Surgical Escalation Lead

London North West University Healthcare NHS Trust
Harrow, Greater London
Job summary
We are seeking an enthusiastic and experienced nurse to join our Surgical Division as a Surgical Escalation Lead. The post holder will provide visible clinical leadership across surgical services, supporting patient flow, capacity management, and safe staffing while ensuring high standards of patient care are maintained at all times.

The Surgical Escalation Lead will work closely with ward managers, matrons, operational teams, site teams, and multidisciplinary colleagues to coordinate patient pathways, manage escalation pressures, and support effective utilisation of beds and resources across the surgical directorate.

Main duties of the job
Coordinate patient flow and bed management to support timely admissions, transfers, and discharges. Provide clinical leadership during periods of increased operational pressure. Work collaboratively with Site Management, Discharge Teams, Bed Managers, and Clinical Leads.Support the delivery of Trust performance targets, including emergency flow and elective recovery. Act as a role model, mentor, and support for nursing and multidisciplinary teams. Contribute to service improvement initiatives and operational developments across Surgery.

About us
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:
  • Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
  • St Mark's Hospital: an internationally renowned specialist centre for bowel disease
  • Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
  • Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

"We operate a joint recruitment hub across the North West London Acute Provider Collaborative Group. As part of this, your application and personal data may be shared with partner trusts within the group for recruitment and workforce purposes, in line with general data protection regulation (GDPR)."

Job responsibilities
Please see the attached Job Description and Person Specification for further information on the key responsibilities and person requirements for this role.

Person Specification
Qualifications
Essential
  • Registered Nurse on NMC register
  • Evidence of on-going professional development
  • Teaching Course, and experience of teaching and assessing
Desirable
  • Course and/or experience in Quality Improvement Project
Knowledge & Experience
Essential
  • Experience in complex discharge planning within an acute hospital setting.
  • Patient flow and bed management experience in an acute-care environment.
  • IT literate and can effectively utilise EPR and systems to work and lead the team
  • Excellent communication skills and ability to work effectively across MDT
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applicants must have current UK professional registration.
Posted 2026-09-21

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