JOB DESCRIPTION. Head of Secondary Care Hospital Commissioning. CCG HQ, St Cross Business Park, Newport, IW

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1 JOB DESCRIPTION Job Title: Reports to: Accountable to: Type of Contract: Hours: Grade: Employer: Base: Deputy Head of Secondary Care Hospital Commissioning Head of Secondary Care Hospital Commissioning Head of Secondary Care Hospital Commissioning Fixed Term for 1 year from appointment Full Time (37.5 hours) Agenda for Change Band 8A Isle of Wight CCG CCG HQ, St Cross Business Park, Newport, IW Date of JD: September 2015 Job Purpose The postholder will line manage staff, lead operational processes and development of services, ensuring that the team s portfolio is effectively commissioned and contracted within resources available, and that relevant national and local performance measures and targets are achieved. The post-holder will be required to liaise with a range of stakeholder organisations to develop effective partnerships, support the planning and delivery of commissioning intentions, ensure that relevant governance processes are managed, and encourage a cross-team working environment to enable individuals to achieve their objectives. Job Statement To deputise for the Head of Secondary Care Hospital Commissioning and act as a member of the senior management team within the Commissioning Directorate as required. To lead on the management of staff and operational processes within the Secondary Care Hospital Commissioning team. To coordinate the commissioning cycle for the areas of responsibility. To ensure that effective governance requirements for CCG contract meetings are in place. To lead and manage a specified portfolio of services and contracts where there are complex interactions which need careful management. To work closely with GP clinical leads in the strategic development of services and service redesign. Page 1 of 13

2 To be responsible for the delivery of performance targets including financial balance, national and local targets and other requirements as set out in the Operational Plan and Delivery Plan for areas of responsibility. To effect constructive and effective partnership working and stakeholder engagement. To lead on project management of service developments and procurements. To ensure development, implementation and delivery of QIPP programmes. To work closely with other NHS colleagues on service planning and contractual requirements. Organisational Chart Refer to the Secondary Care Hospital Commissioning structure (Isle of Wight Clinical Commissioning Group). 1. Communication aspects of the role 1.1 Represent the CCG on key groups on/across a range of internal and external stakeholders groups and agencies utilising a range of communication skills including negotiation and formal presentations. 1.2 Deputise for the Head of Secondary Care Hospital Commissioning. 1.3 Communicate with a wide range of people, patients and colleagues at all levels and develop relationships with other Health, Local Authority, Statutory, Voluntary and Community Groups so that all partners can engage and influence service improvements. 1.4 Receive, analyse and provide complex and potentially contentious information where agreement or cooperation is required such an interpreting national policy and presenting options for delivery. 1.5 Communicate the targets, milestones and objectives that must be achieved within the CCG Performance Framework recognising National Targets/Directives. 1.6 Ability to negotiate proposed services and contractual change where negotiating skills are required. 2. Analysis and judgement will be necessary in the following situations 2.1 Work in collaboration with the other CCG staff and the Commissioning Support Unit analysing complex data, interpreting the overall implications, comparing options and presenting the data to make informed decisions as to how best performance manage agreed contracts. 2.2 Analyse performance information submitted to the CCG by service providers and identify issues, initiating appropriate remedial action. 2.3 Identify areas of good practice and areas requiring service improvement, comparing these measures with local and national benchmarks. This will Page 2 of 13

