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Directorate Manager ENT/OMFS/Dermatology

Worcestershire Acute Hospitals NHS Trust
£58,972 to £68,525 a year
Closing date
11 Jun 2024

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Other Health Profession
Band 8B
Contract Type
Full Time
Surgery Division seek an experienced Directorate Manager for ENT, OMFS and Dermatology. The post holder will provide operational and business leadership to the specialties working closely with the Clinical Directors and Matrons.

ENT incorporates surgical and audiology services, including our maxillo-facial laboratory. The services consist of outpatient, diagnostic, surgical, screening and same day emergency care (SDEC) services. The team are delivering a reduction of waiting times, whilst working with system partners to improve patient care, and deliver GIRFT recommendations.

OMFS includes Oral and Maxillofacial surgery, and orthodontics. Part of the role, alongside supporting the delivery of activity and financial plans, and service improvements will be to deliver the Lead Provider model for orthodontic services across Herefordshire and Worcestershire, working closely with ICB partners.

Our Audiology team provide a service to adults and children. The post holder will support delivery of the service, and delivery of an action plan to improve services across the county.

We are working with colleagues in Herefordshire to establish a lead provider model for Dermatology, where Wye Valley Hospital will manage the service. The role will oversee this transition, ensuring optimum patient care and engagement.

This post is based at Worcestershire Royal Hospital and travel across the county is essential and the postholder will participate in the Trustwide management on-call rota.

Main duties of the job

This is an exciting time to join the Division, as we work towards elective recovery and looking to the future of our services. The leadership teams are committed to improving services for our patients, and as a new leader within our team you will be supported to develop and achieve your goals. The Trust is engaging in cultural change via the 4ward improvement methodology and you will be joining the whole team on the journey to embed this within our services.

We encourage flexible and hybrid working and will work with the successful candidate to support them to achieve work life balance. Our Trust is split across a wide geographical area and the successful candidate will need to be able to travel independently to our sites (Worcester, Redditch and Kidderminster) as required and sometimes at short notice.

In order to be successful in this role you must demonstrate enthusiasm and commitment to leading clinical services, as well as experience of service improvement, management of cancer/RTT waiting lists, change management and business, financial and workforce planning.

For an informal telephone or teams discussion regarding the post with Julie Briggs, Director of Operations, please contact Jess Stone, Divisional PA on 01905 763621 or ext 30706 or via email

We strongly encourage any shortlisted candidates to come and meet the leadership team and find out more about us. You can arrange this via Jess following confirmation of your shortlisted status.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:
  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

  • To ensure that the operational performance of the Directorate is effectively managed to meet agreed objectives and targets.
  • To work in close conjunction with the Director of Operations, Clinical Directors and Matrons to set and deliver the Directorate objectives, in line with Divisional and Corporate targets and strategies.
  • To manage and deliver income and expenditure (I& E) balance on the budget devolved within the Directorate.
  • To plan and monitor performance against all activity targets and other service objectives.
  • To ensure that all national and locally agreed waiting times and bookings targets are understood within the Directorate and met.
  • To work closely with Cancer Services Team to ensure the appropriate monitoring and delivery of cancer targets.
  • Prepare and plan to meet inspection criteria for external reviews such as cancer peer review, external QA audits and CQC inspections as appropriate.
  • Alongside the Directorate Management team, to take responsibility for the delivery of national performance indicators relating to the clinical service.

  • To be accountable for the delivery of income and expenditure (I& E) balance for the Directorate. This will involve a close, professional working relationship with the Directorate Finance Manager and the establishment and maintenance of an effective performance management system within the Directorate.
  • To develop business cases and present to the divisional team. These will often involve complex financial / activity analysis using financial modelling.
  • To participate in pricing and costing, working towards relating patient activity, by diagnostic condition to expenditure.
  • To ensure compliance with Standing Financial Instructions (SFI).

