the GP is kept up to date on the participant's WorkWell care and outcomes. Prepare and present regular reports on triage performance, MDT activity, clinical risk and audit findings to the WorkWell Service Manager and relevant governance forums.
2.1 Other Responsibilities
Working with the WorkWell Service Manager and wider team: Represent the WorkWell Service Lead at meetings relating to triage, the MDT and clinical safety as required. Use service data and clinical audit to identify variation, risk and opportunities to improve participant outcomes and experience. Facilitate conversations with partners to bring about changes to pathways based on good practice, participant experience or variation in performance, in a supportive and non-judgemental way. Use knowledge of local and national work and health strategies, including the ICB Work and Health Strategy and the Get Norfolk plan, to develop the service. Provide senior clinical cover and advice to the SPOA during periods of high demand or absence to maintain the one working day triage standard.
Undertake other ad hoc duties as requested by the WorkWell Service Manager.
Person Specification
Qualifications Essential
Registered Nurse with current NMC registration Master's degree (Level 7) in Advanced Clinical Practice, or equivalent evidenced advanced practice at Level 7 across the four pillars Non-medical independent prescriber (V300) Post-registration qualification in clinical assessment, history taking and clinical decision making Safeguarding adults and children training at Level 3 Fit Note and Work and Health e-learning (e-LfH), or willingness to complete on appointment
Desirable
Post-registration qualification or training in mental health assessment Occupational health nursing (SCPHN OH) or vocational rehabilitation qualification Clinical supervision, practice educator or mentorship qualification Health coaching or motivational interviewing training
Experience Essential
Significant post-registration experience, particularly in mental health settings & including experience at advanced practice level in primary care, community, or urgent care Clinical triage and prioritisation of referrals, including telephone and remote triage Assessment and management of people with common mental health and musculoskeletal conditions, including assessment of suicide and self-harm risk Chairing or leading MDT meetings or case reviews, reaching clear decisions across clinical and non-clinical colleagues Providing clinical supervision to registered and non-registered staff Applying safeguarding procedures and the Mental Capacity Act in practice Use of GP clinical systems (SystmOne and/or EMIS) Evidence of ongoing CPD and a valid NMC revalidation
Desirable
Occupational health, vocational rehabilitation or work and health service experience Clinical audit and quality improvement Working with VCFSE, Local Authority or DWP/Jobcentre Plus partners Mobilising a new clinical service or pathway Understanding of NHS system architecture, Integrated Care Boards, Places and Primary Care Networks Knowledge of personalised care, the biopsychosocial model and Making Every Contact Count
Skills and Abilities Essential
Autonomous clinical decision making and sound judgement in time-critical triage and under uncertainty Confident chairing and facilitation skills, able to manage differing views and reach clear, safe decisions Excellent interpersonal and communication skills, including sensitive conversations about health, risk and work Clear, accurate and timely clinical record keeping Ability to teach, supervise and develop others Good IT skills, including clinical systems and Microsoft Office Ability to manage own emotions and be resilient in a fast paced, demanding environment Strong organisational skills to meet daily triage deadlines alongside clinical and MDT commitments
Desirable
Motivational interviewing or health coaching techniques Data analysis and reporting to support audit and KPI monitoring Knowledge of employment rights and reasonable adjustments
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 Norfolk Primary Care C.I.C.
Address 3rd Floor, Reed House
Peachman Way
Broadland Business Park
Norwich
NR7 0WF
United Kingdom
Employer's website https://norfolkprimarycare.com/ (Opens in a new tab)