NHS Lancashire and South Cumbria Integrated Care Board (125)

Managing Director

The closing date is 05 December 2025

Job summary

Are you a dynamic and visionary leader with a passion for transforming healthcare services? Lancashire and South Cumbria Integrated Care Board (ICB) is seeking a Managing Director for All Age Continuing Care (AACC) and Individual Patient Activity (IPA) to drive strategic leadership and operational excellence. In this pivotal role, you will lead the transition from turnaround to a sustainable future commissioning model, ensuring the delivery of safe, equitable, and efficient outcomes for service users and their families. Join us in shaping the future of healthcare and making a lasting impact on our community.

Main duties of the job

The role will be varied and will adapt over time as the ICB develops. However, the postholder is expected to fulfil the following key functions:

Key Deliverables (First 12-18 Months)

  • Stabilise operational and financial performance across AACC and IPA
  • Deliver and evidence progress against the £60.2m Waste Reduction Programme (WRP) 2025/26 target
  • Implement and embed the AACC Future Service Model and Transition Plan governance, Standard Operating Procedures (SOPs), and performance metrics
  • Establish the AACC Transitional Steering Group with clear reporting cadence
  • Complete design of the AACC Future Service Model
  • Deliver a robust Workforce OD and Wellbeing Plan aligned to transition
  • Align all AACC performance and financial reporting to ICB and NHSE assurance frameworks
  • Produce a formal Transition Exit and Handover Plan ensuring readiness for AACC Future Service Model

This role is a non-clinical one. The post holder will be expected to work alongside clinical leaders in the AACC team as well as clinical Executive colleagues , to shape a safe, compliant and efficient service.

About us

Lancashire and South Cumbria ICB is a complex organisation serving a population of over 1.8 million people. Its role is to improve population health and healthcare by planning and commissioning services, managing budgets, and working with local providers to achieve better health outcomes, reduce inequalities, and ensure value for money. Delivering efficient and effective All Age Continuing Care for the residents of Lancashire and South Cumbria is a fundamental part of achieving those aims.

The AACC team is a large group of clinical and managerial staff who have significant experience in delivering care to our residents and are eager to work with the new MD totransform the service for the future.

Details

Date posted

19 November 2025

Pay scheme

Very senior manager (VSM)

Salary

£100,000 to £200,000 a year Per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

125-ICB037-25

Job locations

NHS Lancashire and South Cumbria Integrated Care Board

Level 3, Christ Church Precinct, County Hall, Fishergate Hill

Preston

PR1 8XB


Job description

Job responsibilities

Key working relationships

The post holder may have regular contact with a wide range of staff at all levels within the ICB, with senior and other representatives of local stakeholders, as well as with patients and their representatives. Some of the key direct relationships include:

Internal:Chief Executive Officer & Executive TeamsChief Nursing OfficerChief Finance OfficerDirector of People and ODICB Clinical and Place DirectorsAACC Operational Leads, BI and PMO Teams

External:Directors of Adult and Childrens Services (Local Authorities)NHS England Regional CHC LeadsProvider Trust ExecutivesExternal suppliersSystem Partners and ICS Collaborative Boards

Job description

Job responsibilities

Key working relationships

The post holder may have regular contact with a wide range of staff at all levels within the ICB, with senior and other representatives of local stakeholders, as well as with patients and their representatives. Some of the key direct relationships include:

Internal:Chief Executive Officer & Executive TeamsChief Nursing OfficerChief Finance OfficerDirector of People and ODICB Clinical and Place DirectorsAACC Operational Leads, BI and PMO Teams

External:Directors of Adult and Childrens Services (Local Authorities)NHS England Regional CHC LeadsProvider Trust ExecutivesExternal suppliersSystem Partners and ICS Collaborative Boards

Person Specification

Qualifications

Essential

  • Educated to Master's level or equivalent experience. Evidence of ongoing professional and leadership development.

Desirable

  • Financial, commissioning, or health management qualification (e.g. CIPFA, MBA, ILM Level 7).

Experience

Essential

  • Senior leadership experience in NHS commissioning, CHC/AACC, or system turnaround. Proven record of leading large-scale change and financial recovery. Experience managing multi-million-pound budgets and working in partnership with LAs, providers, and regulators.

Desirable

  • Experience of developing or leading pooled budgets (e.g. Section 75). Exposure to digital transformation in continuing care.

Knowledge

Essential

  • In-depth knowledge of CHC, PHB, and Section 117 frameworks. Understanding of the NHS 10-Year Plan, ICB Blueprint, and Good Practice for AACC. Strong grasp of population health and outcomes-based commissioning.

Desirable

  • Familiarity with Lancashire & South Cumbria system and local partnership landscape.

Skills

Essential

  • Exceptional leadership and influencing skills. Strategic and analytical thinker. Strong financial acumen. Excellent communication and negotiation. Change management and OD capability. High digital literacy and data insight interpretation.
Person Specification

Qualifications

Essential

  • Educated to Master's level or equivalent experience. Evidence of ongoing professional and leadership development.

Desirable

  • Financial, commissioning, or health management qualification (e.g. CIPFA, MBA, ILM Level 7).

Experience

Essential

  • Senior leadership experience in NHS commissioning, CHC/AACC, or system turnaround. Proven record of leading large-scale change and financial recovery. Experience managing multi-million-pound budgets and working in partnership with LAs, providers, and regulators.

Desirable

  • Experience of developing or leading pooled budgets (e.g. Section 75). Exposure to digital transformation in continuing care.

Knowledge

Essential

  • In-depth knowledge of CHC, PHB, and Section 117 frameworks. Understanding of the NHS 10-Year Plan, ICB Blueprint, and Good Practice for AACC. Strong grasp of population health and outcomes-based commissioning.

Desirable

  • Familiarity with Lancashire & South Cumbria system and local partnership landscape.

Skills

Essential

  • Exceptional leadership and influencing skills. Strategic and analytical thinker. Strong financial acumen. Excellent communication and negotiation. Change management and OD capability. High digital literacy and data insight interpretation.

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

NHS Lancashire and South Cumbria Integrated Care Board (125)

Address

NHS Lancashire and South Cumbria Integrated Care Board

Level 3, Christ Church Precinct, County Hall, Fishergate Hill

Preston

PR1 8XB


Employer's website

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

Employer details

Employer name

NHS Lancashire and South Cumbria Integrated Care Board (125)

Address

NHS Lancashire and South Cumbria Integrated Care Board

Level 3, Christ Church Precinct, County Hall, Fishergate Hill

Preston

PR1 8XB


Employer's website

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

Employer contact details

For questions about the job, contact:

Interim Chief Nurse

Jane Scattergood

lisa.hopwood@nhs.net

Details

Date posted

19 November 2025

Pay scheme

Very senior manager (VSM)

Salary

£100,000 to £200,000 a year Per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

125-ICB037-25

Job locations

NHS Lancashire and South Cumbria Integrated Care Board

Level 3, Christ Church Precinct, County Hall, Fishergate Hill

Preston

PR1 8XB


Supporting documents

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NHS Lancashire and South Cumbria Integrated Care Board (125)'s privacy notice (opens in a new tab)