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General Manager - Band 8b Ophthalmology

Gloucestershire Hospitals NHS Foundation Trust
Gloucester, Cheltenham
£58,972 to £68,525 a year pa
Closing date
3 May 2024

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Other Health Profession
Band 8B
Contract Type
Full Time
If you are a compassionate, brave and ambitious leader and passionate about driving services forward then we want to hear from you. There has never been a more rewarding time to be part of the recovery and robust operational delivery of services in the Surgical Division.

An exciting opportunity has arisen for a motivated and enthusiastic individual to join the new Surgical Divisional Management Team. This senior leadership role will provide overall operational management for Ophthalmology within the Division.

Main duties of the job

This is a key leadership role within the Division of Surgery with an emphasis strong leadership balancing strategic plans with operational needs to ensure robust delivery.

This will include successful budgetary management working to the expectations of the Surgical Division Financial Sustainability programme in order to enable delivery of our 1, 3, 5 year strategic goals.

About us

The Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county, and with over 8,000 staff, we are one of the largest NHS trusts in the UK. There are a wide range of benefits for working for the Trust including supporting further professional development including MBA, Masters qualification.

As a Trust we are fully supportive of the NHS Model Employer ethos committed to ensuring that Ethnic Minority representation, at senior management level and beyond matches that across the NHS workforce. Applications are irrespective of age, disability, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances and have policies and procedures in place to ensure that all applicants are treated fairly and consistently at every stage of the recruitment process including the consideration of reasonable adjustments for people who have a disability.

Job description

Job responsibilities

The General Manager will have a specific responsibility in managing complex strategic business planning and leading on the recovery and transformation actions post the COVID pandemic to allow us to deliver a new normal.

Lead the development of the strategic elective direction for the specialities in line with the Division and Trusts overall strategy and transformation programme, ensuring that all strategic plans are incorporated into service plans and objectives for all staff.

Provide leadership to areas managed, working with surgical general managers and clinical colleagues to manage the design and delivery of clinical/non-clinical elective services within the specialities.

Develop a culture within areas managed in which all staff are delivering high quality patient-centred clinical and support services.

Develop short, medium and long-term objectives, which are turned into effective, affordable and achievable annual service plans for the specialities, and deliver these plans within the financial resources available.

Responsible and accountable for the formulation of new service developments and initiatives, preparing bids and ensuring business cases are produced for services developments, taking into account activity and income projections and resource allocations.

Work with colleagues to review and redesign services in order to meet the needs of patients and enable the specialities to achieve key performance indicators and reduce costs.

Lead the planning of future capital developments for the specialities to deliver improved facilities for patients in line with the Trusts Strategic Plan, ensuring that capital developments are designed around the services.

Develop robust mechanisms to ensure clear communication of service plans, objectives and service changes within the specialities ensuring that staff are engaged directly in any review and the development of services.

Performance Management Develop effective processes for monitoring and managing elective and emergency activity, identifying when performance falls below set standards and taking corrective action, ensuring that all national and Trust performance targets are achieved.

Analyse and interpret a range of options in highly complex situations, making judgements and deciding upon corrective action to ensure performance targets are achieved.

Determine the information needs of the specialities and ensure appropriate timely data collection mechanisms are established to support capacity and demand analysis.

Financial Management Accountable with the Clinical Director for the delivery of a balanced budget for the specialities managed and developing a financial strategy which ensures financial viability, and that systems are in place to maximise income, control expenditure and deliver cost improvements, achieving synergies between the component elements of the specialities and, where appropriate, the Division. This includes budget setting, monitoring and determining corrective action for multiple departments/services.

Lead on the planning and implementation of cost reduction elective programmes for the specialties in line with corporate objectives.

Ensure that the specialties adhere to the Trust Standing Orders, Standing Financial Instructions, and works within the Trusts policy framework.

Ensure all budget holders in the specialties have the skills to manage budgets effectively and provided support to budget holders by regularly reviewing budget statements.

Lead on business planning and participate in corporate approach, and agree proposed commissioned activity with relevant clinical leads.

