Nottingham University Hospitals NHS Trusts

Director of Operational Performance

The closing date is 26 April 2026

Job summary

We are currently seeking a Director of Operational Performance to join the Chief Operating Officer's team. This pivotal role will oversee operational performance delivery for the key National Access standard, ensuring that all specialities have clear trajectories to support the delivery of their activity plans, that improvement plans are delivered to time and budget, and that performance reporting is accurate, aligned and appropriately signed-off. This post will also play a key role in ensuring that the Trust's reporting to NHS England and, through the Integrated Performance Report to the Trust Board, is accurate and transparent, and provides the necessary assurance regarding the actions being taken to improve access times for patients.

Working alongside the Care Group Leadership Teams, you will oversee the Trust's operational performance framework and will provide leadership for the Corporate functions overseeing operational performance, including the validation and access teams for RTT and Cancer.

This exciting opportunity will suit a proven senior leader who can build strong relationships with internal and external stakeholders, establish clear expectations supported by rigorous governance and reporting processes, support continuous improvement, and help to ensure the Trust meets local and national performance standards while delivering the best possible patient care and experience.

Main duties of the job

Please carefully read the attached job description and person specification documents for this role.

About us

With over 19,000 staff, we are one of the largest employers in the city, with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.

Come and join our wonderful team at NUH! We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian or Minority Ethnic, or as Disabled, as we strive to be better represented at NUH.

Details

Date posted

17 April 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

2026158

Job locations

Queen's Medical Centre

Derby Road

Nottingham

NG7 2UH


Job description

Job responsibilities

Please carefully read the attached job description and person specification documents for this role.

Job description

Job responsibilities

Please carefully read the attached job description and person specification documents for this role.

Person Specification

Training and Qualifications

Essential

  • oProfessional knowledge acquired through degree, supplemented by specialist training to doctorate or equivalent level, management qualification or equivalent, experience
  • oEvidence of continuous professional development in operational management, performance, analytics or related fields
  • oFormal training in improvement methodologies (eg Lean, Six Sigma, QSIR)
  • oProject or programme management qualification (e.g., MSP, PRINCE2)

Experience

Essential

  • oSignificant senior operational leadership experience within a large, complex healthcare organisation
  • oSuccessful track record as a senior manager within the NHS or a comparable complex public sector organisation
  • oProven track record of delivering sustained improvements in operational performance across elective care, RTT, diagnostics and/or cancer pathways
  • oExperience of leading multiple teams or departments, including line management of senior staff and evidence of excellent people management
  • oExperience of developing and implementing policies, operational frameworks and service improvement strategies at organisational or system level
  • oExperience of managing large budgets and overseeing financial governance across multiple services, with evidence of sound financial management
  • oExperience of presenting highly complex, sensitive or contentious information to Board level or equivalent senior audiences
  • oExperience of working across organisational boundaries, including ICS or regional partnerships
  • oExperience of leading digital transformation or data driven improvement programmes
  • oExperience of effective change management, including leading large scale service redesign or transformation initiatives
  • oExperience of applying research, evaluation or evidence based methodologies to inform service improvement

Desirable

  • oExperience within an acute hospital setting
  • oExperience of partnership working
  • oExperience of leading or contributing to R&D, evaluation or innovation programmes
  • oExperience of working within or alongside academic, research or analytical teams

Experience

Essential

  • oSignificant senior operational leadership experience within a large, complex healthcare organisation
  • oSuccessful track record as a senior manager within the NHS or a comparable complex public sector organisation
  • oProven track record of delivering sustained improvements in operational performance across elective care, RTT, diagnostics and/or cancer pathways
  • oExperience of leading multiple teams or departments, including line management of senior staff and evidence of excellent people management
  • oExperience of developing and implementing policies, operational frameworks and service improvement strategies at organisational or system level
  • oExperience of managing large budgets and overseeing financial governance across multiple services, with evidence of sound financial management
  • oExperience of presenting highly complex, sensitive or contentious information to Board level or equivalent senior audiences
  • oExperience of working across organisational boundaries, including ICS or regional partnerships
  • oExperience of leading digital transformation or data driven improvement programmes
  • oExperience of effective change management, including leading large scale service redesign or transformation initiatives
  • oExperience of applying research, evaluation or evidence based methodologies to inform service improvement

