Director of Operations - Women & Children's Division
Medway NHS Foundation Trust
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.
- 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.
- 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.
- 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’.
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.
Women’s and Children’s Division
The Division employs 738 WTE staff and has an annual income in excess of £56 million (of which £33m is expenditure). In activity terms, it broadly delivers the following volumes:
- 5,000 births
- 14,000 gynaecological outpatient attendances
- 5,000 gynaecological outpatient procedures (including follow-ups)
- 10,200 antenatal attendances
- 2,500 gynaecological surgical procedures
- 500 specialist paediatric surgical procedures
- 8,000 community paediatric outpatient attendances
- 10,000 paediatric assessments
- 6,500 paediatric in-patient admissions
The Division has the following facilities and beds:
Obstetrics and Maternity:
- Maternity Led Unit - 8 (includes 4 Post Natal)
- Delivery Suite - 10 delivery rooms, 2 general beds, 2 enhanced care beds, and 1 bereavement room
- 22 antenatal beds
- 24 postnatal beds
- 9 Paediatric Assessment beds
- 23 In-patient beds
- 36 funded neonatal cots:
- 8 ITU (funded) - 12 cot spaces
- 4 HDU
- 16 SCBU
- 8 Transitional Care
The Division is in a strong and stable position, having recently undertaken 2 years of service and business review as part of its large change programme. This change programme has reflected the observations made during 2 CQC Inspections (August 2013 - Maternity only, and April 2014 - Women’s and Children’s Services). The Division has a key focus on quality, patient experience and clinical governance which drives all planning and decision making. The Division also has a strong financial performance, having met its annual CIP target and operating a controlled monthly financial outturn.
The Division’s current focus includes the following core priorities:
- The continued development and enhancement of maternity provision and alignment of the right workforce to support this – (ongoing)
- The continued development of the Paediatric HDU service (currently being reviewed against Level 2 standards and the Royal College publication ‘A Time to Move On’ – November 2015
- A joint review of all Community Paediatric services, including revised specifications for each service area (ongoing)
- Implementation of a revised model for Labour Ward cover, enhancing the existing 98 hour model currently in place (rollout in November 2015)
- Establishment of community IT access for Midwives and Children’s Community staff, (currently mid-rollout)
- Continued development of the Paediatric Surgical service in line with NHSE service specification E02 s/a.
- Achievement of the BAPM standards for nursing establishment levels for neonatal nursing
The services managed within the Division include:
- Fetal Medicine
- Acute Paediatrics
- Community Paediatrics
- Paediatric Surgery (specialist)
- Neonatal Services (Level 3)
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 are minimal in terms of staff and their roles and relate more to title changes and sector naming.The following posts currently directly report to the Divisional Operations Director.
New titles have been used:
- Clinical Director - Women’s Health
- Clinical Director - Acute and Community Paediatrics
- Clinical Director - Neonatal Services
- Head of Midwifery and Nursing (Women’s Health)
- Head of Children’s Nursing (Children’s Services)
- General Manager (Women’s Health)
- General Manager (Children’s Services)
- Divisional Coordinator/PA
The Division has an Associate Chief Nurse, who will be migrating to become one of the Deputy Directors of Nursing, with a Women’s and Children’s portfolio. In addition to this, a Deputy Medical Director will also have a Women’s and Children’s portfolio, following recruitment.
Testing Code: AF = Application form, I = Interview
Qualifications / Training
AFEducated to Masters level (desirable)AF
AFManagement / Business / Finance education and/or qualificationAF
AFDemonstrable senior level strategic planning/management experience in NHS/private healthcare sectorAF
AFDemonstrable practical experience of managing complex clinical servicesAF
AFExceptional level of experience in delivering change within complex organisations.AF
AFProven ‘track record’ of consistently achieving high standards and delivering objectivesAF
AFEvidence of negotiating and influencing in a complex and sensitive environmentAF
AFEvidence of building and leading successful and effective teamsAF
Skills / Knowledge
AFHighly developed understanding of health service issues, strategy and national policy agenda as it effects provider services.AF
ISkilled in effective business planning and healthcare development.I
ISkilled in effectively managing conflict situations.I
ISkilled in managing both clinical and non clinical staff and achieving optimum performance.I
ISkilled in effective financial management.I
AFSkilled in effective marketing and public relations.AF
AFWorking knowledge of Project Management.AF
IExcellent leadership qualities.I
IAbility to achieve objectives through influence/persuasion of others, especially medical staff.I
Other Job requirements
IUnderstanding of healthcare information systems.I