States of Guernsey

Medical Director

The closing date is 20 April 2026

Job summary

The Medical Director is part of the senior management team, Health and Social Care, States of Guernsey (HSC) and is the champion for patient safety and clinical effectiveness. The role is responsible for the development and delivery of effective, evidence-based, patient centred care and encourages a culture of continuous improvement and mutual support. The Medical Director will provide excellent leadership to ensure that multidisciplinary teams work to secure best patient outcomes. Based at Princess Elizabeth Hospital, the Medical Director will manage all Clinical Directors and directly employed HSC doctors.

This post also holds the statutory position of Responsible Officer. This statutory position is responsible for the oversight and assurance of local clinical governance processes, assessing doctors fitness to practise and making formal recommendations regarding doctors revalidation.

Main duties of the job

Ensure optimal clinical outcomes for the people in our care.

Lead on all aspects of clinical practice & serve as an example of operational excellence.

Provide leadership for medical staff on both professional and managerial issues whilst monitoring their performance.

Provide medical leadership and advice to all doctors delivering healthcare across all services provided by HSC.

Act as the GMC Suitable Person for doctors on the Bailiwick register of medical practitioners.

Carry out the legislative requirements related to medical revalidation

Act as the States of Guernsey Responsible Officer and undertake the statutory duties mandated to this responsibility.

Be an active Member of the Health and Social Care Senior Management Team (CMT).

Work collaboratively with the Directors to develop a culture which embeds and promotes Clinical Quality and Governance and monitors its effectiveness in assuring the quality care and experience for patients and their families and carers.

Provide the Committee for Health & Social Care with high quality, evidence-based medical advice and to share corporate responsibility for the implementation of agreed Committee decisions.

Represent HSC at relevant committees including the Civil Contingencies Authority (CCA) as required, as well as engage with key stakeholder bodies.

Undertake media interviews and make public representation on matters relating to the duties of the Medical Director and/or Responsible Officer as and when required

About us

This is a rare and exciting opportunity that offers:

A senior leadership role with real system-wide influence.

A supportive and collaborative environment.

Competitive remuneration including (if applicable) relocation support.

An enviable island lifestyle - 20 minute commutes, just a 40 minute flight to the UK, over 27 stunning beaches to explore, low crime rates and a friendly community.

Please view our landing page for more information:Your new Medical Director role - States of Guernsey

Details

Date posted

07 April 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,750 to £142,178 a year Lead Clinician Rate

Contract

Permanent

Working pattern

Full-time

Reference number

K0005-26-0048

Job locations

Princess Elizabeth Hospital

Rue Mignot

St Martins

Guernsey

GY4 6UT


Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES:

Ensure optimal clinical outcomes for the people in our care.

Lead on all aspects of clinical practice & serve as an example of operational excellence.

Provide leadership for medical staff on both professional and managerial issues whilst monitoring their performance. 4. Provide medical leadership and advice to all doctors delivering healthcare across all services provided by HSC.

Subject to confirmation by the GMC, act as the GMC Suitable Person for doctors on the Bailiwick register of medical practitioners. This involves revalidation processes for local doctors, GMC investigations and general liaison with the GMC.

Carry out the legislative requirements related to medical revalidation by ensuring that robust clinical governance systems are in place and, working with the Appraisal Lead, ensure the active participation of all medical staff in appraisal and in all aspects of governance in order to secure and develop high standards of patient care.

Subject to confirmation by the States of Guernsey, to act as the States of Guernsey Responsible Officer and undertake the statutory duties mandated to this responsibility.

Be an active Member of the Health and Social Care Senior Management Team (CMT) with the expectation of being an active participant and contributing to the agenda as required.

Work collaboratively with the Director of Operations and Director of Care Delivery to develop a culture which embeds and promotes Clinical Quality and Governance and monitors its effectiveness in assuring the quality care and experience for patients and their families and carers.

Provide the Committee for Health & Social Care with high quality, evidence-based medical advice and to share corporate responsibility for the implementation of agreed Committee decisions.

Represent HSC at relevant committees including the Civil Contingencies Authority (CCA) as required, as well as engage with key stakeholder bodies.

Undertake media interviews and make public representation on matters relating to the duties of the Medical Director and/or Responsible Officer as and when required

KEY TASKS AND RESPONSIBILITIES:

Strategy and Policy

Provide evidence-based guidance on the development and transformation of healthcare services for the people of Guernsey and Alderney, encouraging continual improvement and innovative practise if and where appropriate.

Ensure effective engagement with patients and the wider public in the promotion of their well-being and management of illness.

Quality, Governance and Assurance

Ensure the timely provision of high-quality healthcare across all services within HSC.

