Senior Clinical Decision Maker

Job Advert Skip to main content Cookies on NHS Jobs We've put some small files called cookies on your device to help us make improvements to our site. To improve our site we'd also like to use cookies which will send information to Google Analytics. You can read more about our cookies before you choose. Accept analytics cookies Do not accept analytics cookies Jobs Menu Sign in Create an account English Cymraeg Menu Close menu Search Sign in Create an account Display in Welsh (Cymraeg) Search Sign in Create an account Display in Welsh (Cymraeg) BETA Your feedback will help us to improve this service. The Confederation, Hillingdon CIC Senior Clinical Decision Maker The closing date is 10 November 2026 Apply for this job Job summary The Senior Clinical Decision Maker (SCDM) will provide advanced clinical oversight, decision-making, and coordination within the Reactive Care Coordination Hub. They will support timely responses to community-based crises, working collaboratively across UCR, Virtual Ward, and other teams to prevent unnecessary hospital admissions. The SCDM will also provide expert input on clinical referrals, diagnostics, and frailty management, ensuring safe and effective patient outcomes. Main duties of the job Key aspects of the role include: Clinical support during morning handovers (2 hours) Rapid assessment and clinical decision-making for urgent referrals Follow-up of cases managed by UCR, Virtual Ward, D2A, and YLL Diagnostic review and interpretation to guide care decisions Liaison with the Reactive Care Coordination Hub Consultant and community partners Case-based clinical decision-making earlier in the referral process Input into the coordination hub on appropriate referral pathways and actions Creation and updating urgent care plans via Valida for anticipatory care planning Support to all community services for urgent patient needs About us Hillingdon Health and Care Partnership (HHCP) brings together local health and social care providers to deliver coordinated, person-centred services in the community. The Reactive Care Coordination Hub forms part of HHCPs urgent and proactive care model, providing rapid clinical assessment, crisis response, and short-term interventions to avoid unnecessary hospital admissions. The Hub works collaboratively with the Urgent Community Response (UCR) team, Virtual Ward, Discharge to Assess (D2A) services, Your Life Line (YLL), primary, community, secondary care, local authority and voluntary sector partners. The Reactive Care Programme is improving urgent and crisis care so residents receive the right care, in the right place, at the right time when health or social care needs escalate. It brings together our Integrated Urgent Response, hospital avoidance services, and discharge support creating a single pathway for unplanned care outside of the acute hospital. The goal is a 24/7 community-based urgent care system able to respond to crises within two hours, deliver short-term treatment and monitoring at home, and coordinate a smooth return to routine or planned care. Details Date posted 27 October 2026 Pay scheme Other Salary Depending on experience Contract Locum Duration 1 years Working pattern Full-time, Part-time, Flexible working Reference number E0004-26-0076 Job locations UCR Beaufort House Cricket Field Road UXBRIDGE Middlesex UB8 1QG United Kingdom Job description Job responsibilities Clinical Leadership and Decision-Making Provide senior clinical oversight for patients referred to the Reactive Care Coordination Hub. Undertake timely clinical assessments and determine the most appropriate care pathway to prevent avoidable admissions. Support clinical handovers, offering guidance and clarity on patient management plans. Review and interpret diagnostic results to inform safe, evidence-based decisions. Liaise with the Reactive Care Coordination Hub Consultant, UCR, Virtual War