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Primary Care Lead RGN

Band 7

Main area
Clinical Lead RGN
Band 7
Full time - 37.5 hours per week
Job ref
HMP Bristol
£43,742 - £50,056 pa inc
Salary period
04/06/2023 23:59

Job overview

Thank you for taking an interest in our Primary Care Lead, RGN post.   Please find an overview of Oxleas and the prisons within the Bristol, South Gloucestershire & Wiltshire, South-West Prisons

We hope that you find this useful and look forward to receiving your application.

Oxleas have been delivering healthcare in secure environments for over a decade, we have developed teams that meet the unique needs of each population.

Oxleas as lead provider directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model. Patients are at the heart of everything we do, and we build individual care around each patient, our teams come together to ensure the best care is delivered to patients at the right time to improve long term outcomes and reduce health inequalities.

Oxleas are the leading NHS provider of healthcare within secure environments, we ensure our healthcare team model is bespoke to each population. We want to encourage staff from all backgrounds to join our team to provide excellent, innovative services for positive, long term patient outcomes.

We want you to be part of our team, and our future vision. We believe that within our teams there are opportunities for personal development and careers, we will support and encourage ambition, training and continuing development.

Exciting times ahead…..

Main duties of the job

Main Duties and Responsibilities

  • To play a lead role in the on-going development and delivery of an effective integrated healthcare service team clinical model. 
  • To manage a clinical caseload.
  • Ensure all clinics are delivered in a clinically effective, efficient & timely way, in line with service needs.
  • Deliver strategies designed to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as directed
  • Support systems for the collection, triage & management of all referrals.
  • Monitor and audit of the quality and effectiveness of all aspects of service delivery.
  • Maintain an effective case management service to ensure care and continuity of treatment is maintained throughout an offender’s care pathway whilst detained in prison.
  • To liaise with others to share expertise, promote ideas and work collaboratively with key stakeholders, agencies and organisations as required.

Working for our organisation

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families.  This is strengthened by our new values:

    • We’re Kind
    • We’re Fair
    • We Listen
    • We Care

Detailed job description and main responsibilities

Key Tasks and Responsibilities

The post holder will exercise a degree of personal and professional autonomy, make complex and critical judgments under the supervision of the Head of Healthcare and have decision making skills to satisfy the expectations of the role.

  • To be responsible for Primary Care rotas, taking into account efficient use of resources, staff capacity and changing service needs
  • Responsible for staff supervision and annual appraisal
  • To support and undertake research, clinical audit and evaluate the service as directed. This will include acute care, long term conditions management and health promotion activities and be in line with the NHS Plan, public health and National Service Frameworks.
  • To demonstrate and provide robust clinical leadership to junior staff with a sound understanding of evidence-based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis.
  • To participate in all monitoring systems to promote the development of evidence-based practice in the specialist field and to promote research as appropriate.
  • To lead in the professional clinical supervision programme, to ensure all junior staff receive appropriate supervision, training, and annual appraisal to ensure that it becomes an integral part of team practice.
  • Lead in the identification of all aspects of specific service, training and personal development needs.
  • To lead in the implementation of effective and appropriate patient centred care planning tools and consistent delivery throughout all the prisons and forensic units within the service.
  • The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
  • The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations.
  • The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.
  • The post holder will ensure that a single, integrated, care plans developed, and the individualised care is regularly reviewed.
  • The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.
  • The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.  
  • The post holder will support patients to manage their health at every stage, from oral health to long term conditions.
  • The post holder will ensure that health promotion embedded into every aspect of the service.
  • The post holder will participate in all service reviews as required

Dimensions of Post Holder

  •  Develop and maintain inter-disciplinary and inter-agency working with all relevant agencies and organisations
  • Develop and maintain close working partnerships with HMPPS and Senior management teams and staff, probation services, CPS, police and all other statutory and non-statutory agencies that are integral to offender care and offender management.
  • Undertake other duties agreed in conjunction with senior staf

Custodial Responsibilities

  •  Assume personal responsibility for the security of issued keys. 
  • Understand and comply with prison orders, procedures, and instructions in your area of work.
    Comply with all security requirements. 
  • Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate. 
  • Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol. 
  • Contribute to effective risk assessment and management procedures.

Person specification


Essential criteria
  • Registered Mental Health or General Nurse
  • Post Graduate Qualification to master's or equivalent experience
  • Experience Working within prison or secure settings
  • Minimum 2 years' experience at a senior management level or supervisory role
Desirable criteria
  • Knowledge of current National Prison Health Quality & Performance Indicators
  • Ability to communicate effectively both verbally and in writing, presenting ideas with clarity in a persuasive and influential style.

Employer certification / accreditation badges

No smoking policyInvestors in People: GoldDefence Employer Recognition Scheme (ERS) - BronzeStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Mindful employer.  Being positive about mental health.Improving working livesAge positiveDisability confident employerStep into healthVeteran AwareArmed Forces Covenant Gold Award

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Jason Cooper
Job title
Head of Healthcare
Email address
Telephone number
0117 372 3051