Interim Executive Director for Place

Job description

Job responsibilities

The Executive Director for Place is responsible for delivery of transformation of the out of hospital sector in NWL by leading service redesign, operational integration between out-of-hospital providers and co-ordination of strategy delivery at Borough level.

This role requires a keen intellect to analyse complex problems and a proven track record in the engagement and leadership of people within an organisation and across organisational boundaries to develop effective coalitions that can address & successfully resolve long-standing issues and inequalities.

The post holder will have an independence of thought, emotional intelligence, the ability to work through conflict and ambiguity, and the ability to demonstrate a range of leadership styles to secure results through high-level influencing skills.

The Executive Director for Place is pivotal in ensuring that Borough based local care including primary, community, mental health, third sector are well integrated in order to deliver on the four core objectives of NWL ICS:

1.To improve outcomes in population health and health care

2.To tackle inequalities in outcomes, experience and access

3.To enhance productivity and value for money

4.To help the NHS support broader economic and social development

All ICS Executive roles contribute to the ICS Objectives through:

Setting strategy and delivering long-term transformation

Building trusted relationships with partners and communities

Driving high quality, sustainable outcomes

Providing robust governance and assurance

Creating a compassionate and inclusive culture

The Executive Director for Place will be responsible for embedding and delivering the developing NWL ICS Operating model and NWL ICS Strategy. It is acknowledged that as a new and continuously improving and developing organisation the NWL ICS Operating Model continues to evolve and there is a joint and collective responsibility of all Executive Directors to jointly and collectively support the delivery of all the ICBs objectives.

The Executive Director of Place has responsibility for: -

1.Executive lead for leading the operational delivery of Local Care and Primary Care Programmes.

2.Executive lead for the operational delivery of programmes of work for the NWL ICB population that cut across place or provider configuration programmes of delivery. For example, ensuring that Borough Based Partnership are delivering the blue print developed by the NWL strategic programmes such as Urgent & Emergency Care Programme, Planned Care Programmes, Mental Health, LDA Programmes of work and Children and Young People They will ensure that services are integrated at Borough level to provide a coherent offer to our residents in meeting their health care needs.

3.Leading the organisational development of Borough Based Partnerships in line with their role defined in the NHS NWL ICS Operating Model. The Director will be responsible for building collaboration between the NHS and local government to help shape and design the future of our seven Borough Based Partnerships (BBPs) and developing the Integrated Neighbourhood teams within them. This incorporates a focus on health and social care integration, developing integrated health and care at grassroots level, to reduce inequalities and improve outcomes for our communities, achieving value for money. The development of health and care integration across NWL is a central element of our ICS strategy.

4.Leading the integration of local care, primary care, programmes and Borough teams to create cohesive ICB teams at Place.

5.NHNS NWL ICB responsibility for delivery of local care, primary care and borough teams responsibilities within budget.

6.Ensuring the responsibility of Programmes and BBPs are delivered as defined within the NWL ICS Operating model [Clarification note: It is important to acknowledge that Programme staff line managed within the Place Directorate will have responsibility to contribute to the development and agreement of ICS Strategy and therefore the resultant commissioning and procurement processes which sit within the responsibility of the Director of Strategy].

The Executive Director of Place will manage the programme staff associated with the primary and local care programme and will be responsible for the associated commissioning functions in primary care and local care Commissioning new service models and the associated procurement processes will be in line with the overall ICS strategy.

7.NHS NWL ICB Line management responsibility of leadership teams, including collaborative working between teams, for:

a.Local Care (including Primary Care).

b.7 Borough Based Partnerships (across 8 Boroughs) (currently 8 Borough Directors but subject to change dependent on Borough Based Partnership leadership structures in each Borough). The Place Directorate will ensure that all ICS Programmes will be successfully implemented at Borough level.

The Place Director will work with and support the effective operation of the ICB corporate functions.

8.Responsibility for effective commissioning and contracting in primary care and local care (including pooled or jointly commissioned arrangements with Local Authorities such as s75 funding.

As a member of the ICS executive team, the Executive Director for Place will deliver objectives agreed with the Chief Executive Officer and take on responsibility and joint accountability for delivery of ICS functions as and when required.

4.Key accountabilities

4.1.Strategy

Ensure the BBPs and Local Care and Primary Care sectors), support the development of the ICS Strategy for agreement by the ICP.

Ensure the BBPs and Local Care and Primary Care sectors, support the Strategy Directorate and the Finance, Performance & Planning Directorate to develop the 1 year and 5-year annual delivery plans for each of the North West London BBPs to deliver the ICB Strategy, the local aspirations of the BBPs, provider collaboratives and transformation programmes.

Ensure Borough leaders support the HR and OD Function in development of people delivery plans for the Boroughs and Place Directorate, based on ICS Strategy, ICB People Strategy, performance indicators, staff survey and operational priorities.

4.2Delivery

Executive lead for leading the operational delivery of Local Care and Primary Care Programmes.

Executive lead for leading the operational delivery at Borough level of programmes of work for the NWL ICB population that cut across place or provider configuration, such as Urgent & Emergency Care Programme, Planned Care Programmes and implementation of Winter Planning.,

Executive Director lead for North Kensington Recovery Programme (Grenfell Tower)

A further priority is working across primary and local care and the 7 BBPs to deliver Integrated Neighbourhood teams to ensure co-ordinated and streamlined care which improves health outcomes by taking a Population Health Management approach

Support the application of appropriate organisational design and governance in respect of BBPs including in respect of the quality, financial and operating performance framework to support effective investment decisions incorporating NWL Programmes BBP.

