Director of Clinical Services for Theatres and Perioperative Medicine

Job responsibilities

Transformation and Service Development

1. Lead a programme of transformation across theatres and perioperative services to drive forward improvement and growth initiatives in support of the Trusts strategy

2. Undertake clinical service and pathway review to ensure a high quality efficient and effective pathway through POA and theatres, and perioperative services meet the needs of relevant specialities to ensure quality and safety and to maximise productivity.

3. Lead the development of evidence-based procedural documentation and ensure that these are embedded effectively into ways of working.

4. Engage key Trust stakeholders in contributing to clinical service and pathway reviews as well as wider quality improvement work for shared services, ensuring that plans are operationalised and delivered to a high standard.

5. Work alongside the Unit Director, Executive Team, Consultants and clinical leads to identify and scope opportunities for the growth and development of perioperative services to support performance targets, service improvement and innovation.

6. Take a lead role in the development and presentation of business plans for the development of services as required for both capital and revenue developments, in line with Trust strategy, priorities and financial targets.

Clinical Responsibilities

1. Support the delivery of care through visible clinical leadership, working in partnership with senior colleagues, clinical leads and the multidisciplinary team, and maintain oversight of day-to-day operational delivery, quality of care and patient experience.

2. To monitor standards of care, intervening and taking corrective action where necessary.

3. Demonstrate inspirational leadership working with clinical and operational leaders to promote a culture that nurtures and promotes effective multi-professional team working to strengthen quality and safety and promote a culture of continuous improvement.

4. Have oversight of patient experience and quality of care in their services promoting the delivery of kind, compassionate and respectful care which is person centred, advising the Chief Nurse of any concerns and showing proactive leadership to address any these and initiate quality improvement.

5. Undertake the investigation of incidents and complaints ensuring prompt, compassionate responses, promoting patient and family involvement and ensuring all recommendations and actions address key learning and deliver improvement and change.

6. Ensure that environmental inspections achieve cleaning, catering, infection prevention and control and health and safety targets.

7. Lead on the implementation of accreditation across the relevant services promoting staff and patient engagement, ensuring prompt action in regard to areas for improvement and overseeing the delivery of all quality improvement plans arising from accreditation.

8. Provide regular reports on key areas of quality and safety, maintaining service dashboards and risk registers and escalating areas of concern as appropriate

9. In accordance with Trusts policy for Safe Staffing and Skill Mix levels, formally agree with the Chief Nurse the workforce requirements for all clinical areas and departments, utilising acuity and dependency tools to monitor and review the nursing workforce as indicated, ensuring integration with the local delivery plan, and the optimal deployment of the nursing/ODP workforce.

10. Champion a safeguarding culture that meets the needs of vulnerable adults and children escalate issues to relevant others accordingly.

11. Ensure that the delivery of care meets the individual needs of patients, that systems are in place to seek and share feedback from patients and families, and mechanisms are in place to learn and improve in response to feedback.

Professional Leadership and Management

1. Provide professional leadership for nursing/operating department practitioners and advise on all matters pertaining to professional standards and quality of care across services.

2. Be a visible, clinically credible leader and implement structures/measures to ensure effective communication and dissemination of key information to all staff and theatres users, establishing mechanisms to listen to and respond to staff feedback or enquiries.

3. Represent perioperative services at Executive level and with key internal and external stakeholders.

4. Participate in the relevant Trust nursing and quality forums and external / speciality networks as appropriate.

5. Implement a clear organisational structure, ensuring there are clear roles and responsibilities/key result areas agreed for all senior clinical and operational post holders in the department and that reporting lines and accountability are clear and accountability is understood by all staff.

6. Manage timely and effective recruitment and retention of staff in conjunction with the Human Resources department, and ensure optimal use of staffing resources, reviewing workforce requirements as required.

7. Ensure appraisals are carried out for all staff and training needs are identified with resources and manage mandatory training compliance, ensuring all records are kept up to date.

8. Ensure staff are aware of and implement Trust policies and procedures and establish and implement local guidelines, policies and procedures as appropriate.

9. Ensure that the Trust's policies on conduct and performance are adhered to and communicated effectively to all staff, that all managers have robust structures in place for managing absence, and all staff are working to maintain a healthy and safe working environment.

10. As required, lead on investigations within own service(s) and support Human Resources to provide independent investigations into complex Human Resource matters in other areas within the Trust. This may include, with support, responsibility up to and including terminating a staff members contract.

11. Provide leadership and role modelling to support equality and diversity initiatives, and promote a culture of inclusivity.

12. Be responsible for interpreting relevant national and sector guidance and translating it into service development plans to align national direction/strategies and local priorities, considering the necessary changes in current practice and resources implications

13. Work with HR to develop and implement the staff survey action plan, to raise the profile of the staff survey throughout managed services, ensure compliance with national targets and deliver genuine improvements in working lives based on local evidence.

Performance and Operational Management

1. Be responsible for the effective performance of clinical services against agreed KPIs and service standards. Develop and implement recovery and improvement plans as required

2. Work alongside and influence key Trust stakeholders to ensure that perioperative services deliver its strategic objectives.

