Leeds Teaching Hospitals

Business Manager (XN07)

The closing date is 15 April 2026

Job summary

Leeds Teaching Hospitals NHS Trust is looking for an experienced and forward thinking Business Manager to provide operational and strategic leadership for our Neurosurgery and Pain Management services. This is an exciting opportunity to play a key role in delivering our Trust Visionto be the best for patient safety, quality and experienceand to lead teams in line with The Leeds Way Values (Patient centred, Collaborative, Fair, Accountable, Empowered).

The post holder will drive high quality care, financial sustainability, and service innovation within a large, complex clinical portfolio that delivers life changing services to patients across the region.

About You

We are looking for a candidate who:

Has substantial experience managing services in healthcare or a similarly complex environment.

Demonstrates excellent operational leadership, workforce management, and financial oversight skills

Is confident working in a fast paced environment with competing priorities and tight deadlines.

Can analyse data, interpret performance information, and make informed, evidence based decisions.

Is able to build strong relationships, influence a range of stakeholders, and support continuous improvement.

Embodies The Leeds Way Values and is committed to delivering high quality, patient centred NHS care.

Expected Shortlisting Date

17/04/2026

Planned Interview Date

29/04/2026

Main duties of the job

Main Duties of the Job

Provide day to day operational leadership for Neurosurgery and Pain Management services, ensuring care is safe, efficient, and patient centred.

Lead workforce planning, capacity modelling, and activity management to support clinical delivery and meet performance standards.

Oversee financial management, including budget control, cost improvement delivery and long term financial sustainability.

Drive service redesign, transformation, and quality improvement initiatives aligned to Trust priorities and The Leeds Way.

Support clinical governance, risk management, and compliance with statutory and regulatory requirements.

Lead and contribute to business cases, service strategies, and wider divisional planning.

Build effective working relationships with clinical, operational, and corporate colleagues to ensure collaborative, integrated service delivery.

Act as the key point of contact for operational issues, risks, and decision making across the service.

About us

Working for Leeds Teaching Hospitals

Joining us means becoming part of one of the largest and most respected NHS Trusts in the country. You will be supported by experienced leaders, development opportunities, and a culture that empowers staff to innovate and improve.

Our Trust is committed to fairness, accountability and collaborative working, and we welcome applicants who share these values and want to make a real difference.

What We Offer

The chance to shape and develop specialist services delivering complex and life changing care.

A supportive leadership environment with access to mentorship and professional development.

Opportunities to contribute to long term service transformation.

A comprehensive range of NHS benefits, including the NHS Pension Scheme and staff wellbeing support

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Details

Date posted

25 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-NEU-152

Job locations

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Job description

Job responsibilities

The post holder provides management support to the CSU or a component part of the CSU. They will have responsibility for the performance of administrative and clerical staff and will ensure that services are delivered within budget to agreed quality standards and in accordance with agreed activity levels.

The post holder will also work with members of their CSU and other senior managers in the strategic development of the services provided by the CSU. This will include strategic and operational business planning and monitoring, and the development of relationships with key internal and external partners. The post holder will ensure the CSU functions as an integral part of the Leeds Teaching Hospitals Trust and that CSU and Trust-wide objectives are achieved simultaneously.

Devolved responsibility for both pay and non pay budgets in the CSU

Responsible for staff who may work Trust-wide across several disciplines and clinical specialties

Assist in the performance management of the CSU

Line manage administrative, clerical and secretarial staff within the CSU, and take management responsibility for their personal development and performance review

Responsible for the procurement of medical and scientific capital equipment

Assist in the operational aspects of major service and capital planning

Contribute to developing and sustaining capacity and capability in the CSU

Lead specific project work on behalf of the General Manager

Deputise for the Service Manager or General Manager, as directed

Actively assists in the development and management of the CSU Cost Improvement Programme to ensure financial balance involving the analysis of both pay and non-pay budgets to identify recurrent savings

