Job summary
Operational Lead- Theatres, band 8b
Cross-site: London and Isleworth
This is an exciting new role within the Theatres directorate at Chelsea and Westminster Hospital. Working closely with the General Manager, the role will be focused on the operational management of the theatres and the scheduling teams, as well as leading on large and exciting change projects. The role will be instrumental in the Theatre Improvement workstream- working closely with clinical and nursing leads & operational teams across the Trust to drive improvements and test & implement new ways of working.
The role is cross-site, but also working with across all of the Trusts divisions, which means there is a variety and lots of exposure to all areas of the Trust. The role includes people and budgetary management, with a strong emphasis on developing high quality patient-centred services. Previous experience of working within Surgical Specialties or within a theatres setting is desirable, but previous operational management within a health service is essential and evidence of the ability to engage and lead teams through change.
The Operational Lead will be expected to work between the two main hospital sites, to ensure a consistent level of cover and leadership between the sites.
PLEASE NOTE VACACY WILL CLOSE ONCE SUFFICIENT NUMBER OF APPLICATIONS HAVE BEEN RECEIVED
Main duties of the job
Accountable to the General Manager, working in partnership with Clinical Directors & Divisional Nurses, the Operational Lead for Theatres will work the General Manager in the operational delivery & performance, financial performance, governance, change & project management and business development across the cross-site theatre complexes.
The Operational Lead will work alongside the General Manager in the delivery of financial, quality, performance, productivity & workforce targets, agreed as part of the business planning, appraisal and personal development process. They will also be instrumental in the management and delivery of large projects running through the theatre complexes, driving change and improvements in theatre efficiency and the way stock is managed through all of the Trust's theatres.
The Operational Lead will have responsibility for leading the directorate teams, which will include managers responsible for service & performance and theatre scheduling, to ensure the efficient and effective delivery of high quality patient centred services. The role will also be instrumental in the strategic planning and development of large change programmes.
The Operational Lead will be expected to establish collaborative relationships with colleagues, working in partnership with teams both within the division and accessing services within the theatres complexes, and external agencies, to assure delivery of the division's business plan, large scale projects & strategic vision.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that arePROUD to Carefor nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the safest and best performing Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection..
Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex
Job description
Job responsibilities
1. Delivery of safe high quality patient care
Create an environment within the directorate that makes care, safety and patient satisfaction everyones first concern. There will be an emphasis on learning from the results of patient feedback and risk management systems to drive continuous service improvement and the reduction of risk.
Manage and escalate where needed all matters related to the safe and efficient running of all the Trusts theatre complexes.
Ensure that high quality clinical services are delivered throughout all theatre complexes in line with the Trusts Quality Strategy and available financial resources.
Engage in incident reviews and patient feedback and complaints and apply learning to improve the safety and quality of patient care.
Be responsible to SI, governance and risk within the theatre complexes, and working with theatres teams to ensure processes are in place and robustly followed
2. Governance
Actively involve and lead directorate staff in the delivery of Clinical Governance, in accordance with Trust systems, processes and priorities. Operational Leads are expected to participate and lead service reviews (where appropriate) to ensure that care is delivered in line with best practice and actions are taken to ensure any system failures are addressed. The Operational Lead, General Manager , Lead Nurse and Clinical Director will work together to organise Directorate clinical governance half days and governance policy boards to ensure the monitoring of trends, dissemination of best practice and learning throughout the Directorate
Establish, maintain and oversee a system of internal control within the directorate that supports an integrated approach to governance. This will include responsibility for mitigating risks identified in the Assurance Framework, the Risk Register, the Incident Review Register, the annual directorate comprehensive risk assessment and any ad-hoc risk assessments. It will also include ensuring a comprehensive and robust mechanism across the Directorate for reporting on and learning from incidents and complaints that promotes a culture of openness and honesty.
