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Epsom and St Helier University Hospitals NHS Trust

Clinical Site Manager

The closing date is 01 April 2026

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Job summary

The purpose of the Clinical Site Manager (CSM) is to assume accountability for the management of the hospital site, acting as the coordinator of services working closely with clinical and support staff, guided by both Trust and professional policies and procedures. The Clinical Site Manager is a clinical leader ensuring quality, safety and efficiency is maintained at all times. Out of hours they will provide clinical advice and leadership in the absence of the divisional senior nurses and managers.

Main duties of the job

  • Oversaw patient flow and bed capacity across the trust, ensuring timely ED admissions and escalation of capacity pressures to senior clinicians.
  • Coordinated patient decanting from AMU to specialty inpatient beds, working closely with wards, matrons, heads of nursing, and MDTs.
  • Liaised with site managers across trusts and external partners to manage bed resources, repatriations, and ambulance diverts.
  • Provided 24/7 site cover as senior on-site contact, including out-of-hours periods and during critical or major incidents.
  • Delivered clinical leadership, supported nursing staff, authorised bank and agency staffing (with senior approval), and maintained advanced clinical competencies.
  • Ensured compliance with infection prevention, health & safety, and trust governance policies.

About us

St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in Southwest London and Northeast Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce. At GESH we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

Details

Date posted

20 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year Pa incl HCAS Outer pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

343-7651285- RB-RMD-RL

Job locations

St Helier Hospital

Wrythe Lane, Carshalton

Sutton

SM5 1AA


Job description

Job responsibilities

  • Trust-wide lead for patient flow and bed capacity across emergency and elective pathways, ensuring safe admissions, escalation of pressures, and minimal cancellations.
  • Senior on-site clinical and operational leader providing 24/7 cover, including out of hours and during critical or major incidents.
  • Directed patient flow across ED and AMU to support delivery of the 4-hour standard, coordinating specialty bed allocation, decanting, and repatriations.
  • Maintained real-time oversight of bed state through ward engagement, bed meetings, and cross-divisional working with matrons, heads of nursing, and clinicians.
  • Led cross-directorate operational responses, including ambulance diverts, business continuity, and system escalation in line with trust policies.
  • Provided visible clinical leadership out of hours, supporting nursing teams, managing emergencies, and making autonomous clinical and operational decisions.
  • Authorised and coordinated bank and agency staffing (with senior approval), ensuring safe staffing levels and effective use of resources.
  • Maintained advanced clinical competencies and ensured compliance with governance, IPC, health & safety, and the NMC Code of Conduct.

Job description

Job responsibilities

  • Trust-wide lead for patient flow and bed capacity across emergency and elective pathways, ensuring safe admissions, escalation of pressures, and minimal cancellations.
  • Senior on-site clinical and operational leader providing 24/7 cover, including out of hours and during critical or major incidents.
  • Directed patient flow across ED and AMU to support delivery of the 4-hour standard, coordinating specialty bed allocation, decanting, and repatriations.
  • Maintained real-time oversight of bed state through ward engagement, bed meetings, and cross-divisional working with matrons, heads of nursing, and clinicians.
  • Led cross-directorate operational responses, including ambulance diverts, business continuity, and system escalation in line with trust policies.
  • Provided visible clinical leadership out of hours, supporting nursing teams, managing emergencies, and making autonomous clinical and operational decisions.
  • Authorised and coordinated bank and agency staffing (with senior approval), ensuring safe staffing levels and effective use of resources.
  • Maintained advanced clinical competencies and ensured compliance with governance, IPC, health & safety, and the NMC Code of Conduct.

Person Specification

Qualifications

Essential

  • NMC Registered Nurse
  • Degree level qualification and / or evidence of continuing professional development equivalent to post graduate diploma level

Desirable

  • Management / leadership qualification

Experience

Essential

  • Considerable post registration experience
  • Experience in a clinical leadership / team leader role

Desirable

  • Experience of managing patient flow

Knowledge

Essential

  • Understanding of patient flow standards and targets relating to urgent and emergency care, and planned care.

Skills

Essential

  • Ability to rapidly assess acute situations and take appropriate action
  • Good leadership skills and able to influence sustained change
  • Able to undertake extended skills such as venepuncture, cannulation and IV drug administration

Desirable

  • HMIMMS Course or equivalent
  • Advanced Life Support (ALS) Provider
Person Specification

Qualifications

Essential

  • NMC Registered Nurse
  • Degree level qualification and / or evidence of continuing professional development equivalent to post graduate diploma level

Desirable

  • Management / leadership qualification

Experience

Essential

  • Considerable post registration experience
  • Experience in a clinical leadership / team leader role

Desirable

  • Experience of managing patient flow

Knowledge

Essential

  • Understanding of patient flow standards and targets relating to urgent and emergency care, and planned care.

Skills

Essential

  • Ability to rapidly assess acute situations and take appropriate action
  • Good leadership skills and able to influence sustained change
  • Able to undertake extended skills such as venepuncture, cannulation and IV drug administration

Desirable

  • HMIMMS Course or equivalent
  • Advanced Life Support (ALS) Provider

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Epsom and St Helier University Hospitals NHS Trust

Address

St Helier Hospital

Wrythe Lane, Carshalton

Sutton

SM5 1AA


Employer's website

https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)

Employer details

Employer name

Epsom and St Helier University Hospitals NHS Trust

Address

St Helier Hospital

Wrythe Lane, Carshalton

Sutton

SM5 1AA


Employer's website

https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Patient Flow Manager

Sarah Asare

sarahasare@nhs.net

02082962886

Details

Date posted

20 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year Pa incl HCAS Outer pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

343-7651285- RB-RMD-RL

Job locations

St Helier Hospital

Wrythe Lane, Carshalton

Sutton

SM5 1AA


Supporting documents

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