Directorate Manager Acute Medicine

Worcestershire Acute Hospitals NHS Trust

The closing date is 06 December 2024

Job summary

Worcestershire Acute Hospitals NHS Trust seeks an experienced Directorate Manager for Acute Medicine to enhance the management structure within the Division of Medicine and Therapies. The post holder will provide operational and business leadership to the Directorate working closely with the Clinical Director and Matrons. This is an exciting opportunity to shape our newly formed division working closely with enthusiastic nursing and medical colleagues.

This post is based at Worcestershire Royal Hospital however travel across the county is essential.

Improving Diversity and Inclusive Recruitment:

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role.

Applicants will be prompted in the application form to declare if they wish to be considered under this expanded Guaranteed Interview Scheme, and their response would be visible to the Shortlisting Panel.

If you have any queries about expanded Guaranteed Interview Scheme, please contact Rob Saunders (HR Manager - Recruitment) in confidence via email robert.saunders1@nhs.net

Main duties of the job

You will provide operational management leadership for the Directorate working in partnership with the Clinical leads and the Matron; ensuring that the Directorate and its services meet their quality, activity and financial targets and assist in the planning, objective-setting and change management within both the Directorate and the Division as a whole.

You must have at least three years recent general management experience within the Acute setting in the NHS. You will need to demonstrate a proven record of pro-active management to achieve key performance targets and experience in managing and responding to a range of operational issues, together with demonstrable experience of service re-design/ business planning and change management initiatives. Applicants will have excellent verbal and written communication skills, the ability to build, develop and motivate effective teams and work to tight deadlines.

For more details about this opportunity or to arrange an informal visit please contact Lyndon Thomas, Deputy Divisional Director of Operations(Urgent Care) on 01905 763333 ext: 39516

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

Best services for local people
Best experience of care and best outcomes for our patients
Best use of resources
Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

20 November 2024

Pay scheme

Agenda for change

Band

Band 8b

Salary

£62,215 to £72,293 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9365-24-1293

Job locations

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

Job description

Job responsibilities

Job Purpose:

The post holder will provide operational management leadership for the Directorate working in partnership with the Clinical Director and the Matron.

Key Duties:

The post holder will ensure that the Directorate and its services meet their quality, activity and financial targets. To work with the Clinical Director, Director of Operations, Divisional Director, and Matron(s) to assist in the planning, objective setting and change management within both the Directorate and the Division as a whole. The post holder will be required to proactively engage in service transformation and development, responding to changing environment, working with commissioning colleagues to ensure that the service is fit for purpose and meets the changing needs of the population.

General Duties:

1. Performance

To ensure that the operational performance of the Directorates services is effectively managed to meet agreed objectives and targets.
To work in close conjunction with the Director of Operations, Clinical Directors and Matron/Senior Nurses to set and deliver the Directorate objectives, in line with Divisional and Corporate targets and strategies.
To work manage and deliver income and expenditure (I&E) balance on the budget devolved within the Directorate.
To plan and monitor performance against all activity targets and other service objectives. To ensure that all national and locally agreed waiting times and bookings targets are understand and met.
To ensure the highest levels of cleanliness in clinical areas within the Directorate are adhered to at all times under the Trusts Infection Control policy; in close consultation with the Matron and Clinical Director.
To work closely with relevant Trust teams to ensure the appropriate monitoring and delivery of targets associated with National plans e.g LOS .
Prepare and plan to meet inspection criteria for external QA audits, CQC inspections etc. as appropriate.
To take responsibility for compliance with Trust complaints procedure for all complaints received with the Directorate. To identify, agreed and implement subsequent action plans.
To take responsibility for the Directorates compliance with H&S and CNST/NHSLA standards. To identify, agreed and implement subsequent action plans.

2. Financial Management

To be accountable for the delivery of income and expenditure (I&E) balance for the Directorate. This will involve a close, professional working relationship with the Directorate Finance Manager and the establishment and maintenance of an effective performance management system within the Directorate.
To develop Business Cases and present to the Divisional Team. These will often involve complex financial/activity analysis using financial modelling software.
To participate in pricing and costing, working towards relating patient activity, by diagnostic condition to expenditure.
To ensure compliance with Standing Financial Instructions (SFI).

