Deputy Director of Integrated Commissioning - Band 8d

Job responsibilities

ROLE PURPOSE / SUMMARY

The Mid and South Essex Integrated Care System will comprise the Integrated Care Board (ICB), which is the statutory body for the NHS, and the Integrated Care Partnership (ICP), which is a committee of the ICB, and brings together key health, care, community and voluntary sector organisations across the area.

The ICB has a bold ambition to deliver improved outcomes for our 1.2m population through our four Alliances, and we are placing clinical and professional leadership and the voice of our residents at the heart of realizing this ambition.

The Alliances bring together provider and commissioning organisations involved with improving the health, care and wellbeing of its population, working together to take joint action to improve services and to influence the wider determinants of health and broader social and economic development. MSE ICB vision is To help everyone in our area live long and healthy lives by supporting independence and providing seamless care.

The purpose of this role is to lead on the transformation and integration of jointly commissioned out of hospital services in MSE ICB System as a commissioning partner with Essex County Council. The post holder will matrix work on behalf of Mid Essex, Basildon and Brentwood and Castle Point and Rochford Alliance Place Level Teams and Essex County Council to facilitate the delivery of integrated models of care to improve health and care outcomes and address health inequalities for the Essex population.

The post holder will also deputise for the Mid Essex and Basildon and Brentwood Alliance Director across the full range of duties representing and make decisions on behalf of the ICB.

COMPETENCY BASED KEY DELIVERABLES

Working with health and care providers, voluntary sector and our communities this post will lead the strategic planning, commissioning and delivery of out of hospital integrated models of care to:

• Increase the proportion of our population living independently and having health and care needs met in a community setting by multidisciplinary teams with a shared ownership for improving health and wellbeing
• Increase the proportion of the population having more control over their own health and wellbeing and accessing more proactive personalised support
• Address variation and health inequalities
• Supporting the development of a system which delivers optimal, aligned health and care outcomes
• Embedding a compelling vision and purpose for Mid and Basildon Alliances out of hospital models of care as part of the Mid and South Essex ICB
• Delivery of the out of hospital model of care including the Integrated Neighbourhood Teams (INTS) Integrated Discharge Hubs, Care Coordination Centre and intermediate care
• Market shaping and commissioning for the social care market in Mid and South Essex under Essex County Council direction
• Influencing decisions that use system resources to maximise and support the financial sustainability of health and care services
• Facilitates the development of commissioning frameworks that move to commissioning for outcomes and that facilitates a more joined- up approach to commissioning between health and social care
• Ensures change programmes are driven by evidence through Population Health Management and the lived experiences of our population

Strategic development:

• Lead the development and delivery of a structured programme of transformational change within Mid Essex and Basildon and Brentwood Alliances for integrated out of hospital models of care using recognised approaches to change management
• Facilitate the delivery of programmes by ensuring plans are owned and recognised by partners such that their own organisational plans are aligned to delivery of plans, cultivating relationships across organisations to develop shared priorities and objectives
• Lead the integration of commissioning and provision between health and social care within the Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system including the Better Care Fund
• Proactively seek opportunities to collaborate and share best practice on the design and commissioning of new models of care across both the MSE ICB
• Engage with key strategic regional and national policy makers to inform strategies and programmes
• Support the development and delivery of approaches to contestability and market management / development to ensure that there is sufficient capacity and capability to deliver new approaches to service delivery
• Lead on other strategic projects on behalf of the Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system and/or Place as required

Delivery:

