Role purpose:
To provide consultant-level remote clinical input to support timely, safe management of ENT and audiology-related referrals and follow-ups. The post holder will triage referrals, deliver Advice and Guidance (A&G), complete diagnostic reviews (including scans), undertake harm reviews where required, and support delivery of contractual performance requirements (KPIs) while maintaining high standards of clinical governance.
Key responsibilities:
• Referral triage (e-RS / SystmOne): clinically triage incoming ENT referrals and associated clinical information to determine urgency, appropriate pathway, investigations required prior to appointment, and most suitable management plan.
• Advice and Guidance (A&G): provide timely, high-quality A&G responses to referring clinicians, including clear recommendations on investigations, interim treatment, red flags, safety-netting, and onward referral where indicated, in line with local pathways and national guidance.
• Contractual KPI delivery: support achievement of contract performance measures (for example response times) by prioritising work appropriately, tracking completion, and escalating capacity or pathway risks early.
• Diagnostic / scan reviews: review relevant investigation results (including imaging and diagnostic reports where provided), document an interpretation within scope, and make clear next-step recommendations (discharge, treatment plan, further investigation, or onward referral).
• Harm reviews: complete harm reviews for patients waiting within the service as required, identifying deterioration, safeguarding concerns, or clinical risk; document outcomes; and ensure appropriate action, escalation, and communication.
• Audiology follow-up: clinically review audiology outcomes and investigations, advise on next steps, and ensure appropriate follow-up plans (including discharge advice, patient-initiated follow-up where appropriate, or onward ENT review).
• Documentation: maintain accurate, timely clinical records on e-RS/SystmOne (or the agreed digital platform), including clear rationale for decisions, coding where required, and completion of mandatory fields needed for reporting and audit.
• Communication: communicate effectively and professionally with referrers, service managers and the wider MDT; provide clear written outputs suitable for sharing with patients/GPs where required.
• Clinical governance: comply with information governance, safeguarding, infection prevention (where relevant to remote work), incident reporting, and participate in audit/quality improvement as agreed.
Reporting and working arrangements
Reports to:
Clinical Director / Medical Lead (as locally defined).
Works with:
General Manager / Service Manager, ENT clinicians, audiology team, admin/referral management team, and primary care referrers.
Location:
Remote/home working (UK-based), with attendance at virtual virtual doctors meeting as required.
Systems:
Access and use of NHS e-Referral Service (e-RS) and SystmOne (or agreed clinical record systems) in line with local information governance requirements.
Turnaround expectations: Deliver A&G and triage activity within agreed service standards and contractual KPIs, escalating promptly where safe turnaround times cannot be met, and supporting the General Manager in maintaining a safe, high-quality service.
Person specification
Essential:
• Full registration with the General Medical Council (GMC) with a licence to practise.
• ENT consultant-level experience with ability to provide independent clinical decision-making remotely.
• Demonstrable experience of referral triage and/or delivering specialist Advice and Guidance to primary care (including via NHS e-RS or equivalent).
• Ability to review and interpret investigation results and imaging reports to formulate safe management plans within scope.
• Strong written communication skills, producing clear, actionable clinical advice and safety-netting.
• Competence in using electronic clinical record systems and maintaining high-quality documentation.
• Understanding of clinical governance, incident reporting, safeguarding, confidentiality and information governance.
• Ability to work autonomously, manage workload against turnaround times/KPIs, and escalate risk appropriately.
Desirable:
• Prior experience using SystmOne in community services.
• Experience of working within or alongside community/intermediate ENT services and pathways.
• Experience of working closely with audiology services, including review of audiology investigations and follow-up planning.
• Evidence of participation in audit, quality improvement and service development related to outpatient transformation and/or triage.
Compliance and professional requirements:
• Maintain appraisal and revalidation in line with GMC requirements.
• Hold appropriate professional indemnity cover for the duties undertaken.
• Enhanced DBS clearance (adult/child workforce) as required by the service.
• Completion of mandatory training (including safeguarding and information governance) in line with organisational policy.
• Adhere to all information governance and data security requirements for remote working (secure workspace, approved devices, secure connectivity).
Key deliverables:
• Consistent, high-quality triage outcomes recorded on e-RS/SystmOne, with clear rationale and pathway direction.
• Timely A&G responses meeting agreed turnaround standards and supporting avoidance of unnecessary outpatient activity where clinically appropriate.
• Completed scan/diagnostic reviews with documented clinical plan and appropriate communication to stakeholders.
• Completed harm reviews with actions, escalation and tracking where risk is identified.
• Documented audiology follow-up decisions and outcomes, including onward referral when needed.
Who we are:
Omnes Healthcare is a growing, forward-thinking organisation delivering NHS Primary and Secondary Care services since 2006. Supporting patients across multiple sites, we combine clinical excellence with innovation to improve lives.
As part of the Evergreen Group, we also lead on digital health and genomics projects, including the Evergreen Life app, which empowers people to take control of their health.
Our mission is to enhance healthy and happy life years through high-quality, personalised, and accessible care. Our vision is to be a trusted leader in healthcare, known for innovation, compassion, and real impact.
We live by four core values:
Caring – Respect and compassion in everything we do
Inclusive – Empowering diverse voices and teamwork
Evolving – Driving continuous improvement and innovation
Ambitious – Striving for high standards and real impact
Whether your role is clinical or corporate, it matters. We’re committed to creating a positive, inclusive, and supportive environment where all colleagues can thrive.
Omnes Healthcare is an inclusive employer. If you require any adjustments during the recruitment process, we will be happy to accommodate.