3. Business / Policy / Planning

To deliver the annual capacity and business planning process for the Directorate eg. Identify annual objectives, cost improvement savings, cost pressures, capital bids as part of this process to agreed timescales.
To support Clinical Directors, Matrons / Ward Managers, Departmental Managers and other key personnel within the Directorate in undertaking a strategic review of their services and action planning for identified areas of improvement eg. Improved capacity planning of theatre lists/outpatient clinics / treatment areas / diagnostics, improved patient access, improved use of resources (drugs / medical equipment).
To work closely with the finance and business teams to develop innovative methods of income generation (fully understanding the implications of patient choice), financial control , strategic planning and bids for new opportunities , modernisation and public / private partnership funding.
To draft business cases / briefing documents and papers, for submission by the Divisional Medical Director / Director of Operations to the relevant senior Advisory Groups, Trust Board, Integrated Governance Committee etc.
To effectively manage the implementation of agreed outcomes from submitted papers/reports as detailed above.
To ensure the review and update of policies / procedures and working practices across the specialities / departments within the Directorate to ensure standards of practice are maintained. To contribute to the update and rewriting of Trust wide policies.
To ensure all Trust policies are adhered to within the Directorate.
To undertake project work as directed by the Director of Operations.

4. Service Transformation and Development

To lead Directorate clinical teams in service redesign.
To lead and advise the Divisional Team on the development and implementation of strategies that respond to key national initiatives such as the NICE, Patient Choice and Payment by Results (PBR).
To be fully aware of relevant service / technological developments within the Directorate. Ensure any opportunities are ceased, calculate capacity and demand available and participate in associated meetings.
Keep abreast of national developments and strategies across the specialties and services to ensure that the Trust can respond as required.
Work closely with Commissioning colleagues to maximise opportunities to meet joint CIP and QIPP requirements. Taking an integrated approach to service improvement and efficiencies.
Identify opportunities for service improvement and development, liaising with commissioning colleagues so as to learn from other organisations / specialties. Tapping into resources and knowledge bases obtained through other sources.

5. People Management

To motivate and take line management responsibility (direct and delegated) for all non-clinical and nursing staff within the Directorate.
To ensure appropriate implementation of Trust HR policies.
To oversee the effective recruitment, induction, training and development of all non-clinical staff within departments across the Directorate, ensuring that each member of staff has a robust appraisal.
To ensure Junior Doctor compliance in relation to European Working Time Directive, working closely with Clinical Directors to achieve this.
On behalf of the Director of Ops review workforce plans with heads of department, corporate staff group leads and HR to ensure appropriate and effective workforce planning in short, medium and long term scenarios.
To ensure effective communication channels are established, maintained and developed within the Directorate.
To work closely with the Human Resources team in developing a partnership working framework with staff representatives within the Directorate.

6. Governance

To develop a strategy to enhance quality standards within the Directorate in line with the overall objectives of the hospital. Establish appropriate mechanisms to monitor achievement and take action in the event of underperformance.
To ensure specific quality initiatives within the Directorate are co-ordinated, implemented and reviewed.
To manage any operational issues arising from governance reviews. This will often require implementing changes in clinical practice.
To identify opportunities for change that will improve or assist the development of clinical practice and which leads to improvements in quality or efficiency within the directorates.
To ensure effective risk management and quality assurance policies are in place and they are compliant with Trust policy and procedure

7. Corporate & On Call Duties

To participate in the Trusts management on-call rota.
To investigate / hear internal staff grievances / complaints from other Divisions as required.

Job description

Job responsibilities

Job Purpose:

The post holder will provide operational management leadership for the Directorate working in partnership with the Clinical Director and the Matron.

Key Duties:

General Duties:

1. Performance

To ensure that the operational performance of the Directorates services is effectively managed to meet agreed objectives and targets.
To work in close conjunction with the Director of Operations, Clinical Directors and Matron/Senior Nurses to set and deliver the Directorate objectives, in line with Divisional and Corporate targets and strategies.
To work manage and deliver income and expenditure (I&E) balance on the budget devolved within the Directorate.
To plan and monitor performance against all activity targets and other service objectives. To ensure that all national and locally agreed waiting times and bookings targets are understand and met.
To ensure the highest levels of cleanliness in clinical areas within the Directorate are adhered to at all times under the Trusts Infection Control policy; in close consultation with the Matron and Clinical Director.
To work closely with relevant Trust teams to ensure the appropriate monitoring and delivery of targets associated with National plans e.g LOS .
Prepare and plan to meet inspection criteria for external QA audits, CQC inspections etc. as appropriate.
To take responsibility for compliance with Trust complaints procedure for all complaints received with the Directorate. To identify, agreed and implement subsequent action plans.
To take responsibility for the Directorates compliance with H&S and CNST/NHSLA standards. To identify, agreed and implement subsequent action plans.