Ensure that directorate responsibilities with respect to external assessments e.g. Risk Management and the Care Quality Commissions Standards are fulfilled
- The Operational Lead will support, in partnership with Theatre Matrons, Lead Nurse and Clinical Directors to provide strong clinical leadership to facilitate a robust clinical and research governance culture within the directorate and at a corporate level. This will include the implementation and monitoring of national initiatives, such as NICE guidance and the implementation of the Trusts framework for clinical and non-clinical risk management, untoward incident management and Serious Alert Broadcasts
Together with the Theatre Matrons, Lead Nurse and Clinical Directors lead the management of complaints and learning from complaints, SUIs and other incidents. The post-holder will ensure that appropriate action is taken to address issues of concern and prevent recurrence of similar events
- The postholder will be required to communicate sensitive and often contentious information to patients, families and staff, including chairing Local Resolution Meetings
Initiate and oversee audits and use the results as a tool to monitor service change, development and delivery
Ensure that all incident reviews involving theatres and led by the directorate are undertaken in a timely manner, resultant action plans completed to an agreed timetable with feedback regarding the progress made to the Clinical Governance Trust Executive and staff directly involved
3. Operational Planning and Delivery
The Operational Lead will:
Oversee the operational delivery of all services within the cross-site theatre complexes.
Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented.
Initiate and oversee regular reviews of performance within theatres, and ensure new developments are appropriately resourced through the business planning process.
Monitor performance metrics and activity in relation to theatre activities and implement immediate corrective action in relation to any significant underperformance/ over performance.
Respond at a senior level and in a timely fashion to frequent and unpredictable day-to-day operational issues as required. Liaise directly with patients and staff to resolve urgent concerns, including resolving stressful or distressing situations
4. Performance Management
The Operational Lead will:
Oversee theatre services are delivered in line with required activity and income plans, maintaining control of expenditure, improving value for money and ensuring continued service development in relation to efficiency and quality. This will include implementation and monitoring of demand management initiatives agreed with commissioners.
Along with the General Manager, lead the development of the performance management framework and ensuring its implementation in order to deliver national and local performance targets within the directorate
Supporting and improving organisation operational performance and efficiencies within theatres to meet specific access targets set by both central government and the Trust.
Developing and supporting quality improvement workstreams related to improving theatre efficiency.
Be present at performance meetings and present on the performance and activity of the Trusts theatre complexes.
Taking appropriate action where the Directorate is not achieving its targets
Take the lead with nominated clinicians for specific targets as appropriate and agreed with the Divisional Director, and being ultimately responsible for the delivery of Directorate-specific targets
Help to coordinate all service reviews and peer reviews relevant to services within the portfolio, both internal and external to the Trust, and be responsible for preparing and collating information and ensuring any identified actions are fully implemented. Take the lead in implementing service reviews where there are performance concerns or operational delivery challenges
Oversee that the Trust processes in relation contractual requirements e.g. demand management are fully adhered to.
Oversee the monitoring of benchmarked performance against internal and external indicators including, but not exclusive to:
1. Corporate plan targets
2. Audit Commission/national performance review data
3. Model Hospital
4. Benchmarked data sets including Dr Foster and NCEPOD
5. External and internal service reviews
6. GIRFT
- Production of senior level reports for a range of people (e.g. Divisional Directors, Deputy Chief Executive, Chief Executive, Executive Team, Trust Board, Commissioners and Network Boards) in relation to the Directorate. This could involve gathering information from Finance, Information and Human Resources, analysing any data, interpreting this within the report and setting out associated action plans
PLEASE SEE JD/PS FOR FULL DETAILS OF THE POST
Job description
Job responsibilities
1. Delivery of safe high quality patient care
Create an environment within the directorate that makes care, safety and patient satisfaction everyones first concern. There will be an emphasis on learning from the results of patient feedback and risk management systems to drive continuous service improvement and the reduction of risk.
Manage and escalate where needed all matters related to the safe and efficient running of all the Trusts theatre complexes.
Ensure that high quality clinical services are delivered throughout all theatre complexes in line with the Trusts Quality Strategy and available financial resources.
