clinical lead job description nhs

Usually, aclinical nurses lead teams that work in hospitals and clinics. /Type /StructElem 55 0 R 504 0 R /P 526 0 R /Pg 687 0 R /S /P 419 0 R - dedication to excellence - Nurses must have a passionate about their work, and want to help others achieve success. /Pg 716 0 R endobj 494 0 R /S /P endstream endobj startxref /K [ /Pg 635 0 R 401 0 obj /P 2 0 R /Pg 693 0 R /P 600 0 R /Pg 690 0 R 421 0 R 261 0 obj /Type /StructElem per annum inclusive of High Cost Allowances, KEY RESPONSIBILITIESQuality- To performance manage the quality of the clinical services, including patientsafety, patient satisfaction, clinical outcomes and compliance with the clinicalpathways and associated protocols- To use and provide information required for the quality measure which will becollected & reported using dash boards to improve the quality of care delivery- To investigate and monitor SUIs, complaints and disciplinary issues andensure adverse outcomes are reported and action taken. << /S /P /S /Span /P 219 0 R /P 2 0 R /S /TD /Pg 693 0 R << << << endobj 120 0 R /Type /StructElem "`RzE1h=)i8*dssgY-C+xL[gd)c 187 188 ] endobj /K 118 >> 580 0 R >> /P 603 0 R endobj << /Type /StructElem /Type /StructElem /Pg 690 0 R /Pg 716 0 R << 441 0 obj 353 0 R >> endobj 263 0 R /P 516 0 R 210 211 ] 63 0 R 200 0 obj 170 0 R << /Type /StructElem 316 0 R endobj Nurse leaders are more focused on patient care, while nurse managers are more active in the daily operations of the hospital. 400 0 R endobj 168 0 R /P 589 0 R 410 0 R 87 0 R /S /TD 6 0 R 75 0 R 46 0 R /K 10 >> /K [ 1 0 obj /Type /StructElem /Type /StructElem 25 0 obj /S /Span 592 0 obj /K 22 >> /P 578 0 R 626 0 R /S /TR 334 0 R 510 0 obj /S /TD /Type /StructElem << 440 0 R >> /S /Span /Pg 635 0 R /S /Span endobj Most leaders in their field have a vision for high quality healthcare that generates excitement and commitment among their colleagues. 186 0 R << /S /P /S /TD /Pg 716 0 R /P 110 0 R /S /TD >> endobj /Type /StructElem /K 165 >> /Type /StructElem 4 0 R /P 179 0 R >> /P 588 0 R << /Pg 673 0 R 179 0 R The four pillars of advanced practice are clinical practice, leadership and management, education, and research. /P 2 0 R 104 105 ] >> 503 0 R /Pg 716 0 R /P 2 0 R The NHS pay scales for 2017-18 are Band 2. endobj /P 2 0 R << ] 243 0 obj endobj /K [ /K [ /Pg 716 0 R << endobj 98 0 R 361 0 R 81 82 83 ] 418 0 R >> /Pg 716 0 R /S /Span 388 0 R >> << 453 0 obj /S /LBody /K 146 >> /MediaBox [0 0 595.2 841.9] endobj /S /TD /P 204 0 R << 243 0 R /P 215 0 R /S /LI /Pg 693 0 R 247 0 R >> /Type /StructElem endobj /Pg 716 0 R /Pg 690 0 R 21 0 obj /K 11 >> << 177 0 obj Factors that will greatly influence the salaries of CNLs include things like educational credentials, years of clinical experience, the geographical location of employment, and the employing organization. /P 208 0 R /Type /StructElem 0 1 ] - source. /S /LI /K [ 277 0 R << /K 103 >> /P 209 0 R /P 2 0 R 627 0 obj 438 0 R /P 611 0 R endobj /Type /StructElem >> endobj /Pg 693 0 R 590 0 R /Type /StructElem endobj endobj << /Pg 676 0 R 454 0 R 28 0 R 237 0 R << 204 0 R /S /LBody 631 0 R /S /LI /Pg 716 0 R << /S /LI 512 0 obj 51 52 53 54 55 56 57 58 59 ] We work with patients and our staff teams to achieve the best outcomes we can. /S /P 297 0 obj /K 113 >> 419 0 R 263 0 obj endobj 2 as GP Clinical Lead Salary Negotiable by experience with indemnity paid + NHS Pension Objectives: To provide clinical leadership of GP services within the practice, be . 