Gloucestershire Health and Care NHS Foundation Trust

Deputy Chief Operating Officer

The closing date is 20 March 2026

Job summary

The Deputy Chief Operating Officer works directly to the Chief Operating Officer providing senior operational and strategic leadership to ensure the effective provision of health and care services across the organisation. The role holds extensive operational resource responsibilities which requires the post holder to plan strategically for all aspects of Operations including: managing performance, workforce, finance, quality, safety and risk. The postholder will lead within the local system, chair system meetings, representing the COO and will be expected to represent the COO both regionally and nationally. They will chair the Operations Directorate Performance & Risk and Business meetings with responsibility for onward reporting for assurance through to Committee.

The post holder will have direct line management responsibility for 3 Service Group Directors of Operation, the Head of Emergency Preparedness, Resilience and Response, and the Operations Directorate.

Main duties of the job

The postholder will be accountable for the coordination and delivery of high quality and safe clinical services, working in partnership with leadership teams, clinical and professional leads and colleagues in corporate services. The postholder will be responsible for oversight of operational delivery of national and local targets within the resources available. The postholder will be responsible for ensuring flexibility in capacity to meet demand and deliver both the local quality and safety agenda and related improvements. The post holder will have a key role in ensuring financial sustainability. Driving forward progress through inspiring leadership of large scale, complex transformational change programmes (in line with the ambitions of the NHS 10 Year Plan) the postholder will be committed to tackling health inequalities.

The role will lead in driving key opportunities across the Trust to support integrated, neighbourhood working to ensure delivery of effective pathways. The post holder will need to develop effective partnership working which delivers tangible solutions across the Integrated Care System in Gloucestershire working with statutory partners, voluntary and independent sector providers and people with lived experience.

The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.

About us

We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust.

Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:

  • 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
  • 76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
  • 81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.

This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end, we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and Pulse surveys.

Details

Date posted

03 March 2026

Pay scheme

Agenda for change

Band

Band 9

Salary

£109,179 to £125,637 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

327-26-025-A

Job locations

Edward Jenner Court

1010 Pioneer Avenue, Brockworth GL3 4RZ

Gloucester

GL3 4RZ


Job description

Job responsibilities

Leadership

Values based, compassionate, visible and engaging leadership to inspire and empower staff in delivering high quality services.

Leading to embed the new operational structure that puts quality of care at the heart of operational delivery, demonstrating a commitment to improving patient care and experience, and delivering an efficient service by getting things right first time

Leading with a commitment to ensuring that people with lived experience are at the heart of the design, development, delivery and monitoring of services

Lead services to operate in a community-oriented culture to promote neighbourhood working, social inclusion and reduce health inequalities

Be a full and effective contributor to Senior Leadership and Extended Executive meetings and governance fora

Ensure clear partnership working across the Trust so that the Operations Directorate is lead in partnership with clinical and professional leads balancing performance, finance, quality, safety and effectiveness.

Actively promote the Trust values and the behaviours that underpin these to support and encourage better clinical care

Committed to excellent system leadership, recognising the role that the Trust has to play in the wider Health and Social Care system and in local communities.

Operational Management

The Deputy Chief Operating Officer leads and is responsible for the delivery of services across the Operations Directorate. They manage and report for assurance in relation to agreed contractual, access and performance targets. Utilising processes of continuous quality improvement, the post holder will:

Manage the operational performance of services, ensuring high quality, compassionate and person-centred care

Ensure effective governance arrangements are in place and regularly audited to ensure effective management of performance of services to achieve agreed contractual targets, ensuring that areas of underperformance are tackled promptly and service improvement plans are developed and instigated where required

To effectively report for assurance on improvements in performance with clear actions and milestones, via the trusts IQPR

To analyse organisational and service performance data to inform progress against the Trust and the Directorates strategic direction

Ensure effective reporting to Committee in relation to performance

Ensure that effective clinical governance, risk management and controls assurance systems and procedures are embedded into the culture of Operations

Provide senior operational input to contract monitoring arrangements and negotiations (including ICS, Local Authority, NHSE, Specialist Commissioning, and other commissioning/provider organisations)

Ensure that service users, patients, families and carers are at the heart of continuous improvement in service delivery

Identify opportunities to develop and lead integrated neighbourhood delivery, integrating health and social care and delivery in partnership with VCSE.

