Executive Medical Director

Overview The Executive Medical Director is BrisDoc's senior clinical leader and the Board's accountable executive for patient safety, quality of care, clinical governance and professional clinical standards. Leading and supporting an open, supportive, learning culture. As an Executive Director the role provides credible, collaborative and evidence-informed clinical leadership, oversees clinical risk, and delivers clear assurance to the Board, supported by data and narrative. The post-holder oversees robust systems for clinical quality, safety, learning and professional clinical standards across all services, intervening directly where risks are significant or situations complex. Working as a full member of the Executive Team, the Medical Director brings clinical judgement to strategy, transformation, and system engagement, and represents BrisDoc credibly within the wider NHS. While day-to-day operational and clinical is delegated, accountability remains explicit, and the role maintains sufficient clinical engagement to ensure credibility, insight and effective leadership.

Main duties of the job

• Clinical Governance and Safety
• Executive accountability for clinical quality and patient safety across all BrisDoc services
• Oversight of Patient Safety Incident Investigations (PSIIs), coroner's cases, significant complaints and clinical claims
• Ensuring effective systems for clinical learning, quality assurance and continuous improvement
• Executive responsibility (with the Director of Nursing, Allied Health Professionals and Governance) for clinical aspects of regulatory compliance and inspection readiness

• Statutory and Professional Accountability
• Professional governance and management of concerns relating to clinical staff
• Upholding clinical standards, conduct and governance across all clinical professions

• Executive and Strategic Leadership
• Full Executive Director responsibility for organisational leadership and sustainability
• Providing clinical advice, challenge and assurance to the CEO and Board
• Bringing a clinical perspective to strategy, digital transformation, workforce and service development
• Representing BrisDoc as a credible senior clinical voice within BNSSG, the wider South West and beyond

• Clinical Workforce and Culture
• Executive responsibility for clinical workforce leadership and inclusive succession planning
• Promoting a learning culture and psychologically safe environment
• Supporting recruitment, development and performance across clinical professions

About us BrisDoc is an employee-owned social enterprise delivering urgent and primary care services for over 20 years. Our services include:

• Severnside Integrated Urgent Care
• In-hours primary care services
• Specialist services including Homeless Health

We are proud to be employee-owned, meaning every colleague is a co-owner with a genuine stake in our success.

Job responsibilities

1. Statutory and professional clinical accountability
   • Accountable for the professional governance and management of concerns relating to all clinical staff.
   • Upholding professional clinical standards, conduct, and clinical governance.
   • Holding Corporate Caldicott Guardian responsibilities.
2. Clinical governance, quality, and safety
   • Holding executive accountability for clinical quality and patient safety across all BrisDoc services, including PSIIs, coroners cases, significant complaints, clinical claims, and the management of clinical risk arising from these areas.
   • Executive oversight of organisational clinical learning and improvement, ensuring effective systems for incident management, learning from patient experience and feedback, quality assurance, and continuous improvement.
   • Holding executive accountability for the effectiveness of clinical governance and, in association with the Director of Nursing, Allied Health Professionals and Governance, for organisational regulatory compliance (e.g. CQC), and providing assurance to the Board that these arrangements operate effectively in practice.
   • Providing senior clinical leadership and assurance into core governance structures, including the Executive responsible for the Clinical Quality and Performance Committee (formally chaired by a Non-Executive Director).
   • Working in close partnership with the Director of Nursing, AHPs and Governance (DNAG) to lead and coordinate clinical aspects of organisational regulatory compliance and inspection readiness.
   • Exercising senior clinical and executive judgement in high-risk, high-impact situations where issues cannot be resolved through routine governance processes.
3. Clinical leadership within the executive team
   • As a statutory Executive Director, the Medical Director shares collective responsibility for the leadership, performance, and sustainability of the organisation.
   • Providing clinical advice, challenge and assurance to the CEO and Board.
   • Bringing a clinical perspective to strategy, risk, digital, workforce and transformation.
   • With the Director of Nursing, Allied Health Professionals, and Governance, ensuring the clinical voice and clinical considerations are central to all executive business.
   • Modelling inclusive, compassionate and collaborative leadership.
4. System leadership and partnership working
   • Representing BrisDoc as a credible senior clinical voice, working with Executive colleagues to engage effectively within BNSSG, the wider South West, and any healthcare area within which BrisDoc operates.
   • Influencing system-level clinical governance, responses to national requirements and the development of emerging models of urgent and primary care.
   • Maintaining effective senior relationships with system partners to support collaborative working, safe service delivery, risk management, and organisational resilience, whilst protecting BrisDocs interests
5. Strategic clinical input to service development
   • Providing senior clinical input into possible new service models, bids, collaborations, innovations, and evaluation.
   • Ensuring that service development and digital initiatives are informed by appropriate clinical safety and governance oversight, recognising that detailed CCIO-level leadership may sit elsewhere.
   • Aligning clinical strategies and goals with organisational strategies and business goals.
   • Supporting and championing new medical technologies and digital transformation of healthcare services.
6. Clinical workforce, culture, and leadership
   • Executive responsibility for clinical workforce leadership, inclusive succession planning and the development of BrisDocs clinical leadership.
   • Working in partnership with the Director of Nursing, Allied Health Professionals, and Governance to ensure coherent professional leadership, clinical standards, performance management, and development across all clinical professions.
   • Promoting a learning culture and psychologically safe environment.
   • Supporting senior clinical and other recruitment, development, performance, and clinical education.
7. Clinical practice
   • Undertaking a proportion of clinical sessions or shifts within BrisDoc services to maintain credibility and insight.

Person Specification Qualifications

• Full GMC registration with licence to practise
• MRCGP, or equivalent senior medical position, such that clinical participation in at least one of BrisDoc's services is feasible
• Completion of safeguarding (Level 3) and mandatory training, or commitment to complete within six months of appointment.
• Additional postgraduate qualifications relevant to leadership, governance, or quality improvement.
• Inclusion on the NHS England Medical Performers List (to enable engagement with the clinical rota).
• Completion of GP vocational training.

Experience

• A substantial record of senior clinical leadership at Director, Associate Director, Deputy Medical Director or equivalent level within a complex provider organisation.
• Demonstrated leadership of clinical governance, patient safety, incident management, and regulatory engagement.
• Proven ability to operate effectively within NHS systems and multi-agency clinical environments.
• Evidence of providing senior-level clinical assurance, challenge and advice to executive teams, Boards, or equivalent governance forums.
• Experience of operating at Executive Director or Board level, with collective responsibility for organisational performance.
• Experience of general practice and/or urgent or integrated primary care services.
• Experience of service development, transformation, or system-level collaboration.

Knowledge

• In-depth understanding of clinical governance, quality improvement, risk management, and patient safety.
• Strong knowledge of NHS statutory, regulatory, and contractual requirements, including CQC and information governance.
• Understanding of professional clinical standards, accountability, and regulation across clinical professions.
• Awareness of digital health, data-driven care, and the clinical governance implications of digital and AI-enabled change.
• Understanding of National Quality Requirements relevant to urgent and primary care.

Skills and Capabilities

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