322 0 R /P 567 0 R 500 0 obj <> endobj >> 226 0 R /P 2 0 R 553 0 obj /Type /StructElem endobj Most employers will also provide CNLs with some paid time off each year - usually a few weeks. endobj 298 0 R 484 0 R /P 119 0 R /Type /StructElem /Pg 693 0 R 311 0 obj N` :=fn@n 618 0 obj 633 0 R 461 0 R /P 2 0 R 338 0 obj << /Pg 693 0 R /Pg 687 0 R ] /S /LBody endobj x\Y8~7`R/n4m7X,z! /K [ >> 346 0 obj /S /TD This means that the NHS staff receive a basic salary, plus benefits and expenses. 503 0 R /P 623 0 R endobj 445 0 R endobj /Pg 693 0 R 457 0 R /K 11 >> 275 0 R /Pg 693 0 R 317 0 obj 92 0 R /K 15 >> ] /Type /StructElem /Type /StructElem /P 624 0 R <>>> /P 570 0 R 628 0 R 67 0 R /Type /StructElem /K [ << 67 0 R /K [ endobj /Pg 693 0 R /P 551 0 R endobj 173 0 obj /K 12 >> /P 610 0 R /Pg 662 0 R << /Pg 693 0 R /S /TD >> << /S /P hb```j cb+W; aq2m;?p{]WpIIx3k"tL@ @a!00k] 78 0 obj << /Type /OBJR 105 0 R /Pg 693 0 R /Type /StructElem 2 0 obj 480 0 R 123 0 obj >> 491 0 R endobj << endobj If you are interested in becoming a clinical manager, you will need to have the proper training and experience in order to be successful. << << /S /P /S /LI endobj /S /P /Pg 693 0 R 521 0 obj However, with the right skills and experience, this type of position can be a great way to increase your career and keep up with the latest trends. NHS England, North East Commissioning Support Team, Local Authorities, third sector . endobj 429 0 R 468 0 obj /Pg 716 0 R /S /LBody /K 89 >> endobj /K 19 >> /K 0 >> 470 0 obj 293 0 obj <> /K [ 473 0 R endobj /K 8 >> endobj 321 0 obj << 615 0 R /Pg 687 0 R /P 2 0 R 79 0 obj 272 0 obj Document Sample service lead job description Microsoft Word 23 KB 4 pages >> 87 0 R 37 0 obj /S /TD /Type /StructElem /K 5 >> << /P 2 0 R endobj 262 0 R 313 0 R 136 0 R 306 0 obj /Pg 635 0 R 447 0 obj /Pg 690 0 R /P 512 0 R 436 0 R /Pg 693 0 R 451 0 R /Pg 693 0 R endobj /P 187 0 R /Pg 716 0 R /Type /StructElem 351 0 R 265 0 obj /Pg 716 0 R 217 0 R /K [ 157 0 obj >> /Type /StructElem /Pg 687 0 R /K 6 >> endobj << << /Type /StructElem endobj 309 0 obj 402 0 R /K 266 0 R << /Type /StructElem <> /Type /StructElem /Pg 635 0 R /P 202 0 R /Type /StructElem << >> 7 162 0 R /Type /StructElem ] endobj /Pg 693 0 R 297 0 R /Pg 687 0 R >> endobj /S /P 76 0 R 69 0 obj << << /P 513 0 R /S /P 266 0 obj 412 0 R /K [ Where jobs cannot be matched to a profile, a full evaluation must be undertaken locally to determine pay banding. /S /Span 397 0 R /P 538 0 R /K [ However, the average lead nurse salary in the United Kingdom is usually quite high, making it a great option for those looking for a career in this field. 12 0 obj 527 0 obj Clinical nurse leaders are dedicated to improving the quality of patient care through consistently Evaluating patient outcomes, assessing cohort risk, changing care plans, advocating for change and mentoring fellow nurses. 282 0 R 293 0 R /Type /StructElem 495 0 R << /S /LI /P 180 0 R 387 0 obj /Pg 676 0 R /P 218 0 R 497 0 obj 145 0 R 128 0 R >> << /Type /StructElem endobj 291 0 R /Pg 635 0 R endobj endobj endobj /Pg 693 0 R << >> 130 0 obj endobj 431 0 R /P 2 0 R /K 180 >> >> Usually, the average lead nurse salary in the United Kingdom is ?39,994 per year or ?20.51 per hour. 332 0 R /Pg 676 0 R /S /P /Type /StructElem /P 566 0 R ] This position can be extremely rewarding, but it can also be demanding. /Pg 716 0 R They should be motivated to change the healthcare outcomes of patients. 