Number of posts: 1 post.
Working hours/days: Full time or Less Than Full Time (Minimum 3 days per week with MSE ICS) Working days flexibility.
Previous clinical fellows have continued clinical work out of MSE and in some cases had this counted towards training – for trainee to arrange independently being mindful of notice periods needed for deanery.
Contract basis: Secondment from current employer or fixed term contract for one year.
Duration of post: 1 year.
Salary: Matched to current salary levels.
Leave: Matched to current NHS leave allowance pro rata.
Fellowship scheme sponsor: Anthony McKeever. Chief Executive Officer, MSE Integrated Care System.
Line manager: Transformation Lead Clinical Projects.
Mentoring and development arrangements: Each fellow will have a named Executive Mentor, depending on their specific requirements and areas of work.
There are regular development sessions scheduled with senior ICS clinical leaders.
Fellows will join and help facilitate an ICS leader Development Programme with sessions spread throughout the year.
Location of primary office: Primarily virtual / home-based working with some F2F learning opportunities.
Travel requirement: Likely to involve occasional travel within Mid & South Essex.
About the organisation
MSE ICS brings together 17 partner organisations serving a population of 1.2m, with a £2.9 billion health economy overall.
We are organised across 4 developing Places – Southend, Castle Point and Rochford, Basildon and Brentwood and Mid-Essex – which are developing Alliances and partnership arrangements at the Place level.
There are 28 Primary Care Networks (>150 individual practices), one acute foundation trust – Mid and South Essex Foundation Trust (the third largest in the UK – operating across 3 sites), 3 Community and Mental Health providers, 3 upper tier Local Authorities, and 4 Alliances.
MSE ICS ambitions include:
- Ensuring equality: addressing inequality and reducing unwarranted variation
- Creating opportunities: education, employment, housing and growth
- Health and wellbeing: healthy lives and healthy behaviours
- Moving care closer to home
- Transforming and improving health and care systems
The Clinical Fellow/s will work closely with the executive team to work on, and lead, projects across various areas and disciplines that aim to deliver on the MSE ICS strategy. With support from senior colleagues the Clinical Fellow/s will:
- Lead system projects ensuring appropriate planning, engagement and communication · Work collaboratively with a range of stakeholders and within integrated multi-professional teams · Appraise complex information and produce reports of high quality · Have access to leadership development via regular mentoring session, shadowing opportunities with senior leaders and through the ICS systemwide leadership development programme.
Whilst some projects will have long timelines, others may require a rapid turnaround. Fellows may be called on to contribute to key ICS development areas.
Previous Clinical Fellow projects include:
- Working with the Chief Executive Officer and Medical Director to develop MSE flagship Stewardship programme, developing a clinically-led, population health based, integrated approach to stewarding our Partnership’s resources within their service.
- Leading a project to establish a system-wide Fracture Liaison Service to increase access to services and improve health outcomes for patients across the system.
- Leading a project that aims to increase access, education and training in, and adoption of, genomics in the care pathway to support the personalised care and shared decision making agenda.
- A project aimed at primary health prevention and integrated system level working around the Making Every Contact Count (MECC) approach.
- Delivering sustainable models of care and promoting green NHS issues
- Establishing clinical confidence, leadership and strategic co-development of MSE’s flagship Virtual Hospital programme
- Developing the process and governance model for the Clinical and Multi-professional Congress (who provide expert frontline opinion and support to the ICB board in their decision making). This has included developing processes for the congress to analyse and evaluate transformational change projects as well as to review current funding policies in the system.
- Working collaboratively with stakeholders across the system to identify and drive change and improvement to result in equitable access to care and improved outcomes for those at risk of experiencing inequalities. Aligning local, regional and national priorities, working within inequalities has required system approach and brings together aspects such as: Population Health Management, Prevention and Personalised Care.
- Delivery of a large-scale transformation project to establish a low carbohydrate programme for all residents with type 2 diabetes.
- Exploring the boundaries between the independent sector and NHS to ensure equity for the population of MSE.
- Working on a business case to ensure that commissioning policies are harmonised as we move from five CCGs to one ICS – clinical treatment areas include fertility services and bariatric surgery.
Candidates must have completed (at the time of beginning the post) one of the FMLM Clinical Fellow schemes:
- National Medical Director’s Clinical Fellow Scheme;
- Chief Dental Officer’s Clinical Fellow Scheme;
- Chief Pharmaceutical Officer’s Clinical Fellow Scheme;
- Chief Scientific Officer’s Clinical Fellow Scheme;
- Chief Sustainability Officer’s Clinical Fellow Scheme;
- NHS Regional Clinical Fellow Scheme.
- Full registration, and in good standing, with relevant professional body (eg GMC, GPhC, GDC, NMC, HCPC)
- Public health specialty trainees from a background other than medicine must be on the UK public health specialty training scheme and enrolled with the Faculty of Public Health.
(Applications welcome from a variety of clinical backgrounds.)
- Allied health care professionals including but not exclusively:
- Nurses, midwives, Physiotherapists, occupational therapists healthcare scientists, pharmacists (must have completed foundation training or equivalent)
- Doctors must have completed foundation training or equivalent.
- Dentists must be able to demonstrate strong leadership experience.
- Demonstrable skills in both written and spoken English to enable excellent and effective communication.
- Must be eligible to work in the UK.
- Able to travel across various sites where applicable.
- Qualifications: Full registration, and in good standing, with relevant professional body ( e.g. GMC, GPhC, GDC, NMC, HCPC)
- Structure of the health service in England including: funding streams, commissioning and governance.
- Organisations involved in the funding, commissioning, delivery and monitoring of care in England.
- Principles of clinical audit and quality improvement.
- Working effectively within a team to deliver a project.
- Involvement in quality improvement projects or clinical audit which have an impact on patient care or, where they haven’t, there has been learning.
- Proven development of leadership skills.
- Appraise new information quickly.
- Generate individual ideas.
- Clearly express their perspective and opinions.
- Quickly build rapports with colleagues from different professional and personal backgrounds.
- Respectfully and effectively communicate with colleagues including virtually (e.g. via email).
- Creatively identify solutions to problems.
- Write reports and be proficient in interpreting healthcare literature.
- Adhere to core values of MSE FT.
- Respect colleagues.
- Show initiative and motivation.
- Be self-aware and display emotional intelligence.
- Engage in reflective practice.
- Act with honesty and integrity.
- Take responsibility for their actions.
- Be supportive of colleagues and work collaboratively.
- Qualifications: Engaged in development beyond clinical training. Related post-graduate education – e.g. certificate, diploma, masters, PhD.
- Previous major health service changes in England (e.g. Health and Social Care Act 2012).
- Quality improvement science including tools used for QI (e.g. driver diagrams and fish-bone diagrams).
- Theories relating to leadership practice, and their application (e.g. Cynefin framework).
- Data management and statistical analysis.
- Population health management.
- Health economics.
- Behavioural science and its application within healthcare.
- Guideline or policy development.
- Writing business cases.
- Keeping minutes at meetings.
- Chairing committees/working groups.
- Leading a quality improvement project.
- Managing datasets and performing statical analysis.
- Quickly and adeptly review complex information and generate an individual perspective and be able to clearly communicate their position.
- Communicate effectively with a range of stakeholders with diverse agendas in challenging circumstances (e.g. politically sensitive situations).
- Respectfully challenge colleagues’ opinions and positions.
- Show evidence of altruistic behaviour (e.g. volunteer for a charity, community group)
- Demonstrate leadership outside of their primary employment (e.g. Trustee or board member of an organisation, Non-executive director, sit on local groups or committees).