Job summary
General Manager - Theatres, Anaesthetics & Critical Care, Band 8d
Cross site: London and Isleworth
This Post Attracts On-Call Allowance
We are delighted to be recruiting to our senior operational team working across our two hospital sites. As the GM Manager for Anaesthetics, Theatres & Critical Care you will be accountable to the Divisional Director of Operations, and working in partnership with Clinical Directors and Divisional Nurses.
The GM is responsible for operational delivery, operational performance, financial performance, governance, change and business development across the Directorate. The GM will provide effective leadership and is a key member of the Trust's and Division's senior management teams.
The GM is responsible for the delivery of financial, quality, performance, productivity and workforce targets, including national targets and objectives set as part of Trust business planning. The GM will be expected to oversee the financial control of a sizeable budget including pay and non-pay across the 2 main hospital sites.
Alongside the relevant Clinical Director(s) and Service Director(s) & Divisional Nursing Leads, the GM will lead directorate teams, which will include managers responsible for service and performance, to ensure the efficient and effective delivery of high quality patient centred services, strategic planning and development & change programmes. This will include the coordination of clinical staff (consultant medical staff & junior medical staff)
Main duties of the job
The General Manager will lead on delivery of the business plan and core business of the Directorate to ensure continuous service improvement, quality and financial efficiency. The post holder will also take a lead on specific divisional projects or cross Trust projects as required.
The General Manager will, with input from the relevant Clinical Director(s) and Divisional Nurse, form and drive a coherent strategy and change agenda for the Directorate to achieve the quality and finance expectations set out in the Clinical Services Strategy and Trust business plans, including the realisation of benefits from the Integration and Transformation Programme.
The General Manager will lead the formal and informal engagement of internal and external stakeholders to improve the Directorate's communication with patients and colleagues.
The General Manager will work closely with the Divisional Medical and Clinical Directors to lead on medical staffing and their associated budgets and performance targets.
The General Manager will ensure that line management of his or her staff is undertaken professionally and that each member of staff has a development and training plan consistent with Division and Trust objectives.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals,Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.Both hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,
effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
- Delivery of safe, high quality Patient Care
In partnership with Clinical Directors and Divisional Nurses, the General Manager will:
- Create an environment within the directorate that makes care, safety and patient satisfaction everyones first concern. There will be an emphasis on learning from the results of patient feedback and risk management systems to drive continuous service improvement and the reduction of risk.
- Ensure that high quality clinical services are delivered in line with the Trusts Quality Strategy and available financial resources.
- Be proactive and innovative in leading the development and implementation of the Directorate Patient/Parent Involvement strategy, ensuring there are mechanisms to seek feedback to help improve/develop services. The post-holder will listen and take action to address concerns identified through a range of tools including the annual patient survey, real time patient feedback systems, M-PALs and formal complaints, providing regular feedback to patients, parents and staff on action taken with training and support for staff where appropriate.
- Ensure the patient environments are supportive of providing high quality patient care and lead in reducing anxiety.
- Governance
In partnership with Clinical Directors and Divisional Nurses the General Manager will:
- Actively involve and lead directorate staff in the delivery of Clinical Governance, in accordance with Trust systems, processes and priorities. General Managers are expected to participate and lead service reviews (where appropriate) to ensure that care is delivered in line with best practice and actions are taken to ensure any system failures are addressed. The General Manager, Divisional Nurse and Clinical Director will work together to organise Directorate clinical governance half days and governance policy boards to ensure the monitoring of trends, dissemination of best practice and learning throughout the Directorate.
- Establish, maintain and oversee a system of internal control within the directorate that supports an integrated approach to governance. This will include responsibility for mitigating risks identified in the Assurance Framework, the Risk Register, the Incident Review Register, the annual directorate comprehensive risk assessment and any ad-hoc risk assessments. It will also include ensuring a comprehensive and robust mechanism across the Directorate for reporting on and learning from incidents and complaints that promotes a culture of openness and honesty.
- Ensure that directorate responsibilities with respect to external assessments e.g. Risk Management, ICNARC, GPICS and the Care Quality Commissions Standards are fulfilled.
