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Directorate Manager for Trauma & Orthopaedics - INTERNAL

Royal Berkshire NHS Foundation Trust
£58,972 to £68,525 per annum
Closing date
27 Sep 2023

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Other Health Profession
Band 8B
Contract Type
Full Time

Band 8B Directorate Manager (Trauma and Orthopaedics)

**Exciting Management Opportunity**

The Planned Care Group provides services at five sites with an annual c�120M budget and around 38,500 day case/in patient episodes of care together with outpatient activity of 300,000. This is our largest Care Group and sits at the heart of our organisation as we work to sustain our financial delivery and modernise the way we work from a business and management point of view.

We are looking to recruit a talented and ambitious Directorate Manager for Trauma and Orthopaedics as we continue to build on our reputation for delivering high quality, well-led services in a hospital that is rated as Good by the CQC. Supported by the Clinical Director and Matron for Trauma and Orthopaedics and working in partnership with our care group directors this is an exciting opportunity for a leader with an appetite for continuous improvement and managing demanding services.

This Directorate leads the service delivery for both Trauma and Elective Orthopaedic services across our two 30 bedded inpatient ward areas and extensive out-patient services seeing over 60,000 patients every year.It is also expected to take on oversight of the Private Patients operational management team over the course of the next few months.

Main duties of the job

You will need to be enthusiastic, committed and have excellent interpersonal skills. You will work closely with your clinical teams as we work together to take the Care Group forward and develop our services for the future. A key part of the role will be developing and supporting a Care Group culture of managers and clinicians working together to lead teams for the benefit of patients, and making things happen through an action orientated approach. As a successful Trust with a high CQC rating, and a track record of achieving access standards and delivering financially there is wide scope for working with partners internally and externally across the Integrated Care System (BOB ICS).

To undertake this challenge you will need to have a real passion for continuous improvement. The Trust takes personal and professional development very seriously and opportunities to pursue both these objectives will be available to support you and help you meet your career aspirations. The Trust has formed a unique partnership with Henley Business School to offer a robust three year management leadership programme to its staff. Staff successfully completing the programme will achieve a BA Hons Chartered Manager degree and be eligible to apply for membership of the Chartered Management Institute. Talent management is an important Trust workforce goal.

About us

This is a challenging role with an accent on delivering high quality safe care and managing our waiting lists effectively to support elective recovery requirements and trauma workflow. You will collaborate with a wide number of teams cross care group to ensure timely and robust treatment of a range of orthopaedic conditions.

RBH has successfully risen to the challenges of the pandemic and is proud to have continued to provide excellent and safe care for its patients over the last few years. Focus now turns to recovering our backlog while continuing to press ahead with an exciting programme of improving our surgical pathways through transforming how and where we provide our services. Alongside this, it is crucial that we optimise our theatre efficiency and ensure the effective management of our emergency pathways.

We are also working towards an ambitious aim of living within our means and delivering financial balance. You will be instrumental in designing and managing schemes and processes that can make these aspirations a reality. A track record in the development of efficiency improvements and cost improvement programmes would be a significant advantage.

Serious applicants should contact Balie Moriarty, PA to PCG Directors as informal discussions/visits are strongly encouraged before application or before interview. Please contact Balie on 0118 322 7189 / balie.moriarty@royalberkshire.nhs.ukwho will be pleased to arrange a conversation, visit or meeting with the team.

Job description

Job responsibilities


To accept delegated responsibilities from the Director of Operations to ensure the management and delivery of excellent service results, providing leadership and acting as a role model for the staff and services within the portfolio.

To deliver commissioned levels of service within allocated resources and develop action plans to manage variances, in partnership with the Clinical Director, and Clinical Leads.

To take a lead role in the delivery of national standards.

To ensure effective processes and procedures are in place to monitor and track performance indicators.

To ensure the performance indicators relevant to specific work areas are reported both internally and externally and within allocated deadlines.

To provide regular reports on activity levels, performance against quality standards, financial and performance management issues, highlighting variances and creating action plans to resolve.

To manage activity targets within the Directorate through co-ordination and monitoring of waiting lists and to work with the Care Group Director and Director of Operations to ensure that standards relating to patient access are achieved.

To ensure that all relevant performance standards are met within the Directorate, introducing or facilitating the introduction of new technology and working practices as appropriate.

Take responsibility for the production, development and implementation of policies across the area of responsibility, some of which will impact beyond the immediate service area.

To support the Clinical Director in the preparation of clinical business plans and so undertake long term strategic planning for designated services and prepare proposals for the planned growth of any of the services within the portfolio, or that support other services inside or outside the Care Group. These should take into account activity, outcomes, benefits (clinical and non-clinical) and income potential.