Provide assurance of clinical quality by monitoring access, safety, patient experience, and the effectiveness of medical care.

Drive organisational learning that improves patient outcomes by utilising incident investigations, audit processes, education, and research.

Commission external or service reviews to ensure effective care delivery and continual improvement.

Clinical Effectiveness

Promote best clinical practice by consideration and implementation of relevant guidance and standards (or example NICE) and to optimise the deployment of medical staff and organisational resources.

Oversee the development and continual review of clinical pathways, ensuring the provision of personalised and innovative care appropriate to the population of Guernsey and Alderney.

Collaborate with Pharmacy to promote the safe, effective, and responsible use of medicines, ensuring full compliance with prescribing regulations

Support the Client Team in optimising the benefits of contracts for medical services including with the Medical Specialist Group, and with off-island providers.

Professional and Clinical Leadership

Lead medical staff development and support the development of wider clinical and managerial teams.

Develop and implement medical leadership and high professional standards in the medical workforce and to take appropriate action for the protection of patients, staff and the public, including remediation and disciplinary action as appropriate.

Lead on medical workforce planning and the processes for appointing medical staff.

Manage, develop and lead the Clinical Directors and service leads in their management of the provision of high-quality services.

Ensure that all medical staff participate in clinical governance, including regular audit, quality improvement, appraisal and revalidation.

Ensure Job Plans for medical staff ensure efficient delivery of medical services.

Clinical Activity

Subject to agreement, the Medical Director may participate in appropriate clinical activity for 2 sessions per week.

This would require active participation in the clinical governance related to the clinical activity.

Director Responsibilities

Working closely with the Director of Operations and Director of Care Delivery, the post holder may be required to deputise across the full range of duties and responsibilities providing professional leadership, expertise and advice on operational and strategic issues within the Department and across the health and social care economy.

The post-holder will be a member of the Corporate Management Team and will attend the Committee for Health and Social Care for relevant items.

Chair Disciplinary hearings for the wider Health and Social Care work force as required.

Play an integral role in delivering the Departments strategic direction, ensuring the effective operation of HSC services, and fostering strong internal and external partnerships across the local community.

Assume joint responsibility, with other Directors, for corporate performance and risk management and the achievement of the Departments strategic objectives.

Support senior managers within HSC during periods of escalation, ensuring service users are safe.

Participate in the Executive Director on call rota, including leading/supporting Major Incidents.

KEY CRITERIA

Essential Qualifications

Unblemished medical registration with GMC

Qualified Consultant on GMC Specialist Register

Desirable Qualifications

Management Qualification/Formal Learning Essential Clinical Experience

Extensive experience gained as a Consultant

Clinical Leadership experience

Knowledge and experience of clinical governance at Clinical Director/Board level

Essential Skills/Ability/Knowledge

Strong commitment to patientcentred services, with the ability to champion patient interests across the organisation.

Passion for continuous professional development and supporting the development of others.

Proven medical management experience, with the ability to lead clinical engagement, drive service innovation, and oversee effective operational delivery.

Strategic thinker capable of setting clear direction, inspiring teams, and communicating a compelling vision.

Significant experience leading complex organisations and making sound, evidencebased decisions.

Skilled in managing multidisciplinary teams and working collaboratively across disciplines.

Knowledge of appraisal systems, revalidation processes, and incident investigation methodologies.

Experience handling performance, conduct, and capability issues involving medical staff.

Confident in media engagement and external communications.

Excellent negotiation, interpersonal and communication skills, with the ability to build productive relationships with diverse stakeholders.

Strong prioritisation abilities and resilience when managing competing demands.

Highlevel analytical skills, including report writing and interpretation of complex information.

Strong selfawareness and insight into team dynamics.

Desirable Skills/Ability/Knowledge

A good understanding of the Guernsey health and social care environment and of roles and responsibilities within it.

Success of achievement in facilitation of groups.

Ambassadorial skills with an ability to demonstrate a flexible leadership style.

Caldicott Guardian training / experience.

Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES:

Ensure optimal clinical outcomes for the people in our care.

Lead on all aspects of clinical practice & serve as an example of operational excellence.

Provide leadership for medical staff on both professional and managerial issues whilst monitoring their performance. 4. Provide medical leadership and advice to all doctors delivering healthcare across all services provided by HSC.

Subject to confirmation by the GMC, act as the GMC Suitable Person for doctors on the Bailiwick register of medical practitioners. This involves revalidation processes for local doctors, GMC investigations and general liaison with the GMC.

Carry out the legislative requirements related to medical revalidation by ensuring that robust clinical governance systems are in place and, working with the Appraisal Lead, ensure the active participation of all medical staff in appraisal and in all aspects of governance in order to secure and develop high standards of patient care.