- The General Manager will support, in partnership with Divisional Nurses, Clinical Directors to provide strong clinical leadership to facilitate a robust clinical and research governance culture within the directorate and at a corporate level. This will include the implementation and monitoring of national initiatives, such as NICE guidance and the implementation of the Trusts framework for clinical and non-clinical risk management, untoward incident management and Serious Alert Broadcasts.
- Together with the Divisional nurse and Clinical Director, lead the management of complaints and learning from complaints, SUIs and other incidents. The post-holder will ensure that appropriate action is taken to address issues of concern and prevent recurrence of similar events. The post- holder will be required to communicate sensitive and often contentious information to patients, families and staff, including chairing Local Resolution Meetings.
- Ensure that all incident reviews led by the directorate are undertaken in a timely manner, resultant action plans completed to an agreed timetable with feedback regarding the progress made to the Clinical Governance Trust Executive and staff directly involved.
- Operational planning and delivery
The General Manager will:
Be responsible for the operational delivery of all services within their portfolio. These services may be across sites within the Trust, and may also be across sites that are external to the Trust.
- Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented.
- Assist the Clinical Directors in chairing Directorate meetings and chair other relevant meetings.
- Initiate and oversee regular reviews of services, and ensure new developments are appropriately resourced through the business planning process.
- Monitor activity in relation to agreed activity plans and national access targets, and implement immediate corrective action in relation to any significant underperformance/ over performance.
- Respond at a senior level and in a timely fashion to frequent and unpredictable day-to-day operational issues as required. Liaise directly with patients and staff to resolve urgent concerns, including resolving stressful or distressing situations.
- Performance management
The General Manager will:
- Oversee clinical services are delivered in line with required activity and income plans, maintaining control of expenditure, improving value for money and ensuring continued service development in relation to efficiency and quality. This will include implementation and monitoring of demand management initiatives agreed with commissioners.
- Be responsible for leading the development of the performance management framework and ensuring its implementation in order to deliver national and local performance targets within the directorate: o Supporting and improving organisation operational performance to meet specific access targets set by both central government and the Trust.
- Developing and supporting service redesign and quality initiatives. o Supporting corporate performance in relation to national and local targets in collaboration with colleagues across the Trust, advising and supporting the implementation of national standards for which responsibility does not lie solely within the Directorate.
- Taking appropriate action where the Directorate is not achieving its targets
- Take the lead with nominated clinicians for specific targets as appropriate and agreed with the Divisional Director, and being ultimately responsible for the delivery of Directorate-specific targets. Ensuring GIRFT standards of performance are delivered or improved.
- Be responsible for coordinating all service reviews and peer reviews relevant to services within the portfolio, both internal and external to the Trust, and be responsible for preparing and collating information and ensuring any identified actions are fully implemented. Take the lead in implementing service reviews where there are performance concerns or operational delivery challenges.
- Oversee that the Trust processes in relation contractual requirements e.g. demand management are fully adhered to.
- Oversee the monitoring of benchmarked performance against internal and external indicators including, but not exclusive to:
- Corporate plan targets
- Audit Commission/national performance review data o Benchmarked data sets including NCEPOD, ICNARC
- External and internal service reviews
- Advise the Trust on the appropriate clinical and activity information required effectively to manage performance within the Directorate.
Produce senior level reports for a range of people (e.g. Divisional Directors, Deputy Chief Executive, Chief Executive, Executive Team, Trust Board, Commissioners and Network Boards) in relation to the Directorate. This could involve gathering information from Finance, Information and Human Resources, analysing any data, interpreting this within the report and setting out associated action plans.
- Financial and physical resources
The General Manager will:
- In conjunction with the Clinical Director and Divisional Nurse, be jointly responsible and accountable for the Directorate budgets. Specifically the General Manager will: o Support the Divisional Medical Director on the management of medical budgets.
- Be primarily responsible for income and administrative expenditure budgets.
- Working with the Divisional Nurse and Clinical Director, ensure the optimum use of resources and establishing and maintaining an effective management process to ensure financial control.
- Ensure that all budgets, saving plans and capital projects are proactively managed within the limits set by the Trusts Annual Financial and Capital Plan, taking any remedial action which may be necessary to ensure delivery of agreed financial targets.
- Work with the finance and information teams and service leads to ensure that service line reporting information is an accurate reflection of the service provided and that action is taken to improve the financial contribution of all services. This will include the development and monitoring of initiatives to improve productivity and reduce cost.