To ensure information returns required by the Trust, Commissioners, NHS England and other partner organisations are delivered and are timely, accurate and presented to a high standard.

To access and interrogate existing information systems (CRAB, Datix, SLR, GIRFT etc.) in order to understand, analyse and report activity and/or changes in services covered to supplement existing standard information provided.

To prepare reports on the relevant services within the portfolio for the Board of Directors/Executive Management Committee (EMC) as and when required.

To use research and experience elsewhere in the NHS to inform service development and support the implementation of all relevant NICE Guidance.

To produce business cases for service development ensuring that implication of service changes or development have been accurately assessed for submission to the appropriate corporate body.

To undertake full service reviews as and when required, and to produce information for monthly performance reviews.

To represent the Director of Operations at meetings as requested and as appropriate.

To undertake project work on behalf of the Director of Operations as required.

To investigate complaints in areas of responsibility providing responses as appropriate and in conjunction with the Matron, Clinical Lead and Clinical Director.

To assist in the implementation of improvements as a result of learning from Datix Incident Reporting forms and complaints, so that adverse experiences and incidents are reduced in severity and frequency.

To ensure a robust communications mechanism is in place, and information is delivered and received in a timely manner within the Directorate and across the Care Group and Trust as appropriate. .

To take responsibility for any personal and professional development.

To participate in the Trusts on-call manager rota.



To actively manage the staff within the Directorate Managers portfolio to achieve high attendance, low absenteeism and low turnover as per Trust objectives and standards.

To ensure delivery of the Trusts appraisal system within the defined area of responsibility, ensuring that every member of staff has measurable objectives and a personal development plan, which is commensurate with the needs of the service and underpins the Trusts strategic plans.

To ensure active application of the Trusts Maintaining Health and Attendance policy.

To deal promptly with matters relating to performance and support within the context of the Trusts Performance Management policy and the policy for Maintaining High Professional Standards for Medical and Dental Staff.

To undertake exit interviews and develop a strategy to improve recruitment and retention and eliminate dependence upon agency staff.

To ensure delivery of the Trusts Human Resources and Workforce policies.

To participate in national and local Human Resources and Workforce Initiatives.

To ensure a learning environment and culture exists within the services and support the Trusts Training and Development Strategy.

To ensure an annual training and development plan is completed and actioned for the areas that fall within the Directorate Managers remit.

To ensure the statutory, essential skills and other training (including equipment training) is completed and that attendance and non-attendance records are maintained.

To lead the recruitment and retention process of staff as appropriate, effectively inducting new staff in accordance with the Trusts induction programme both corporate and local.

To devise, develop and implement skill mix reviews and other workforce planning strategies for the service.

To create cohesive and flexible teams who identify strongly with other teams in the Care Group and Trust.


To have responsibility for the management of all non-nursing budgets within the Directorate.

To ensure financial systems are in place to monitor and achieve budgetary control in those areas included within the portfolio, and to take any remedial action identified as necessary.

To work closely with the Director of Finance for the Care Group and the Director of Operations to agree the annual budget for the services within the portfolio, identifying opportunities for cost improvement programmes, service improvement programmes and cash releasing efficiency savings, providing the Director of Operations with accurate costings of cost pressures and service developments.

To exercise control over staff and non-staff expenditure. To contain expenditure within budget and develop annual cost improvement plans.

To achieve income-related targets.

To ensure opportunities to increase income for the Trust under Payment by Results are pursued in conjunction with other colleagues/departments/services.

To review monthly budget statements with Heads of Departments, Coordinators and other senior staff as appropriate, agreeing action to contain expenditure within budget.


To provide on-going review of facilities with colleagues within the Directorate to ensure optimum use of resources.

To oversee capital development programmes for the services within the defined area of responsibility, in close liaison with the Head of Estates.

Person Specification

Leadership and Experience


  • Significant leadership experience in senior role at Band 8a level.
  • Experience within multi disciplinary pathways.
  • Experience, knowledge and understanding of managing risk and finance.
  • Experience of producing information, monitoring performance and identifying opportunity for service improvement.
  • Experience & knowledge of business planning techniques and managing business processes.
  • Experience of monitoring data & information on performance and highlighting variances.
  • Experience of working on projects and/or in a complex programme environment. Ideally experience of specialist work streams.


  • Post graduate level of study.
  • Experience of patient pathway management in Orthopaedics.
  • Experience of working within the NHS within an acute hospital environment.
  • Familiarity with medical terminology & coding systems such as ICD10, OPCS, SNOMED.
  • Knowledge & understanding of NHS data dictionary and data standards. Experience of data analysis and data modelling tools.



  • Educated to degree level or equivalent level of experience.
  • Evidence of continuing professional development.


  • Post Graduate management qualification.
  • Any attachments will be accessible after you click to apply.


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