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Divisional Director of Nursing, AHPs and Quality

North Middlesex University Hospital NHS Trust
£105,327 to £120,385 Per annum inclusive of outer HCAS
Closing date
19 Mar 2024

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Other Health Profession
Band 9
Contract Type
Full Time
This post requires a real commitment to the principles of devolution of decision making to clinical teams. The post holder will be skilled at coaching individuals to enable them to deliver the very best care. Working closely with the Divisional Director and Divisional Director of Operations, you will enable clinical leads to fully function. The role is for someone who enjoys managing change, who is skilled at developing others and who wants to consolidate their experience before moving to a board level post. Each division is managed by an equal triumvirate of a Divisional Clinical Director, Divisional Director of Operations, and a Divisional Director Nursing, AHPs and Quality.

Main duties of the job

This post requires a real commitment to the principles of devolution of decision making to clinical teams. The post holder will be skilled at coaching individuals to enable them to deliver the very best care. Working closely with the Divisional Director and Divisional Director of Operations, you will enable clinical leads to fully function. The role is for someone who enjoys managing change, who is skilled at developing others and who wants to consolidate their experience before moving to a board level post.

About us

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital here

Job description

Job responsibilities

Key aspects of the Divisional Director of Nursing, AHP and Quality role:


Provide clear Nursing and Allied Health Professional leadership to the division, ensuring that all Nursing and Allied Health Professional staff are appropriately managed and developed and that they are efficient, effective, engaged, and motivated.
  • Role model and inspire appropriate compassionate leadership behaviours.
  • Role model and embed a culture of accountability and celebration of achievement.
  • Work closely with the Chief Nurse, Deputy Chief Nurse, and other Divisional Directors to support all Nurses, Midwives and Allied Health Professionals with their continual personal and professional development and the delivery of the Nursing and Midwifery and AHP strategies.
  • Be responsible for developing the divisions practices in relation to patient outcomes, development, and maintenance of care standards for all patients.
  • Lead on the divisional implementation of national and local quality drivers arising from national enquires.
  • Provide management responsibility, leadership, and expert advice to divisional Matrons / Clinical Heads of service on a variety of clinical issues to ensure clinical, safeguarding and educational standards set by the Trust are implemented and monitored within the division.
  • Be able to represent the Trust on professional Nursing, Midwifery and AHP issues at a regional and national level.
  • With the Divisional Clinical Director, promote a culture that nurtures and promotes effective multi professional working to deliver quality outcomes and meet performance KPIs.
  • Ensure that there is a clear culture of clinical supervision and support embedded within the Trust.
  • Lead on designated Trust wide corporate nursing issues based on Division responsibility.
  • Lead on infection prevention and control and safeguarding for the division and significantly contribute to the Trust and London agenda in these areas.
  • Jointly lead on the patient first continuous improvement initiative for the division.

Quality Governance

With the Divisional Clinical Director and Divisional Director of Operations, manage an effective divisional quality governance structure in line with the Trust Quality Strategy.
  • Alongside the Divisional Clinical Director take responsibility for ensuring that robust and comprehensive quality governance arrangements are in place within the division, that these link appropriately to corporate arrangements and that the governance agenda is delivered within the division (this includes addressing CQC standards, risk management, review of critical incidents, identifying and reviewing key clinical and service indicators and audit outcomes and implementing information governance requirements).
  • Be the divisional lead for CQC compliance, preparing the division to reach the goal of a CQC outstanding rating.
  • Lead the management of effective serious incidents and complaints investigations and responses, ensuring compliance with nationally determined response times targets and ensuring the cause of the SI/complaint is remedied and learning occurs at divisional level and reported to Trust Corporate Quality Governance team.
  • Ensure the ward accreditation is implemented and embedded within the division.
  • Ensure that there is a divisional focus on patient engagement and constantly improving patient experience.
  • Be responsible for ensuring that data relating to all aspects of the divisions clinical activities is of the required level of completeness and accuracy.
  • Ensure the highest level of privacy and dignity are maintained throughout the division for all patients and relatives.

  • Ensure that all aspects of performance are appropriately monitored and managed within the division through an accountability framework.
  • Alongside the Divisional Director and Divisional Director of Operations lead the monthly performance review in line with the Trusts accountability framework.
  • Be responsible for the efficient and effective use of division resources, for the effective management of Nursing and Allied Health Professional clinical budgets, balancing quality services and cost efficiency. Developing income opportunities wherever possible and for ensuring that robust financial management systems are in place to support this, devolving budgetary management as appropriate within the division.
  • Be responsible for regular skill mix review of the nursing and AHP workforce ensuring the introduction of creative new roles where appropriate, and that staff are facilitated to work at the top of their license.
  • Develop clinical policies and service plans in conjunction with the Divisional Clinical Director to ensure that the division achieves compliance with statutory regulations and to ensure that the division complies with all Trust policies and procedures and to contribute to their formulation as appropriate.
  • Manage Human Resource issues including disciplinary and grievance procedures, pay, locum arrangements, recruitment, retention, personal and professional development of all Nursing and Allied Health Professional staff.
  • Escalate issues, concerns, or feedback (internal or external) though the divisional route and to the Chief Nurse and/or Operating Officer as required.