- Proactively take forward the procurement programme, ensuring that savings targets are agreed and delivered in accordance with Trust Standing Orders and Standing Financial Instructions.
- Hold joint accountability with the Divisional Nurse and Clinical Director for identifying and delivering CIPs and the quality priorities. They will identify, negotiate and implement cost improvement and revenue generation opportunities in accordance with corporate policy and be responsible for investigating alternative methods of income generation for the Trust, and putting in place arrangements to ensure this is achieved.
- Act as an authorised signatory within delegated limits.
PLEASE SEE JOB DESCRIPTION AND PERSON SPECIFICATION DOCUMENTS FOR FULL INFORMATION AND DETALS OF THE ROLE
Job description
Job responsibilities
- Delivery of safe, high quality Patient Care
In partnership with Clinical Directors and Divisional Nurses, the General Manager will:
- Create an environment within the directorate that makes care, safety and patient satisfaction everyones first concern. There will be an emphasis on learning from the results of patient feedback and risk management systems to drive continuous service improvement and the reduction of risk.
- Ensure that high quality clinical services are delivered in line with the Trusts Quality Strategy and available financial resources.
- Be proactive and innovative in leading the development and implementation of the Directorate Patient/Parent Involvement strategy, ensuring there are mechanisms to seek feedback to help improve/develop services. The post-holder will listen and take action to address concerns identified through a range of tools including the annual patient survey, real time patient feedback systems, M-PALs and formal complaints, providing regular feedback to patients, parents and staff on action taken with training and support for staff where appropriate.
- Ensure the patient environments are supportive of providing high quality patient care and lead in reducing anxiety.
- Governance
In partnership with Clinical Directors and Divisional Nurses the General Manager will:
- Actively involve and lead directorate staff in the delivery of Clinical Governance, in accordance with Trust systems, processes and priorities. General Managers are expected to participate and lead service reviews (where appropriate) to ensure that care is delivered in line with best practice and actions are taken to ensure any system failures are addressed. The General Manager, Divisional Nurse and Clinical Director will work together to organise Directorate clinical governance half days and governance policy boards to ensure the monitoring of trends, dissemination of best practice and learning throughout the Directorate.
- Establish, maintain and oversee a system of internal control within the directorate that supports an integrated approach to governance. This will include responsibility for mitigating risks identified in the Assurance Framework, the Risk Register, the Incident Review Register, the annual directorate comprehensive risk assessment and any ad-hoc risk assessments. It will also include ensuring a comprehensive and robust mechanism across the Directorate for reporting on and learning from incidents and complaints that promotes a culture of openness and honesty.
- Ensure that directorate responsibilities with respect to external assessments e.g. Risk Management, ICNARC, GPICS and the Care Quality Commissions Standards are fulfilled.
- The General Manager will support, in partnership with Divisional Nurses, Clinical Directors to provide strong clinical leadership to facilitate a robust clinical and research governance culture within the directorate and at a corporate level. This will include the implementation and monitoring of national initiatives, such as NICE guidance and the implementation of the Trusts framework for clinical and non-clinical risk management, untoward incident management and Serious Alert Broadcasts.
- Together with the Divisional nurse and Clinical Director, lead the management of complaints and learning from complaints, SUIs and other incidents. The post-holder will ensure that appropriate action is taken to address issues of concern and prevent recurrence of similar events. The post- holder will be required to communicate sensitive and often contentious information to patients, families and staff, including chairing Local Resolution Meetings.
- Ensure that all incident reviews led by the directorate are undertaken in a timely manner, resultant action plans completed to an agreed timetable with feedback regarding the progress made to the Clinical Governance Trust Executive and staff directly involved.
- Operational planning and delivery
The General Manager will:
Be responsible for the operational delivery of all services within their portfolio. These services may be across sites within the Trust, and may also be across sites that are external to the Trust.
- Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented.
- Assist the Clinical Directors in chairing Directorate meetings and chair other relevant meetings.
- Initiate and oversee regular reviews of services, and ensure new developments are appropriately resourced through the business planning process.
- Monitor activity in relation to agreed activity plans and national access targets, and implement immediate corrective action in relation to any significant underperformance/ over performance.
