JOB DESCRIPTION. Medical Services has a budget of approximately 70m, and a Whole Time Equivalent (WTE) establishment of 1220 staff.

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1 JOB DESCRIPTION 1. JOB DETAILS Job Title: Associate Director of Medical Services/Deputy Chief Operating Officer Band: 9 Reports to: Chief Operating Officer Accountable to: Chief Operating Officer Location: Royal Cornwall Hospital, Truro, TR1 3LJ 2. JOB PURPOSE Provide visionary leadership to the Clinical Directorates establishing excellent relationships within the Directorates to deliver the Trust s corporate objectives. Ensure the Trust delivers high quality and safe care to patients, which represents best value. Accountable for the delivery of all financial, performance and activity standards and targets. Work closely with our partner organisations to deliver innovative models of care. Maintain external regulatory and accreditation compliance. Medical Services has a budget of approximately 70m, and a Whole Time Equivalent (WTE) establishment of 1220 staff. 3. ORGANISATION CHART Chief Operating Officer Women, Children and Sexual Health Surgical Services Clinical Support and Cancer Services This Post Medical Services Emergency Medicine ED Acute Medicine Acute Medicine Eldercare Medicine CFS Cardiorespiratory Medicine Cardiology Respiratory Specialty Medicine Gastroenterology Neurology Endocrinology Nephrology Psychology 2

2 4. SKILLS AND EXPERIENCE REQUIRED Provide strong leadership to the Directorates, division and wider Trust Excellent communication and negotiation skills. Ability to analyse complex problems and propose realistic solutions in a logical way. Highly developed analytical skills, both in terms of financial and verbal reasoning. Qualifications Educated to degree level or equivalent. Higher Professional or Management Degree (to Master s level or equivalent), or at least a willingness and ability to study to this level. Essential Experience Significant senior operational / management experience. Budgetary management and workforce development. Proven track record in planning and delivering high quality services. Proven track records in financial management, staff management and management of change. Proven track record of delivery and ongoing personal and professional development. Experience of embedding governance and assurance systems and processes into an organisation. High level report writing and presentation skills. Advanced IT skills. Understanding of the network of healthcare provision. 5. KEY RESULT AREAS Leadership and Management Lead the Directorates Teams. Ensure the delivery of high quality clinical services in line with the Trust s Strategic Plan and key service objectives. Establish sound financial and performance management arrangements. Working with the Clinical Directors, Divisional Nurse / AHP Leads, ensure that the Directorates has in place robust governance and assurance processes including the delivery of key quality and patient safety standards. In conjunction with the Clinical Directors, Divisional Nurse / AHP Leads and Specialty Leads, ensure that systems are in place for the management of risk, 3

3 including clinical risk. Ensure that all policies and procedures are systematically reviewed. In conjunction with the Directorates Team, establish business continuity plans in collaboration with the Head of Emergency Planning. In addition, be familiar with the Trust s major incident plan and the responsibilities of individuals and Directorates in its execution. Participate in Senior Managers on-call rota. All Associate Directors or equivalent, are responsible for overall management of the corporate records of their Directorates in line with Trust policy and guidance. Associate Directors must ensure appropriate arrangements are also in place for each Specialty or Department within their Directorates; and for undertaking the duties of the Trust's Corporate Records Network as outlined in the Trust's guidance. To positively and proactively enable cultural and people change at all levels of the organisation to ensure effective integrated service and financial delivery. To work alongside Executive Directors and chair appropriate meetings in challenging environments and building strong relationships with key stakeholders. The post-holder will therefore require tact and diplomacy as well as high influencing skills together with a commanding approach. Staff Management and Organisational Development Accountable for all non-medical staff in the Directorates in accordance with the Trust's Human Resource policies and procedures and employment law. This includes recruitment and selection, performance management including appraisal and development planning, dealing with discipline and grievance issues. Develop clear short and medium term workforce plans to ensure appropriate delivery of service plans. Ensure all service delivery and service developments take account of equality and diversity (including disability) legislation in line with Trust policy. Establish a transparent and open communication strategy which allows for both a bottom-up and top-down information flow within the Directorates and outwith. Create a supportive organisational culture across the Directorates in which people feel empowered and committed to high standards of care within the context of Trust's management culture. Develop a culture within the Directorates that encourages innovation, supported by education and development opportunities to gain further knowledge and new skills for the benefit of both the individual and the organisation. In conjunction with the Clinical Directors, ensure the annual job planning round is implemented in line with Trust guidelines and meets capacity requirements. Delivery and Performance The Associate Director and the Clinical Directors are both accountable to the Chief Operating Officer for the overall performance of the Directorates. The Associate Director, supported by the Directorates Management Team, will prepare 4

