ANP - WorkWell MDT Chair and Clinical Triage Lead

Employed by NPC and working within the Norfolk WorkWell service, lead

by Future Projects the Advanced Nurse Practitioner (ANP) provides the senior

clinical oversight of the WorkWell Single Point of Access (SPOA) and chairs the

WorkWell Multidisciplinary Team (MDT). The postholder leads clinical triage of

all referrals, making sure every participant is safely and appropriately

triaged within one working day, that clinical risk (including risk of suicide

or self harm) is robustly considered, and that anyone for whom WorkWell is not

the right service receives a handover under a no wrong door approach.

case discussion, co-ordination and decision making across clinical and

non-clinical colleagues, agreeing clinical input, onward referral, escalation

and discharge so that each participant's WorkWell plan is safe, holistic and

joined up with their GP and wider care. The postholder also practises

autonomously as an advanced clinician: undertaking joint assessments with Work

and Health Coaches, certifying fit notes (Med3) on behalf of primary care, and

providing clinical supervision and education to the team, employers and system

partners. The role requires sound clinical judgement, confident chairing and

facilitation, and a flexible, positive approach to mobilising a new service

across a multi-organisational environment.

1.1 Clinical Triage and Single Point of Access

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%.

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.

most appropriate service against the acceptance criteria in line with the NHS

Constitution.

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.

appropriate for WorkWell receive a warm handover to the most appropriate

service, and escalate gaps in provision to the ICB to inform future

commissioning.

with the Suffolk WorkWell SPOA, offering participants choice of where they are

seen and completing warm handovers where appropriate.

GP clinical record (SystmOne or EMIS) to inform triage decisions and manage

clinical risk, recording triage outcomes accurately with appropriate SNOMED

coding.

WorkWell clinical triage protocol, risk stratification tool and escalation

pathways, aligned to the service's clinical governance framework.

Triage Audit required under the contract's local quality requirements,

reporting findings, themes and improvement actions.

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).

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.

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.

returned to the SPOA where contact has not been achieved within five working

days, including contacting the person and the referrer.

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.

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.

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.

discussion (unmet need, gaps in local provision, skill mix pressures) and feed

these into service improvement, workforce planning and reporting.

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.

the participant's Work and Health Coach where clinical assessment or

intervention is required, so the participant only needs to tell their story

once.

low-intensity clinical interventions and self-management support (for example

conservative pain management and stress management advice), embedding Making

Every Contact Count (MECC).

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).

in assessment and care planning, recognising that depression and anxiety are

the most common conditions among the WorkWell cohort.

Health Coaches and (with consent) employers on the clinical aspects of

reasonable adjustments, phased returns and changes of duties.

other health professionals where needs go beyond what the core WorkWell MDT can

provide.

Work and Health Coaches and other non-clinical MDT members who deliver

low-level health interventions, ensuring they practise within their competence.

clinical governance framework so that triage, assessment, intervention and

discharge are clinically safe, evidence based and delivered in line with

professional standards.

patient safety incidents in line with the Patient Safety Incident Response

Framework (PSIRF), sharing themes and learning across the team.

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.

contemporaneous, accurate and appropriately coded (accepted participants

allocated a SNOMED code), and handled in line with UK GDPR and NPC information

governance policies.

contract's quality schedule, including triage performance, audit results,

incident themes and participant feedback.

GP practices and PCNs, as the main source of referrals, so that referral,

record sharing and fit note arrangements work smoothly.

including baseline and discharge EQ-5D and Attitudes to Work and Health

questionnaires, the 12-week post-discharge follow-up and participant feedback.

pathways for cohorts at greater risk of health-related economic inactivity,

drawing on population health data and learning from the national WorkWell

pilots.

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.

clinical conversations with participants, carers and professionals, including

discussions about risk, capacity to work and onward referral.

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.

reports on triage performance, MDT activity, clinical risk and audit findings

to the WorkWell Service Manager and relevant governance forums.

2.1 Other Responsibilities

Lead at meetings relating to triage, the MDT and clinical safety as required.

audit to identify variation, risk and opportunities to improve participant

outcomes and experience.

partners to bring about changes to pathways based on good practice, participant

experience or variation in performance, in a supportive and non-judgemental

way.

national work and health strategies, including the ICB Work and Health Strategy

and the Get Norfolk plan, to develop the service.

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.

Norfolk Primary Care (NPC) is a Community Interest Company (CIC)

delivering clinical services across the Norfolk & Waveney region. Our

membership consists of GP practices within the area. NPC's purpose is to:

Care by supporting workforce development and improving patient access.

Care by working with, and on behalf of, local practices to drive quality

improvement.

key challenges such as workload pressures, GP recruitment, best practice

sharing, and opportunities for at scale working.

of Primary Care by helping ensure services meet the needs of the local

population.

clinicians, administrative teams, and practice organisations across Norfolk.

wider health system to deliver patient care in innovative, solution focused

ways.

Qualifications

Experience

Skills and Abilities