Senior Improvement Coach

Portsmouth Hospitals University NHS Trust
£50,952 to £57,349 a year
Closing date
11 Jun 2023

View more

Other Health Profession
Band 8A
Contract Type
Full Time
Here at Portsmouth Hospitals University Trust we are at a truly exciting time. We have been working hard to improve care for our patients and our communities and are proud of all we have achieved so far. But we don't want to stop there. To achieve excellence, we have further developed our Trust-wide approach to how we manage and deliver high quality care through embedding continuous improvement into all of our day-to-day actions, functions, and processes engaging and developing staff. We have designed our whole organisation operating model Delivering Excellence, based on Operational Excellence, and are embedding continuous improvement at every level across the organisation.

If you have a passion for improving services and want to play a pivotal part in implementing continuous improvement across our organisation, then we would love you to join us!

Main duties of the job

As a Senior Improvement Coach in the Improvement Team, you will provide expert leadership and facilitation of continuous improvement activities across the organisation in line with the Trusts strategic priorities. You will ensure the development, implementation and application of continuous improvement methodologies to support the Trusts operational, clinical and financial priorities, building capability and capacity for improvement throughout the workforce utilising various methods of training, mentoring and coaching. The position is varied and hugely interesting and training and development will be provided to support you to build an extensive skillset in continuous improvement. Duties will include:
  • Coaching divisional, care group and departmental teams to embed the Delivering Excellence Every Day management system to support delivery and improvement of services.
  • Provision of direct expert improvement coaching and facilitation to multi-disciplinary teams, leaders and staff.
  • Design, co-ordination and facilitation of improvement events, providing a structured approach to the application of improvement science.
  • Development of an organisation wide network of improvement leaders to embed and sustain continuous improvement practice across PHU.

About us

The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veterans status, colour, religion, disability, sexual orientation and beliefs.

Job description

Job responsibilities

The Senior Improvement Coach will be a member of the core Improvement Team and will provide expert leadership and facilitation of improvement activities across the organisation in line with the Trusts strategic priorities.

Working to the Head of Continuous Improvement and working closely with colleagues across clinical and corporate functions, the Senior Improvement Coach lead the development, implementation and application of continuous improvement methodologies across Delivering Excellence work streams, to support the Trusts operational, clinical and financial priorities. They will support the Trust to build capability and capacity for improvement throughout the workforce through the delivery of formal and informal methods of training, mentoring and coaching. They will contribute to the ongoing development of the Delivering Excellence framework to ensure that it reflects ongoing best practice in improvement and reflects national, regional and local changes in healthcare policy and strategy.

Key Responsibilities:

Improvement facilitation - daily continuous improvement
  • Provide front-line, care group and divisional level improvement coaching to support operational teams to reach high standards of daily continuous improvement.
  • Support front-line teams to communicate effectively through improvement huddles, supporting the processes and behaviours that enforce continuous improvement.
  • Provide expertise to support the identification of waste, improve process flow and establish an effective workplace using improvement tools & techniques (e.g. 5S, gemba walks, waste observation, A3 thinking etc).
  • Directly apply some improvement tools to support teams understanding of their own service where those skills or capacity does not exist.
  • Train and support staff to develop standard work for core processes that reduce waste and reinforce sustainability.
  • Support the establishment of systems for assuring adherence to standard work, visual management and workplace communication.
  • Support teams to actively manage their service delivery on a daily, weekly and monthly basis, including providing frameworks for rapid problem solving, countermeasures and escalation where needed.
  • Provide expert advice to support teams to understand, interpret and present their own data and information, including patient experience feedback. This will include providing support to gather data where this is not readily available.
  • Engage and motivate staff in daily activities to encourage and build a culture of continuous improvement within the workplace.
  • Coach and mentor leaders and managers to support their teams in daily continuous improvement, role-modelling the values of the Trust and the improvement principles of Delivering Excellence. This may include providing robust challenge and feedback at times.