Makes judgements involving complex facts or situations requiring analysis, interpretation and the comparison of a range of options resulting in differing expert opinions and conflict; e.g. managing clinical risks; agreeing strategies to meet patient access targets, changing working practices

Contributes to the service development agenda by identifying and assessing strategic options e.g. service redesign; capacity and demand management; financial planning and quality improvement. Presents proposals to the General Manager to input to the broader strategic debate within the Trust. Understands the whole systems impact liaising with external partners as appropriate

Leads the development, monitoring and delivery of business and service plans and processes towards Trust and National policies and targets

Manages the integration of a variety of resources to deliver targets/patient pathways the majority of which are ongoing

Assists in the development of and monitors activity plans for the CSU, making adjustments as necessary

Leads the development of business cases whether for changes to service, new equipment or new posts which impact across the whole organisation

Ensures administration processes support efficient patient pathways

Participates in the CSU involvement of patients and representative groups in service planning and development.

Works in partnership with CSU colleagues and other CSU Teams and external agencies to ensure high quality patient care is delivered within Trust frameworks the Trusts short to medium term objectives are delivered

Leads and motivates staff in the delivery of quality patient care across complex clinical and business environments and services

Identifies and leads projects to modernise and improve service delivery and patient access

Participates appropriately in the investigation of complaints

On behalf of the General Manager, leads specific project work within the CSU and on cross-CSU issues

Manages waiting lists, leading change where necessary to ensure targets are met

Ensures that all patient and service related policies, including modernisation strategies such as booking and partial booking are implemented

Assist with policy development across the organisation relevant to local area e.g. MAJAX, Winter Plan, National Service Frameworks

Ensures the local implementation of Trust policies and procedures e.g. People and Corporate Governance, Health and Safety

Assists the General Manager in the development and monitoring of Service Level Agreements for services provided by or to other CSUs

Manages agreed budgets to ensure the efficient and effective use of such resources and the achievement of all financial targets

Recruits and line-manages administrative and clerical staff across the CSU. Provides leadership of these staff and ensures appropriate arrangements are in place to set objectives, monitor performance, agree and review development needs and ensure staff understand and can achieve the required results

Assists in disciplinary and grievance matters

Identifies information needs of the CSU and ensures the accuracy and use of information related to patient processes

Produces reports and proposals, including spreadsheets, some of which are complex and involve bids for additional funding from Commissioners

Supports the General Manager in the interface with commissioners

Contributes to Trust wide activities (e.g. Improving Working Lives, External Quality Accreditation, Information Systems Development, Bed Management etc) taking a lead responsibility for selected pieces of work

Deputises for the General Manager, as directed

Undertakes audit work to facilitate service improvement and collates and presents research results

Job description

Job responsibilities

The post holder provides management support to the CSU or a component part of the CSU. They will have responsibility for the performance of administrative and clerical staff and will ensure that services are delivered within budget to agreed quality standards and in accordance with agreed activity levels.

The post holder will also work with members of their CSU and other senior managers in the strategic development of the services provided by the CSU. This will include strategic and operational business planning and monitoring, and the development of relationships with key internal and external partners. The post holder will ensure the CSU functions as an integral part of the Leeds Teaching Hospitals Trust and that CSU and Trust-wide objectives are achieved simultaneously.

Devolved responsibility for both pay and non pay budgets in the CSU

Responsible for staff who may work Trust-wide across several disciplines and clinical specialties

Assist in the performance management of the CSU

Line manage administrative, clerical and secretarial staff within the CSU, and take management responsibility for their personal development and performance review

Responsible for the procurement of medical and scientific capital equipment

Assist in the operational aspects of major service and capital planning

Contribute to developing and sustaining capacity and capability in the CSU

Lead specific project work on behalf of the General Manager

Deputise for the Service Manager or General Manager, as directed

Actively assists in the development and management of the CSU Cost Improvement Programme to ensure financial balance involving the analysis of both pay and non-pay budgets to identify recurrent savings

Makes judgements involving complex facts or situations requiring analysis, interpretation and the comparison of a range of options resulting in differing expert opinions and conflict; e.g. managing clinical risks; agreeing strategies to meet patient access targets, changing working practices