475 0 R 314 0 obj 105 0 obj List jobs with Midlands Partnership NHS Foundation Trust - Inclusion Services in Nursing and Midwifery or all sectors, Job Description and Person Specification (. 93 0 R Commitment from the team todevelop you by offering coaching and in-house development sessions such as, Leadership programmes,non-medical prescribing, CBT-P training and much more. 314 0 R /Pg 716 0 R /S /LBody /Pg 716 0 R 453 0 R /Type /StructElem >> /K [ 85 0 R /Pg 693 0 R /Type /StructElem /P 151 0 R /K 134 >> /S /LBody >> 27 0 R 347 0 R endobj 488 0 obj /K 1 >> /K 4 >> /K 141 >> 613 0 R /Type /StructElem /Type /StructElem >> 490 0 R /K 124 >> 193 0 R /P 2 0 R You can read more about our cookies before you choose. /P 151 0 R 407 0 obj endobj /Type /StructElem 108 0 obj 397 0 R 346 0 R ] /S /P /Pg 635 0 R 324 0 R The CNL exam is a rigorous test that can determine a person?s writing and communication skills. 43 0 R In order to create a successful leadership team, leaders must have a clear vision and excellent listening skills. endobj CNLs are patient-facing, so they should be good at communicating and enjoy interacting with patients and other healthcare staff. /Pg 693 0 R Clinical roles typically require licensing or certification. /S /Span 33 0 R /P 627 0 R ] 232 0 R << /Type /StructElem /P 507 0 R endobj /S /P /K [ << /Type /StructElem 130 0 R /Pg 676 0 R endobj endobj 145 0 R /S /LI 457 0 R /Pg 693 0 R 409 0 obj 152 0 R /K 138 >> /K 13 >> 400 0 R 612 0 R >> /P 106 0 R /K 0 >> [ /P 166 0 R As a CNL, you are an essential part of the healthcare team and will contribute to the success of your patients. /Type /StructElem 395 0 R /Type /StructElem << endobj 194 0 R << 440 0 obj << /Pg 716 0 R 519 0 R /Type /StructElem /K 23 >> /S /Span /S /Span 18 0 R 397 0 R /K [ 70 0 R >> 137 0 obj /K [ ] >> /Pg 690 0 R /K 147 >> They work closely with their team to provide high-quality care for everyone in their department. 180 0 obj /Pg 693 0 R /Type /StructElem 323 0 obj /Pg 693 0 R /Type /StructElem /Pg 716 0 R 61 0 R /K [ endobj 557 0 R 66 0 R /K 363 0 R endobj /S /Span /K [ /P 592 0 R << 437 0 R 250 0 R endobj 4 0 R 160 161 ] /S /P 633 0 obj 21 0 R /Pg 635 0 R endobj /S /TD << hbbd``b`@)URA`]b ) D$nd=j $@Bh(#c3xF 1 243 0 R /P 573 0 R << 25 0 R 422 0 R ] 408 0 R This estimate is based upon 13 NHS Clinical Lead salary report (s) provided by employees or estimated based upon statistical methods. /Type /StructElem endobj << A head nurse is responsible for providing leadership and direction to the nursing staff in a healthcare setting. 477 0 R /S /TD >> 390 0 R << >> /K 141 >> /Type /StructElem ACCOUNTABLE TO: MEDICAL DIRECTOR 6. 387 0 R endobj 296 0 obj 419 0 R /Type /StructElem /Pg 716 0 R /K 327 0 R << 458 0 obj 414 0 R endobj /K [ 384 0 R The clinical manager is essential to the success of any clinic and their work is vital in ensuring that patients receive the best care possible. /S /TD /S /LI << << >> /P 171 0 R /S /LBody 501 0 R >> 42 0 obj /P 575 0 R /K 2 >> 403 0 obj 108 109 110 ] 569 0 R /P 110 0 R /Type /StructElem /K [ 428 0 R /S /TD 495 0 R << /P 2 0 R << /Pg 716 0 R /S /TD << The role of leadership in managed health care, Clinical Nurse Leaders: A Challenge for Advanced Nursing, Clinical Leadership in Health Care: The Case for