Deputy Medical Director Primary Care and Urgent Treatment Centres
The Deputy Medical Director is a senior clinical leader within LCW's Clinical Leadership and Governance function. The role is responsible for quality, safety, performance and transformation across GP practices and Urgent Treatment Centres.
Main duties of the job
The postholder provides senior medical leadership across LCW GP practices and Urgent Treatment Centres, ensuring services are safe, compliant and aligned with commissioner and organisational priorities.
The Deputy Medical Director will oversee clinical governance, safeguarding, medicines management, risk and incident management, and support the delivery of QOF, Enhanced Services, and PCN/ICB requirements through innovation, strong quality assurance and workforce development.
The postholder will be an experienced GP with digital and clinical expertise who will maintain clinical sessions to deliver high‑quality, innovative care while driving cultural change, cost efficiency, and service. They will support UCC clinical leads and strengthen PCN and neighbourhood partnerships.
The Deputy Medical Director will also support LCW's strategic goal of expanding and modernising primary care provision.
About us
London Central & West Unscheduled Care Collaborative (LCW) is a social enterprise delivering high‑quality urgent and primary care services across London. Now in its 29th year, LCW supports over 4.2 million patients and operates 24 hours a day, 365 days a year.
LCW is rated Good by the Care Quality Commission across all domains, reflecting our commitment to safe, effective, responsive, caring and well‑led services.
Our portfolio includes GP practices, Urgent Treatment Centres, out‑of‑hours, and integrated urgent care services delivered in partnership with Trusts and providers in London.
We are clinically led, values‑driven and committed to innovation, workforce development and strengthening neighbourhood‑based care to meet the needs of London's diverse communities.
Job responsibilities
Hours and Pay
6 management sessions per week with the expectation of working 2 clinical sessions per week in addition.
Key Relationships
Medical Director and Executive Team, Clinical Leadership & Governance Team, Heads of Service and Operational Leads, GP and multidisciplinary clinical workforce (substantive and sessional), Acute Trust Medical and Operational Leaders, ICB Medical Directors and Primary Care Teams, PCNs, Federations, and system partners, Local Authority Safeguarding Boards.
Core Responsibilities
Corporate Clinical Leadership & Governance
Act as a senior member of LCW's Clinical Leadership and Governance structure.
Deputise for the Medical Director internally and externally as required.
Participate in the clinical on‑call rota, maintain familiarity with EPRR processes, and attend EPRR training and exercises.
Act as Deputy Caldicott Guardian as required.
Provide senior clinical input into:
* Safety alert dissemination.
* Public health incidents and outbreaks (in line with London and national guidance).
* Provide real‑time senior clinical leadership during Serious Incidents, including escalation and decision‑making outside normal working hours when required.
* Undertake Clinical Safety Officer training and support any projects from a CSO perspective within services.
Safeguarding
Provide senior clinical oversight of safeguarding across GP and UTC services.
Ensure safeguarding policies and SOPs are implemented consistently in operational settings.
Support safeguarding supervision, training compliance, and reflective practice.
Act as a senior clinical advisor on complex safeguarding cases.
Maintain effective working relationships with Adult and Children's Safeguarding Boards.
Medicines Management
Hold senior clinical accountability for medicines management within GP surgeries and UTCs.
Ensure services comply with:
* Controlled Drugs regulations.
* ICB formularies.
* Medicines storage, prescribing, and audit requirements.
Support the Medicines Management Lead and contribute to Medicines Management meetings as required.
Provide senior clinical oversight of:
* EPS and non‑EPS environments.
* Medicine‑related incidents and complaints.
* Medicines SOP development and review.
* Ensure learning from medicine incidents is embedded into practice.
Service‑Specific Clinical Leadership (GP & UTCs)
Provide senior clinical leadership across and provide networking and strategic input:
* West Middlesex UTC.
* Imperial UTC GP provision.
* Whittington UTC.
* LCW GP practices (including Hammersmith Centres for Health).
Line manage and support Clinical Lead/Directors where applicable.
CQC requirements.
National UTC standards (where applicable).
Contractual and commissioner expectations, including but not limited to QOF, LES/DES and Primary Care Network and neighbourhood‑related contracts.
Provide oversight of:
* Patient flow, streaming, and redirection.
* Clinical productivity and workforce resilience.
* Quality improvement and audit outcomes.
* Champion and support patient engagement across the service delivery portfolio.
Complaints, Incidents & Risk
Provide senior clinical leadership for complaints relating to GP and UTC services.
Role model the behaviours and approach set out within the PSIRF policy for LCW.
Work with the Head of Quality, Patient Safety and Experience to:
* Ensure timely investigation of incidents, healthcare professional feedback and complaints.
* Chair or contribute to incident investigation in line with the organisation's Patient Safety Incident Response Framework (PSIRF) policy.
* Ensure learning is shared and embedded.
Act as the Responsible Officer delegate for investigations as required.
Workforce, Training & Assurance
Support recruitment, onboarding, and clinical induction of GPs, trainees and senior clinicians.
Ensure clinicians remain compliant with:
* Appraisal and revalidation.
* Mandatory and statutory training.
* Scope of practice and service specifications.
Support performance management of clinicians where concerns arise.
Provide mentorship and leadership development to site‑based clinical leaders.