2. Financial Management

To be accountable for the delivery of income and expenditure (I&E) balance for the Directorate. This will involve a close, professional working relationship with the Directorate Finance Manager and the establishment and maintenance of an effective performance management system within the Directorate.
To develop Business Cases and present to the Divisional Team. These will often involve complex financial/activity analysis using financial modelling software.
To participate in pricing and costing, working towards relating patient activity, by diagnostic condition to expenditure.
To ensure compliance with Standing Financial Instructions (SFI).

3. Business / Policy / Planning

To deliver the annual capacity and business planning process for the Directorate eg. Identify annual objectives, cost improvement savings, cost pressures, capital bids as part of this process to agreed timescales.
To support Clinical Directors, Matrons / Ward Managers, Departmental Managers and other key personnel within the Directorate in undertaking a strategic review of their services and action planning for identified areas of improvement eg. Improved capacity planning of theatre lists/outpatient clinics / treatment areas / diagnostics, improved patient access, improved use of resources (drugs / medical equipment).
To work closely with the finance and business teams to develop innovative methods of income generation (fully understanding the implications of patient choice), financial control , strategic planning and bids for new opportunities , modernisation and public / private partnership funding.
To draft business cases / briefing documents and papers, for submission by the Divisional Medical Director / Director of Operations to the relevant senior Advisory Groups, Trust Board, Integrated Governance Committee etc.
To effectively manage the implementation of agreed outcomes from submitted papers/reports as detailed above.
To ensure the review and update of policies / procedures and working practices across the specialities / departments within the Directorate to ensure standards of practice are maintained. To contribute to the update and rewriting of Trust wide policies.
To ensure all Trust policies are adhered to within the Directorate.
To undertake project work as directed by the Director of Operations.

4. Service Transformation and Development

To lead Directorate clinical teams in service redesign.
To lead and advise the Divisional Team on the development and implementation of strategies that respond to key national initiatives such as the NICE, Patient Choice and Payment by Results (PBR).
To be fully aware of relevant service / technological developments within the Directorate. Ensure any opportunities are ceased, calculate capacity and demand available and participate in associated meetings.
Keep abreast of national developments and strategies across the specialties and services to ensure that the Trust can respond as required.
Work closely with Commissioning colleagues to maximise opportunities to meet joint CIP and QIPP requirements. Taking an integrated approach to service improvement and efficiencies.
Identify opportunities for service improvement and development, liaising with commissioning colleagues so as to learn from other organisations / specialties. Tapping into resources and knowledge bases obtained through other sources.

5. People Management

To motivate and take line management responsibility (direct and delegated) for all non-clinical and nursing staff within the Directorate.
To ensure appropriate implementation of Trust HR policies.
To oversee the effective recruitment, induction, training and development of all non-clinical staff within departments across the Directorate, ensuring that each member of staff has a robust appraisal.
To ensure Junior Doctor compliance in relation to European Working Time Directive, working closely with Clinical Directors to achieve this.
On behalf of the Director of Ops review workforce plans with heads of department, corporate staff group leads and HR to ensure appropriate and effective workforce planning in short, medium and long term scenarios.
To ensure effective communication channels are established, maintained and developed within the Directorate.
To work closely with the Human Resources team in developing a partnership working framework with staff representatives within the Directorate.

6. Governance

To develop a strategy to enhance quality standards within the Directorate in line with the overall objectives of the hospital. Establish appropriate mechanisms to monitor achievement and take action in the event of underperformance.
To ensure specific quality initiatives within the Directorate are co-ordinated, implemented and reviewed.
To manage any operational issues arising from governance reviews. This will often require implementing changes in clinical practice.
To identify opportunities for change that will improve or assist the development of clinical practice and which leads to improvements in quality or efficiency within the directorates.
To ensure effective risk management and quality assurance policies are in place and they are compliant with Trust policy and procedure

7. Corporate & On Call Duties

To participate in the Trusts management on-call rota.
To investigate / hear internal staff grievances / complaints from other Divisions as required.