Desirable

  • oExperience within an acute hospital setting
  • oExperience of partnership working
  • oExperience of leading or contributing to R&D, evaluation or innovation programmes
  • oExperience of working within or alongside academic, research or analytical teams

Communication and Relationship Skills

Essential

  • oHighly developed communication skills, including the ability to convey complex, contentious or sensitive information to large and diverse audiences
  • oAdvanced influencing, negotiation and persuasion skills, including in hostile or highly emotive environments
  • oExcellent collaborative working skills and ability to build strong relationships with clinical leaders and professional staff groups
  • oAbility to provide meaningful feedback in response to individual performance and hold others to account
  • oHighly developed interpersonal skills with the ability to motivate, challenge and engage individuals and teams
  • oPolitical astuteness, with an understanding of what can and cannot be delivered at senior level

Analytical and Judgement Skills

Essential

  • oAbility to analyse, interpret and synthesise highly complex, sensitive and incomplete information
  • oAbility to make judgements on contentious issues with no clear precedent, balancing competing priorities and risks
  • oProven ability to deal with a wide range of data and information and take appropriate decisions from it
  • oProven ability to come up with flexible and creative solutions to difficult problems
  • Proven ability to obtain and consistently achieve results and targets

Planning and Organisational Skills

Essential

  • oAbility to develop and implement policies, operational frameworks and service improvement strategies
  • oAbility to work under pressure, manage competing demands and maintain performance during operational escalation.
  • oAbility to shape the future direction of services and bring staff with you through change
  • oAbility to lead multiple teams, set direction and build a high performing culture

Physical Skills

Essential

  • oStandard keyboard and IT skills
  • oAbility to travel across Trust and system sites, as required

Other Requirements Specific to the Role

Essential

  • oParticipate in the Trust's Executive on-Call rota
  • oDemonstrate the Trust values: Kind, Inclusive, Ambitious, One Team
  • oHighly resilient, calm and authoritative under pressure
  • oPolitically astute, with the ability to navigate complex organisational and system environments
  • oVisible, compassionate and inclusive leadership style
  • oCommitment to continuous improvement and evidence-based practice
  • oHigh level of personal integrity, professionalism and accountability
  • oAbility to travel independently across Trust, regional and national sites to attend essential meetings and events where physical presence is required for effective leadership and collaboration

Commitment To Trust Values and Behaviours

Essential

  • oMust be able to demonstrate values and behaviours consistent with the Trust's standards
  • oProven record of encouraging talent and helping to proactively further the development of those around you within previous management roles
Person Specification

Training and Qualifications

Essential

  • oProfessional knowledge acquired through degree, supplemented by specialist training to doctorate or equivalent level, management qualification or equivalent, experience
  • oEvidence of continuous professional development in operational management, performance, analytics or related fields
  • oFormal training in improvement methodologies (eg Lean, Six Sigma, QSIR)
  • oProject or programme management qualification (e.g., MSP, PRINCE2)

Experience

Essential

  • oSignificant senior operational leadership experience within a large, complex healthcare organisation
  • oSuccessful track record as a senior manager within the NHS or a comparable complex public sector organisation
  • oProven track record of delivering sustained improvements in operational performance across elective care, RTT, diagnostics and/or cancer pathways
  • oExperience of leading multiple teams or departments, including line management of senior staff and evidence of excellent people management
  • oExperience of developing and implementing policies, operational frameworks and service improvement strategies at organisational or system level
  • oExperience of managing large budgets and overseeing financial governance across multiple services, with evidence of sound financial management
  • oExperience of presenting highly complex, sensitive or contentious information to Board level or equivalent senior audiences
  • oExperience of working across organisational boundaries, including ICS or regional partnerships
  • oExperience of leading digital transformation or data driven improvement programmes
  • oExperience of effective change management, including leading large scale service redesign or transformation initiatives
  • oExperience of applying research, evaluation or evidence based methodologies to inform service improvement

Desirable

  • oExperience within an acute hospital setting
  • oExperience of partnership working
  • oExperience of leading or contributing to R&D, evaluation or innovation programmes
  • oExperience of working within or alongside academic, research or analytical teams

