Skip to main content

Employer heading

Oxleas NHS Foundation Trust logo
Please wait, loading

Primary Care Lead

Band 7

Main area
Administrative Service and Nursing- prison Services
Band 7
Full time - 37.5 hours per week
Job ref
HMP Elmley
£45,742 - £52,056 pa inc
Salary period
08/06/2023 23:59

Job overview

Our Kent Prisons healthcare services are underpinned using our ‘health and wellbeing’ model. It has evolved over the past 5 years, where it was originally implemented at the Greenwich cluster. HMP Belmarsh in 2017 which was a first for NHSE (London Region) and a model which other services built on, for us followed by HMP Isis 2018 and HMP Wandsworth 2019.

There are core principles, however, how these are achieved are bespoke to the local healthcare and prison team during the model implementation:

  • Patient focused with health promotion at the heart of our care
  • Designing services which meet the unique needs of the prison
  • The right staff, right place, right time ensuring experienced professionals are on hand to lead and support patients when needed
  • A no exclusions model that ensures everyone with mental health needs is managed within the step care model
  • Being highly supportive of clinical and prison staff with training, support enabling the team to work smarter and as part of an effective multi-disciplinary team

The six prisons are located across three estates, Isle of Sheppey, Rochester and Maidstone, with the Isle of Sheppey prisons being with a few minutes’ walk from each other and East Sutton Park approximately 7 miles from Maidstone.

Main duties of the job

As an expert practitioner and source of expert advice to clinicians, allied health care professionals, offenders and their carers, provide specialist nurse interventions to patients and support to junior colleagues. Assist & support the Operational Manager to lead a nurse-led integrated primary care service and develop a specialist practice-based clinical model of care.

To ensure the Integrated Healthcare Service provide a range of quality services to offenders.


Working for our organisation

Oxleas – About Us

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

To support the development and delivery of an effective integrated healthcare service team clinical model.

To manage a specialised & complex clinical caseload.

To support the Operational Manager to maintain the National Standards for Health Care in Prisons for the service.

As delegated be responsible for the management & co-ordination of the Integrated Healthcare Service Team on a day-to-day basis in the absence of the Operational Manager.

Ensure long term conditions clinics are delivered in a clinically effective, efficient & timely way, in line with service needs.

Work with senior colleagues to develop strategies designed to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as required

As delegated, maximise resources to target need, including the deployment and supervision of staff.

Support the development of robust systems for the collection, triage & allocation of referrals as appropriate, and monitoring and auditing the quality and effectiveness of service delivery.

To monitor and maintain an effective case management service to ensure care and continuity of treatment is maintained throughout a patients care pathway whilst detained in prison/ forensic services.

Monitor staff performance high standards of electronic record-keeping competencies and patient /offender confidentiality in line prison/ forensic unit policy and systems, through effective monitoring and auditing processes

To monitor and review the implementation of appropriate & effective and accredited care planning tools / CPA for all offenders that are subject to the process in accordance with agreed trust policies.

To carry out clinical supervision to team members including annual appraisal and identification of specific service, training and personal development needs as directed.

Work with the Operational Manager to develop effective systems and interfaces with community health services ensuring continuity of care on release or discharge. Actively promote and demonstrate working across professional and organisational boundaries.

To foster and maintain close working partnerships with all services that may be involved with the care and management of offenders, such as prison staff , healthcare MDTs,, forensic services, prison staff, Ministry of Justice, community acute and primary care services, CMHT’s staff, probation services, CPS, courts, GP’s, housing and benefit services etc).

Monitor staff compliance with all prison and trust clinical policies and procedures as appropriate. Responsible for the management of all matters relating to discipline, complaints and serious & untoward incidents and investigations as required.

Ensure appropriately skilled & qualified staff comply with the administration and management of medications according to their responsibilities in accordance with all relevant policies, guidance and procedures.

Support the selection, recruitment and retention of appropriately skilled staff for the service.

To liaise with others to share expertise, promote ideas and to ensure the service is working collaboratively with key stakeholders, agencies and organisations as required.

Person specification


Essential criteria
  • • Professional Qualification. (Registered General Nurse, Paramedic, Pharmacist and Pharmacy Technician)
  • • Post Graduate Qualification to Masters level or equivalent specialist skills in the area of primary care interventions, long-term disease management, vaccination etc.


Essential criteria
  • • Minimum of 3 years’ experience at a Senior Nurse level (Band 6)
  • • Experience of working within prison settings
  • • Experience of managing staff
  • • Working knowledge of current issues/agendas facing prison healthcare
  • • Experience of multi-professional collaboration at a Senior level including working in partnership with other statutory and voluntary organisations. Experience of setting, monitoring and evaluating standards of care.

Skills/Abilities/ Kn owledge

Essential criteria
  • • Ability to communicate effectively both verbally and in writing, presenting ideas with clarity in a persuasive and influential style, for a variety of audiences.
  • • Ability to manage change and develop innovative ways of working.
  • • Ability to maintain a high profile within senior management structures.
  • • Ability to lead and empower people to make decisions and to plan ahead.
  • • Knowledge of current National Standards for Prison Mental Healthcare policy and National Service Frameworks.
  • • Good analytical and judgement skills

Effort and Environment

Essential criteria
  • • Ability to use initiative and creativity in problem solving
  • • Ability to resolve conflict and build teams
  • • Ability to manage complex & challenging behaviour

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

Clare Denny
Job title
Recruitment & Retention Resourcing Officer
Email address
Telephone number