Director of System Resilience

Job description

Job responsibilities

The main responsibilities of the role are listed below. For full details please read the job description.

The role of Director of System Resilience will be a key Integrated Care System (ICS) role, requiring the post holder to lead our approach to system flow across all parts of the health and care system. This is a crucial role that leads and negotiates a number of interagency responses to crises of system flows whether in Primary care, secondary care, the ambulance service, mental health, community health services or social care.

Ensuring good access to urgent and emergency care is a core function of an ICB, and it is vital that our health and care system does everything possible to create safe levels of capacity and maintains sufficient flow across all parts of the system. This will be achieved, where clinically appropriate, through a combination of hospital avoidance, reduced length of stay in hospital and timely hospital discharge, preferably to a persons own home.

To achieve this consistently, it requires this role to lead and co-ordinate a senior and operational focus, alongside a programme of significant system-wide clinical transformation work led by the ICB Director of Urgent and Emergency Care. Where necessary, this will include the integration, pooling, coordination, and redistribution of existing resources. This level of system-wide transformation requires resilient senior clinical system level leadership, including building strong and effective relationships with all partners in the system to maintain and maximise flow and discharge at a sustainable level.

Key responsibilities

The role will be varied, pressured and demanding and will adapt over time as the system co- ordination and flow operating model develops. However, the post holder is expected to fulfil the following key responsibilities:

This role will take a system flow lead role across winter and be responsible for leading our ICB response to the national OPEL requirements and ensure ICB compliance with the new standards across the whole of Norfolk and Waveney. National and regional reporting will be required daily, weekly, monthly and on demand in periods of heightened escalation.

Responsibility for leadership and management of system flows across the ICB, including working collaboratively across the ICS to lead on the development of plans to secure the delivery of national, regional, and local system flow and discharge priorities and improvements. System flows include primary care, the ambulance service, mental health services, pharmacy services, acute trusts, PTS, etc

Building strong links with the ICB Emergency Planning, Preparedness and Resilience team, to ensure at times of untoward incidents occurring a focus on emergency flow across the system is maintained.

Building strong links with ICB Executives and Place Directors and using these links combined with strong arbitration and collaboration skills with leaders to ensure system and place emergency flow improvement plans are aligned and enabling of each other.

Being a key senior leader between the ICB and NHS England, regional and national UEC team articulating the plans and actions taken in Emergency and Urgent Care.

Leading partners collaboratively to align the ICB and providers' improvement leads and related workstreams to ensure consistency of measures, impact, and language. Supporting and enabling services to test out and implement ways of working that deliver improved clinical outcomes for patients resulting from optimised hospital admissions, assessments, treatments, and discharge pathways, facilitated by the placement of patients in the right setting at the earliest opportunity.

Developing sustainable Urgent and Emergency Care delivery plans for development and improvement that will meet the changing needs of the population we serve.

Having daily senior system operational oversight of flow and discharge (in line with the OPEL framework) that is supportive of and responsive to the needs of the system and its component parts to learn from trends, pre-empt and avoid escalation through proactive intervention and ensuring effective flow and discharge is in place seven days a week. To lead on plans around any escalations that do occur.

Develop the narrative and purpose for whole system flow that aligns flow management and its improvement to quality, safety, and clinical leadership.

Working closely with the Director of UEC, support significant pathway re-design and service improvement to optimise flow and discharge across the system, which will involve the development of robust implementation plans, delivery oversight, assurance, monitoring, and management and return on investment analysis.

Leading, developing, implementing, and overseeing a policy framework for robust and effective operations for flow and discharge across the ICS and provider trusts.

Securing system adherence to relevant national guidance, such as hospital discharge and community support guidance, and a local policy framework in relation to flow and discharge.

Establishing cross-system working to ensure appropriate health and social care support is provided in the right setting to enable attendance and admission avoidance wherever appropriate and following discharge from hospital.

Ensuring acute, community and social care providers collaborate to realign their workforce capacity to support and facilitate increased use of Home First pathways.

Working collaboratively with system partners to develop learning processes and services that support flow and discharge, such as the System Coordination Centre (SCC), Care Transfer Hubs and Single Point of Access.

Providing appropriate leadership and advice for relevant commissioned services and service redesign and, holding providers directly accountable for delivering what has been agreed. The post holder will review performance, activity, and finance information to understand the overall clinical contribution and work with colleagues to ensure commissioning action is agreed and implemented to achieve system-wide improvements.

Developing and implementing effective tracking of demand, capacity, pathways, outcomes, and key performance indicators.

Acting as the single point of contact for system escalation in relation to flow and discharge in liaison with SCC and provider trusts on behalf of the Executive Director of Patients and Communities and the EPPR lead.

Ensuring hospital attendance and admission avoidance principles are consistently applied across provider trusts.

Proactively identifying and managing the key risks associated with flow and discharge at system level and ensuring appropriate action is taken to understand and mitigate these risks.

Overseeing Quality, Performance and Financial management of system flow.

Relationship management across all stakeholders in relation to system flow.

Working closely with the ICB Director of Urgent and Emergency Care, Medical Director and Executive Director of Nursing in supporting the planning and delivery on future models of clinical care.

The post holder will be the strategic interface of the SCC in relation to flow and discharge, providing oversight of the SCC function and coherence with national standards and a local service specification.

Work in a highly autonomous role that involves the analysis and synthesis of highly complex, sensitive and sometimes contentious information, with an ability to respond to changing and challenging demands in a fast-paced environment.

This job description is only an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonably be required by their line manager. The job description and person specification may be reviewed on an ongoing basis in accordance with the changing needs of the organisation.

Person Specification

Essential

Essential

• Specialist knowledge of urgent and emergency care systems in an integrated Health and care setting

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 Norfolk and Waveney Integrated Care Board

Address

County Hall

Martineau Lane

Norwich

NR1 2DH

Employer's website

https://improvinglivesnw.org.uk/about-us/our-nhs-integrated-care-board-icb/ (Opens in a new tab)