JOB DESCRIPTION - CHIEF OPERATING OFFICER JOB TITLE: RESPONSIBLE TO: KEY RELATIONSHIPS: Chief Operating Officer Chief Executive Chief Executive and Chair Board members Executive Team Senior clinicians, managers and all other staff South West London and Surrey Health communities and the wider Health economy Neighbouring organisations in South West London and Surrey Voluntary sector and patient representatives and forums BACKGROUND TO EPSOM AND ST HELIER Epsom and St Helier hospitals provide 3 main functions: - District General Hospital services to a population of 482,000 from 2 main sites (St Helier hospital and Epsom hospital) - Renal services to 2 million people across SW London and Surrey with a main centre at St Helier and 8 satellite dialysis units - South West London Elective Orthopaedic Centre, Europe s largest joint replacement centre, hosted at Epsom hospital, which is a partnership of 4 acute Trusts The Trust employs c 5,000 staff and has an income of c 370m in 15/16. The Trust committed in March 2015 to a 5 year strategy which set out commitments to our patients for the next 5 years, objectives and the key challenges faced by the organisation. KEY RESPONSIBILITIES: Role summary - Responsible to the CEO and Trust Board for effective and efficient delivery of all operational clinical services - Line manager for Clinical Directors, Deputy COO and General Managers - To set up strong working relationships with the Medical Directors and Chief Nurse - Working with the Medical Directors and Chief Nurse to ensure the Clinical Divisions interface with the triumvirate at Director level continues to operate as at Directorate level - Executive responsibility for the operational budgets in the Trust c 200m 1
- To lead the transformational change programme in the Trust - To take responsibility, with the Medical Director, for the CQUIN negotiation and delivery - To be executive lead for business continuity and emergency planning - To be executive lead on delivery of all national and local access and quality targets - To maintain and develop excellent working relationships with our two host clinical commissioning groups JOB PURPOSE The Chief Operating Officer is one of the 5 voting board members for our organisation. The post holder has 6 main delivery areas: - Taking executive responsibility for the efficient functioning of our sites and the delivery of all required access and performance measures. This is to be achieved whilst ensuring we provide high quality care within the resources available. - The Chief Operating Officer is executive lead for the transformation team and will be responsible for putting in place a lean programme to deliver efficiency across the organisation. - A new clinical leadership structure was put in place from December 2015 which comprises of 13 Clinical directors and a team of General Managers reporting to the Chief Operating Officer. The COO will inspire and lead Divisional teams to bring out the best in individuals and create a real culture of continuous improvement in the divisions. - Developing, with Divisions, a robust performance and assurance system which effectively captures both quantitative and qualitative intelligence and monitored on a regular basis which will respond to a key finding from our recent CQC inspection. - Operationally delivering our 5 year strategy building on the St Helier site expanding the complex emergency work and the Epsom site undertaking more planned care work. - To be a team player with the other Directors to enable the organisation to deliver on its aspiration to put the patient first and deliver great care to every patient every day. SPECIFIC RESPONSIBILITIES INCLUDE: SERVICE PERFORMANCE - To lead the delivery of performance targets through a culture of openness and transparency to ensure that patients interests are at the heart of service delivery 2
- To develop a high performance team of senior managers who work to key performance indicators and who are held to account in terms of delivery - To ensure the highest level of clinical engagement and involvement in the development and delivery of the clinical services - Effectively manage budgets to agreed outturn plans, ensuring year-on-year cost improvements and value for money are achieved - To work with the Chief Nurse, Director of People and Organisational Development and Medical Directors to ensure professional issues are addressed to maximise service performance and delivery of the highest quality clinical services - Together with the Chief Finance Officer ensure that division teams are furnished with timely, accurate and appropriate information to manage effective change - To work with the Chief Executive and Chief Finance Officer to ensure value for money activities are actioned and audit recommendations are implemented in a timely manner - To work with the Chief Finance Officer and other colleagues to implement service line management and embed this way of working across the organisational structures. PLANNING AND STRATEGY - To support the Chief Finance Officer to establish and manage external contracting and partnership relationships to pre-determined standards - To ensure that the prescribed business planning process is complied with across the Trust, that facilitates on-going development and delivery of Trust strategy and priorities - To contribute to the translation of strategy and corporate objectives, into action plans and budgets as part of the overall planning process - To play a key role in delivering the strategy to achieve clinically and financially viable services in our hospitals - To take a lead role in delivering our Trusts 5 year 2015-2020 plan LEADERSHIP - To provide strong leadership to director and senior management reports, ensuring that effective management and performance systems are in place 3
