# Senior Clinical Decision Maker **Company**: The Confederation, Hillingdon CIC **Location**: Uxbridge **Experience**: senior **Salary**: Depending on experience **Category**: Healthcare **Industry**: Healthcare **Apply**: https://www.jobs.nhs.uk/candidate/jobadvert/E0004-26-0076?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/jobs/job_ee07c873-c21 ## Description The Senior Clinical Decision Maker (SCDM) will provide advanced clinical oversight, decision-making, and coordination within the Reactive Care Coordination Hub. They will support timely responses to community-based crises, working collaboratively across UCR, Virtual Ward, and other teams to prevent unnecessary hospital admissions. The SCDM will also provide expert input on clinical referrals, diagnostics, and frailty management, ensuring safe and effective patient outcomes. **Main duties of the job** - Clinical support during morning handovers (2 hours) - Rapid assessment and clinical decision-making for urgent referrals - Follow-up of cases managed by UCR, Virtual Ward, D2A, and YLL - Diagnostic review and interpretation to guide care decisions - Liaison with the Reactive Care Coordination Hub Consultant and community partners - Case-based clinical decision-making earlier in the referral process - Input into the coordination hub on appropriate referral pathways and actions - Creation and updating urgent care plans via Valida for anticipatory care planning - Support to all community services for urgent patient needs **Job responsibilities** - **Clinical Leadership and Decision-Making** - Provide senior clinical oversight for patients referred to the Reactive Care Coordination Hub. - Undertake timely clinical assessments and determine the most appropriate care pathway to prevent avoidable admissions. - Support clinical handovers, offering guidance and clarity on patient management plans. - Review and interpret diagnostic results to inform safe, evidence-based decisions. - Liaise with the Reactive Care Coordination Hub Consultant, UCR, Virtual Ward, D2A, YLL, GPs, and community providers to coordinate care. - Participate in joint visits and follow-ups with multidisciplinary teams as required. - Contribute to the early clinical decision-making process to ensure rapid response and patient safety. - **Governance, Quality, and Data** - Record clinical decisions and outcomes accurately in line with SOPs and systems. - Support the collection of metrics for evaluation of the pilots effectiveness and outcomes. - Participate in audit, service evaluation, and quality improvement projects. - Ensure all decisions meet clinical governance and safety standards. - **Professional Collaboration and Standards** - Work within a multidisciplinary environment to deliver patient-centred care. - Communicate effectively with colleagues, patients, and families to ensure shared understanding of care plans. - Respect professional scopes of practice and ensure safe delegation of clinical responsibilities. - Contribute to pathway and process improvement across reactive and proactive care models. - **Education, Training, and Development** - Maintain professional registration and continuous professional development. - Participate in induction and relevant system training. - Support mentoring and case-based learning for colleagues within UCR and the Hub. - Develop knowledge of frailty assessment and management (training provided if needed). **Person Specification** - **Experience** - Extensive experience in urgent care clinical services - Extensive experience of virtual clinical consultations - Ability to plan, co-ordinate and deliver programmes of work on time and to a high standard - Excellent organisational skills with an attention to detail and an ability to finish tasks completely and to a high standard - Ability to keep full, accurate and up to date records to a high standard - Ability to assimilate information quickly and make clear and effective decisions under pressure - Excellent communication skills, written, verbal and listening explaining, promoting, listening, learning, to / at all levels of the healthcare system - Ability to motivate and engender trust and team identity - In depth user knowledge of EMIS - **Qualifications** - GMC Registration - Qualified GP ## Skills ### Required - EMIS - clinical decision-making - frailty management - urgent care - virtual clinical consultations ### Nice to have - experience of working in primary care in Hillingdon --- Source: [Apply at jobs.nhs.uk](https://www.jobs.nhs.uk/candidate/jobadvert/E0004-26-0076?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)