Analyse a range of complex data and statistical sources of information, including population health data, peer group and national benchmarking, national and international research studies and identification of sources of best practice to constantly learn, improve and transform services

Oversee delivery of service efficiencies to meet improved quality and financial management requirements utilising local, regional and national review findings where appropriate

To work as part of an extended team, building strong partnerships across corporate services in the effective oversight and management of operational delivery

To work across boundaries to ensure a seamless service for patients and ensure the delivery of all operational priorities. This means leading the delivery of high-quality clinical care and services that promote recovery and prevention

Proactively identify, manage and report for assurance on operational risks to service delivery ensuring that mitigations are owned and effective and that there is a dynamic approach to the escalation and de-escalation of risks

Produce and present reports on areas of operational delivery and performance to the Board and relevant sub-Committees

Provide senior leadership in system-wide demand management initiatives/developments working with a wide range of statutory, voluntary and independent sector organisations

Contributing to the development of quality improvement approaches

Promote and implement a safe, productive and healthy work environment within the Trust in line with Health and Safety, Equality Act and other applicable legislation

Ensure mental and physical health operational services comply with legislation including the Health and Social Care Act, Mental Health Act, Mental Capacity Act, Deprivation of Liberty Safeguarding and Human Rights Act

Service Planning

Lead the development, monitoring, effective delivery and reporting of annual and strategic business plans for services managed and contribute to the development of the Trusts business planning cycle

Develop and lead initiatives that respond to the NHS 10 Year Plan

Lead skill mix reviews and the development of future focussed workforce plans, recruitment and retention initiatives and creation of new job roles which seek to address the Trusts workforce capacity challenges in line with the NHS People Plan

Take a key role in the formulation and delivery of strategic transformation plans in line with organisational strategy

Contribute to Research and Development projects and studies enabling the Trust to undertake vital commissioned and non-commissioned clinical research trials and development of published studies on findings

Lead specific development and delivery of projects/programmes, acting as the Senior Responsible Officer, ensuring clear links to Trust strategy, joint working with experts by experience and system thinking in all improvement and transformation

Oversee the development of business cases for approval at relevant Boards/sub Committees and manage successful implementation of delivery and benefits realisation

Establish mechanisms for high levels of staff engagement, consultation and the general development of positive relationships with staff side/trades unions

Lead and influence the development of business development plans in line with the Trusts agreed strategy and objectives as appropriate.

Lead across the organisation to promote a digital by design approach in support of the Trusts Digital Strategy to enable service transformation and improve patient/service user and carer experience

Lead management of change consultations and processes for small to large scale change projects and contribute to public consultations where required in line with the requirements of the Trusts agreed strategic plans and objectives

Lead the Trusts approach to winter planning as a key partner within the system. Report to Committee and Board with assurance as to the plans. Lead the Operations Directorate through winter delivery

Ensure the Trust has effective, tested plans in place to respond to escalation, critical and major incidents.

Budgetary, Performance and Resource Management

Lead the preparation of annual cost improvement programmes across the Operations Directorate, on behalf of the Chief Operating Officer.

Responsible and accountable for the delivery of savings for the Directorate and for supporting processes which improve financial information and budgetary control.

Responsible for allocation of Chief Operating Officers resources to ensure service delivery and support developments.

Monitor the performance of the Directorate against agreed objectives taking corrective action when performance is not in accordance with performance plan.

Communication

Communicates at the highest level within the Trust and across other external organisations and agencies with respect to highly confidential and highly contentious information

Lead, present and manage highly complex, sensitive and challenging professional communication processes both internal and external to the organisation

Negotiates, influences and reconciles conflicting views in a challenging environment in a manner that ensures corporate credibility and fosters effective and lasting relationships with colleagues, staff, people who access services and other stakeholders.

Present in a clear manner to large groups and delegations

Workforce

To manage and supervise direct management reports

To develop cohesive, motivated and high performing teams ensuring effective leadership of staff

To promote a culture where staff feel empowered and accountable for the service they provide

Ensure that an effective and robust system of appraisal is in place

Ensure that key messages from the Annual Staff Survey are widely understood with clear actions in response to feedback, leading the Operations Directorate response and improvement plan

To lead teams in the fair recruitment, training and management of staff ensuring the workforce has the skills, expertise and motivation to deliver high quality services

To provide strong leadership through change, supporting staff, colleagues and partners

To work closely with Staffside colleagues in the effective management of change in the workforce

The Trustis required towork in line with the Governments UK Visa and Immigration Rules and Regulations. For more information about sponsorship for certain roles, please visit -https://www.gov.uk/browse/visas-immigration/work-visas

Job description

Job responsibilities

Leadership

Values based, compassionate, visible and engaging leadership to inspire and empower staff in delivering high quality services.

