General Manager - Critical Care, Anaesthetics, Theatres and Pain

Lewisham and Greenwich NHS Trust
£70,417 to £81,138 per annum
Closing date
1 Oct 2023

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Other Health Profession
Band 8C
Contract Type
Full Time
It's an exciting time to join our team at Lewisham and Greenwich NHS Trust and the triumvirate leadership team for the Critical Care, Theatres, Anaesthetics and Pain directorate, within the division of Surgery. Together, the directorate leadership team will work collaboratively to deliver the trust's key safety, operational performance and financial priorities.

We are building two new theatres (to open in 2024), as part of creating a High-Volume Surgery (HVS) hub at University Hospital Lewisham for ENT and Urology surgery. The hub will enable the consolidation of HVS activity in these specialties from across SEL providers, supporting elective recovery through effectively utilising resources across the system and by ensuring significant improvements for patients' access to timely treatment. There are also in place strategic plans for a new critical care unit on the Woolwich site.

Alongside we have underway a major theatre improvement programme across both sites and would welcome applications from experienced leaders who have led significant change and organisational development programmes, ideally in a theatre setting.

To deliver all of this, we are looking for candidates with excellent leadership and people management skills to ensure we recruit and retain a high calibre workforce for the whole directorate.

If you would like to be part of this journey with us, we would love to hear from you.

Main duties of the job

To support the Divisional Director of operations, Service Leads and divisional managerial staff in the planning, development, provision and review of, patient focussed and cost-effective integrated pathways and services.

Puts the interest of patients / service users at the heart of all managerial decisions.

To provide professional operational leadership for the Division, where relevant managing non-medical staff and agreed service portfolios.

To ensure that the Division achieves its local and national performance targets thorough robust processes developed with the Divisional Service Managers.

To contribute to the achievement by the Trust of its corporate targets.

To deputise for, and act up on behalf of, the Divisional director of operations.

To participate in the Trust Manager on call rota.

About us

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around �700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
  • Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  • Widening access (anchor institution) and employability
  • Improving the experience of staff with disability
  • Improving the EDI literacy and confidence of trust staff through training and development
  • Making equalities mainstream

  • Job description

    Job responsibilities

    To work closely with the performance teams and communications teams in promoting Trust services.

    Respond to urgent or serious patient complaints ensuring immediate risk management, and where possible defusing complaints by satisfying the complainant with the actions taken.

    To keep the Divisional Director of Operations appraised through regular reporting and analysis of specialty-specific developments and trends.

    Contribute to the development of the annual Service Business Plan in conjunction with Divisional Director of operations, Service Leads and divisional managerial staff. Lead on specific elements of the plan as defined by the Divisional Director of Operations.

    Provide the Divisional Director of Operations with relevant information for the contract negotiation process, so that Trust income can be maximised and clear objectives can be set.

    As directed by the Divisional Director of Operations is responsible for securing the necessary resources and facilities to deliver the Business Plan to support high quality, cost effective service delivery.

    To provide assurance that the agreed financial activity and other performance targets in the annual Business Plan will be delivered. Escalate immediately any concerns pertaining to non delivery to the Divisional Director of Operations.

    Work with key stakeholders and partners to maximise the QIPP agenda.

    On behalf of the Divisional Director of Operations be responsible for the performance monitoring of activity on a daily basis, to support the achievement of the Trusts targets, and monitor subsequent actions required.

    Lead on and develop action plans where required for the turnaround of any specific performance issues

    Ensure that standards of service set are reviewed to support the delivery of services in line with NSFs national and local guidance and benchmarks, local contractual requirements, activity and financial targets.

    Set up effective arrangements for monitoring performance regularly with your Service Managers, identifying areas for improvement and action.

    Ensure that the Division provides high quality pathways and services, responsive to the needs of patients, carers, service users, and General Practitioners.

    Ensure effective arrangements are in place across the Division for Clinical Governance including clinical incident reporting and clinical risk management.

    Lead on specific pieces of work as deemed appropriate by the Divisional Director of Operations, providing a robust plan for delivery with agreed metrics.

    As a Trust Senior Manager carry out management investigations into clinical incidents and staff management issues as requested, and to act as presenting manager or chair meetings held under the Trust workforce policies.

    Responsibility for business continuity in division.


    Lead the Service Management team, gaining others confidence and inspiring engagement with the agenda.

    Provide leadership to and manage all relevant non medical staff in the Division, through an effective service management team.

    In conjunction with the Divisional Director of Operations develop the Service Management team by creating appropriate development opportunities.

    Be responsible, where relevant, for the recruitment, management and development of all non-medical staff in the Division and to enable them to deliver a high quality service and to fulfil their individual potential.

    Support the Division in taking a proactive approach towards tackling HR issues including recruitment and retention, labour utilisation and skill mix.

    Lead on, develop and maintain an appraisal system for non-medical staff within area of management responsibility in the Division in accordance with the Trust Performance Management Guidance and IPD Policy.

    Ensure that appropriate action is taken to deal with issues of staff discipline, grievance, poor performance and sickness, up to and including dismissal.

    As a Trust Manager carry out investigations of staff management issues in other areas of the Trust as requested, and present at meeting held under the trust workforce policies. Chair meetings held under the Trust workforce policies as required.


    To be responsible for an agreed budget, the financial stewardship of the Services business affairs and for ensuring that financial targets agreed with the Executive are met.

    To ensure thatthe Division is achieving its contracted activity and access targets. Escalate any concerns immediately to the Divisional Director of Operations.

    Support the General Manager in the development of cost improvement schemes which are deliverable, measureable and will not compromise patient safety, quality, clinical effectiveness or the ability of the service to deliver agreed standards of care/achieve operational performance standards

    In conjunction with Finance, Information and Contracting Departments, provide the clinical teams with comprehensive analytical support when required.

    Advise the Divisional Management team on trends and variances.

    Person Specification

    Qualifications and Training


    • Post graduate training in Business or NHS Management in progress or completed
    • Masters degree or equivalent ability Formal education to first degree level or equivalent ability



    • Experience of Managing specialist services
    • Significant operational management in an acute NHS Trust or community services, including senior level experience
    • Significant staff management, including senior level experience
    • Significant budget management experience
    • Management of change
    • Familiarity with basic IT applications

    Knowledge and Skills


    • Shares leadership with and is respected by clinical and non-clinical staff
    • Adaptable to changing circumstances & able to prioritise effectively
    • Thinks and solves problems creatively
    • Excellent communicator who is able to direct when required
    • Engages effectively across boundaries, while operating in partnership with stakeholders towards a shared vision
    • Demonstrates insight into own limitations and abilities - able to actively seek support and advice when required
    • Interprets complex management data/information
    • Attention to detail

    Personal Qualities


    • Has the drive and energy to make things happen frequently goes above and beyond the call of duty
    • Flexible

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust


    Cross Site - University Hospital Lewisham and Queen Elizabeth Hospital

    Lewisham High Street


    SE13 6LH

    Any attachments will be accessible after you click to apply.


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