3 include undertaking demographic and prevalence analysis to inform commissioning intentions. 2.4 Participate in and undertake service performance reviews as required. 2.5 Determine services to be commissioned taking into account funding requirements, and analysis and interpretation of complex facts in examining the options available and leading to the production of business cases as required. 2.6 Interpret service planning and guidance in areas of responsibility. 3. Tasks that require planning and organising 3.1 Develop commissioning strategies in partnership with other commissioning partners as required and ensure that these are regularly reviewed and updated. 3.2 Ensure individual service strategies are developed with full range of stakeholders to inform commissioning intentions and reduce health inequalities. 3.3 Take responsibility for the delivery of strategic plans and key projects to ensure both health and local authority targets are delivered and any financial recovery plan projects are achieved. 3.4 Develop and ensure delivery of all services under responsibility, as agreed in the Operational Plan. 3.5 Ensure service specifications are developed which meet identified need, demonstrate value for money and improved outcomes. 3.6 Project manage commissioning service developments for portfolio of services producing defined project plans with a clear set of objectives. 3.7 Ensure appropriate procurement of services working collaboratively with the Procurement Transaction Service, and develop any qualified provider services as required. 3.8 Ensure appropriate monitoring and performance management of all health contracts in area of responsibility. Ensure processes are in place to provide assurance that sufficient capacity is commissioned and that providers are delivering safe, effective, best value, patient/client focussed services and are meeting core performance requirements. 3.9 Ensure delivery and timely accurate returns to external agencies are made as required; eg Strategic Health Authorities (or successor organisations) Effectively chair meetings and be responsible for co-ordination of agendas, minutes and actions Manage a varied workload of complex and competing priorities. Page 3 of 13

4 4. Responsibility for Patient and Client Care 4.1 Support the CCG Clinical Leads to deliver care pathway redesign with appropriate levels of stakeholder engagement. 4.2 Ensure appropriate clinical governance mechanisms are in place with commissioned services, in collaboration with the Quality and Clinical Governance colleagues. 4.3 Support the application and outcomes for individual patients through the individual funding request process and communicate with patients are required. 4.4 Work collaboratively with the Head of Quality in the development of CQUINS, patient reported outcome measures and Communicate with patients and patient groups on commissioning issues on an ad hoc basis. 5. Responsibility for the development of policies and or services 5.1 Implement policy and guidance (including national, NHSCB and local strategy and policies) in relation to lead areas. 5.2 Working as part of the CCG, identify changes which impact on policy implementation, leading to service re-design. 5.3 Contribute to the development and implementation of the local Operational Plan, ensuring that specific initiatives relating to the agreed portfolio of work are identified, planned, costed and actioned. 5.4 Assist in shaping strategic commissioning intentions for local and mainland service provider services. 5.5 Develop key performance indicators as part of the contracts with providers of services. 5.6 Co-ordinate the development of demand management initiatives to improve cost efficiency and service quality and work with other commissioning colleagues to co-ordinate demand management initiatives. 5.7 Contribute to the ongoing development, implementation and monitoring of the CCG QIPP plans. 5.9 Engage key stakeholders and clinical teams in the development of service strategies and improvement projects; ensure that there is a robust mechanism for communication at all levels. 6. Responsibility for finance and use of resources 6.1 Manage budgets as delegated, in line with the CCG Standing Financial Instructions and Standing Orders. 6.2 Participate in the preparation of commissioning budgets based on agreed targets. Page 4 of 13

5 6.3 Analyse any areas of overspend; produce a plan for budgetary control and a recovery project when required by the Head of Secondary Care Hospital Commissioning. 6.4 Code invoices once assured that all claims are essential and in line with agreed SLAs, challenging providers where necessary. 6.5 Negotiate contracts with providers in conjunction with Finance colleagues and ensuring robust monitoring arrangements. 6.6 Seek opportunities for utilising resources effectively in line with service need. 6.7 Identify cost pressures and service development investments for Operational Planning in line with service developments and contract management. 6.8 Ensure appropriate pooled budgets and grant transfers via Section 75 and Section 256 when required. 6.9 To comply with the organisation s Sustainability Policy and Social Value Policy and use resources in an efficient and responsible manner. 7. Responsibility for managing staff and/or undertaking training 7.1 Line manage staff within the structure to undertake commissioning duties, identifying and agreeing work priorities within the Commissioning Workplan. 7.2 Ensure effective recruitment, performance management, learning and development, appraisal and objective setting in line with policies and procedures. 7.3 Provide effective leadership to maximise staff morale, motivation and commitment to achieving agreed objectives. 7.4 Support staff by regular and effective individual supervision. 7.5 Support staff in their career development training needs and effective succession planning. 7.6 Be responsible for own personal development. 8. This role will be requires uses of a range of information systems 8.1 Regularly responsible for providing reports, process maps and figures using MS applications. 8.2 Regular access of relevant databases and information sources to compile complex reports and undertake performance management actions. 8.3 Ensure that a range of work-related records are updated and maintained on a regular basis. Page 5 of 13

