Morgan Law - Recruitment Consultancy

Job Description

Post Title:

Director of Operations - Coordinated Surgical Care Division



Accountable to:


Responsible to:



Medway NHS Foundation Trust

Job Summary

To provide leadership and direction to the Division in collaboration with the Clinical Director and Deputy Director of Nursing. The Director of Clinical Operations will ensure the development and provision of comprehensive, high quality and patient centred care within the resources available. The post holder will also contribute to development of the Trust’s corporate strategic direction and New Models of Care.

Principle Responsibilities

Service Development

  • In collaboration with the Clinical Director and Deputy Director of Nursing, the post holder will assume lead responsibility for the development and improvement of patient care within the Division The modernisation programme within the Division will reflect evidence based practice, the Trust strategic direction and national initiatives.
  • The post holder will take an active role in determining Divisional priorities and objectives and contribute to the Trust’s Medium Term Planning exercise.
  • The post holder will ensure processes are in place for continual review of services to achieve an optimal fit between clinical service delivery and current best practice.
  • Encourage and promote a quality and improvement agenda within the Division, sharing good practice and excellence as appropriate.

Operational Management

  • To manage the operational performance of the Division.
  • To ensure that the Division meets it’s activity targets and contributes to the enhancement of Key Performance Indicators delivery.
  • To develop operational objectives within Divisions which supports the achievement of Divisional targets and are consistent with Trust Medium Term Plan objectives.
  • Ensure that effective Clinical Governance, Risk Management and Controls Assurance systems and procedures are embedded into the culture of the Division.
  • Ensure capital utilisation is maximised to optimise productivity and improve patient care including effective infection control systems.

Financial Management

  • Ensure robust financial management systems and processes are in place to utilise optimally the Divisional budget and resources.
  • Meeting annual financial targets including Cost Improvement Programmes.
  • Ensure all delegated budgets within the Division adhere to Trust Standing Financial Instructions and Standing Orders.
  • Establish a system for business risk evaluation of service developments.

Human Resource Management

  • Develop and maintain robust staff development systems within the Division engendering a culture of openness, value and respect.
  • Establish effective communication systems with all members of staff within the Division. Communication systems will reflect a two way relationship allowing Trust information to be disseminated whilst also allowing individuals an opportunity to feedback any ideas or concerns.
  • Work with the HR Function and the Divisional HR Manager to ensure that all managers and employees comply with Trust policies and procedures, HR best practice and employment law.
  • The post holder will chair the Divisional Consultative Committee and develop good working relations with staff side representatives as outlined in the joint working agreement.

Managerial / Organisational relationships

  • The post holder will have direct management responsibility for Group Managers, Departmental Heads, Group Support Managers, Divisional Assistants, Divisional Finance Manager, Divisional HR Manager and the Matrons.
  • The post holder will regularly liaise with the following to meet agreed objectives:-
    • Consultants and Senior Clinical staff.
    • Members of the Trust Board.
    • Corporate Senior Managers.
    • Directors, Managers and Staff of the Division.
    • Senior Staff and managers of other Divisions.
    • Commissioning Organisations.
    • Primary Care Trusts.

Rehabilitation of Offenders Act 1974 (Exceptions Order) 1976

As the nature of work you will be undertaking during your appointment involves direct contact with people who are receiving a health service, we have been obliged to ask you to complete a Disclosure form which will be processed by the Criminal Records Bureau. We require you to disclose any convictions, cautions, reprimands and warnings you may have under the conditions of the above order. You are not entitled to withhold such information about convictions which otherwise might be ‘spent’.

Failure to disclose such convictions could result in the termination of your appointment.

The post is subject to a Criminal Records Bureau Disclosure Check at Enhanced level.

The post holder will be required to complete the NHS Pre and Post Appointment Declaration form as outlined in HSC2002/008.

Health & Safety

The Trust recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as reasonably practicable, the health, safety and welfare at work of all its employees. In addition, the business of the Trust shall be conducted so far as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to Trust premises and facilities, are not exposed to risk to their health and safety.

All staff will be expected to comply with appropriate Statutory requirements and Trust Health and Safety Policies. This includes the Trust’s ‘No Smoking Policy’.

Clinical Governance

It is the duty of every employee to fulfil their individual clinical governance responsibilities and their expected contribution to ensuring that the Trust complies with benchmarked standards for the quality of clinical care.


The duties outlined in this role specification serve as a guide to the current and major responsibilities of the post. The duties and obligations associated with the post will inevitably vary and develop and the role specification will be reviewed on a regular basis.

All employees must adhere to and perpetuate Trust Policies relating to

  • Health and Safety
  • No Smoking at Work
  • Equal Opportunities in Employment, including responsibilities under the Disability Discrimination Act.

Your attention is drawn to the confidential nature of information collected within the NHS. The unauthorised use or disclosure of patient or other personal information is a dismissible offence and in the case of computerised information could result in a prosecution for an offence for civil damages under the Data Protection Act.

