Directorate General Manager

Nottingham University Hospitals NHS Trust
£70,417 to £81,138 a year per annum
Closing date
4 Jun 2023

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Other Health Profession
Band 8C
Full Time
Are you an experienced operational leader looking for the opportunity to manage a range of surgical specialties at a senior level? The Surgery Division at Nottingham University Hospital are looking for an individual with a passion for improvement to join our senior management team for 12 months covering Maternity Leave, as Directorate General Manager for Musculoskeletal/Vascular Services

The Directorate General Manager works as part of a triumverate alongside the Directorate Lead Nurse and Clinical Director to lead the delivery of five specialty level services within the Surgery Division, with operational and strategic responsibility for these services. The Directorate General Manager will provide visible and authentic leadership for the c.700 people working within the Directorate, oversee operational delivery in line with relevant standards and lead the management of the Directorate's c.�100million budget. The Directorate includes both Surgical and non-surgical services, and has responsibility for 9 inpatient and daycase ward areas.

The Directorate includes regional Spinal services. This post will play a pivotal role in embedding the service changes currently being planned within the T& O Frailty Unit and Elective Orthopaedic Short Stay pathway, as well as driving the next phase of our Vascular pathway re-design in conjunction with partners within and outside of the Trust.

Main duties of the job

This role will working closely with the Divisional Leadership Team, providing a supportive environment where leaders can fulfill their potential. There is close daily interaction with the leadership teams from the other two Directorate's within the Division to ensure a coherent overall approach. This role provides opportunities to work across emergency and elective pathways delivering tertiary services working collaboratively with internal and external stakeholders.

Supporting the Divisional Leadership Team and the Divisional General Manager, the post holder will have operational and strategic responsibility for their Directorate for delivery of performance targets including waiting list management, cancer performance, finance, workforce and service improvement.

In addition, the Directorate GM would be responsible for operational flow, capacity and demand and ensuring pathways are optimised to support performance targets and value for money.

The post holder will manage a team of Specialty General Managers, and work as part of a triumverate to lead quality improvement across services within the Directorate

We are seeking applications for a secondment/fixed term period

About us

Nottingham University Hospitals is one of the biggest and busiest Trusts in the Country, running the largest Major Trauma Service in the Midlands. The Surgery Division works across all three sites within the Trust - Queens Medical Centre, City Hospital, ropewalk House.

This is an exciting time to be joining the Surgery Division. We have secured significant capital and revenue investments to enable the relocation of some aspects of our elective surgical service from QMC to City Hospital, taking a first step towards the future vision of City Hospital as an elective campus and providing much needed additional capacity within the Division to support our elective recovery plans. The Division is building on the learning obtained during the successful national accelerator pilot, and this role gives opportunities to be at the forefront of a range of service developments which are leading the way at a national level.

Job description

Job responsibilities


Leadership- To provide visible inspirational leadership so that all staff in the Division are engaged and motivated to provide safe and effective patient care.- To foster a culture that promotes openness and where people have the confidence to speak up ensuring that communication mechanisms are operating effectively in the Division.- To foster a climate of innovation and improvement for all services in the Division, including encouraging staff to identify further opportunities for improvement.- To support the Divisional General Manager in the delivery of the strategic plans for the Division ensuring it is consistent with the aims and objectives of the Trust and ensure that the plans fully reflect the service needs of the Division.- To line manage the Specialty General Managers, holding them accountable for the management of daily operational and performance pressures and targets.- To deputise for the Divisional General Manager as required.

Performance- Hold specialties to account for the delivery of targets across quality, patient care, servicedelivery and risk, including RTT, cancer and financial targets.- To hold specialities within the Directorate accountable for delivery of workforce KPIs.- To line manage a team of Specialty General Managers.- To oversee the production of regular performance monitoring data for your Directorate for the divisional leadership team, trust committees and external stakeholders and to take earlyaction to ensure that action plans are in place to address any shortfalls.- Support the Divisional General Manager and the Deputy Divisional General Manager with the development and maintenance of robust performance management systems to ensure that each specialty delivers their operational performance standards.- To lead on the oversight and management of the clinical service strategies and annual plans for specialties within your Directorate.- To oversee the delivery of financial turnaround within your Directorate, working in conjunction with the Deputy General Manager on delivery of your Directorates FEP target in conjunction with the Divisional delivery overall.- To provide daily leadership and support to the emergency and elective pathways and flow within your Directorate and drive improvements within the admitted and non-admitted patient pathways.- To lead the Directorate action plans when the Trust is on Opel 4.- To work collaboratively with the Pathway GM for Theatres & Critical Care in the Clinical Support Division to ensure optimisation of theatre throughput and delivery of theatre efficiency plans within your Pathway.- To support the Flow Matron and Deputy Divisional Nurse in the daily maximisation of discharges and achievement of our SAFER targets for wards within your Pathway- To work with clinicians to ensure that professional staff have an opportunity to influence the management, planning of and development of services within the Directorate.- To be responsible for providing leadership and daily operational oversight management of the Directorate.- In conjunction with the Divisional General Manager and Deputy General Manager, to take responsibility for key projects including service re-design and any associated workforce change requirements.- To ensure that your specialties operationally manage patient pathways on the day to support delivery of their performance targets.- To support business cases for service improvement and capital development within specialties in your Pathway and to lead these if at Directorate management level and where appropriate to the role.- Work with the Divisional Governance Lead on key governance risks focusing on improving patient care.- To support the SGMs in undertaking reviews of workforce requirements in the Directorate to ensure that the right number of staff with the right skills are in place to deliver current and predicted future activity.

Person Specification

Training and Qualifications


  • oEducated to first degree level
  • oFurther training to masters level or equivalent experience
  • oPrevious successful management experience at a senior level within the NHS



  • oHighly developed leadership and organisational skills
  • oHighly developed specialist knowledge of NHS policy, health sector practices and functions of NHS provider organisations and current targets in place
  • oHigh level of understanding of NHS contracting and funding flows
  • oProven track record of senior operational management in a multi-disciplinary environment
  • oExtensive experience of influencing decision making within a large and complex organisation

Communication and Relationship


  • oDemonstrates ability to communicate highly complex, sensitive and confidential information appropriately.
  • oAbility to communicate with both internal staff and external agencies to ensure compliance with performance targets.
  • oHighly developed leader with strong interpersonal and communication skills
  • oAbility to inspire confidence and respect in others

Analytical and Judgement


  • oDemonstrates ability to analyse complex facts or situations in relation to performance targets, strategy, finance
  • oProven track record of managing operating budgets and delivering financial balance
  • oExperience of implementing and evaluating a range or projects/initiatives that represent solutions to changing workforce/service environments

Planning and Organisation


  • oProven track record of developing successful business plans and strategy for planning activity
  • oExperience of managing complex organisational change including working with clinical & non clinical staff to change team structures and ways of working
  • oConfident in presenting complex information to wide and varied audience both internal and external to the organisation
  • oExperience of formulating long term strategic plans and impact on the organisation - translating business strategy into operational delivery

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


Queens Medical Centre



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