Leading to embed the new operational structure that puts quality of care at the heart of operational delivery, demonstrating a commitment to improving patient care and experience, and delivering an efficient service by getting things right first time

Leading with a commitment to ensuring that people with lived experience are at the heart of the design, development, delivery and monitoring of services

Lead services to operate in a community-oriented culture to promote neighbourhood working, social inclusion and reduce health inequalities

Be a full and effective contributor to Senior Leadership and Extended Executive meetings and governance fora

Ensure clear partnership working across the Trust so that the Operations Directorate is lead in partnership with clinical and professional leads balancing performance, finance, quality, safety and effectiveness.

Actively promote the Trust values and the behaviours that underpin these to support and encourage better clinical care

Committed to excellent system leadership, recognising the role that the Trust has to play in the wider Health and Social Care system and in local communities.

Operational Management

The Deputy Chief Operating Officer leads and is responsible for the delivery of services across the Operations Directorate. They manage and report for assurance in relation to agreed contractual, access and performance targets. Utilising processes of continuous quality improvement, the post holder will:

Manage the operational performance of services, ensuring high quality, compassionate and person-centred care

Ensure effective governance arrangements are in place and regularly audited to ensure effective management of performance of services to achieve agreed contractual targets, ensuring that areas of underperformance are tackled promptly and service improvement plans are developed and instigated where required

To effectively report for assurance on improvements in performance with clear actions and milestones, via the trusts IQPR

To analyse organisational and service performance data to inform progress against the Trust and the Directorates strategic direction

Ensure effective reporting to Committee in relation to performance

Ensure that effective clinical governance, risk management and controls assurance systems and procedures are embedded into the culture of Operations

Provide senior operational input to contract monitoring arrangements and negotiations (including ICS, Local Authority, NHSE, Specialist Commissioning, and other commissioning/provider organisations)

Ensure that service users, patients, families and carers are at the heart of continuous improvement in service delivery

Identify opportunities to develop and lead integrated neighbourhood delivery, integrating health and social care and delivery in partnership with VCSE.

Analyse a range of complex data and statistical sources of information, including population health data, peer group and national benchmarking, national and international research studies and identification of sources of best practice to constantly learn, improve and transform services

Oversee delivery of service efficiencies to meet improved quality and financial management requirements utilising local, regional and national review findings where appropriate

To work as part of an extended team, building strong partnerships across corporate services in the effective oversight and management of operational delivery

To work across boundaries to ensure a seamless service for patients and ensure the delivery of all operational priorities. This means leading the delivery of high-quality clinical care and services that promote recovery and prevention

Proactively identify, manage and report for assurance on operational risks to service delivery ensuring that mitigations are owned and effective and that there is a dynamic approach to the escalation and de-escalation of risks

Produce and present reports on areas of operational delivery and performance to the Board and relevant sub-Committees

Provide senior leadership in system-wide demand management initiatives/developments working with a wide range of statutory, voluntary and independent sector organisations

Contributing to the development of quality improvement approaches

Promote and implement a safe, productive and healthy work environment within the Trust in line with Health and Safety, Equality Act and other applicable legislation

Ensure mental and physical health operational services comply with legislation including the Health and Social Care Act, Mental Health Act, Mental Capacity Act, Deprivation of Liberty Safeguarding and Human Rights Act

Service Planning

Lead the development, monitoring, effective delivery and reporting of annual and strategic business plans for services managed and contribute to the development of the Trusts business planning cycle

Develop and lead initiatives that respond to the NHS 10 Year Plan

Lead skill mix reviews and the development of future focussed workforce plans, recruitment and retention initiatives and creation of new job roles which seek to address the Trusts workforce capacity challenges in line with the NHS People Plan

Take a key role in the formulation and delivery of strategic transformation plans in line with organisational strategy

Contribute to Research and Development projects and studies enabling the Trust to undertake vital commissioned and non-commissioned clinical research trials and development of published studies on findings

Lead specific development and delivery of projects/programmes, acting as the Senior Responsible Officer, ensuring clear links to Trust strategy, joint working with experts by experience and system thinking in all improvement and transformation

Oversee the development of business cases for approval at relevant Boards/sub Committees and manage successful implementation of delivery and benefits realisation

Establish mechanisms for high levels of staff engagement, consultation and the general development of positive relationships with staff side/trades unions

Lead and influence the development of business development plans in line with the Trusts agreed strategy and objectives as appropriate.