Improvement facilitation step change
  • Work across the organisation to lead the design and delivery of improvement and transformational change activities, programmes and projects in line with the Trust strategic priorities.
  • Provide direct expert improvement coaching and facilitation to programme teams and to multi-disciplinary teams to deliver excellent services to their patients and carers.
  • Design, co-ordinate and facilitate rapid improvement events, providing a structured approach to value stream mapping, problem solving, creative/design thinking, iterative testing and evaluation of solutions and practical implementation into operational services.
  • Support teams to translate care pathways or service delivery processes into detailed process maps and use them as catalysts for transformation and communication.
  • Support teams to identify the optimal patient pathways or service delivery processes, by working with them to identify and eliminate waste and maximise quality efficiency and effectiveness.
  • Evaluate, analyse and synthesise highly complex quantitative and qualitative data using tested and credible tools, including lean and other quality improvement techniques, and support teams to use this data to identify improvement priorities and to drive the delivery of measurable improvements.
  • Support teams to use robust problem-solving skills to find and understand root causes of problems.
  • Using sound communication and facilitation skills, support teams to identify solutions, ideas and experiments that can be applied and tested through robust application of improvement science.
  • Support teams to take a systems approach to improvement, understanding the interdependencies and complexities of their service in relation to others.
  • Ensure improvement changes are driven by the needs of the patient, their families and other stakeholders through the use of participative and design methods to incorporate their views and experiences.
  • Establish key performance indicators and ensure robust tracking and reporting of milestones, deliverables and improvement measures and benefits using a 30,60,90-day rapid improvement approach. This will include using a counter-measure approach to ensure risks and issues are addressed and do not affect project progress.
  • Produce succinct written documentation, reports and presentations arising from the step-change initiatives, which make recommendations and present findings at all levels throughout the Trust including to senior clinical and management audiences.
  • Role-model improvement principles and provide coaching of teams throughout the improvement activities to build sustainable improvement skills and understanding across staff and leaders, creating the cultural conditions for improvement.
  • Build trust and confidence through effective relationships across the Trust with clinical leaders, service managers and support staff.

Other responsibilities
  • Maintain a competent, skilled and up-to-date knowledge base of key national drivers that impact on the design and delivery of clinical services.
  • Demonstrate high level of computer-literacy including creation and use of spreadsheets, databases, charts, reports and data analysis in formats that will enable informed decision-making, working with a high degree of accuracy.
  • Records personally generated information and complies with GDPR regulations.
  • Model and contribute to best practice at team and project meetings.
  • Attendance at team and project meetings, acting as a meeting chair in some instances.
  • Provide cover for colleagues as appropriate.
  • Undertake any other duties requested as appropriate to the banding.
  • To participate in an annual individual performance review process where objectives will be agreed, performance monitored & personal development needs discussed.
  • Act responsibly in respect of colleagues health, safety and welfare, and following safe work practices, and complying with the Trusts Health and Safety policies.
  • Adhere to all Trust policies as applicable.

Person Specification

Skills and Knowledge


  • Excellent analytical, problem solving, organisational and interpersonal skills.
  • Ability to create engaging and inspiring training materials, resources and communications.
  • Ability to work effectively with staff at all levels in the Trust, particularly frontline staff, clinical leaders, business partners and care group and divisional management teams.
  • Problem solving having the capacity to analyse problems in a logical and structured way using qualitative and quantitative information, supporting the generation of innovative solutions, and adapting approaches to problem-solving to achieve sustainable outcomes.
  • Ability to lead others.
  • Excellent written and verbal skills with the ability to adapt communication style dependent on audience.
  • Ability to develop, produce and present a wide range of complex information reports and analysis on a regular and ad hoc basis in a high quality and user-friendly format.
  • Aptitude to be able to manage and plan a broad range of complex activities and diverse workloads, making plans that align clearly to strategy often with conflicting timescales.
  • Evidence of highly developed negotiation and influencing skills in complex and highly contentious situations.


  • Able to present with confidence to a variety of audiences including senior managers, sometimes delivering highly contentious and sensitive information in a tactful manner which may require persuasiveness and reassurance.
  • Comprehensive IT skills with experience of using Excel for analysing and producing data, collating PowerPoint presentations, Word for producing professional briefing documents and Visio for process-mapping.



  • Degree Level or equivalent experience.
  • Improvement training/education at practitioner level or equivalent experience (e.g. Lean Green Belt, QSIR Practitioner, IHI Model for Improvement, PHUT Advanced Improvement Leader training).
  • Evidence of additional on-going training and development in-line with the specific requirements of this role.


  • Any attachments will be accessible after you click to apply.


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