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Head Of Elective Delivery Trust-wide, Band 8d

Chelsea and Westminster Hospital NHS Foundation Trust
£91,317 to £104,122 a year incl. HCAS
Closing date
27 Feb 2024

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Other Health Profession
Band 8D
Contract Type
Full Time
Head of Elective Delivery Trust-Wide Band 8DChelsea and Westminster Hospital NHS Foundation TrustCross site - Chelsea and West MiddlesexThis Post Attracts On-Call Allowance

We are delighted to be recruiting to our senior operational team working across our two hospital sites and with all clinical divisions. This is an exciting new role and opportunity for an experienced senior manager to work cross-specialty and Trust and establish themselves as a credible senior manager in a successful London NHS Foundation Trust.

As the Head of Elective Delivery you will be accountable to the Divisional Director of Operations for Planned Care, and working in partnership with senior managers and clinicians from all divisions across the trust.

The Head of Elective Delivery is responsible for ensuring that elective careperformance and recovery, including the elimination of long wait backlogs is delivered. They will take a senior lead and coordinate key actions and initiatives across clinical services to reduce the number of patients waiting a long time for elective treatment.

The Head of Elective Delivery will provide effective leadership and is a key member of the Trust's senior management teams. The post holder will require a high level of specialist knowledge relating to elective care, RTT and cancer patient pathway tracking and non-RTT management.

Main duties of the job

  • Accountable to the Divisional Director of Operations, and working in partnership with Clinical Directors and Divisional Nurses, the Head of Elective Delivery is responsible for operational delivery, operational performance, and business development related to Elective Care across the Trust. The Head of Elective Delivery will provide effective leadership and is a key member of the Trust's operational senior management teams.
  • Responsible for the delivery of performance and productivity including national targets and objectives set as part of Trust business planning.
  • Alongside the relevant Divisional teams, the Head of Elective Delivery will lead clinical and operational teams, which will include managers responsible for service and performance, to ensure the efficient and effective delivery of high quality patient centred elective services, strategic planning and development and change programmes.
  • A continuing challenge for the Trust is to improve services within reduced resources. The Head of Elective Delivery will continually review organisational structures and processes across elective pathways to maximise efficiency and productivity.
  • The Head of Elective Delivery will be responsible for negotiating and managing Service Level Agreements and contracts with external providers including from the Independent Sector.


About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the safest and best performing Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection..

Our facilities are some of the best in the country. We have been investing around �10 million a year in our estate. We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