Experience

Essential

  • oSignificant senior operational leadership experience within a large, complex healthcare organisation
  • oSuccessful track record as a senior manager within the NHS or a comparable complex public sector organisation
  • oProven track record of delivering sustained improvements in operational performance across elective care, RTT, diagnostics and/or cancer pathways
  • oExperience of leading multiple teams or departments, including line management of senior staff and evidence of excellent people management
  • oExperience of developing and implementing policies, operational frameworks and service improvement strategies at organisational or system level
  • oExperience of managing large budgets and overseeing financial governance across multiple services, with evidence of sound financial management
  • oExperience of presenting highly complex, sensitive or contentious information to Board level or equivalent senior audiences
  • oExperience of working across organisational boundaries, including ICS or regional partnerships
  • oExperience of leading digital transformation or data driven improvement programmes
  • oExperience of effective change management, including leading large scale service redesign or transformation initiatives
  • oExperience of applying research, evaluation or evidence based methodologies to inform service improvement

Desirable

  • oExperience within an acute hospital setting
  • oExperience of partnership working
  • oExperience of leading or contributing to R&D, evaluation or innovation programmes
  • oExperience of working within or alongside academic, research or analytical teams

Communication and Relationship Skills

Essential

  • oHighly developed communication skills, including the ability to convey complex, contentious or sensitive information to large and diverse audiences
  • oAdvanced influencing, negotiation and persuasion skills, including in hostile or highly emotive environments
  • oExcellent collaborative working skills and ability to build strong relationships with clinical leaders and professional staff groups
  • oAbility to provide meaningful feedback in response to individual performance and hold others to account
  • oHighly developed interpersonal skills with the ability to motivate, challenge and engage individuals and teams
  • oPolitical astuteness, with an understanding of what can and cannot be delivered at senior level

Analytical and Judgement Skills

Essential

  • oAbility to analyse, interpret and synthesise highly complex, sensitive and incomplete information
  • oAbility to make judgements on contentious issues with no clear precedent, balancing competing priorities and risks
  • oProven ability to deal with a wide range of data and information and take appropriate decisions from it
  • oProven ability to come up with flexible and creative solutions to difficult problems
  • Proven ability to obtain and consistently achieve results and targets

Planning and Organisational Skills

Essential

  • oAbility to develop and implement policies, operational frameworks and service improvement strategies
  • oAbility to work under pressure, manage competing demands and maintain performance during operational escalation.
  • oAbility to shape the future direction of services and bring staff with you through change
  • oAbility to lead multiple teams, set direction and build a high performing culture

Physical Skills

Essential

  • oStandard keyboard and IT skills
  • oAbility to travel across Trust and system sites, as required

Other Requirements Specific to the Role

Essential

  • oParticipate in the Trust's Executive on-Call rota
  • oDemonstrate the Trust values: Kind, Inclusive, Ambitious, One Team
  • oHighly resilient, calm and authoritative under pressure
  • oPolitically astute, with the ability to navigate complex organisational and system environments
  • oVisible, compassionate and inclusive leadership style
  • oCommitment to continuous improvement and evidence-based practice
  • oHigh level of personal integrity, professionalism and accountability
  • oAbility to travel independently across Trust, regional and national sites to attend essential meetings and events where physical presence is required for effective leadership and collaboration

Commitment To Trust Values and Behaviours

Essential

  • oMust be able to demonstrate values and behaviours consistent with the Trust's standards
  • oProven record of encouraging talent and helping to proactively further the development of those around you within previous management roles

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

Nottingham University Hospitals NHS Trusts

Address

Queen's Medical Centre

Derby Road

Nottingham

NG7 2UH


Employer's website

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

Employer details

Employer name

Nottingham University Hospitals NHS Trusts

Address

Queen's Medical Centre

Derby Road

Nottingham

NG7 2UH


Employer's website

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

Employer contact details

For questions about the job, contact:

Chief Operating Officer

Andrew Hall

andrew.hall14@nhs.net

01159249924

Details

Date posted

17 April 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

2026158

Job locations

Queen's Medical Centre

Derby Road

Nottingham

NG7 2UH


Supporting documents

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