- To identify and nurture clinical leadership potential and talent - To demonstrate positive leadership through open, collaborative behaviours - To challenge conventional approaches and driving forward change when needed demonstrating a committed to creating a learning organisation culture committed to continuous improvement - Provide support to all direct reports through objective setting, appraisal, talent management review and the agreement of personal development plans. - To set and deliver the highest standards of professional behaviour in all the teams you are responsible for. ORGANISATIONAL DEVELOPMENT - To support the Chief Executive in the further development of an open, engaged and performance driven culture - Work with the Medical Directors and Chief Nurse to develop clinical leadership culture within the organisation - To contribute to the on-going review and delivery of an OD strategy for the organisation based on the Patient First programme - Take part in the Board development programme and associated activities - To promote a culture of equal opportunities through the development of services that reduce health inequalities and working practices that eradicate discrimination. EMERGENCY PREPAREDNESS - Take Board responsibility for all emergency preparedness issues within the Trust, ensuring that the Trust fulfils its statutory responsibilities in line with the Civil Contingencies Act (2005) - Lead the development and implementation of all emergency planning activities including risk assessment of issues and development of plans to support these - Ensure effective and robust major incident plans are in place to deal with external and internal incidents 4
- Implement a comprehensive testing programme to ensure plans are fit for purpose and remain valid when service reconfiguration or service improvements are implemented - Ensure a comprehensive training programme is in place for all key staff including Board members when appropriate - Provide regular reports to the Board on the level of control and compliance within the organisation - Advise the Board on its statutory responsibilities, ensuring any changes are effectively communicated in a timely manner. BUSINESS CONTINUITY MANAGEMENT - Take Board responsibility for resilience management in the Trust - Lead the development and implementation of a comprehensive business continuity system for the full range of Trust activities - Holding a register of key business risks and implement continuity plans to support each of these risks including IT failure, flooding, pandemic flu and major internal incidents - Provide regular reports to the Board, ensuring the level of control is appropriately assessed, managed and monitored - Lead the development and implementation of a regular testing programme to ensure continuity plans are effective and fit for purpose. GOVERNANCE AND TRUST BOARD DUTIES - To be an effective full Trust Board member taking collective responsibility for the corporate governance of the organisation - In executing Board responsibilities, to constructively challenge the decisions of the Board and help develop proposals on priorities, risk mitigation, values, standards and strategy - To share the Board s collective responsibility for: Adding value to, and promoting the success of, the organisation 5
Providing leadership to the organisation within a framework of prudent and effective controls Setting strategic direction, ensuring management capacity and capability and monitoring and managing performance Safeguarding values and ensuring the organisation s obligations to its key stakeholders are met To facilitate the internal and external auditors as requested 6
PERSON SPECIFICATION CHIEF OPERATING OFFICER QUALIFICATIONS - Graduate or equivalent - Post graduate management qualification (essential - Evidence of continued learning and professional development ESSENTIAL EXPERIENCE AND ACHIEVEMENTS - A track record of leading initiatives to improve patient experience and patient care - A demonstrable track record of forming effective partnerships between clinicians to deliver outstanding results - Successful track record of working at board level within an acute district general hospital or at a role of equivalent scale and complexity in a teaching hospital - Proven record of leading complex, multi-faceted change and modernisation programmes aimed at raising organisational performance across whole care pathways - A track record of outstanding successes in delivering national and local targets - Experience of delivering sustainable cost improvement systems ideally using lean methodologies - Setting in place robust performance management systems that capture both quantitative as well as qualitative information - A track record of driving up clinical standards whilst ensuring maximum efficiency and value for money - A knowledge of current best practice on integrated care and ideally experience of delivering it from an acute hospital perspective - Knowledge of appropriate legislation and its application to the running of a large and complex organisation ABILITIES, KNOWLEDGE AND PERSONAL QUALITIES - Ambitious and results driven - Highly developed communication and negotiation skills - Both a great team player and leader - Strong networker and relationship builder - Inspires others to deliver outstanding results - Financially astute and with good commercial acumen - Politically aware, and able to identify key influences to deliver the range of acute healthcare services - Extensive knowledge and understanding of the NHS, - Resilience and perseverance - Uses detailed understanding in broader trends in health improvement to innovate and respond to change 7
- Able to win hearts and minds, lead and motivate staff in all professions and at all levels to harness and nurture local talent. - o Structure chart 8