Subject to confirmation by the States of Guernsey, to act as the States of Guernsey Responsible Officer and undertake the statutory duties mandated to this responsibility.

Be an active Member of the Health and Social Care Senior Management Team (CMT) with the expectation of being an active participant and contributing to the agenda as required.

Work collaboratively with the Director of Operations and Director of Care Delivery to develop a culture which embeds and promotes Clinical Quality and Governance and monitors its effectiveness in assuring the quality care and experience for patients and their families and carers.

Provide the Committee for Health & Social Care with high quality, evidence-based medical advice and to share corporate responsibility for the implementation of agreed Committee decisions.

Represent HSC at relevant committees including the Civil Contingencies Authority (CCA) as required, as well as engage with key stakeholder bodies.

Undertake media interviews and make public representation on matters relating to the duties of the Medical Director and/or Responsible Officer as and when required

KEY TASKS AND RESPONSIBILITIES:

Strategy and Policy

Provide evidence-based guidance on the development and transformation of healthcare services for the people of Guernsey and Alderney, encouraging continual improvement and innovative practise if and where appropriate.

Ensure effective engagement with patients and the wider public in the promotion of their well-being and management of illness.

Quality, Governance and Assurance

Ensure the timely provision of high-quality healthcare across all services within HSC.

Provide assurance of clinical quality by monitoring access, safety, patient experience, and the effectiveness of medical care.

Drive organisational learning that improves patient outcomes by utilising incident investigations, audit processes, education, and research.

Commission external or service reviews to ensure effective care delivery and continual improvement.

Clinical Effectiveness

Promote best clinical practice by consideration and implementation of relevant guidance and standards (or example NICE) and to optimise the deployment of medical staff and organisational resources.

Oversee the development and continual review of clinical pathways, ensuring the provision of personalised and innovative care appropriate to the population of Guernsey and Alderney.

Collaborate with Pharmacy to promote the safe, effective, and responsible use of medicines, ensuring full compliance with prescribing regulations

Support the Client Team in optimising the benefits of contracts for medical services including with the Medical Specialist Group, and with off-island providers.

Professional and Clinical Leadership

Lead medical staff development and support the development of wider clinical and managerial teams.

Develop and implement medical leadership and high professional standards in the medical workforce and to take appropriate action for the protection of patients, staff and the public, including remediation and disciplinary action as appropriate.

Lead on medical workforce planning and the processes for appointing medical staff.

Manage, develop and lead the Clinical Directors and service leads in their management of the provision of high-quality services.

Ensure that all medical staff participate in clinical governance, including regular audit, quality improvement, appraisal and revalidation.

Ensure Job Plans for medical staff ensure efficient delivery of medical services.

Clinical Activity

Subject to agreement, the Medical Director may participate in appropriate clinical activity for 2 sessions per week.

This would require active participation in the clinical governance related to the clinical activity.

Director Responsibilities

Working closely with the Director of Operations and Director of Care Delivery, the post holder may be required to deputise across the full range of duties and responsibilities providing professional leadership, expertise and advice on operational and strategic issues within the Department and across the health and social care economy.

The post-holder will be a member of the Corporate Management Team and will attend the Committee for Health and Social Care for relevant items.

Chair Disciplinary hearings for the wider Health and Social Care work force as required.

Play an integral role in delivering the Departments strategic direction, ensuring the effective operation of HSC services, and fostering strong internal and external partnerships across the local community.

Assume joint responsibility, with other Directors, for corporate performance and risk management and the achievement of the Departments strategic objectives.

Support senior managers within HSC during periods of escalation, ensuring service users are safe.

Participate in the Executive Director on call rota, including leading/supporting Major Incidents.

KEY CRITERIA

Essential Qualifications

Unblemished medical registration with GMC

Qualified Consultant on GMC Specialist Register

Desirable Qualifications

Management Qualification/Formal Learning Essential Clinical Experience

Extensive experience gained as a Consultant

Clinical Leadership experience

Knowledge and experience of clinical governance at Clinical Director/Board level

Essential Skills/Ability/Knowledge

Strong commitment to patientcentred services, with the ability to champion patient interests across the organisation.

Passion for continuous professional development and supporting the development of others.

Proven medical management experience, with the ability to lead clinical engagement, drive service innovation, and oversee effective operational delivery.

Strategic thinker capable of setting clear direction, inspiring teams, and communicating a compelling vision.

Significant experience leading complex organisations and making sound, evidencebased decisions.

Skilled in managing multidisciplinary teams and working collaboratively across disciplines.

Knowledge of appraisal systems, revalidation processes, and incident investigation methodologies.

Experience handling performance, conduct, and capability issues involving medical staff.

Confident in media engagement and external communications.