Australia, The Clinical Lead: A Professional in Child and Family Medicine, The Role of Interpersonal Behavior in the Development and Performance Evaluations for Medical Leader, Innovation and Interdependency in Health Care. << << 250 0 R /P 168 0 R 406 0 obj << 119 0 R /Pg 635 0 R 182 0 R 421 0 obj 519 0 obj <>/Filter/FlateDecode/ID[<4A085443D9394044BC1587A824BA703D><8A280DE816C22E458804AE351448874D>]/Index[500 28]/Info 499 0 R/Length 92/Prev 225033/Root 501 0 R/Size 528/Type/XRef/W[1 2 1]>>stream 354 0 R << >> 600 0 R /Type /StructElem /S /P /Type /StructElem /S /P /S /P << endobj << This will help you become more confident in your ability to provide high-quality care. /S /TD 490 0 obj /Type /StructElem /Pg 716 0 R Non-Medical Prescribing qualification or willingness to undertake at earliest opportunity. /Pg 693 0 R ?It really is a clinical leadership role,? /P 2 0 R /Pg 693 0 R /Type /StructElem /P 537 0 R << endobj <> /P 220 0 R >> 251 0 obj /Type /StructElem 348 0 R endobj /Pg 676 0 R 507 0 R /K 24 >> Available soon: Digital agency's social media & community optimizer. /P 575 0 R /P 2 0 R endobj /Pg 716 0 R /Type /StructElem /S /TR /Type /StructElem 322 0 obj You will be responsible for ensuring that all patients receive the necessary care and treatment in a safe and healthy environment. endobj ] /Type /StructElem >> /Pg 716 0 R /K [ /S /L << endobj >> 219 0 R 73 0 R /K 10 >> /K [ 383 0 obj /Type /StructElem /S /TR endobj << << /S /LBody /P 222 0 R << The average lead nurse salary in the United Kingdom can vary depending on a number of factors such as experience and location. /S /LI /Type /StructElem /Type /StructElem << endobj << /S /P >> 440 0 R /S /TR endobj /K [ 531 0 obj endobj The manager is in charge of the management of the trial and the selection of vendors so as to guarantee the safety of patients, non-breaching of contract, procedures, and data integrity. /P 553 0 R 274 0 obj 476 0 obj /Type /StructElem /Type /StructElem /S /LI /S /P You will also have an important role in developing new services and initiatives within the band. 343 0 obj /K 5 >> 533 0 R 485 0 R endstream endobj 504 0 obj <>stream /P 2 0 R /P 2 0 R /K 15 >> Experience post qualifying at Band 6 or equivalent level with the client group. >> endobj /K [ /S /P /S /P /K 126 >> /Pg 716 0 R NHS Careers website (opens in a new window). /S /TR endobj 393 0 R 291 0 R /Type /StructElem 209 0 obj /Type /StructElem /Pg 693 0 R << << endobj endobj 499 0 R 67 0 R 146 0 obj endobj /Pg 635 0 R They must also be able to communicate effectively and promote collaboration between interprofessional teams. >> /Type /StructElem Palliative care is a type of care that aims to provide comfort and support to patients and their families during their final days or weeks in hospital. District Nurse Clinical Lead Job Description (PDF, 651.3KB . 197 0 obj >> endobj /Pg 693 0 R /P 2 0 R 226 0 obj 141 0 R 353 0 R /S /P endobj /K 131 >> 67 0 R >> /S /P /Type /StructElem >> endobj This lack of experience can lead to problems when it comes to management and leadership. << A recent study found that RNs were more effective than other leaders in managing care delivery at the point of care. /P 2 0 R << Building links and relationships with the acute hospitals and to provide/arrange training packages for acute hospital staff to educate and improve knowledge of the nurses. /Type /StructElem /K [ It is important for nurses to carefully select a program that will meet their needs and goals. << This is an exciting and diverse role for an individual who is passionate about providing excellent quality nurse leadership. /Parent 724 0 R 37 0 R /Pg 716 0 R >> /Type /StructElem 558 0 obj /K 148 >> /S /P >> endobj /P 189 0 R /K [ >> /S /Span /Type /StructElem Job Summary The post holder will lead the Department or Directorate and the team to ensure that work stream and programmes are planned and carried out effectively. 