6 9. This role will be required to undertake and/or be involved with the following surveys or undertaking research 9.1 Undertake desk research and undertake surveys as required to measure effectiveness of service delivery. 9.2 Develop key performance indicators and outcome measures for areas of responsibility. 10. What level of freedom and autonomy does this role have? Do they follow standard procedures? 10.1 Working within the policies and systems of the organisation, the post holder is expected to work with significant discretion, to clearly articulated objectives. Page 6 of 13

7 General compliance: 1. To comply with all CCG Policies and Procedure, with particular regard to Risk Management Health and Safety Confidentiality Data Quality Freedom of Information Equality and Diversity Information and Security Management and Information Governance Standing Orders & Standing Financial Instructions 2. To perform your duties to the highest standard with particular regard to effective and efficient use of resources, maintaining quality and contributing to improvements. 3. Perform any other duties that may be required from time to time. 4. Every post holder represents the CCG. We rely on all our staff to be helpful, kind and courteous to patients, visitors and each other. At all times we expect appropriate behaviour 5. Ensure you adhere to and work within local and national safeguarding children legislation and policies including the Children Act 1989 & 2004, Working Together to Safeguard Children 2010, 4LSCB guidance and the IOW Child Protection policy. 6. Ensure you adhere to and work within the Isle of Wight safeguarding vulnerable adults policies and procedures This job description may be altered to meet changing needs of the service, and will be reviewed in consultation with the post holder. September 2014 Page 7 of 13

8 PERSON SPECIFICATION Factors Description Essential Desirable Knowledge, Training and Experience Educated to masters level or equivalent level of experience of working at a senior level in specialist area. Extensive knowledge of specialist areas, acquired through post graduate diploma or equivalent experience or training plus further specialist knowledge or experience to master s level equivalent Evidence of post qualifying and continuing professional development Communication Skills Analytical Must have an understanding of current health service policy and commissioning requirements Must be able to provide and receive highly complex, sensitive or contentious information, negotiate with senior stakeholders on difficult and controversial issues, and present complex and sensitive information to large and influential groups Negotiate on difficult and controversial issues including performance and change. Problem solving skills and ability to respond to sudden unexpected demands Ability to analyse complex facts and situations and develop a range of options Takes decisions on difficult and contentious issues where there may be a number of courses of action. Strategic thinking ability to anticipate and resolve problems before they arise Page 8 of 13

9 Factors Description Essential Desirable Planning Skills Demonstrated capability to plan over short, medium and long-term timeframes and adjust plans and resource requirements accordingly Management Skills Comprehensive experience of project principles techniques and tools such as Prince 2 and Managing Successful Projects Must be able to prioritise own work effectively and be able to direct activities of others. Experience of managing and motivating a team and reviewing performance of the individuals. Autonomy Freedom to Act Must be able to use initiative to decide relevant actions and make recommendations to Sponsor/ Manager, with the aim of improving deliverables and compliance to policies. Ability to make decisions autonomously, when required, on difficult issues, working to tight and often changing timescales Experience of identifying and interpreting National policy. Experience of researching best practice (globally, private and public sector), interpreting its relevance and processes/ practices which could be implemented successfully to achieve system reform (advising on policy implementation) Physical Skills Working knowledge of Microsoft Office with intermediate keyboard skills. Equality and Diversity Needs to have a thorough understanding of and commitment to equality of opportunity and good working relationships Financial and Physical Resources Previously responsible for a budget, involved in budget setting and working knowledge of financial processes Page 9 of 13