- Respond at a senior level and in a timely fashion to frequent and unpredictable day-to-day operational issues as required. Liaise directly with patients and staff to resolve urgent concerns, including resolving stressful or distressing situations.
- Performance management
The General Manager will:
- Oversee clinical services are delivered in line with required activity and income plans, maintaining control of expenditure, improving value for money and ensuring continued service development in relation to efficiency and quality. This will include implementation and monitoring of demand management initiatives agreed with commissioners.
- Be responsible for leading the development of the performance management framework and ensuring its implementation in order to deliver national and local performance targets within the directorate: o Supporting and improving organisation operational performance to meet specific access targets set by both central government and the Trust.
- Developing and supporting service redesign and quality initiatives. o Supporting corporate performance in relation to national and local targets in collaboration with colleagues across the Trust, advising and supporting the implementation of national standards for which responsibility does not lie solely within the Directorate.
- Taking appropriate action where the Directorate is not achieving its targets
- Take the lead with nominated clinicians for specific targets as appropriate and agreed with the Divisional Director, and being ultimately responsible for the delivery of Directorate-specific targets. Ensuring GIRFT standards of performance are delivered or improved.
- Be responsible for coordinating all service reviews and peer reviews relevant to services within the portfolio, both internal and external to the Trust, and be responsible for preparing and collating information and ensuring any identified actions are fully implemented. Take the lead in implementing service reviews where there are performance concerns or operational delivery challenges.
- Oversee that the Trust processes in relation contractual requirements e.g. demand management are fully adhered to.
- Oversee the monitoring of benchmarked performance against internal and external indicators including, but not exclusive to:
- Corporate plan targets
- Audit Commission/national performance review data o Benchmarked data sets including NCEPOD, ICNARC
- External and internal service reviews
- Advise the Trust on the appropriate clinical and activity information required effectively to manage performance within the Directorate.
Produce senior level reports for a range of people (e.g. Divisional Directors, Deputy Chief Executive, Chief Executive, Executive Team, Trust Board, Commissioners and Network Boards) in relation to the Directorate. This could involve gathering information from Finance, Information and Human Resources, analysing any data, interpreting this within the report and setting out associated action plans.
- Financial and physical resources
The General Manager will:
- In conjunction with the Clinical Director and Divisional Nurse, be jointly responsible and accountable for the Directorate budgets. Specifically the General Manager will: o Support the Divisional Medical Director on the management of medical budgets.
- Be primarily responsible for income and administrative expenditure budgets.
- Working with the Divisional Nurse and Clinical Director, ensure the optimum use of resources and establishing and maintaining an effective management process to ensure financial control.
- Ensure that all budgets, saving plans and capital projects are proactively managed within the limits set by the Trusts Annual Financial and Capital Plan, taking any remedial action which may be necessary to ensure delivery of agreed financial targets.
- Work with the finance and information teams and service leads to ensure that service line reporting information is an accurate reflection of the service provided and that action is taken to improve the financial contribution of all services. This will include the development and monitoring of initiatives to improve productivity and reduce cost.
- Proactively take forward the procurement programme, ensuring that savings targets are agreed and delivered in accordance with Trust Standing Orders and Standing Financial Instructions.
- Hold joint accountability with the Divisional Nurse and Clinical Director for identifying and delivering CIPs and the quality priorities. They will identify, negotiate and implement cost improvement and revenue generation opportunities in accordance with corporate policy and be responsible for investigating alternative methods of income generation for the Trust, and putting in place arrangements to ensure this is achieved.
- Act as an authorised signatory within delegated limits.
PLEASE SEE JOB DESCRIPTION AND PERSON SPECIFICATION DOCUMENTS FOR FULL INFORMATION AND DETALS OF THE ROLE
Person Specification
Application form
Essential
- Experience at General Manager or Deputy General Manager Level
Desirable
- Previous job role experience in theatres or critical care.