Change Management

Support the development of service improvements across your division. This will be underpinned by:
  • Supporting the development of the divisions Nurses and Allied Health Professionals.
  • Ensuring that continuous improvement methodology is used and embedded across the teams.
  • Support the development of Key Clinical Performance Indicators for each service.
  • Support the development of a clinical performance structure and processes within each service.
  • Benchmarking against best practice and national guidelines.

Co-ordination of the Division
  • Work with the Divisional Clinical Director and Divisional Director of Operations in the development and co- ordination of the Division from a Nurses and Allied Health Professional perspective.
  • Ensure that Nursing and Allied Health Professional practice is audited and demonstrates an improving trend.
  • Use highly developed compassionate leadership and influencing skills with the ability to motivate, inspire and involve individuals from the division.

  • Undertake a coaching role within the organisation including to enable the Trust to create a succession plan so that talented clinical staff can be developed and promoted internally.
  • Promote a culture that proposes effective multi-professional teams working to strengthen quality, improve locally and nationally agreed patient safety measure and enhance patient experience and engagement within the division.

  • Ensure that there is a specific commitment to deliver equality and

inclusiveness in all aspects of divisional activity including service provision and recruitment, development, and management of staff.

Education and Training/Self Development
  • Identify own training and development needs and undertake appropriate training/education as required.
  • Participate in an annual individual performance review process where objectives will be agreed, performance monitored, and personal development needs discussed.
  • Attend all statutory and mandatory training as and when required to do so. Ensure that these are also attended by the Nurses and Allied Health Professionals within the division.

Spend a minimum of half a day a week in clinical practice.
  • Act responsibly in respect of colleagues health, safety and welfare following safe work practices and complying with the Trusts Health and Safety Policies.
  • Adhere to all Trust Policies as applicable.

Team Working
  • Work collaboratively with other Divisional Directors of Nursing and the Deputy Chief Nurse to ensure that the corporate objectives/Nursing and Midwifery and AHP objectives are achieved.
  • Lead and support the divisional Nursing and Allied Health Professional teams in achieving optimal levels of service provision and meeting objectives.
  • Develop and advocate for ICS and partnership working to the benefit of patients and the Trust.

  • All staff are responsible for the continual compliance with CQC standards and outcomes.
  • Work in line with, the Trusts Safeguarding Adults and Children procedures.
  • Be part of the Trust on call rota.

Person Specification

Education and qualifications


  • Registered Nurse or Registered AHP BSc/MSc (or equivalent) in relevant subject.
  • Doctorate or relevant High level strategic experience obtained through work and additional theoretical learning, this could be a long or a combination of short courses at the relevant/equivalent level.
  • Management Qualification.


  • PhD

Skills and abilities


  • Organisational skills - able to deliver objectives within an agreed timeframe.
  • Leadership - highly developed clinical leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams and have them understand the Trust's and Divisions clinical performance expectations.
  • Able to act as an advocate and representative for nursing and AHP staff and patients.
  • Presentation - presents concepts and ideas clearly so that others understand what is being communicated.
  • Coaching skills - relevant training or experience of coaching staff.
  • Able to build rapport and credibility with senior clinical and managerial teams in the delivery of performance targets, service delivery and change programmes. Analysis - proven numeric and analytical skills.
  • Ability to analyse highly complex problems and to develop practical and workable solutions to address them.
  • Communication - relates to and communicates with all levels of staff, delivering often complex and sensitive information.
  • Able to prioritise work in the face of competing demands.
  • Able to prioritise work in the face of competing demands.
  • Strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority.
  • Able to collaborate constructively with internal and external partners to create conditions for successful partnership working.
  • Has a highly developed understanding of the changing NHS environment and its impact on service provision and staff.
  • Extensive knowledge of practice and policy across a broad range of responsibilities e.g. finance human resources.
  • Understanding of how to use technology to support delivery of improvements to services.
  • IT literate


  • Uses technical, non-verbal, and visual aids effectively.
  • Political acumen.



  • Extensive senior clinical managerial and clinical leadership experience within a healthcare setting.
  • Sound knowledge and have extensive experience of leading on safeguarding children and vulnerable adult's agendas.
  • Clear experience of leading on the IPC agenda.
  • Knowledge and experience of leading significant change to patient services, delivering tangible and sustained improvements.
  • Experience of developing and maintaining active partnerships with stakeholders in the development of services.
  • Sound knowledge of Nursing and AHP and policy issues including at regional and national level.
  • A good understanding of the NHS Operating Framework, Governance, service provision, patient flow and resource management
  • Experience of managing large numbers of staff/multidisciplinary teams.
  • Detailed knowledge of priorities for Nursing, Midwifery and AHPs to enhance patient outcomes and staff well-being. Previous engagement in the promotion of evidence based. practice. Experience in a Band 8C or above role.


  • Experience of using redesign methodologies
  • Experienced in Directorate management.
  • Experience in working in Emergency Department and/or Acute Medical Settings.

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