In collaboration with the CPO and Director of HR, developing and commissioning an over-arching OD Programme to facilitate effective Place Based partnerships.

Supporting the development of BBP Directors to deliver effective system working.

4.5Providing robust governance and assurance

You will ensure that the ICBs statutory commissioning duties are delivered

You will support a strong culture of public accountability, probity, and governance, ensuring that appropriate and compliant structures, systems, and process are in place to minimise risk and promote the freedom to speak up.

You will have a duty to safeguard and promote the welfare of vulnerable adults, children and young people in NW London through the commissioning of safe and effective services

5Leading by Example: NWL ICB Values and Behaviours: Creating a compassionate and inclusive culture

The Director will foster a culture in which equality, diversity and inclusion are actively promoted within the ICB and across the ICS, including supporting the ICBs commitment to address discrimination against NHS and staff from ethnic minority backgrounds and working closely with the CPO and Director of HR contributing to achieving using your leadership to develop cultures of diversity and inclusion in the ICS. This includes:

-ensuring that all staff within the Directorate are supported to perform their roles and given opportunities to develop;

-with the support of the HR and OD function, ensuring that the talent management and development of leaders is embedded at all levels of the system;

6Staff Management

The Executive Director of Place has line management responsibility for:

Borough Directors

Director of Primary Care

Director of Local Care

Director for North Kensington Health Recovery

and will ensure staff are appraised annually, have clear objectives which link to ICS objectives and a personal development plan. Ensure any training and development needs of staff are in line with the organisation objectives and ensure all new staff receive induction.

7Strategic on-call rota

As a senior manager in the ICB you will join the on-call rota for ICS system.

8Other

This post is subject to the terms and conditions of employment of NWL ICB and is not an exhaustive list of duties. The post holder is required to undertake any other duties commensurate with the grade and in line with the requirement of this post.

All staff must comply with the NHS Code of Conduct for Managers, based on the Nolan principles of public accountability.

Mandatory Training

In addition to completing the NHS NWL mandatory training modules the post holder will be required complete the following:

Safeguarding Children Level 1

Safeguarding Adults - Level 1

Person Specification

Experience

Essential

• Substantial board level leadership experience within healthcare.
• Experience of both delivery and transformation of out-of-hospital care at scale, across multiple local authority areas simultaneously.
• Experience of managing highly sensitive situations simultaneously at scale, with multi-agency stakeholders, and working with senior leaders including local politicians.
• Experience overseeing commissioning and contracting at scale in a complex healthcare environment, including primary care contracting.
• Experience of engaging service users and/or communities to effect service change.
• Experience of leading complex negotiations relating to health and care services to a successful outcome.
• Board level experience of managing significant budgets, ensuring compliance with funding governance and maintaining financial balance in the face of increasing demands.
• Experience of leading highly complex and contentious quality improvement/clinical change, people and digital transformation at significant scale.
• Experience of working with clinicians to deliver service redesign.
• Experience of developing and implementing strong performance management systems against clear business objectives.
• Experience of creating and maintaining high-performing teams and compassionate cultures within health or social care, including building staff engagement.
• Experience of working with colleagues from multiple local authorities to achieve successful partnerships.

Knowledge

Essential

• Extensive knowledge of the health, care and local government landscape and an understanding of the social determinants of public health.
• Knowledge of the primary care contracting regime and the policy context for primary care and out of hospital sector transformation
• Current thinking on practices which reduce health inequality, improve patient access to care and outcomes.
• Sound understanding of health care, commissioning, financial planning, budgeting, and oversight and control of public funds.
• Knowledge and experience of public sector commissioning and procurement systems and processes to deliver improved health outcomes.
• Good understanding of ICS corporate governance, Standards in Public Life and personal responsibilities in relation to probity and personal conduct.
• Good understanding of the leadership practices that build and sustain effective teams and individuals.

Skills & Ability

Essential

• A visionary leader with the ability to inspire and take others with you. Strong critical thinking and strategic problem solving; the ability to contribute to a joint strategic plan and undertake problem resolution and action.
• Sophisticated leadership and influencing skills; building compassionate cultures where individuals and teams thrive at organisation, partnership and system levels.
• Exceptional communication skills that engender community confidence, strong collaborations, and partnership.
• Effective communication and stakeholder relationship skills, with the ability to communicate on highly complex matters and difficult situations
• Experience of contributing to the development of strategic objectives and in particular setting direction, long term goals and planning and using commissioning to secure their delivery.
• Financially literate with the ability to review, critically challenge and effectively utilise financial information for decision-making.

Qualifications

Essential

• Masters Level qualification (or equivalent significant experience) and evidence of working strategically at senior level
• Postgraduate qualification in management and/or healthcare is desirable and evidence of up-to-date continuing professional development.

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

North West London Integrated Care Board

Address

NHS North West London

15 Marylebone Road

London

NW1 5JD

Employer's website

https://www.nwlondonics.nhs.uk/ (Opens in a new tab)