Deputy Medical Director

Job responsibilities

1) Clinical Leadership responsibilities.

1.1. With the Clinical Director, to have oversight of all inpatient units across Norfolk, some of which will require more involvement and others will need less.

1.2. To work closely with the Clinical Director and ACP Lead to ensure effective day to day management and oversight of Medical and ACP provision within UCR and the Intermediate Care Directorate, dealing with or effectively delegating operational critical issues as they arise.

1.3. To provide clinical leadership of complex, highly specialised or challenging clinical cases, ensuring others learn and gain from their experience and clinical judgment.

1.4. Working with Directors, AHP and Nursing leaders, ensure that patients accessing UCR and Intermediate care services do so in a safe, effective and timely manner, including appropriate discharge.

1.5. To provide ward rounds weekly in two of the Intermediate Care wards.

1.6. To ensure that operational plans are understood with medical and ACP teams and that high standards of patient care are always delivered.

1.7. To work with Intermediate and UCR leads and System Partners in the creation of plans to support surge activity such as Winter planning.

1.8. To develop pathways from our UCR and Intermediate Care areas into the Acute providers, including Same Day Emergency Care (SDEC), and Emergency Departments (EDs) to provide a better experience for our patients and their care.

1.9. To work with the Director of Service and Finance team to ensure budgets pertaining to intermediate care beds and UCR are appropriate and effective.

1.10. To work with System Partners to develop pathways for patient care to provide seamless and great care for patients, and to facilitate admission avoidance to the Acute providers where possible.

2) Clinical Governance

2.1 Lead, with the CMO and senior Nursing and AHP leadership, in matters pertaining to Quality and Safety for patients including attending Quality Committee meetings, supporting the Patient Safety Incident Response Framework (PSIRF) and other relevant meetings.

2.2 Work with the CMO to lead on clinical governance matters involving Doctors and ACPs.

2.3 Support the CMO and Chief Nursing Officer in the delivery of the Health and Care Strategy, ensuring that the necessary systems and processes are in place to deliver improved effectiveness.

2.4 Be responsible, with the Deputy Chief Nurses, for internal Quality Improvement (QI) processes, this will include the implementation and monitoring of the Trusts Quality Strategy, related Key Performance Indicators (KPIs) and all quality governance arrangements. To co-chair the Quality Improvement Group.

2.5 To regularly attend the Group-wide Learning from Deaths meetings.

2.6 The post holder will work as a senior member of the Corporate Medical and Quality team, leading corporate functions across the organisation that sit as part of the Chief Medical Officer portfolio as well as local and national projects to support the Trusts vision, mission and values.

2.7 To make sure that safety, quality and patient experience are properly reflected in performance management processes and in the review of the performance of individual members of staff.

2.8 To work with the Director of Service for Norfolk Adults to ensure that complaints relating to care provided by Doctors or ACPs within UCR and Intermediate Care services are managed in a timely way.

2.9 To use all appropriate means to ensure that patients are actively consulted on current service delivery and future plans.

2.10 Working with senior operational and clinical leaders, to investigate any Serious Incidents (SIs) and ensure the implementation of action points and learning emerging from any reports.

2.11 Ensure that Doctors and ACPs are engaged in delivering effective reviews to encourage effective admission and discharge to promote flow within the system. To identify and provide support to colleagues who are performing at variance from the norms, regarding safe and effective admission and discharge.

2.12 With the Senior Nursing and AHP leadership, to lead the Trusts preparation for regulatory visits and inspections ensuring there are robust systems and processes in place to capture risks, identify good practices and report/ monitor outcomes.

2.13 To develop robust partnership and relationships with internal and external stakeholders across the systems in which the Trust delivers clinical services.

2.14 To contribute to systems working in each of the evolving Integrated Care Systems, particularly around the development of clinical governance as guided by the Chief Medical Officer and Chief Nurse.

2.15 To lead programmes of work to reduce unwarranted variation in clinical practice.

2.16 With senior Nursing and AHP Leadership, to lead the management, reporting and learning lessons processes from SIs, PSIRF, complaints and patient feedback. Ensuring there is a strategic focus on learning and dissemination of lessons.

2.17 To lead strategic planning activities with all services to develop appropriate and measurable patient outcomes.

3) People leadership

3.1 Alongside the CMO, to provide professional leadership to the Doctors and ACP Leads within the Norfolk Adults Directorate.

3.2 To be an integral member of the Norfolk Adults Directorate, working closely with their leadership team.

3.3 To lead on communications for Doctors and ACPs within the directorate, ensuring that they are regularly briefed on operational and organisational changes and that they can contribute their views to the development of divisional plans.

3.4 To set a personal example in articulating, role modelling and delivering a performance management culture within the directorate, with an emphasis on safe, effective and timely operational performance, and to articulate the Trusts values.

3.5 Lead the timely completion of the annual job planning process across the Group, ahead of CMO review. Ensure the teams produce job plans in collaboration with operational colleagues.