  • Delivery of safe, high quality patient Care

  • In partnership with Divisional senior management teams, the Head of Elective Delivery will:
    • Ensure that high quality elective services are delivered in line with the Trusts Quality Strategy and available financial resources.
    • Provide tailored support to specialty teams, and where necessary commissioners and ICB elective care leads to support recovery of the RTT standard and elimination of long waiting patients (patients waiting over 52 weeks)
    • Provide rapid assessment of the issues impacting sustainable delivery of the RTT standard and elimination of long wait patients
    • Agree the recovery plan to support sustainable delivery from March 2024 onwards with commitment from all stakeholders to actions, timeframes and accountability.
    • Identify the necessary bespoke support to enable these actions to be implemented
    • Ensure that the Trust is able to sustainably deliver elective care performance recurrently.
    • Ensure that actions and timelines are being achieved using escalation processes as necessary to support elective delivery.
    • Ensure non-RTT pathways are correct and managed appropriately in conjunction with RTT demand and capacity
    • Identify and liaise with the independent sector to treat large volumes of patients as needed to deliver operational performance.
  • Operational Planning and Delivery
    • Be responsible for the operational delivery of elective care performance across agreed challenged specialties. These services may be across sites within the Trust, and may also be across sites that are external to the Trust.
    • Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented.
    • Initiate and oversee regular reviews of challenged pathways, and support Divisions to ensure new developments are appropriately resourced through the business planning process.
    • Monitor activity in relation to agreed plans and national access targets, and implement immediate corrective action in relation to any significant underperformance/ over performance
    • Respond at a senior level and in a timely fashion to frequent and unpredictable day-to-day operational issues as required. Liaise directly with patients and staff to resolve urgent concerns, including resolving stressful or distressing situations
  • Performance Management
    • Be responsible for leading the development of the elective performance management framework and ensuring its implementation in order to deliver national and local performance targets across the trust by:
    • Supporting and improving organisation operational performance to meet specific access targets set by both central government and the Trust.
    • Developing and supporting service redesign and quality initiatives.
    • Supporting corporate performance in relation to national and local targets in collaboration with colleagues across the Trust, advising and supporting the implementation of national standards for which responsibility does not lie solely with the Head of Elective Delivery.
    • Taking appropriate action where services are not achieving agreed targets
    • Implementing service reviews where there are performance concerns or operational delivery challenges.
    • Ensure that the Trust processes in relation to elective contractual requirements e.g. demand management are fully adhered to.
    • Advise the Trust on the appropriate clinical and activity information required effectively to manage elective performance across the Trust
    • Produce senior level reports for a range of people (e.g. Divisional Directors, Chief Executive, Executive Team, Trust Board, Commissioners and Network Boards) in relation to elective delivery. This could involve gathering information from Finance, Information and Human Resources, analysing any data, interpreting this within the report and setting out associated action plans.
  • Strategic Planning and Change Delivery
    • Ensure effective stakeholder management across different departments and at all levels, maintaining relationships with key and high profile stakeholders, including with key strategic regional and national policy makers.
    • Have a heightened political awareness and ability to work in a politically sensitive and unpredictable environment.
    • Lead the development of the elective care plan for the Trust, ensuring that it supports delivery of the corporate plan and meets financial management expectations, ensuring the plan is developed with and owned by staff and be consulted on widely, both within the Trust and externally with stakeholders.
    • Include patient and staff survey results, capacity planning, financial planning, service improvement, diversity and equality and governance as an integral part of elective care planning and ensure full implementation.
    • Develop robust and comprehensive cases for new developments, ensuring that they are approved by the appropriate forum. The post-holder will also ensure timely implementation and benefits realisation of approved cases.
    • Be responsible for leading the development and implementation of improved and innovative capacity planning to enable more flexible use of clinical capacity

    Person Specification

    Education and Qualifications


    • Educated to degree level/equivalent
    • Educated to degree level/equivalent
    • Higher Degree or equivalent


    • Post graduate qualification or evidence of post graduate education



    • Significant track record of senior level management experience gained in a complex acute hospital setting
    • Substantial experience of managing both clinical and/ or non-clinical services
    • Experience in liaison and negotiation at organisational level internally as well as externally, with a range of stakeholders
    • Experience in leading, managing and developing a multidisciplinary team, including objective setting and performance management
    • In-depth professional knowledge in a number of disciplines including e.g. financial management, performance management, information systems, staff management acquired through training and experience over extended period
    • Project management experience of delivering clinical services during the implementation of a building project or capital redevelopment plan.
    • Experience of successfully influencing and negotiating across a range of clinical services including Executive colleagues


    • Experience of working as part of a multi-site department.
    • Commercial tender experience

    Skills and Knowledge


    • Problem solving: having the capacity to analyse problems in a logical and structured way using qualitative and quantitative information, generating optional and innovative solutions and adapting approaches to problem-solving to achieve sustainable outcomes
    • Insight: being able to anticipate problems, to understand the driving forces behind problems, or potential problems and being able to identify and use the levers to achieve change
    • Influencing & Negotiating: being skilled in influencing and negotiating internally and externally and at a senior level using these skills to gain the best deal for the Trust or for the medical profession
    • Judgement: having the ability to make informed management judgments balancing risk with safety
    • Presentation: being articulate and skilled in presenting ideas to others
    • Opportunism: having the ability to seek out, recognise and pursue opportunities Have proven ability to operate and think laterally at operational and strategic levels, with good analytical skillsE
    • Be articulate with practiced and developed interpersonal communication and presentational skillsE
    • Ability to initiate and create ideas
    • The ability to work constructively with clinicians in general and medical staff in particular.E
    • People Management skills: including staff management, building effective relationships, and teambuilding.

    Employer details

    Employer name

    Chelsea and Westminster Hospital NHS Foundation Trust


    Cross site/Trust-wide


    SW10 9NH

    Any attachments will be accessible after you click to apply.


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