Deputy Medical Director Integrated Urgent Care (IUC)

  • NHS
  • Mar 08, 2026
Full time Healthcare & Medical Management

Job Description

Deputy Medical Director Integrated Urgent Care (IUC) The Deputy Medical Director is integral to the Clinical Leadership and Governance team and reports directly to the Medical Director. This role is responsible for ensuring quality, safety, performance, and innovation across Integrated Urgent Care services and combines corporate leadership with hands on clinical practice.

Main duties of the job The Deputy Medical Director is a senior member of the extended multidisciplinary leadership team, driving delivery of organisational priorities and providing clinical leadership across LCW Integrated Urgent Care (IUC) services.

The postholderis responsible forthe clinical delivery of IUC services, line managing Senior Clinical Navigators and GPs, and providing leadership to the substantive and sessional GP workforce. They will work closely with the IUC Service Manager and Head of Quality, Patient Safety and Experience to ensure contractual, quality, and regulatory standards are met, including oversight of audits, GP performance, and CQRG reporting.

The Deputy Medical Director will need to be a GP. The role requires regular clinical practice across unscheduled care services tomaintainoperational credibility, as well as participation in the clinical on call rota and deputising for the Medical Director asrequired.

The postholder will support system partnership working, service transformation and innovation, contribute to bid development, and act as Deputy Clinical Safety Officer whererequired

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 andoperates24 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,caringand 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 £115,000 to £120,000 per annum, prorata

8 management sessions per week with the expectation of working 1 clinicalsessionper week in addition.

Key Relationships: Key relationships include executive directors, clinical and governance teams, LCW Heads of post holders, employed and self employed clinical staff, partner organisation Medical/Deputy Medical Directors, ICB Medical/Deputy Directors, Health Education England, GP training hubs, and GP partners in joint ventures.

Core Responsibilities: Corporate Clinical Leadership & Governance Work as part of an extended leadership team at LCW, including supporting organisation and team meetings.

Provide leadership to the LCW Clinical Leadership and Governance team.

Deputise for the Medical Director as and when required and to cover periods of leave.

Take part in the clinical on call rota and stay up to date with EPRR systems and processes within LCW.

Work clinically in LCW services to cover all services, primarily within IUC, including a mix of triage and face to face sessions.

Input into stakeholder meetings, to include but not necessarily limited to:
  • Urgent Community Response Teams
  • PCN/Federation/Alliance meetings
  • Local Authorities
  • ICBs
  • Local Trusts
Deal with ad hoc clinical queries from clinicians.

Availability to undertake key responsibilities outside of usual working hours in critical circumstances.

Chair LCW Medicines Management meetings.

Line manage the LCW Medicines Management Lead.

Ensure that LCW are meeting the requirements for its controlled drug licence.

Work with prescribers across the organisation to support LCW's use of ICB formularies.

Ensure medicines management policies and procedures aremaintained.

Safeguarding Provide senior clinical oversight of safeguarding across IUC services.

Ensure safeguarding policies and SOPs are implemented consistently in operational settings.

Act as a senior clinical advisor on complex safeguarding cases.

IUC Clinical Delivery: Line manage any substantively employed Senior Clinical Navigators and GPs in our IUC services

Clinical leadership for the substantive and self employed GP workforce for LCW IUC services.

Work with the IUC service manager and Head of Quality, Patient Safety and Experience to ensure services meet specified and contractual requirements.

Lead the production of reports for CQRG meetings for IUC services.

Attend partner, ICB and regional meetings.

Oversight and understanding of IUC processes and pathways, including basic knowledge of NHS Pathways.

Ensurethat IUC services work in partnership with providers and commissioners across ICBs so that LCWremainsaligned with initiatives such asEnd of Lifecare and Urgent Care Plans.

GP Performance and Audit: Ensure the LCW clinical audit function is high performing and provides feedback when needed, both when it is positive and when improvement isrequired.

EnsureGP registrars have theappropriate complianceto work at LCW, are inducted into the service appropriately, and that any concerns raised by GP supervisors are managed.

Respond to any queriesregardingGP performance or behaviour raised by patients or staff.

Transformation and Innovation: Contribute to bid writing for the service, including new business and procurements, to support the organisation's strategic direction.

Lead on innovation and support the transformation of our services that result in an improved patient experience. This would include taking the lead on innovation that isdeemedpart of LCW's vision and values, as well as collaborating with external stakeholders.

Act as the Deputy Clinical Safety Officer role for LCW, deputising for the Clinical Safety Officer asrequired.

Complaints, Incidents and Risk: Role model the behaviours and approach set out within the PSIRF policy for LCW.

Lead on LCW clinical complaints for IUC services.

Work with the Head of Quality, Patient Safety and Experience to ensure clinical incidents are assigned, being investigated and that the learning is being acted upon.

Provide leadership to serious incidents, including: Chair 72 hour review meetings and deciding if a commissioning investigation is required.

Investigateserious incident investigations using the PSIIRF framework

Deliver the responsible officer role for SI investigations.

Offer anappropriate level of pastoral support should a GP be involved in a complaint or incident where appropriate and not conflicted.

Support and champion patient engagement.

Recruitment, Onboarding and Training: Support with the recruitment of GPs to the services, ensuring there are clinical inductions and overseeing their continuous training and compliance.

Work in conjunction with the recruitment team and HR to ensure that new clinical recruits have the necessary skills and resources to do their jobs. Working with HR to ensure that the clinical workforce is compliant with training and accreditation requirements and takes appropriate action when necessary. Lead the delivery of education/ updates to the substantive and self employed GP workforce across 6 sessions a year.

Support the medical induction and mentoring of new GPs and clinicians working within the service.

Attend meetings and provide strategic input, including CQRG, Quality Assurance, Risk Register, Medicines Management, Safeguarding, Complaints, Medical Leadership, external stakeholders, and Regional/National Clinical Governance meetings. Deputise for the Medical Director when needed.

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 be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), and ensure that agreed safety procedures are carried out to maintain a safe environment for employees, 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 theorganisation have a responsibility to ensure that policies and procedures are followed, that staff receive appropriate training . click apply for full job details