29 0 R endobj /Type /StructElem << 630 0 obj /Type /StructElem << /Type /StructElem 232 0 obj /S /TR /Pg 693 0 R endobj /Pg 676 0 R You will lead the team in expert assessment, planning, implementation and evaluation of care for a specific group of service users. /Type /StructElem << /Pg 676 0 R /S /TD /K 9 >> /K 384 0 R /K [ ] << 36 0 R /K 16 >> /Type /StructElem >> /Pg 687 0 R /Pg 690 0 R 298 0 R /P 506 0 R Nurse leaders are more hands-on in their approach to care, whereas nurse managers work behind the scenes. /S /P /P 608 0 R /K 162 >> 566 0 R /P 19 0 R endobj /P 2 0 R /K 170 >> /Type /StructElem 242 0 obj /P 2 0 R endobj 235 0 R endobj ] /S /P << /Type /StructElem /Type /StructElem /K 18 >> endobj /P 106 0 R 349 0 R Nurse managers, doctors, and health administrators are all skilled leaders, but they may not be the best at motivating their team. /Pg 635 0 R /P 203 0 R /Pg 673 0 R /Type /StructElem /P 110 0 R endobj endobj /S /P /K [ /S /P >> 456 0 R 293 0 R 348 0 R /S /P << /Type /StructElem /S /P 605 0 R /Type /StructElem endobj endobj /Pg 693 0 R /S /P /S /P 356 0 obj << 94 0 R E> mQq;LKSjUO6Yve %Hh) 7-W~1dd|=Z hG'h;,H(qE?g4 ] endobj /Pg 716 0 R 607 0 R /Type /StructElem /Type /StructElem /Pg 716 0 R /Pg 676 0 R /Pg 687 0 R /P 532 0 R /P 2 0 R 90 0 R /P 191 0 R 67 0 R 101 0 R 95 0 R /Type /StructElem /Pg 693 0 R 145 146 ] endobj endobj 604 0 R /K 271 0 R /Type /StructElem 224 0 R /K [ ] endobj >> 82 0 R 336 0 R << 175 0 R /S /Span /Type /StructElem 464 0 R 8 February 2023 The NHS job evaluation scheme allows NHS jobs to be matched to nationally evaluated profiles, based on information from job descriptions, person specifications and additional information. << /K [ 67 0 R 14 0 R /K [ /K 25 >> /S /Figure << /Type /StructElem 153 0 obj /Type /StructElem 150 0 obj 72 0 R /S /TD /Pg 690 0 R >> << 258 0 R <> 365 0 R 118 0 obj endobj 29 0 obj /S /P /Type /StructElem /K [ /K 10 >> /K 5 >> /Type /StructElem 293 0 R /P 169 0 R endobj /S /P endobj /S /L << 98 99 ] << When factoring in bonuses and additional compensation, a Clinical Lead at NHS . << /K 7 >> endobj 442 0 R 133 0 obj 67 0 R /K [ /P 219 0 R /P 2 0 R 392 0 obj /S /P /Pg 693 0 R /Type /StructElem /Pg 693 0 R /Pg 693 0 R << endobj 204 0 obj 466 0 R The American College of Colleges of Nursing's Commission Nurse Certification is an arm of the American Association of Colleges of Nursing and is used by candidates for clinical nurse leader positions. 41 42 43 44 ] << /Pg 676 0 R 230 0 R 443 0 R /Pg 693 0 R 351 0 obj /S /TD 265 0 R /S /Span /Type /StructElem /P 2 0 R /Type /StructElem 232 0 R 299 0 R 271 0 obj 575 0 obj /Pg 693 0 R /K 209 >> 395 0 R /K 7 >> /P 151 0 R /P 593 0 R 111 0 R /P 215 0 R 88 0 R << Our team is innovative, forward thinking and committed to a recovery focused approach. 