Job responsibilities

Sustainability and Innovation

To develop innovative strategies to support Primary Care Contractors develop robust plans for future sustainability. This will include but not be limited to workforce redesign. Workforce planning advice on managing access and demand. Signposting to other forms of support.

The possible lead will be a key lead member of the practice support team and a member of the access and sustainability forum.

The post holder will provide leadership in assessing sustainability risks and scores. The post holder will proactively visit practices and assist them in designing effective and sustainable systems and workforce to meet demands of modern Primary Care.

The post holder will provide an annual report highlighting activities to support GP practice sustainability together with an assessment of the current situation of future risks.

Lead on ensuring the safe, effective and efficient delivery of patient care within any PCTSG Managed Services within Swansea Bay University Health Board, including implementation of best practice and guidance. Ensure the principles of prudent healthcare are at the forefront of service planning and delivery and empower service teams to implement change and development where the need is identified.


Demonstrate effective clinical leadership and management of the team of Clinical Leads of specialities within your areas of responsibility, including job planning, workforce planning, recruitment and ensuring annual Health Board appraisal is conducted.

Ensure all services within your areas of responsibility are well managed, developed, and directed to provide care that is safe, compassionate, consistently of excellent quality and always improving; in line with the Health Boards Values and Behaviour Framework and Quality Strategy.

Provide confident and informed professional leadership to all medical staff within your areas of responsibility and promote the development of new service models to meet changes in demand and to comply with best practice and national guidelines.

Support the delivery of innovation, service redesign and improvement to support the wider Health Board and National strategies for Primary Care.

Promote the principles of Prudent Healthcare and Values Based Healthcare to achieve the Health Boards need for clinical effectiveness, flexibility, value for money and high staff engagement.

Lead on the delivery of required quality and performance standards in all services within your areas of responsibility by using key information to support planning, performance and decision making.

Lead and promote the development of effective working relationships with other relevant specialties in Unscheduled/planned Care, Primary Care, Community servicesSecondary Care and wider agencies and third sector colleagues in the interests of patient centred care

Provide clinical advice, input and leadership for the development of strategic and operational plans for all services within your areas of responsibility. This will align with core Health Board targets and objectives as set out in the Integrated Medium-Term Plan, Annual Plan and Clinical Services Plan.

Performance Management

To develop an overall plan to support sustainability of general practice to be agreed by the Access and Sustainability Forum

To work with the Primary Care Academy Clinical Lead to develop and promote training and education programmes to support the future sustainability of Primary Care.

Facilitate mentoring and supervision, where appropriate and the need identified, in order to manage performance issues of medical staff within your areas of responsibility.

Ensure medical staff directly aligned to you are compliant with statutory and mandatory training, annual Health Board and professional appraisal.

Highlight and escalate any concerns to the Deputy/Group Medical Director and Clinical Director for Quality and Safety regarding the performance of medical staff within your areas of responsibility.

Local Medical Committee. Establish good working relationships to work collaboratively, understand individual perspective and address the issues raised.

Act to resolve medical performance concerns at informal level and escalate to formal processes where needed in line with Health Board policy, Human Resources advice and communication with the Group Medical Director, Clinical Director for Quality and Safety and Responsible Officer in addition to the GMC where needed.

Quality and Safety

Provide leadership and oversight for Primary Care sustainability issues, including leadership for the wider sustainability and primary care teams to implement service/practice change and improvement where needed.

Represent the Primary Care viewpoint at Service Group and Health Board level and provide expert knowledge and planning where needed when discussing concerns, challenges and risks associated with PCTSG Managed Services.

Attend the Access and Sustainability meeting, contribute to the agenda and liaise with the Primary Care Managers and Heads of Service to ensure all outstanding actions have been completed for areas relating to Managed Services.

Attend regular meetings with the Group Medical Director/Associate Service Group Director to update them of service development, innovation, challenges and risks.

Audit & Research

Identify areas of clinical practice in Primary Care in which standards may need to be raised and promoted. This should align to regular audit cycles and staff engagement to ensure sustainability and innovation of services.

Support the analysis and intelligence gathering from Primary Care audits in the context of your areas of responsibility. Identify deficits and act to lead the development and implementation of key policies and processes conducive to effective service delivery.

Contribute towards research and audit in the service group and screen and assist the GMD in agreeing to any future research relevant to your areas of responsibility.

Other duties

In exceptional circumstances, it may be necessary to provide direct clinical services in order to maintain a safe service to patients when a service fails unexpectedly. E.g. the sudden collapse of a GMS practice.

It may be necessary as a Clinical Lead to work across the health board to develop wider pathways or services as new medical procedures, medicines and technologies develop.

Any other duty in keeping with the role of a Clinical Lead for Primary Care, Community and Therapy services and from the direct tasking of the Deputy Group Medical Director in accordance with their current work streams.

Qualifications and Knowledge


  • Educated to degree level or equivalent
  • Registered with the GMC
  • Hold MRCGP qualification
  • Evidence of ongoing relevant CPD and appraisal
  • Significant knowledge and understanding of General Medical Services and wider Primary Care and Community services
  • Understanding of medical recruitment and training matters
  • Demonstrable experience of working positively with senior clinicians to achieve improvement to services
  • Demonstrate extensive knowledge of the strategic issues facing NHS Wales


  • Healthcare associated management and leadership qualification



  • Significant track record of employment at a senior level in a health related environment
  • Well established medical practitioner with considerable medical experience since full registration with the GMC
  • Experience of medical management
  • Experience of working effectively with other stakeholders to improve primary, community and secondary care services at a strategic and operational level
  • Track record of facilitating change to improve services in clinical practice
  • Evidence of leading service change with professional colleagues


  • Considerable experience in clinical leadership roles
  • Knowledge of the role and function of a statutory organisation and the principles of corporate governance
  • Understanding of Local Authorities, social services and the voluntary sector

Aptitude and Abilities


  • Display excellent communication (verbal and written), influencing and interpersonal skills
  • Good organisational skills
  • Ability to work effectively as a team with a range of other professionals
  • Clear and unequivocal focus on improving services for patients, service users and citizens
  • Sound judgement and decision making
  • Able to manage complex work and prioritise effectively
  • Effective people and performance management skills
  • Political awareness and ability to work within these constraints
  • Enthusiastic, constructive and creative in the face of challenges
  • Resilient in dealing with challenges and in the face of conflict
  • Effective listening skills and ability to take on board ideas and suggestions
  • Leads by example, promoting high standards of conduct, integrity and probity
  • Delivers outcomes within agreed timescales
  • Able to travel across SBUHB to multiple sites when needed

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.