Engage in incident reviews and patient feedback and complaints and apply learning to improve the safety and quality of patient care.
Be responsible to SI, governance and risk within the theatre complexes, and working with theatres teams to ensure processes are in place and robustly followed
2. Governance
Actively involve and lead directorate staff in the delivery of Clinical Governance, in accordance with Trust systems, processes and priorities. Operational Leads are expected to participate and lead service reviews (where appropriate) to ensure that care is delivered in line with best practice and actions are taken to ensure any system failures are addressed. The Operational Lead, General Manager , Lead Nurse and Clinical Director will work together to organise Directorate clinical governance half days and governance policy boards to ensure the monitoring of trends, dissemination of best practice and learning throughout the Directorate
Establish, maintain and oversee a system of internal control within the directorate that supports an integrated approach to governance. This will include responsibility for mitigating risks identified in the Assurance Framework, the Risk Register, the Incident Review Register, the annual directorate comprehensive risk assessment and any ad-hoc risk assessments. It will also include ensuring a comprehensive and robust mechanism across the Directorate for reporting on and learning from incidents and complaints that promotes a culture of openness and honesty.
Ensure that directorate responsibilities with respect to external assessments e.g. Risk Management and the Care Quality Commissions Standards are fulfilled
- The Operational Lead will support, in partnership with Theatre Matrons, Lead Nurse and Clinical Directors to provide strong clinical leadership to facilitate a robust clinical and research governance culture within the directorate and at a corporate level. This will include the implementation and monitoring of national initiatives, such as NICE guidance and the implementation of the Trusts framework for clinical and non-clinical risk management, untoward incident management and Serious Alert Broadcasts
Together with the Theatre Matrons, Lead Nurse and Clinical Directors lead the management of complaints and learning from complaints, SUIs and other incidents. The post-holder will ensure that appropriate action is taken to address issues of concern and prevent recurrence of similar events
- The postholder will be required to communicate sensitive and often contentious information to patients, families and staff, including chairing Local Resolution Meetings
Initiate and oversee audits and use the results as a tool to monitor service change, development and delivery
Ensure that all incident reviews involving theatres and led by the directorate are undertaken in a timely manner, resultant action plans completed to an agreed timetable with feedback regarding the progress made to the Clinical Governance Trust Executive and staff directly involved
3. Operational Planning and Delivery
The Operational Lead will:
Oversee the operational delivery of all services within the cross-site theatre complexes.
Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented.
Initiate and oversee regular reviews of performance within theatres, and ensure new developments are appropriately resourced through the business planning process.
Monitor performance metrics and activity in relation to theatre activities and implement immediate corrective action in relation to any significant underperformance/ over performance.
Respond at a senior level and in a timely fashion to frequent and unpredictable day-to-day operational issues as required. Liaise directly with patients and staff to resolve urgent concerns, including resolving stressful or distressing situations
4. Performance Management
The Operational Lead will:
Oversee theatre services are delivered in line with required activity and income plans, maintaining control of expenditure, improving value for money and ensuring continued service development in relation to efficiency and quality. This will include implementation and monitoring of demand management initiatives agreed with commissioners.
Along with the General Manager, lead the development of the performance management framework and ensuring its implementation in order to deliver national and local performance targets within the directorate
Supporting and improving organisation operational performance and efficiencies within theatres to meet specific access targets set by both central government and the Trust.
Developing and supporting quality improvement workstreams related to improving theatre efficiency.
Be present at performance meetings and present on the performance and activity of the Trusts theatre complexes.
Taking appropriate action where the Directorate is not achieving its targets
Take the lead with nominated clinicians for specific targets as appropriate and agreed with the Divisional Director, and being ultimately responsible for the delivery of Directorate-specific targets
Help to coordinate all service reviews and peer reviews relevant to services within the portfolio, both internal and external to the Trust, and be responsible for preparing and collating information and ensuring any identified actions are fully implemented. Take the lead in implementing service reviews where there are performance concerns or operational delivery challenges
Oversee that the Trust processes in relation contractual requirements e.g. demand management are fully adhered to.