Staff Management Deliver safe, efficient and effective delivery of care through the non-clinical management team, empowering the clinical leadership teams to implement change and make improvements to care as appropriate.

Manage all non-clinical staff within the specialties in line with the Trusts employment policies.

Monitor key workforce indicators (sickness absence, turnover etc.) that affect productivity and work with line managers and the Divisional HR Manager to address issues of concern.

Develop mechanisms for ensuring performance appraisals and continuous professional development of all staff, and take responsibility for ensuring the specialties achieves compliance with mandatory and statutory training and appraisal rates.

Ensure that appropriate mechanisms are in place to identify and meet education and training needs of all staff.

Promote a high-performance culture by holding people to account within the specialties.

Analyse current and future service activity and establish the workforce required to ensure the appropriate staffing skill-mix for the delivery of service plans, producing an annual workforce plan. Utilising any opportunities for benefits realisation from Agenda for Change i.e. role redesign.

In conjunction with the Medical Staffing team, to ensure that all rotas are sent to new consultants and junior doctors rotas are sent to them 6 weeks prior to starting

In conjunction with the Leadership team, to ensure that consultant job plans are aligned to the service requirements.

In conjunction with the Leadership team to ensure that job plans are completed within the timeframes set by the Medical Director on an annual basis, escalating any individual non-engagement as appropriate.

Ensure that all managers within the specialties have clearly defined responsibilities and are working within agreed objectives and service plans.

Develop plans in conjunction with the Human Resources team, which enable the specialties to successfully implement the Trusts Human Resources Strategy, ensuring innovative and patient focused working practices and continuous development of staff.

Design and implement change within the specialties, acting as a change agent and role model to gain commitment from colleagues and motivating the workforce so that barriers to improve the effectiveness of the departments are overcome.

Clinical Governance

Responsible along with the Clinical Lead for developing and implementing the clinical and corporate governance strategy for the specialties within the Trusts framework.

Improve the effectiveness of clinical services by working with the Clinical Lead to ensure that clinical standards, education, audit and research and development are pursued in line with Trust strategy, and that ongoing clinical practice is evidence based. Ensure that relevant national policy guidance/targets in relation to clinical governance are implemented, and adhered to.

Develop and co-ordinate within the specialties effective methods for determining user views on services provided, encouraging the service users to participate in user strategy.

Take overall responsibility for the specialties responses to complaints, in line with Trust policy, ensuring a thorough investigation is undertaken, replies are produced to required standards, within specified timeframes and ensure that they are sensitive to the needs of the patients and their families. Ensure lessons are learnt and corrective action is taken.

Develop and monitor effective risk management strategies thus improving patient and staff safety, and reducing unnecessary costs and financial liabilities to the Trust.

Undertake research and benchmarking work to identify areas of best practice in order to ensure continuous improvement and innovation.

Represent the specialties when required by actively participating on Trust-wide strategic and operational working groups.

Flexible on site and home working is also supported when appropriate.

For further information about the opportunity, please contact:

Name: Sally Walker, Personal Assistant to Deputy Divisional Director, Surgery on 03004226221 or email

Person Specification



  • Degree or equivalent professional qualification
  • Post graduate management qualification or equivalent knowledge gained through experience
  • Master's degree or equivalent years of experience


  • Evidence of continuing professional development



  • Senior management experience in the NHS or related employer/sector which must include experience of directly managing staff and non-pay budgets
  • Experience of providing services to a high quality with restricted resources
  • Experience and evidence of achieving significant cost reduction at a service and divisional level
  • Experience and evidence of implementing change management projects to develop or improve services


  • Experience and evidence of business case preparation, presentation and implementation

Knowledge / Skills


  • Proven conceptual and analytical skills
  • Able to make and take sometimes difficult decisions after analysis of options and implications
  • Able to secure commitment from others for change programmes
  • Able to work effectively in a team
  • Highly developed communication skills (written, oral, presentational and interpersonal)

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust



Gloucester, Cheltenham


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