Clinical Lead – Adult Complex Care

Job Title:

Senior Clinical Lead – Adult Complex Care (Nurse-Led Services)

Location:
Golders Green (office-based) with community working across
Camden, Barnet, Enfield, Islington & Haringey

Salary:
£50,000 to £55,000 (flexible for candidates who genuinely meet all criteria)

About the Role

This is a senior clinical leadership role for an experienced adult complex care Clinical Lead who has already managed nurse-led community packages and is ready to build and scale a service, not simply oversee a caseload.

You will be the first dedicated Clinical Lead for a newly launched nurse-led complex care division, with full autonomy to shape how the service is mobilised, governed, trained and delivered.

The role exists because the business is intentionally moving away from a combined Registered Manager / Clinical Lead model and is investing in a credible, experienced clinical operator to lead complex care properly.

This position will suit someone who wants ownership, influence and progression, rather than a sideways move into a static role.

The Opportunity

You will lead the set-up, mobilisation and ongoing clinical oversight of adult nurse-led complex care packages across North Central London, working closely with commissioners, ICBs, families and internal teams.

The service has a strong respiratory focus, including ventilated care, CPAP/BiPAP and tracheostomy, and is being built with long-term growth in mind. You will play a central role in establishing clinical credibility, governance standards and training frameworks that can scale.

There is a clear progression pathway into broader clinical leadership (Clinical Director / Regional Lead) as the service grows.

Key Responsibilities

Clinical Leadership & Governance

Act as the senior clinical lead for all adult complex care packages

Provide governance oversight for nurse-led services, ensuring CQC-compliant, safe and high-quality care

Lead incident review, audits, risk management and continuous improvement

Act as the accountable clinical decision-maker on complex cases

Package Mobilisation

Support the mobilisation of new complex care packages from referral through to go-live

Work closely with ICBs, commissioners and case managers during assessments, reviews and quality meetings

Ensure safe staffing models, competencies and governance are in place from day one

Training & Workforce Oversight

Design and deliver induction and refresher training for nurses and HCAs

Lead competency-based training, including:

Classroom sessions

1:1 training

In-package and shadow-shift sign-offs

Maintain oversight of ongoing clinical competency and assurance

Support clinical recruitment, including interviewing and clinical sign-off

Service Development

Help build the complex care division from the ground up

Shape clinical processes, policies and best practice

Work collaboratively with the Registered Manager and leadership team to create a scalable service

Essential Experience (Non-Negotiable)

Applicants must meet all of the following:

Registered Nurse (Adult) with active NMC PIN

Minimum 2 years’ experience as a Clinical Lead (or equivalent) within a complex care provider

Proven experience managing nurse-led community complex care packages

Strong adult complex care background (not paediatric-led)

Hands-on experience with:

Mobilising packages of care

Clinical governance and CQC compliance

Training and inducting nurses and HCAs

Confident working with:

ICBs

Commissioners

Families

External stakeholders

Comfortable operating autonomously and holding clinical accountability

Highly Desirable

Strong respiratory complex care experience (ventilation, CPAP/BiPAP, tracheostomy)

Experience launching or growing a new complex care service

Exposure to business development or service growth conversations

Strong understanding of TDDI and complex care regulatory expectations

Working Pattern & Location

Primarily office-based in Golders Green

Community working across North Central London boroughs

Travel required (mileage paid; public transport or car options available)

Some flexibility for personal commitments, balanced against service needs

What’s on Offer

Opportunity to build and lead a nurse-led complex care service from the ground up

High levels of autonomy, trust and influence

Clear progression into senior clinical leadership as the service grows

Backed by an Outstanding-rated franchise and a large national network

Mileage paid (40p per mile) and potential company car option

A role where your impact will be visible within the first 3–6 months

What Success Looks Like (First 3–6 Months)

Successful mobilisation of initial complex care packages

Robust training and competency frameworks embedded

Strong relationships established with ICBs, commissioners and families

Clear, safe clinical governance in place

Recognised internally and externally as the clinical authority for complex care