Contributes to the service development agenda by identifying and assessing strategic options e.g. service redesign; capacity and demand management; financial planning and quality improvement. Presents proposals to the General Manager to input to the broader strategic debate within the Trust. Understands the whole systems impact liaising with external partners as appropriate

Leads the development, monitoring and delivery of business and service plans and processes towards Trust and National policies and targets

Manages the integration of a variety of resources to deliver targets/patient pathways the majority of which are ongoing

Assists in the development of and monitors activity plans for the CSU, making adjustments as necessary

Leads the development of business cases whether for changes to service, new equipment or new posts which impact across the whole organisation

Ensures administration processes support efficient patient pathways

Participates in the CSU involvement of patients and representative groups in service planning and development.

Works in partnership with CSU colleagues and other CSU Teams and external agencies to ensure high quality patient care is delivered within Trust frameworks the Trusts short to medium term objectives are delivered

Leads and motivates staff in the delivery of quality patient care across complex clinical and business environments and services

Identifies and leads projects to modernise and improve service delivery and patient access

Participates appropriately in the investigation of complaints

On behalf of the General Manager, leads specific project work within the CSU and on cross-CSU issues

Manages waiting lists, leading change where necessary to ensure targets are met

Ensures that all patient and service related policies, including modernisation strategies such as booking and partial booking are implemented

Assist with policy development across the organisation relevant to local area e.g. MAJAX, Winter Plan, National Service Frameworks

Ensures the local implementation of Trust policies and procedures e.g. People and Corporate Governance, Health and Safety

Assists the General Manager in the development and monitoring of Service Level Agreements for services provided by or to other CSUs

Manages agreed budgets to ensure the efficient and effective use of such resources and the achievement of all financial targets

Recruits and line-manages administrative and clerical staff across the CSU. Provides leadership of these staff and ensures appropriate arrangements are in place to set objectives, monitor performance, agree and review development needs and ensure staff understand and can achieve the required results

Assists in disciplinary and grievance matters

Identifies information needs of the CSU and ensures the accuracy and use of information related to patient processes

Produces reports and proposals, including spreadsheets, some of which are complex and involve bids for additional funding from Commissioners

Supports the General Manager in the interface with commissioners

Contributes to Trust wide activities (e.g. Improving Working Lives, External Quality Accreditation, Information Systems Development, Bed Management etc) taking a lead responsibility for selected pieces of work

Deputises for the General Manager, as directed

Undertakes audit work to facilitate service improvement and collates and presents research results

Person Specification

Qualifications

Essential

  • Educated to degree level or equivalent professional qualification
  • Evidence of commitment to continuing professional development, including a management qualification or post graduate diploma
  • Management qualification or post graduate diploma

Skills & Behaviours

Essential

  • Give an example of managing a challenging budget
  • How have you used data to identify performance issues and drive improvements?
  • Give one example of direct experience in managing an 18 week RTT pathway

Experience

Essential

  • Describe a time when you successfully managed operational pressures in a complex service area.
  • How do you approach workforce planning and rota/scheduling issues?
Person Specification

Qualifications

Essential

  • Educated to degree level or equivalent professional qualification
  • Evidence of commitment to continuing professional development, including a management qualification or post graduate diploma
  • Management qualification or post graduate diploma

Skills & Behaviours

Essential

  • Give an example of managing a challenging budget
  • How have you used data to identify performance issues and drive improvements?
  • Give one example of direct experience in managing an 18 week RTT pathway

Experience

Essential

  • Describe a time when you successfully managed operational pressures in a complex service area.
  • How do you approach workforce planning and rota/scheduling issues?

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

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Employer's website

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


Employer details

Employer name

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Employer's website

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


Employer contact details

For questions about the job, contact:

Neurosciences Service Manager

Sam Rayworth

samantha.rayworth@nhs.net

Details

Date posted

25 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-NEU-152

Job locations

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX


Supporting documents

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