Excellent negotiation, interpersonal and communication skills, with the ability to build productive relationships with diverse stakeholders.

Strong prioritisation abilities and resilience when managing competing demands.

Highlevel analytical skills, including report writing and interpretation of complex information.

Strong selfawareness and insight into team dynamics.

Desirable Skills/Ability/Knowledge

A good understanding of the Guernsey health and social care environment and of roles and responsibilities within it.

Success of achievement in facilitation of groups.

Ambassadorial skills with an ability to demonstrate a flexible leadership style.

Caldicott Guardian training / experience.

Person Specification

Qualifications

Essential

  • Unblemished medical registration with GMC
  • Qualified Consultant on GMC Specialist Register

Desirable

  • Management Qualification/Formal Learning

Experience

Essential

  • Extensive experience gained as a Consultant
  • Clinical Leadership experience
  • Knowledge and experience of clinical governance at Clinical Director Board level
  • Strong commitment to patientcentred services, with the ability to champion patient interests across the organisation.
  • Passion for continuous professional development and supporting the development of others.
  • Proven medical management experience, with the ability to lead clinical engagement, drive service innovation, and oversee effective operational delivery.
  • Strategic thinker capable of setting clear direction, inspiring teams, and communicating a compelling vision.
  • Significant experience leading complex organisations and making sound, evidencebased decisions.
  • Skilled in managing multidisciplinary teams and working collaboratively across disciplines.
  • Knowledge of appraisal systems, revalidation processes, and incident investigation methodologies.
  • Experience handling performance, conduct, and capability issues involving medical staff.
  • Confident in media engagement and external communications.
  • Excellent negotiation, interpersonal and communication skills, with the ability to build productive relationships with diverse stakeholders.
  • Strong prioritisation abilities and resilience when managing competing demands.
  • Highlevel analytical skills, including report writing and interpretation of complex information.
  • Strong selfawareness and insight into team dynamics.

Desirable

  • A good understanding of the Guernsey health and social care environment and of roles
  • and responsibilities within it.
  • Success of achievement in facilitation of groups.
  • Ambassadorial skills with an ability to demonstrate a flexible leadership style.
  • Caldicott Guardian training / experience.
Person Specification

Qualifications

Essential

  • Unblemished medical registration with GMC
  • Qualified Consultant on GMC Specialist Register

Desirable

  • Management Qualification/Formal Learning

Experience

Essential

  • Extensive experience gained as a Consultant
  • Clinical Leadership experience
  • Knowledge and experience of clinical governance at Clinical Director Board level
  • Strong commitment to patientcentred services, with the ability to champion patient interests across the organisation.
  • Passion for continuous professional development and supporting the development of others.
  • Proven medical management experience, with the ability to lead clinical engagement, drive service innovation, and oversee effective operational delivery.
  • Strategic thinker capable of setting clear direction, inspiring teams, and communicating a compelling vision.
  • Significant experience leading complex organisations and making sound, evidencebased decisions.
  • Skilled in managing multidisciplinary teams and working collaboratively across disciplines.
  • Knowledge of appraisal systems, revalidation processes, and incident investigation methodologies.
  • Experience handling performance, conduct, and capability issues involving medical staff.
  • Confident in media engagement and external communications.
  • Excellent negotiation, interpersonal and communication skills, with the ability to build productive relationships with diverse stakeholders.
  • Strong prioritisation abilities and resilience when managing competing demands.
  • Highlevel analytical skills, including report writing and interpretation of complex information.
  • Strong selfawareness and insight into team dynamics.

Desirable

  • A good understanding of the Guernsey health and social care environment and of roles
  • and responsibilities within it.
  • Success of achievement in facilitation of groups.
  • Ambassadorial skills with an ability to demonstrate a flexible leadership style.
  • Caldicott Guardian training / experience.

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).

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.

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).

Employer details

Employer name

States of Guernsey

Address

Princess Elizabeth Hospital

Rue Mignot

St Martins

Guernsey

GY4 6UT


Employer's website

https://www.gov.gg/ (Opens in a new tab)

Employer details

Employer name

States of Guernsey

Address

Princess Elizabeth Hospital

Rue Mignot

St Martins

Guernsey

GY4 6UT


Employer's website

https://www.gov.gg/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Chief Operating Officer

Jason Moriarty

officeforHSC@gov.gg

01481224104

Details

Date posted

07 April 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,750 to £142,178 a year Lead Clinician Rate

Contract

Permanent

Working pattern

Full-time

Reference number

K0005-26-0048

Job locations

Princess Elizabeth Hospital

Rue Mignot

St Martins

Guernsey

GY4 6UT


Supporting documents

Privacy notice

States of Guernsey's privacy notice (opens in a new tab)