Lead across the organisation to promote a digital by design approach in support of the Trusts Digital Strategy to enable service transformation and improve patient/service user and carer experience

Lead management of change consultations and processes for small to large scale change projects and contribute to public consultations where required in line with the requirements of the Trusts agreed strategic plans and objectives

Lead the Trusts approach to winter planning as a key partner within the system. Report to Committee and Board with assurance as to the plans. Lead the Operations Directorate through winter delivery

Ensure the Trust has effective, tested plans in place to respond to escalation, critical and major incidents.

Budgetary, Performance and Resource Management

Lead the preparation of annual cost improvement programmes across the Operations Directorate, on behalf of the Chief Operating Officer.

Responsible and accountable for the delivery of savings for the Directorate and for supporting processes which improve financial information and budgetary control.

Responsible for allocation of Chief Operating Officers resources to ensure service delivery and support developments.

Monitor the performance of the Directorate against agreed objectives taking corrective action when performance is not in accordance with performance plan.

Communication

Communicates at the highest level within the Trust and across other external organisations and agencies with respect to highly confidential and highly contentious information

Lead, present and manage highly complex, sensitive and challenging professional communication processes both internal and external to the organisation

Negotiates, influences and reconciles conflicting views in a challenging environment in a manner that ensures corporate credibility and fosters effective and lasting relationships with colleagues, staff, people who access services and other stakeholders.

Present in a clear manner to large groups and delegations

Workforce

To manage and supervise direct management reports

To develop cohesive, motivated and high performing teams ensuring effective leadership of staff

To promote a culture where staff feel empowered and accountable for the service they provide

Ensure that an effective and robust system of appraisal is in place

Ensure that key messages from the Annual Staff Survey are widely understood with clear actions in response to feedback, leading the Operations Directorate response and improvement plan

To lead teams in the fair recruitment, training and management of staff ensuring the workforce has the skills, expertise and motivation to deliver high quality services

To provide strong leadership through change, supporting staff, colleagues and partners

To work closely with Staffside colleagues in the effective management of change in the workforce

The Trustis required towork in line with the Governments UK Visa and Immigration Rules and Regulations. For more information about sponsorship for certain roles, please visit -https://www.gov.uk/browse/visas-immigration/work-visas

Person Specification

Qualifications

Essential

  • Post graduate level qualification in management or heath care related area or equivalent

Experience

Essential

  • A strong commitment to personal continuing professional development
  • Proven track record of achievements at snr ops mngt level in a complex health-care or related org
  • Previous experience of working with people with Lived Experience and a robust understanding of the application of co-production
  • Knowledge and understanding of national NHS and Social Care policy and strategic direction
Person Specification

Qualifications

Essential

  • Post graduate level qualification in management or heath care related area or equivalent

Experience

Essential

  • A strong commitment to personal continuing professional development
  • Proven track record of achievements at snr ops mngt level in a complex health-care or related org
  • Previous experience of working with people with Lived Experience and a robust understanding of the application of co-production
  • Knowledge and understanding of national NHS and Social Care policy and strategic direction

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Gloucestershire Health and Care NHS Foundation Trust

Address

Edward Jenner Court

1010 Pioneer Avenue, Brockworth GL3 4RZ

Gloucester

GL3 4RZ


Employer's website

https://www.ghc.nhs.uk/who-we-are/jobs/ (Opens in a new tab)


Employer details

Employer name

Gloucestershire Health and Care NHS Foundation Trust

Address

Edward Jenner Court

1010 Pioneer Avenue, Brockworth GL3 4RZ

Gloucester

GL3 4RZ


Employer's website

https://www.ghc.nhs.uk/who-we-are/jobs/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Chief Operating Officer

Sarah Branton

sarah.branton@ghc.nhs.uk

07779879604

Details

Date posted

03 March 2026

Pay scheme

Agenda for change

Band

Band 9

Salary

£109,179 to £125,637 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

327-26-025-A

Job locations

Edward Jenner Court

1010 Pioneer Avenue, Brockworth GL3 4RZ

Gloucester

GL3 4RZ


Supporting documents

Privacy notice

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