3. Provide direction and leadership to the theatre leadership team to ensure that valuable resources, for example, allocated theatre time, are used to maximum benefit by the all services and to liaise proactively with relevant leads/departments to facilitate activity targets and exceptional patient and staff experience, specifically to ensure:

i optimal theatre list utilisation

ii Reduction in avoidable cancellations on the day,

iii reduction in late starts, early finishes and unplanned overruns

4. Contribute to strategic and development projects as desired.

5. Monitor and report activity levels relevant to areas of responsibility and implement improvement plans to achieve performance against targets and other imperatives impacting on the Trust.

Workforce and Education

1. Work in conjunction with the Corporate Nursing/Education and Learning and Development to develop and maintain clinical learning environments that are fit for purpose, in line with quality assurance guidelines and other external regulatory bodies and ensure the Trust meets its responsibilities to provide clinical experience and mentor support for pre-registration for nurses/ODPs, and high-quality preceptorship across all areas.

2. Provide professional leadership for nursing and ODP recruitment and retention across services and work with other senior nurses and HR colleagues to develop innovative recruitment and retention approaches and support the introduction of new ways of working.

3. In collaboration with the Chief Nurse and other senior clinical colleagues, develop and review workforce plans including a six-monthly review of nursing/ODP skill mix.

4. Ensure nursing staff/ODPs have the appropriate skills and competencies to care for patients within the speciality of orthopaedic/MSK nursing, working with the education/learning and development team to ensure the appropriate education programmes are in place.

5. Promote a culture that values continuing professional development and strives for excellence in the delivery of patient care.

6. Be well networked in nursing/perioperative medicine, relevant speciality areas and within orthopaedics and MSK services.

For full details, please see the attached JD/PS.

IT Skills

Essential

• Excellent skills in MS Office packages including Word, Excel, PowerPoint, Teams
• Use of databases

Desirable

• Experience of using an EHR
• Experience of implementing an EHR

Responsibility for Policy/Service Development

Essential

• Experience in drafting policies/guidelines, standard operating procedures.

Education and Professional Qualifications

Essential

• Registered Nurse/ODP
• Evidence of continuing professional development
• Educated to postgraduate degree level or equivalent experience
• Management or leadership qualification or equivalent experience

Desirable

• Masters level qualification
• Recognised teaching/assessing qualification

Communication & Relationship Skills

Essential

• Role model commitment to improving patient care and raising clinical and professional standards.
• Advanced interpersonal and communication skills including influencing and negotiation skills
• Ability to achieve effective team working within own services and across an organisation
• Confident problem-solver, willing to change processes and ways of working to better meet the needs of the business
• Broad understanding of the NHS and key policy issues
• Partnership & collaborative working with internal and external stakeholders
• Able to lead by example and challenge the status quo constructively and effectively
• Accomplished at leading and delivering to deadlines and within set resources
• Well networked professionally and in the field of perioperative practice or related area
• Experience of working across service and professional boundaries

Knowledge, Training & Experience

Essential

• Significant experience as a senior nurse/AHP in a relevant area
• In-depth professional knowledge, acquired through training and experience
• Relevant experience relating to services including theatres/ /perioperative practice
• Demonstrable success in delivering transformation programmes to effect change, service improvement, enhanced quality performance and positive financial impact
• Experience of providing advice on complex professional issues
• Experience of managing staffing establishments and analysing workforce and safe staffing data
• Staff management & leadership of a large team / clinical services
• Experience of managing clinical incidents and HR/disciplinary processes
• Experience of supporting learners in practice
• Experience of audit, quality metrics/reporting, and working knowledge of QI methodology
• Experience of stakeholder/patient and family engagement
• Ability to plan and think strategically, and creatively to prioritise work programmes in the face of competing demands
• Accomplished at leading and delivering to deadlines and within set resources
• Demonstrable success in delivering transformation and performance with and through others across an organisation
• Thorough knowledge and experience of clinical governance issues, quality improvement and minimising risk for the organisation

Desirable

• Strategic planning and project management
• Previous clinical leadership/management role in theatres
• Experience of having dealt with complex HR issues
• Understanding of healthcare education/workforce agenda

Analytical & Judgment Skills

Essential

• Numerate, IT literate, analytical and able to use business intelligence effectively.
• Used information to progress a business plan/ case
• Ability to understand and analyse complex performance, financial and clinical data and identify key points to highlight and present to others in a meaningful way

Responsibility for financial & physical resources

Essential

• Managing large budgets
• Experience of CIP development/delivery

Responsibility for Equality, Diversity and Inclusion

Essential

• Demonstrable commitment to anti-discriminatory and inclusive behaviours and practices
• Understanding of the equality, diversity and inclusion agenda and its practical application to services.

Planning & Organisational Skills

Essential

• Ability to deliver to deadlines and within resources.
• Ability to translate vision, strategy, policy/guidelines and targets into effective strategic and operational plans.
• Ability to write and present reports/ business cases
• Experience of managing staffing establishments and analysing workforce / safe staffing data
• Attention to detail

Freedom to Act

Essential

• Ability to work under pressure and flexibly in a dynamic environment
• Self-aware & reflective

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).

UK Registration

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