Oversee the monitoring of benchmarked performance against internal and external indicators including, but not exclusive to:
1. Corporate plan targets
2. Audit Commission/national performance review data
3. Model Hospital
4. Benchmarked data sets including Dr Foster and NCEPOD
5. External and internal service reviews
6. GIRFT
- Production of senior level reports for a range of people (e.g. Divisional Directors, Deputy Chief Executive, Chief Executive, Executive Team, Trust Board, Commissioners and Network Boards) in relation to the Directorate. This could involve gathering information from Finance, Information and Human Resources, analysing any data, interpreting this within the report and setting out associated action plans
PLEASE SEE JD/PS FOR FULL DETAILS OF THE POST
Person Specification
Education and Qualifications
Essential
- Educated to degree level or equivalent
- Track record of continuous professional and management development
Desirable
- Management qualification, MBA or equivalent
- Post graduate qualification or evidence of post graduate education
Experience
Essential
- Significant service or general management experience in the health sector, with responsibility for operational matters including, staff management, budgetary responsibility, performance targets, waiting list management
- Experience of waiting times/access targets - health sector national access targets
- Proven experience of service development
- Proven experience of change management ability
- Experience of leading projects
- Experience of leading and managing a large team
Desirable
- Project management skills - ability to plan, manage and monitor according to the project framework and within the agreed budget
- Experience within a theatre setting
- Experience of scheduling or managing a scheduling team
Skills and Knowledge
Essential
- Ability to develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations
- Demonstrates effective leadership
- Strong people management skills
- Ability to manage distressing situations with the right de-escalation approach, including occasional exposure to verbal abuse
- Development of internal controls to deliver a culture of integrated governance.
- Financial, performance, information management and analysis skills
- Presentation and communication skills
- Computer skills, including word, excel and power-point
- Ability to plan, co-ordinate and monitor the delivery of services and/ or projects
- Ability to plan, co-ordinate and monitor theatres performance and make adjustments/ implement change to improve where needed
- Ability to plan, develop, monitor and review the recruitment, deployment and management of people
- Ability to develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations
- Demonstrates effective leadership
Person Specification
Education and Qualifications
Essential
- Educated to degree level or equivalent
- Track record of continuous professional and management development
Desirable
- Management qualification, MBA or equivalent
- Post graduate qualification or evidence of post graduate education
Experience
Essential
- Significant service or general management experience in the health sector, with responsibility for operational matters including, staff management, budgetary responsibility, performance targets, waiting list management
- Experience of waiting times/access targets - health sector national access targets
- Proven experience of service development
- Proven experience of change management ability
- Experience of leading projects
- Experience of leading and managing a large team
Desirable
- Project management skills - ability to plan, manage and monitor according to the project framework and within the agreed budget
- Experience within a theatre setting
- Experience of scheduling or managing a scheduling team
Skills and Knowledge
Essential
- Ability to develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations
- Demonstrates effective leadership
- Strong people management skills
- Ability to manage distressing situations with the right de-escalation approach, including occasional exposure to verbal abuse
- Development of internal controls to deliver a culture of integrated governance.
- Financial, performance, information management and analysis skills
- Presentation and communication skills
- Computer skills, including word, excel and power-point
- Ability to plan, co-ordinate and monitor the delivery of services and/ or projects
- Ability to plan, co-ordinate and monitor theatres performance and make adjustments/ implement change to improve where needed
- Ability to plan, develop, monitor and review the recruitment, deployment and management of people
- Ability to develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations
- Demonstrates effective leadership
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.
Employer details
Employer name
Chelsea and Westminster Hospital NHS Foundation Trust
Address
Cross site: Chelsea & Westminster and West Middlesex Hospital
369 Fulham Road
London
SW10 9NH
Employer's website
https://www.chelwest.nhs.uk/ (Opens in a new tab)