10 Factors Description Essential Desirable Other Used to working in a busy environment Adaptability, flexibility and ability to cope with uncertainty and change Willing to engage with and learn from peers, other professionals and colleagues in the desire to provide or support the most appropriate interventions Professional calm and efficient manner Effective organizer, influencer and networker Demonstrates a strong desire to improve performance and make a difference by focusing on goals. Completer/Finisher Page 10 of 13

11 SUPPLEMENTARY JOB DESCRIPTION INFORMATION RISK ASSESSMENT Post Title: Deputy Head of Secondary Care Hospital Commissioning Ward/Dept and Site: CCG HQ, St Cross Business Park, Newport, IW Date Completed: September General Information about the post. Location % Location % Location % Office based 95 Home Outpatients Clinic Laboratory Kitchen Community based Ward area Stores Workshop In a vehicle Theatre environment Indicate below if any of these apply Location % Location % Location % Isolated locations Outdoors Works on their own Works with patients in Works with patients Required to be in a isolation e.g. in their assistance is building on their own own home accessible. for periods of time Working hours Full time Part time Office hours Hours worked as a shift Hours worked at night Concentration and Levels of Interruptions Required to concentrate Required to for long periods of time concentrate for short periods of time Interruptions throughout the day Constant Occasional All criteria require a indication of whether the post holder will be expected to work in or be directly exposed to the following factors. Please use the comments box to provide details including frequency (e.g. how many times per shift) 2. Working Conditions Working in bad weather e.g. when it is windy or/and raining. Excessive temperatures Unpleasant smells/odours Noxious fumes Excessive noise &/or vibration Use of VDU more or less continuously Unpleasant substances/nonhousehold waste Infectious Material/Foul Linen Body fluids, faeces, vomit, blood Dust/dirt Humidity Contaminated equipment or work areas Driving/being driven in normal situations Frequency Certain Likely Possible Unlikely Rare/\Not at all Page 11 of 13

12 Driving/being driven in emergency situations Fleas or lice Exposure to dangerous chemicals/ substances in/not in containers Exposure to aggressive verbal behaviour where there is little/no support Exposure to aggressive physical behaviour where there is little/no support Exposure to risks that could result in an acute traumatic injury Undertaking exposure prone procedures Comments: Please use this section to provide any additional details you feel are relevant for the role (e.g. how many times per shift) 3. Emotional Effort Processing (e.g. typing/transmitting) news of highly distressing events Giving unwelcome news to patients/ clients/carers/staff Caring for the terminally ill Dealing with difficult situations/ circumstances Designated to provide emotional support to front line staff Communicating life changing events Dealing with people with challenging behaviour Frequency Certain Likely Possible Unlikely Rare/Not at all Arriving at the scene of an accident Comments: Please use this section to provide any additional details you feel are relevant for the role (e.g. how many times per shift) 4. Physical Effort Working in uncomfortable/ unpleasant physical conditions Working in physically cramped conditions Frequency Certain Likely Possible Uncertainty Rare/Not at all Page 12 of 13

13 Lifting weights, equipment or patients using mechanical aids Lifting weights/ equipment or patients without mechanical aids Making repetitive movements Climbing or crawling Manipulating objects Manual digging Running Standing/sitting with limited scope for movement for long periods Kneeling, crouching, twisting, bending or stretching Standing/walking for substantial periods of time Heavy duty cleaning Pushing/pulling trolleys or similar Working at heights The job requires to be trained in control and restraint. Comments: Please use this section to provide any additional details you feel are relevant for the role (e.g. how many times per shift) 5. Mental Effort Carry out formal student/ trainee assessments Carry out clinical/social care interventions Analyse statistics Operate equipment machinery for more than ½ a shift for less than a shift Give evidence in a court/tribunal/ formal hearings Attend meetings Carry out screening tests/ microscope work Prepare detailed reports Check documents Carry out calculations Carry out clinical diagnosis Carry out non-clinical fault finding Signed by post holder*: Frequency Certain Likely Possible Uncertainty Date: Signed by line manager Date: September 2015 * in the case of new jobs this will have to be an estimate of the demands of the role. Rare/Not at all Page 13 of 13

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