• Overall responsibility for ensuring that the delivery arrangements for system change are robust including: adequate resources, clarity of approach for planning, implementation, monitoring and evaluation, strong communication and engagement approaches, and supporting systems and processes
• Responsible for ensuring there are robust joint programme management arrangements in place to oversee the implementation of the transformation programme including contributions to Operational Plan, providing appropriate assurances on delivery to the ICB and ECC incorporating any mitigations to address risk of non-delivery
• Ensure that risks/issue management is a key component of transformation planning and delivery
• Working with contract and performance leads ensure that transformation plans are appropriately reflected in annual service contracts / specifications and are aligned to support performance improvement and/or risks
• Actively seek to embed innovation into the transformation programmes
• Working with the PCN Clinical Directors and Place Clinical Leads in the establishment and development of the INTs model as part of an integrated out of hospital model of care
• Lead the oversight and implementation of an integrated transformation plan for intermediate care across health and social care for Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system in partnership with the wider ICS and as part of a strategic plan across ECC
• Develop and implement care market shaping plan for older peoples residential and nursing care, home care and accommodation in as part of a the wider ECC strategic plan
• Develop and lead the seasonal surge planning for Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system as part of the wider ECC/ICB plan
• Promote and ensure active use of extra care facilities in partnership with ECC accommodation commissioners and district councils
• Design and develop day opportunities and meaningful occupation for older people in Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system as part of the wider ECC plan in partnership with ECL, day services providers and the voluntary sector
• Build upon and share best practice, maximising opportunities to learn from others and share the work of the portfolio, proactively show casing the positive progress and achievements made in Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) system and the ICS
• Ensure regular updates to the Governing Bodies/Boards and System Partnership Board, using a variety of meaningful and simplified mechanisms which will enable and facilitate effective decision making

Communications and relationships

• Build and maintain an open, collaborative culture, actively seek feedback and provide feedback internal and external to the organisation, dealing with misconceptions in a timely and credible manner
• Receive and communicate highly complex information relating to a wide range of services across health, social care and wider determinants of health, service and pathway redesign, performance data, and potential investment/disinvestment of services which may impact on staff
• Ensure that the Mid Essex and Basildon and Brentwood (including Castlepoint and Rochford) Alliances /ICB/ECC influences and seeks input from the wider system including provider collaboratives, public health, primary care, local government, voluntary and community sector, other partners, and local people
• Promote system wide integrated working through the relationships with partners and the wider ICS
• Develop respect and credibility through consistency of own behaviour and leadership style consistent with the values of the ICB and ECC
• Sensitively and constructively confront and address barriers to change by developing and delivering a compelling and evidence based case for change, providing clarity about the benefits and consequences
• Communicate this information to large groups of key stakeholders who may have conflicting views or objectives. Managing these conflicts where they may present barriers to change
• Develop a culture where stakeholder involvement in the decision making process is accepted as standard
• Use a wide range of skills, across a wide range of stakeholders including facilitation, consultation, negotiation, leading multi-disciplinary workshops and large seminars to achieve the delivery of business objectives and financial targets
• Responsible for the Place transformation teams personal development programmes including annual appraisals and the alignment of individual objectives to organisational objectives
• You will be required to build and maintain good working relationships with a broad range of internal and external stakeholders including across the ICS, within HCP partners and within our communities

Please read the attached PDF for full Job Description.

Knowledge/ Understanding

Essential

• In depth knowledge of both the NHS and social care
• Advanced knowledge of relevant systems and procedures
• In depth understanding of policies and practices within required field of work
• An in-depth understanding of health care provision and awareness of current NHS policies and priorities

Qualifications

Essential

• Professional knowledge acquired through degree or equivalent qualification plus specialist knowledge across range of commissioning and delivery functions in a complex system (eg finance, management, project/programme management) acquired through post-graduate courses for example: Project Management Qualification or equivalent level of experience OR Management qualification or equivalent level of on the job experience and experience to masters equivalent level for managerial, financial and strategic knowledge (see experience requirements below)
• Evidence of continuing personal development