Person Specification

Personal Qualities

Essential

1. Pragmatic diplomatic management of situations and processes
2. Displays strong motivation and commitment to success Ownership of personal development Resilience to work with competing demands and maintain high quality work

Experience

Essential

Experience at a senior management level in an acute setting to include the following:
Proven record of pro-active management to achieve key performance targets
Demonstrable experience of service redesign / business planning and change management initiatives Track record of effective financial management including delivery of efficiency savings, income and expenditure targets.
Experience in managing and building multi professional teams to allow and responding to a range of operational issues

Skills/Knowledge

Essential

1. Ability to analyse issues and make judgements on a wide range of general management subjects e.g. Finance, HR, quality, environment and external issues
2. Excellent communications skills including the ability to make effective formal presentations and informal approaches to a wide range of audiences, adapting the style and method of communication as appropriate.
3.Able to form effective working relationships and partnerships across professional groups / divisional boundaries and maintain personal credibility
4. Well-developed IT skills to manage and report on complex performance management information
5. Ability to conduct negotiations with others in the organisation and externally
6. Ability to quickly grasp new ideas / concepts Ability to influence and motivate staff to deliver targets
7. Ability to critically analyse and interpret complex management and patient information and data sets to support decision making and service improvements
8. Evidence of participation in strategic management processes and their application e.g. financial and workforce planning
9. Comprehensive understanding of the national and local strategies relating to Hospital Flow and ability to develop those into local services
10. Knowledge of the financial flows in the NHS and the impact on service planning
11. Demonstrate a working knowledge of employment law and good HR management practice
12. Knowledge and understanding of national strategies/policy concerning patient care and national plans
13. Knowledge of the clinical and corporate governance agenda and role of the CQC Knowledge of the inspection and regulation environment in which the trust operates

Qualifications

Essential

First degree or professional academic qualification
Relevant Management qualification or equivalent Masters degree and / or equivalent experience

Improving Diversity and Inclusive Recruitment

Essential

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role. Here you can declare if you wish to be considered under this expanded Guaranteed Interview Scheme and this response would be visible to the Shortlisting Panel.

Person Specification

Personal Qualities

Essential

1. Pragmatic diplomatic management of situations and processes
2. Displays strong motivation and commitment to success Ownership of personal development Resilience to work with competing demands and maintain high quality work

Experience

Essential

Experience at a senior management level in an acute setting to include the following:
Proven record of pro-active management to achieve key performance targets
Demonstrable experience of service redesign / business planning and change management initiatives Track record of effective financial management including delivery of efficiency savings, income and expenditure targets.
Experience in managing and building multi professional teams to allow and responding to a range of operational issues

Skills/Knowledge

Essential

1. Ability to analyse issues and make judgements on a wide range of general management subjects e.g. Finance, HR, quality, environment and external issues
2. Excellent communications skills including the ability to make effective formal presentations and informal approaches to a wide range of audiences, adapting the style and method of communication as appropriate.
3.Able to form effective working relationships and partnerships across professional groups / divisional boundaries and maintain personal credibility
4. Well-developed IT skills to manage and report on complex performance management information
5. Ability to conduct negotiations with others in the organisation and externally
6. Ability to quickly grasp new ideas / concepts Ability to influence and motivate staff to deliver targets
7. Ability to critically analyse and interpret complex management and patient information and data sets to support decision making and service improvements
8. Evidence of participation in strategic management processes and their application e.g. financial and workforce planning
9. Comprehensive understanding of the national and local strategies relating to Hospital Flow and ability to develop those into local services
10. Knowledge of the financial flows in the NHS and the impact on service planning
11. Demonstrate a working knowledge of employment law and good HR management practice
12. Knowledge and understanding of national strategies/policy concerning patient care and national plans
13. Knowledge of the clinical and corporate governance agenda and role of the CQC Knowledge of the inspection and regulation environment in which the trust operates

Qualifications

Essential

First degree or professional academic qualification
Relevant Management qualification or equivalent Masters degree and / or equivalent experience

Improving Diversity and Inclusive Recruitment

Essential

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role. Here you can declare if you wish to be considered under this expanded Guaranteed Interview Scheme and this response would be visible to the Shortlisting Panel.

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.