4 performance reports for the Executive Management Team and Trust Board as required. Take responsibility with the Clinical Directors for the financial performance of the Directorates including the delivery of agreed activity, access targets and performance standards. Ensure clinical services are delivered in line with commissioned activity and planned income, maintaining control of expenditure, improving value for money and ensuring continued service development. Introduce systems to ensure the collection, analysis and benchmarking of data to ensure continuous service improvement and the delivery of quality and safe patient care. Manage the Directorates performance against national standards. Lead on management of the Directorates waiting list, ensuring strict adherence to the Trust Access Policy. Lead on the delivery of ED performance standards in line with local and national trajectories In collaboration with the other Associate Directors, develop capacity plans and plans to address commissioned activity, winter pressures and ensure effective implementation throughout all services managed. Ensure the Directorates business arrangements are conducted in line with the Trust s Standing Financial instructions and relevant statutory provisions and national directives. Ensure effective arrangements are in place for the management of complaints within the Directorates in line with national and Trust policy. Ensure that statements are made as appropriate, particularly in cases of potential litigation. Ensure appropriate learning within the Directorates from complaints, incident reporting and other similar communications. Business and Service Development Engage fully in the annual business planning round. This will include the development of an annual Business Plan for the Directorates in conjunction with individual specialties and in line with the Trust s strategic plan and key service objectives. Work with Commissioners to establish future demand for services and understand the capacity required to deliver agreed activity levels. Develop a service improvement programme for the Directorates in line with Trust requirements and contribute to Trust wide value for money and productivity initiatives. Contribute to planning and performance management meetings with the Commissioners as required. Contribute to the development of the Trust Integrated Business Plan as part of the Foundation Trust application process. Trust Wide Responsibilities Deputise for the Chief Operating Officer as required. 5

5 Act as an Ambassador for the Trust in appropriate public relation matters, representing the best interests of the Trust at all times. Represent the Trust at appropriate meetings. Act as a corporate team player at all times. 6. COMMUNICATIONS AND WORKING RELATIONSHIPS Ensure excellent communication and working relationships are developed and maintained within the Directorates. Develop and maintain as appropriate an effective working relationship with Executive and Non Executive members of the Board. Ensure collaborative working relationships are established and maintained with Health and Social Care partners. Develop external relationships with appropriate local and national networks to identify best practice and opportunities for areas of improvement. Constructively challenge behaviours that hinder change or do not support the strategy and values of the organisation. Improve the organisational culture through encouraging teams to focus on patient centred care. 7. OTHER The post-holder must comply with all RCHT Policies and Procedures. The post-holder must work within infection control guidelines to ensure that work methods do not constitute a risk of infection either to the health care professional, to the client or to any persons working/visiting in RCHT premises. This job description is subject to the Terms and Conditions of service of Royal Cornwall Hospitals NHS Trust, and the post-holder will undertake any other duties which may be required from time to time. THIS JOB DESCRIPTION IS SUBJECT TO REVIEW IN CONSULTATION WITH THE POST-HOLDER 8. JOB DESCRIPTION AGREEMENT Job holder's Signature: Head of Department Signature: Title: Date: Date: Please note: Rehabilitation of Offenders Act This post is exempt from the Rehabilitation of Offenders Act A provisional offer of employment will be subject to a criminal record check from the Disclosure and Barring Service before the appointment is 6

6 confirmed. This will include details of cautions, reprimands, final warnings, as well as convictions. The Royal Cornwall Hospitals Trust is a non-smoking organisation. Smoking will not be permitted on any of the sites by staff in trust uniform and/or wearing a trust identification badge in any location, in vehicles owned or leased by the Trust or in the homes (including gardens) of any patients visited at home. 7

7 Person Specification for Post of: Associate Director of Medical Services/ Deputy COO Band 9 ATTRIBUTES REQUIREMENTS METHOD OF ASSESSMENT QUALIFICATIONS ESSENTIAL Educated to degree level or equivalent. DESIRABLE Masters degree or equivalent (willingness and ability to study at this level). Application form EXPERIENCE Significant senior operational management experience. Budgetary management. Workforce development experience. Understanding of the network of healthcare provision and ideally significant health sector experience. Application form Interview Selection exercise Proven track record in financial management. Proven track record of delivery and continuing personal and professional development. Experience of embedding governance and assurance systems. High level report writing and presentation skills. Advanced IT skills. PRACTICAL AND INTELLECTUAL SKILLS (INCLUDING ANY SPECIAL KNOWLEDGE) Excellent communication and negotiation skills. Strong leadership skills. Able to analyse complex problems and offer business focussed solutions. Application form Interview Selection exercise Highly developed and analytical skills, in terms of financial and verbal reasoning. Personal resilience and ability to deliver high quality consistent work under pressure. 8

8 TRAINING ADDITIONAL CIRCUMSTANCES Mandatory training. A Disclosure and Barring Service check satisfactory to the organisation. Ability to undertake duties. Post-holder must comply with professional code of conduct and / or code of conduct for NHS managers where applicable. 9

9 NHS KNOWLEDGE AND SKILLS FRAMEWORK FORM FOR DEVELOPING AN NHS KSF OUTLINE FOR A POST (KSF1) Title of Post: Associate Director for Medical Services/Deputy COO Band 9 NHS KSF DIMENSIONS Needed for Post? Level for post 2 CORE DIMENSIONS relates to all NHS posts 1 Communication Y 2 Personal and people development Y 3 Health, safety and security Y 4 Service improvement Y 5 Quality Y 6 Equality and diversity Y Areas of application Specific Dimensions to be developed in conjunction with the post-holder on appointment. 10