Skills

Essential

• Demonstrate strong programme management skills
• Highly developed interpersonal and communication skills with staff at all levels using from the full range of methods as appropriate
• Strong communication skills in a politically sensitive environment and experience of handling highly contentious and highly complex information to a variety of stakeholders with tact and diplomacy
• Demonstrable ability to prepare and produce concise yet insightful communications for disseminations to senior stakeholders
• Significant ability to formulate arguments and express them clearly to lay people and to persuade clinicians and senior management over a course of action
• Significant negotiation skills at a senior management level and ability to understand the wider agenda
• Advanced IT skills in Microsoft applications including Word, Excel, PowerPoint and Outlook
• Standard keyboarding skills
• High level of attention to detail
• Prioritisation and organisation skills
• Able to be assertive in negotiation on difficult and controversial issues such as performance and change
• Able to deliver training/briefings/ updates to large groups of staff at all levels
• Able to lead the development of policy and strategy to enhance relevant service
• Demonstrable ability to work effectively between strategic and operational activities where required
• Significant ability to plan over short, medium and long-term timeframes and adjust plans and resource requirements accordingly
• Significant ability to work under pressure and meet objectives with conflicting and tight deadlines
• Able to make decisions autonomously, when required, on difficult issues and often to changing timescales
• Demonstrable experience of using sound judgement in the absence of clear guidelines or precedent, seeking advice as necessary from more senior management when appropriate
• Significant ability to act upon incomplete information, using experience to make inferences and decision making
• Significant ability to analyse numerical and written data, assess options and draw appropriate conclusions using problem solving skills
• Significant ability to provide informative reporting to governing body, Boards and Committees on progress against strategic and operational outcomes and associated impact
• Significant ability to analyse and interpreted highly complex data, facts or situations to interpreted these and make reasoned and logical deductions, compare a range of options and formulate plans
• Excellent data analysis and interpretation skills involving highly complex data, with outstanding analytical and problem-solving skills

Experience

Essential

• Demonstrable experience at a senior level in commissioning, contracting and procurement either within the NHS or in Social Care
• Experience of leading strategic change at system and place level in a challenging environment which engages and is supported by key stakeholders
• Experience of leading, managing and delivering significant change projects involving stakeholders
• Experience of holding responsibility for budget/s, budget setting and demonstrable knowledge of financial processes within own service
• Experience of managing incoming and outgoing information requirements, handling correspondence/queries which may be highly complex, sensitive or highly confidential
• Experience of negotiation with senior stakeholders which may include difficult and controversial issues, presenting complex and sensitive information to large and influential groups
• Experience of working at strategic level, able to recognise direction and implications of policy and the potentially competing priorities/interests
• Experience of leading, managing, developing, influencing and inspiring staff
• Demonstrable experience of people management, coaching and mentoring support

Desirable

• Experience of working in the NHS/public body

Partnership Working/ Leadership/ Management

Essential

• Can demonstrate significant partnership working and the understanding of how and when partnerships should be built, navigating and understanding local, regional and national political positions in order to effect population-based solutions that span across multiple stakeholders
• Responsible for the implementation of the NHS People Promise and ICB Values across functional areas of responsibility
• Provide effective, inclusive and compassionate leadership across a whole function, ensuring all voices are heard and creating and nurturing a culture where staff feel safe to speak up
• Champions the principles of equality, diversity and inclusion both within and outside of the organisation
• Challenges at every level where these principles are at risk of not being upheld
• Professional and approachable manner
• Good communicator, with ability to liaise with colleagues at all levels
• Significant persuasion, influencing and conflict resolution skills
• Significant ability to analyse highly complex issues where material is conflicting ad drawn from multiple sources and where there are barriers to understanding
• Flexible and adaptable to meet deadlines
• Ability to work as part of a team or independently
• Takes personal responsibility for actions and their impact
• Ability to work in a collaborative way across organisational/sector boundaries in order to achieve the highest quality outcomes for patients
• Ability to think strategically and able to see the bigger picture
• Demonstrable ability to confidently and consistently lead in a complex environment

Other

Essential

• Possess a confident and positive attitude and be self motivated
• Personal qualities of integrity, adaptability and motivation
• Personal attributes include emotional intelligence, resilience, tenacious and agility and flexibility to respond to changing conditions while remaining clear sighted on corporate strategies and objectives
• Significant ability to influence and command respect and establish credibility quickly
• Inquisitive and willing to explore new ideas and innovation
• A confident senior manager in both strategic and operational matters, able to motivate and develop staff
• Requirement to sit for long periods during meetings maintaining high levels of concentration and interaction
• Ability to travel to attend meetings and attend for work at several locations, including home, for the purpose of hybrid working