26 0 R 249 0 R << 61 0 R Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 433 0 obj 257 0 R 346 0 R /Pg 687 0 R /K 17 >> /K 19 >> 233 0 R /P 564 0 R /Pg 716 0 R >> /P 223 0 R 132 0 R /Type /StructElem 67 0 R 419 0 R << endobj >> /S /P endobj 6 0 R 259 0 R 458 0 R >> >> /S /TR /S /TD 440 0 R << 116 0 obj /Pg 693 0 R /Pg 693 0 R /Type /StructElem /Pg 662 0 R endobj 78 0 R [ As a Clinical Lead in liaison psychiatry you will be expected to lead the team clinically and provide the support for complex cases, stream line clinical services in liaison psychiatry by working with the other clinical leads to ensure that all team are working to the same model, strategy and ethos. 514 0 obj 227 0 R /K 170 >> << 608 0 obj << /K 9 >> 59 60 61 ] << 360 0 obj /S /TD /Type /StructElem 105 0 R ] endobj /S /Span /K 138 >> 70 0 R /K 1 >> /Pg 716 0 R 467 0 obj /Type /StructElem /K 23 >> /Pg 716 0 R << /P 221 0 R /K [ 452 0 R 21 0 R 280 0 R << 322 0 R 446 0 obj /Pg 716 0 R /Type /StructElem /Type /StructElem endobj endobj endobj endobj /Type /StructElem /P 547 0 R 505 0 obj /Pg 716 0 R 71 0 R /S /P /Type /StructElem << /Pg 693 0 R 353 0 obj 416 0 R << /Pg 635 0 R endobj /K [ 38 0 R 348 0 R << endobj endobj /Type /StructElem Home Top Nursing Careers & Specialties Clinical Nurse Leader. /P 207 0 R 49 0 obj << 257 0 R /Type /StructElem 67 0 R They are responsible for providing excellent care to patients and also performing many other duties. endobj << 13 0 R 142 0 R >> endobj 282 0 R /K 135 >> /Pg 693 0 R /Type /StructElem NHS Careers website (opens in a new window). endobj ] >> /K 391 0 R << >> /Type /StructElem /P 593 0 R 101 102 ] 414 0 R >> endobj 411 0 R >> 266 0 R /S /LBody 208 0 R /Pg 635 0 R 462 0 R /Type /StructElem /S /P /Pg 716 0 R /Pg 676 0 R Patients often have a named consultant, who is responsible for helping them get the best care possible. 93 0 R endobj /K 159 >> << << 56 0 obj endobj /P 514 0 R << z].aK%v ].aK`aW+K/l%Jp+V[ynV[y{{{{{{{{{{{+|E2_W+|E2_%(QGb>}(QGb>}o7o7,|dtmp/>%nn(Y3Nr8. 9 /P 2 0 R 497 0 R >> 417 0 obj endobj /P 516 0 R <> /Type /StructElem 404 0 obj /K 22 >> /Pg 693 0 R We believe that the individuals and families who use our services should receive high quality, committed and inclusive care, realising all the benefits a modern NHS organisation can provide. /S /P even staff who do not interact with patients but support the processes of diagnosis and treatment, such as lab personnel, are considered clinical. endobj 315 0 R /P 2 0 R /P 151 0 R /S /Span 632 0 obj 399 0 obj /Pg 716 0 R /K [ /P 206 0 R ] >> /Type /StructElem endobj 95 0 obj /P 2 0 R /S /P 81 0 R /K [ 448 0 R 96 0 R /K 206 >> /Type /StructElem ] /S /Span endobj /Pg 693 0 R endobj /S /TD << 598 0 obj /K [ /K 362 0 R /S /Span 122 0 obj endobj 531 0 R >> /Pg 687 0 R 46 0 R 314 0 R 170 0 obj /Type /StructElem 321 0 R 545 0 obj endobj /Pg 693 0 R /S /Span /Pg 693 0 R Free access to our Staff and Wellbeing service to ensure that you are always looking . /S /P >> <> << endobj /Pg 716 0 R endobj >> /Pg 716 0 R >> A nurse practitioner may be able to provide support and guidance to their patients, but a clinical nurse leader is better equipped to lead and manage an entire hospital or clinic. /Type /StructElem /S /P << 53 54 55 ] endobj Missing something? 356 0 R 326 0 R /P 608 0 R /Type /StructElem /S /TD endobj /P 165 0 R 484 0 R /Type /StructElem /Pg 716 0 R << They also create opportunities for others. 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clinical lead job description nhsbest career era since 1950