ANP - WorkWell MDT Chair and Clinical Triage Lead


Company:	NHS Jobs
Salary:	from £56,000 a year
Hours:	Full-time
Location:	Broadland Business Park, NR7 0WF
Job type:	Contract
Posting date:	15 Oct 2026
Closing date:	8 Nov 2026

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Summary

1.1 Clinical Triage and Single Point of Access Lead clinical triage for the Norfolk WorkWell SPOA, ensuring all referrals (self-referral, GP and primary care, employers, VCFSE, Local Authority and DWP partners, education and Population Health Management case finding) are triaged within one working day of receipt, against the contractual threshold of 85%. Provide clinical oversight and monitoring of triage completed by non-clinical SPOA colleagues, reviewing decisions so that clinical risk is robustly considered, and personally triaging referrals that are clinically complex or flagged as higher risk. Determine whether WorkWell is the most appropriate service against the acceptance criteria in line with the NHS Constitution. Individually assess safety risk where participants express thoughts of suicide or self-harm (which is not an exclusion criterion), deciding whether WorkWell is appropriate at that time; where accepted, ensure care is delivered in partnership with the participant's GP and/or mental health worker, and where not, facilitate timely transfer to the right service. Ensure referrals that are not appropriate for WorkWell receive a warm handover to the most appropriate service, and escalate gaps in provision to the ICB to inform future commissioning. Manage cross-border referrals with the Suffolk WorkWell SPOA, offering participants choice of where they are seen and completing warm handovers where appropriate. Use access to the participant's GP clinical record (SystmOne or EMIS) to inform triage decisions and manage clinical risk, recording triage outcomes accurately with appropriate SNOMED coding. Develop, maintain and review the WorkWell clinical triage protocol, risk stratification tool and escalation pathways, aligned to the service's clinical governance framework. Lead the quarterly Clinical Triage Audit required under the contract's local quality requirements, reporting findings, themes and improvement actions. 1.2 MDT Chair Chair the WorkWell MDT on a regular scheduled basis (frequency TBC, e.g. weekly) setting the agenda and ensuring appropriate clinical and non-clinical representation (for example Occupational Therapists, Mental Health practitioners, Physiotherapists, Occupational Health professionals, GP input and Work and Health Coaches). Facilitate structured case presentation and discussion by Work and Health Coaches, ensuring each participant's physical, psychological and social needs are considered through a biopsychosocial, personalised care approach. Lead MDT decision making on clinical input, joint assessment, onward referral and signposting, escalation and discharge, ensuring decisions, rationale and actions are recorded accurately in the participant's record and communicated to those responsible. Agree next steps for referrals returned to the SPOA where contact has not been achieved within five working days, including contacting the person and the referrer. Ensure onward referrals to delivery partners are supported by due diligence that the partner can meet the participant's needs, and that support received elsewhere is integrated into their return-to-work or thrive-in-work plan. Review complex, higher-risk or stalled cases and plans extending beyond the expected intervention period, ensuring discharge decisions are clinically safe and that the participant's GP is informed of discharge and outcomes. Foster an inclusive, psychologically safe MDT culture in which non-clinical colleagues' contributions are valued, and use the MDT as a forum for reflective practice and shared learning. Identify themes from MDT discussion (unmet need, gaps in local provision, skill mix pressures) and feed these into service improvement, workforce planning and reporting. 1.3 Advanced Clinical Practice Practise autonomously across the four pillars of advanced practice (clinical practice, leadership and management, education and research) in line with the Multi-professional Framework for Advanced Clinical Practice in England. Undertake joint assessments with the participant's Work and Health Coach where clinical assessment or intervention is required, so the participant only needs to tell their story once. Deliver evidence-based, low-intensity clinical interventions and self-management support (for example conservative pain management and stress management advice), embedding Making Every Contact Count (MECC). Certify Med3 fit notes for participants under WorkWell care in line with DHSC and DWP guidance, updating the participant's clinical record and communicating with their GP, and maintaining the required competence (reviewed at least annually). Apply mental health competencies in assessment and care planning, recognising that depression and anxiety are the most common conditions among the WorkWell cohort. Advise participants, Work and Health Coaches and (with consent) employers on the clinical aspects of reasonable adjustments, phased returns and changes of duties. Refer participants to their GP or other health professionals where needs go beyond what the core WorkWell MDT can provide. 1.4 Clinical Governance, Safety and Supervision Provide clinical supervision to Work and Health Coaches and other non-clinical MDT members who deliver low-level health interventions, ensuring they practise within their competence. Contribute to the WorkWell clinical governance framework so that triage, assessment, intervention and discharge are clinically safe, evidence based and delivered in line with professional standards. Report and support the review of patient safety incidents in line with the Patient Safety Incident Response Framework (PSIRF), sharing themes and learning across the team. Act as the clinical point of escalation for safeguarding concerns arising through the SPOA and MDT, applying adult and children safeguarding procedures and the Mental Capacity Act in line with ICB and NPC policies. Ensure clinical records are contemporaneous, accurate and appropriately coded (accepted participants allocated a SNOMED code), and handled in line with UK GDPR and NPC information governance policies. Provide clinical evidence for the contract's quality schedule, including triage performance, audit results, incident themes and participant feedback. 1.5 Education, Partnership and Service Development Build trusted relationships with GP practices and PCNs, as the main source of referrals, so that referral, record sharing and fit note arrangements work smoothly. Support service evaluation, including baseline and discharge EQ-5D and Attitudes to Work and Health questionnaires, the 12-week post-discharge follow-up and participant feedback. Contribute to the design of pathways for cohorts at greater risk of health-related economic inactivity, drawing on population health data and learning from the national WorkWell pilots. 2. Communication and Stakeholder Engagement Build and maintain effective relationships with stakeholders across the WorkWell pathway, including (but not limited to) GPs and practice staff, Primary Care Networks, mental health and physical health services, VCFSE partners, Local Authority and DWP colleagues, and employers. Handle complex and sensitive clinical conversations with participants, carers and professionals, including discussions about risk, capacity to work and onward referral. Communicate MDT and triage decisions clearly and promptly to participants, referrers and GPs, ensuring the GP is kept up to date on the participant's WorkWell care and outcomes. Prepare and present regular reports on triage performance, MDT activity, clinical risk and audit findings to the WorkWell Service Manager and relevant governance forums. 2.1 Other Responsibilities Working with the WorkWell Service Manager and wider team: Represent the WorkWell Service Lead at meetings relating to triage, the MDT and clinical safety as required. Use service data and clinical audit to identify variation, risk and opportunities to improve participant outcomes and experience. Facilitate conversations with partners to bring about changes to pathways based on good practice, participant experience or variation in performance, in a supportive and non-judgemental way. Use knowledge of local and national work and health strategies, including the ICB Work and Health Strategy and the Get Norfolk plan, to develop the service. Provide senior clinical cover and advice to the SPOA during periods of high demand or absence to maintain the one working day triage standard. Undertake other ad hoc duties as requested by the WorkWell Service Manager.

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