Acting as a Freedom to Speak Up (FTSU) Champion, promoting a culture of psychological safety, openness, and learning across the practice, PCN, UTCs, and partner organisations.
Serving as a Mental Health First Aider, providing early support, signposting, and wellbeing advocacy for all staff groups.
Provide senior clinical leadership for transformation and digital delivery across GP and UTC services.
Support innovation aligned with the LCW strategy and values.
Contribute to bid development and service redesign where relevant.
Support safe implementation of digital tools in line with clinical safety standards.
Support leadership development for clinical leads across the practice and urgent treatment centres, building the skills and confidence to lead teams, deliver high‑quality care, and drive transformation.
Main Conditions of Service
Confidentiality
All staff employed by LCWUCC have a duty to keep information about staff and patients confidential and not to discuss information unnecessarily or to unauthorised persons. Failure to maintain confidentiality will lead to disciplinary action.
Our Values
The organisation aims to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, race, colour, religion, marital status, sexuality, age or disability, or is not placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end, LCWUCC has an Equal Opportunities Policy, and each employee is expected to contribute to its success.
Health and Safety
Employees must comply with the Health and Safety at Work Act (1974) and follow agreed procedures to maintain a safe environment for staff, patients and visitors.
All LCWUCC employees are accountable, through the terms and conditions of their employment, professional regulations, clinical governance, and statutory health and safety regulations, and are responsible for reporting incidents, being aware of the risk management strategy and emergency procedures, and attending training as required.
All staff have a responsibility to manage risk within their sphere of responsibility. It is a statutory duty to take reasonable care of their own safety and the safety of others who may be affected by acts or omissions.
All managers throughout the organisation have a responsibility to ensure that policies and procedures are followed, that staff receive appropriate training, that a local risk register is developed and monitored quarterly, and that any changes are reported to the Fire, Health & Safety Committee.
Managers are responsible for implementing and monitoring any identified risk management control measures within their designated area/s and scope of responsibility. In situations where significant risks have been identified, and local control measures are considered potentially inadequate, managers are responsible for bringing these risks to the attention of the Clinical Governance & Risk Management Committee if resolution has not been satisfactorily achieved.
No Smoking Policy
There is a no smoking policy in operation within the Organisation. In accordance with this policy, smoking is positively discouraged and is not permitted in any areas.
Data Protection
If you have contact with computerised data systems, you are required to obtain, process, or use information in a fair and lawful way, and to disclose data only to authorised persons or organisations as instructed, in accordance with the Data Protection Act.
Access to Health Records
All staff who contribute to patients' health records are expected to be familiar with and adhere to the LCW Standards of Record Keeping Policy. Staff should be aware that patients' records across LCW will be subject to regular audit.
All staff who have access to patients' records have a responsibility to ensure that these are maintained and that confidentiality is protected in line with the organisation's Confidentiality of Health Records Policy.
All staff have an obligation to ensure that health records are maintained efficiently and that confidentiality is protected. Staff are also subject to this obligation, both on an implied basis and on the basis that, by accepting their job description, they agree to maintain both patient/client and staff confidentiality.
In addition, all health professionals are advised to compile records on the assumption that they are accessible to patients in line with the Access to Health Records Act 1990.
All staff must ensure that waste produced within LCWUCC is disposed of in ways that control risks to the health and safety of staff and the public alike, in accordance with relevant legislation and the procedures set out in the policy.
We are committed to meeting the rights and standards required by the Patients' Charter. We expect our staff to be aware of these rights and standards and to be fully involved and cooperate in meeting them.
Review of this Job Description
This is a description of the duties of the post as they are at present. This list is not intended to be exhaustive and does not, therefore, form part of your contract of employment. The job will be reviewed regularly to ensure the duties meet the service's requirements and to make any necessary changes. This procedure would be conducted by each manager in consultation with those working directly with them. You will, therefore, be expected to participate fully in such discussions. LCWUCC would aim to reach agreement to changes.
Person Specification
Personal Skills and Qualities
* Ability to communicate clearly and effectively in English, both written and verbally.
* Good organisational skills
* Able to work under pressure
* Working on own initiative
* IT skills (including word processing and database work) as relevant to General Practice
* Committed to quality and patient satisfaction
* Committed to equal opportunities
Other
* Committed to working as part of a multi‑disciplinary, multi‑agency primary care team
* Openness to explore alternative working practices
Qualifications
* MBBS or equivalent medical degree
* Full registration with GMC
* Certification of Completion of Training (JCPTGP/PMETB)
* Inclusion on Performers List
* Evidence of a commitment to on‑going personal & professional development
* MRCGP
Experience
* Experience of working in primary care in an area with significant health problems
* Experience of providing primary care in hours and in Urgent Treatment Centres
* Experience working as a GP minimum 3 years.
* Experience of working in primary care in an area with significant health problems
* Experience of providing primary care in hours and in Urgent Treatment Centres
* Development of areas of clinical expertise
* Experience of audit and improving care for patients
* Be a trained CSO or willing to undertake training
* Experience in understanding and delivering Primary Care targets and KPIs
* Desirable if held lead/digital roles before
* Desirable experience in transformation and cultural change
Knowledge and Understanding
* Understanding the role of medical services in a wider public health agenda
* Knowledge of the demographic characteristics that affect health and health care in the area
* Understanding current NHS policies
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.
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