Coordinated Surgical Care Division

The Division employs 665.2 WTE staff and has an annual income in excess of £70 million. In activity terms, it broadly delivers the following volumes:

  • 139,460 Outpatients
  • 6,323 Elective Inpatients
  • 10,283 Elective Day Case
  • 9,313 Non Elective inpatients

The Division has the following facilities and beds:

  • 10 Operating Theatres incorporating a Trauma and an Emergency CEPOD theatre
  • 4 Day surgery theatres
  • 1 Day surgery procedure suite
  • 4 Endoscopy suites
  • 8 Surgical Assessment Unit
  • 10 Pre Operative Care Unit
  • 6 Surgical Discharge Lounge
  • 27 Trauma beds
  • 27 Elective Orthopaedic beds
  • 72 Acute surgical beds

The Division has undertaken 2 years of service, business and budget reviews. The Division has a key focus on quality, patient safety and experience and clinical governance which drives all planning and decision making.

The Division’s current focus includes the following core priorities:

  • Drive efficiencies in the scheduling of theatres including day surgery, and the significant improvements in surgical productivity and enabling the smooth running of all the supporting facilities.
  • Drive the delivery of the flows through the surgical pathway by assessing the pathway from the scheduling of operations with the aim of identifying potential opportunities to improve safety, theatre lists. The objectives to identify the scheduling of the surgical pathway in both main theatres and day surgery are:
  • Delivery of the access targets: RTT non-admitted, admitted and incomplete pathways, Diagnostics and cancer.
  • Achievement of the identification and delivery of the Divisional cost improvement programme.
  • Development of a clinical and non-clinical workforce for sustainability and succession planning.
  • Delivery of a clinical strategy for the future development of clinical service provision.
  • Evaluation of the recent CQC inspection and action plan for compliance delivery.
  • Strategy for the delivery of Endoscopy services to accommodate demand.

The services managed within the Division include:

  • Anaesthetics
  • Theatres
  • Pre-Assessment
  • Decontamination
  • Critical Care
  • Acute wards
  • Day Surgery
  • ENT & Head & Neck surgery
  • Audiology services
  • Orthodontics
  • Vascular surgery
  • Trauma & Orthopaedics
  • Colorectal surgery
  • Breast surgery
  • General surgery
  • Endoscopy
  • Imaging
  • Interventional Radiology
  • Outpatient services
  • Patient Services Centre
  • Health Records

The Divisional management team is experienced and stable and is currently going through a transition to establish a new structure, in line with the Trust’s restructuring programme. The changes to this Division incorporate a triumvirate manager, clinician and nurse model at the heart of the Directorates.

The following positions report directly to the Director of Clinical Operations:

  • Clinical Director - Anaesthetics, Theatres & Critical Care
  • Clinical Director - Elective Surgery
  • Clinical Director - Emergency Surgery
  • Clinical Director - Imaging & Outpatients’
  • General Manager - Anaesthetics, Theatres & Critical Care
  • General Manager - Elective Surgery
  • General Manager - Emergency Surgery
  • General Manager - Imaging & Outpatients
  • Elective Access Governance Co-ordinator

The Division has an Associate Chief Nurse, who will be migrating to become one of the Deputy Directors of Nursing with a Co-ordinated care. In addition to this, a Deputy Medical Director will also have a Co-ordinated Care portfolio, following recruitment.

Person Specification

Testing Code: AF = Application form, I = Interview




Qualifications / Training

  • AF
    Educated to Masters level (desirable)
  • AF
    Management / Business / Finance education and/or qualification


  • AF
    Demonstrable senior level strategic planning/management experience in NHS/private healthcare sector
  • AF
    Demonstrable practical experience of managing complex clinical services
  • AF
    Exceptional level of experience in delivering change within complex organisations.
  • AF
    Proven ‘track record’ of consistently achieving high standards and delivering objectives
  • AF
    Evidence of negotiating and influencing in a complex and sensitive environment
  • AF
    Evidence of building and leading successful and effective teams

Skills / Knowledge

  • AF
    Highly developed understanding of health service issues, strategy and national policy agenda as it effects provider services.
  • I
    Skilled in effective business planning and healthcare development.
  • I
    Skilled in effectively managing conflict situations.
  • I
    Skilled in managing both clinical and non clinical staff and achieving optimum performance.
  • I
    Skilled in effective financial management.
  • AF
    Skilled in effective marketing and public relations.
  • AF
    Working knowledge of Project Management.

Other Attributes

  • I
    Visionary/Strategic thinker.
  • I
    Excellent leadership qualities.
  • I
    Excellent communicator.
  • I
    Ability to achieve objectives through influence/persuasion of others, especially medical staff.
  • I

Other Job requirements

  • I
    Understanding of healthcare information systems.

How to apply »
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Morgan Law Recruitment Consultancy
4th Floor, Clareville House
26-27 Oxendon Street, London, SW1Y 4EL

James Stephens
Tel: 0207 747 4931


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