Education and Qualifications
Essential
- Educated to degree level/equivalent
- Extensive senior management and leadership experience at a senior level in NHS / private healthcare
- Higher Degree or equivalent
- Post graduate qualification or evidence of post graduate education
Desirable
- Membership of Professional Body in health/ social care
Experience
Essential
- Significant track record of senior level management experience gained in a complex acute hospital setting
- Substantial experience of managing both clinical and/ or non-clinical services
- Experience in liaison and negotiation at organisational level internally as well as externally, with a range of stakeholders
- Experience in leading, managing and developing a multidisciplinary team, including objective setting and performance management
- In-depth professional knowledge in a number of disciplines including e.g. financial management, performance management, information systems, staff management acquired through training and experience over extended period
- Experience of managing clinical staff and conducting job planning
- Experience of managing tertiary clinical services
Desirable
- Project management experience of delivering clinical services during the implementation of a building project or capital redevelopment plan
- Experience of working as part of a multi-site department.
- Commercial tender experience
Skills and Knowledge
Essential
- Problem solving: having the capacity to analyse problems in a logical and structured way using qualitative and quantitative information, generating optional and innovative solutions and adapting approaches to problem-solving to achieve sustainable outcomes
- Insight: being able to anticipate problems, to understand the driving forces behind problems, or potential problems and being able to identify and use the levers to achieve change
- Influencing & Negotiating: being skilled in influencing and negotiating internally and externally and using these skills to gain the best deal for the Trust or for the medical profession
- Judgement: having the ability to make informed management judgments balancing risk with safety
- Presentation: being articulate and skilled in presenting ideas to others
- Opportunism: having the ability to seek out, recognise and pursue opportunities Have proven ability to operate and think laterally at operational and strategic levels, with good analytical skills
- Be articulate with practiced and developedinterpersonal communication and presentational skills
- Demonstrate an understanding of quality assurance activity
- Ability to initiate and create ideas
- The ability to work constructively with clinicians in general and medical staff in particular
- Financial Management skills: including budget management, profitability analysis and forecasting
- People Managementskills: including staff management,staff development and teambuilding
Person Specification
Application form
Essential
- Experience at General Manager or Deputy General Manager Level
Desirable
- Previous job role experience in theatres or critical care.
Education and Qualifications
Essential
- Educated to degree level/equivalent
- Extensive senior management and leadership experience at a senior level in NHS / private healthcare
- Higher Degree or equivalent
- Post graduate qualification or evidence of post graduate education
Desirable
- Membership of Professional Body in health/ social care
Experience
Essential
- Significant track record of senior level management experience gained in a complex acute hospital setting
- Substantial experience of managing both clinical and/ or non-clinical services
- Experience in liaison and negotiation at organisational level internally as well as externally, with a range of stakeholders
- Experience in leading, managing and developing a multidisciplinary team, including objective setting and performance management
- In-depth professional knowledge in a number of disciplines including e.g. financial management, performance management, information systems, staff management acquired through training and experience over extended period
- Experience of managing clinical staff and conducting job planning
- Experience of managing tertiary clinical services
Desirable
- Project management experience of delivering clinical services during the implementation of a building project or capital redevelopment plan
- Experience of working as part of a multi-site department.
- Commercial tender experience
Skills and Knowledge
Essential
- Problem solving: having the capacity to analyse problems in a logical and structured way using qualitative and quantitative information, generating optional and innovative solutions and adapting approaches to problem-solving to achieve sustainable outcomes
- Insight: being able to anticipate problems, to understand the driving forces behind problems, or potential problems and being able to identify and use the levers to achieve change
- Influencing & Negotiating: being skilled in influencing and negotiating internally and externally and using these skills to gain the best deal for the Trust or for the medical profession
- Judgement: having the ability to make informed management judgments balancing risk with safety
- Presentation: being articulate and skilled in presenting ideas to others
- Opportunism: having the ability to seek out, recognise and pursue opportunities Have proven ability to operate and think laterally at operational and strategic levels, with good analytical skills
- Be articulate with practiced and developedinterpersonal communication and presentational skills
- Demonstrate an understanding of quality assurance activity
- Ability to initiate and create ideas
- The ability to work constructively with clinicians in general and medical staff in particular
- Financial Management skills: including budget management, profitability analysis and forecasting
- People Managementskills: including staff management,staff development and teambuilding
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.
Employer details
Employer name
Chelsea and Westminster Hospital NHS Foundation Trust
Address
Cross Site Role - Chelsea London and Twickenham Road Middlesex
369 Fulham Road
Chelsea London and Twickenham Road Middlesex
SW10 9NH
Employer's website
https://www.chelwest.nhs.uk/ (Opens in a new tab)