3.6 Undertake an annual, Lead ACP appraisal with the Operational Director, and support these leads with advice regarding ACP appraisal concerns.

3.7 To champion transformation projects to support quality, safety and efficiency within the directorate.

3.8 To oversee the recruitment of staff. Working with senior leaders within the directorate, develop and support appropriate recruitment and retention strategies along with a talent pipeline for teams.

3.9 To promote professionalism and challenge poor practice.

3.10 To support professional conduct and capability issues as well as any statutory requirements relating to the medical workforce in partnership with the CMO.

3.11 Approver for timesheets and mileage claims, where necessary.

3.12 Champion and develop our relationships with Primary Care and medical system leaders.

4) Education, Training and Research

4.1 Working with the Director of Education, to provide oversight of educational planning, guidance and support to Doctors and ACPs. Support Doctors and ACPs in their continuing education and professional development.

4.2 Oversee and ensure the quality of training and placement provision across the group for GP trainees meets the required NHSE standards and support the provision of experiential training to all clinical students as required.

4.3 Maintain and participate in own continuing education and professional development.

5) Audit, research and development

5.1 Work with the Research leads and CMO to develop research, quality improvement and audit programmes to ensure all quality requirements are met, including evidenced learning.

5.2 Identify any relevant research opportunities for clinicians with a view to improving patient experience and quality of services.

5.3 Ensure that research evidence is used to underpin inpatient policies and practice as appropriate.

5.4 Contribute to research governance within the Trust and to develop support for the involvement of teams in appropriate research.

This job description is not exhaustive and may be amended from time to time in consultation with the post holder. The post holder will be required to undertake any other duties as may be required for the effective performance of the post.

Qualifications

Essential

• Experienced Medical Practitioner of Consultant grade.
• Primary clinical qualification BMBS or equivalent.
• Further other professional registration e.g. MRCP.
• Full, current, registration with the GMC & License to Practice.
• Track record of Continuous Personal Development.
• Track record of clinical leadership and leadership training.

Desirable

• Management qualification.
• Relevant Masters level or equivalent education/ knowledge/ experience.

Experience

Essential

• Experience of clinical management roles including job planning, appraisal and clinical assessment.
• Track record of successful clinical leadership.
• Evidence of leading multi- disciplinary service change.
• Experience of working on key clinical quality areas such as clinical effectiveness and managing concerns with performance.
• Demonstrate a good strategic awareness of wider NHS issues and the implication of NHS drivers on Trust services.
• Good analysis and statistical collection skills.
• Evidence of system working.

Desirable

• Clinical experience/ expertise in community focused/ rehabilitation services.

Skills, abilities and knowledge

Essential

• Demonstrable organisational skills.
• Team leadership skills.
• Excellent communication skills - ability to communicate effectively with staff at all levels and with colleagues within and external to the Trust.
• Excellent influencing skills and personal credibility.
• Detailed knowledge of NHS quality systems.
• Awareness of current NHS issues and their wider implications for community services.
• Up to date knowledge of medical management systems such as revalidation, appraisal and job planning.

Desirable

• Knowledge of NHS Information Governance requirements.
• Knowledge of research and development agenda.

Communication

Essential

• Highly effective communication skills - listening, verbal and written, tact and diplomacy.
• Excellent organisational and time management skills to meet competing priorities and deadlines.
• Ability to work under pressure.
• Excellent problem solving and decision making skills.
• Excellent interpersonal and negotiating skills with the ability to build and sustain relationships internally and with external organisations.

Desirable

• Experience of presenting information at Board level meetings.

Personal and people development

Essential

• Demonstrable significant management/ clinical experience at senior level of quality governance, quality assurance, patient safety and leadership.
• Demonstrable experience of NHS management, presenting to senior professionals and to Board.
• Experience of developing and maintaining effective professional networks.
• Experience of developing and leading a multi-disciplinary team.
• Experience of leading change successfully.
• Evidence of managing organisation wide assurance programmes.
• Demonstrable clinical leadership experience.

Personal attributes/ behaviours (linked to the Trust's Behaviour Framework)

Essential

• Demonstrates professional curiosity.
• Strong team player with the ability to inspire, influence and direct the work of others.
• Transformational leader with ability to effect change.
• Flexible and adaptable.
• Exhibits drive, energy, enthusiasm and resilience.
• Ability to take initiative, assess risk and implement change.
• Demonstrates a 'can do' attitude and way of working.
• Evidence of personal style and approach that is in line with the Trust's values and behaviours.
• Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/ vulnerable adults.

Other

Essential

• The post holder will take part in the Senior Leader/ Strategic on-call system.
• Flexible approach to working hours.
• Ability to travel throughout the geography of the Trust to meet the needs of the service.
• Must hold full and valid driving licence and have access to a vehicle (if applicable).
• Able to communicate effectively in written and verbal English language.

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).