  • To deliver the annual capacity and business planning process for the Directorate. Identify annual objectives, productivity and efficiency schemes, cost pressures, capital bids and workforce plan as part of this process, to agreed timescales.
  • To support the Clinical Director, Matrons / Ward Managers, Departmental Managers and other key personnel within the Directorate to strategically review their services and identify areas for improvement and efficiency.
  • To work closely with the finance and business teams to develop innovative methods of income generation (fully understanding the implications of patient choice), financial control, strategic planning and submission of bids for local and national funding.
  • To draft business cases / briefing documents and papers, for submission by the Divisional Medical Director / Director of Operations to the relevant senior advisory and decision making committees
  • To effectively manage the implementation of agreed outcomes from submitted papers / reports as detailed above.
  • To ensure the review and update of policies / procedures and working practices across the specialities / departments within the Directorate to ensure standards of practice are maintained. To contribute to the update and rewriting of Trust wide policies.
  • To ensure all Trust policies are adhered to within the Directorate.
  • To undertake project work as directed by the Director of Operations.

  • To lead Directorate clinical teams in service redesign/ improvement and clinical strategy development.
  • To lead and advise the Divisional Team on the development and implementation of strategies within the Directorate that respond to key national initiatives.
  • To identify opportunities to work with partner organisations in the integrated care system and regional tertiary services which improve the way services are delivered to the local population.

  • To motivate and take line management responsibility (direct and delegated) for all non-clinical staff within the Directorate, with direct line management of the Directorate admin team.
  • To work with the Clinical Director and Matrons to provide leadership to all staff across the Directorate.
  • To ensure appropriate implementation of Trust HR policies.
  • To oversee the effective recruitment, induction, training and development of all non-clinical staff within departments across the Directorate, ensuring that each member of staff has a robust appraisal.
  • To support the Clinical Director in the monitoring and management of medical staffing in the Directorate, including job planning, workforce planning, recruitment and ensuring robust rota management is in place.
  • To ensure Junior Doctor compliance in relation to European Working Time Directive, working closely with Clinical Directors to achieve this.
  • On behalf of the Director of Ops review workforce plans with heads of department, corporate staff group leads and HR to ensure appropriate and effective workforce planning in short, medium and long term scenarios.
  • To ensure effective communication channels with all team members are established, maintained and developed within the Directorate.
  • To work closely with the Human Resources team in developing a partnership working framework with staff representatives within the Directorate.
  • To manage compliance with HR key performance indicators including the development of action plans for improvement.

  • To work alongside the Clinical Director and matrons to ensure the Directorate deliver all aspects of the Trust quality improvement strategy maintaining the highest standards in quality, safety and patient experience for service users.
  • To develop a strategy to enhance quality standards within the Directorate in line with the overall objectives of the Trust. Establish appropriate mechanisms to monitor achievement and take action in the event of underperformance.
  • To work with the Divisional governance team and Directorate management team to ensure that appropriate processes are in place for the management, monitoring and escalation of governance concerns within the Directorate. These should be in line with Divisional, Trust and external processes.
  • To ensure effective risk management and incident reporting within the Directorate.
  • To be ensure effective complaints management within the Directorate, including adherence to timescales for completion.
  • To support the clinical team in implementation of operational changes resulting from governance or quality concerns, tying resource requirements into financial and workforce planning and leading on implementation of change.
  • To be involved with Directorate quality improvement initiatives, in line with the Trust single improvement methodology.
  • To identify opportunities for change that will improve or assist the development of clinical practice and which lead to improvements in quality or efficiency within the Directorate.

  • To participate in the Trusts management on-call rota.
  • To investigate / hear internal staff grievances / complaints from other Divisions as required.

Improving Diversity and Inclusive Recruitment:

As part of the Trust's aim to improve diversity across the Trust, positive action is being taken and all applications for this post from BAME, Disabled and LGBT+ candidates can request to be considered under an expanded Guaranteed Interview Scheme if they meet the minimum criteria as specified in the person specification for this role.

Applicants will be prompted in the application form to declare if they wish to be considered under this expanded Guaranteed Interview Scheme, and their response would be visible to the Shortlisting Panel.

If you have any queries about expanded Guaranteed Interview Scheme, please contact Rob Saunders (HR Manager - Recruitment) in confidence via email

Person Specification



  • First degree or professional academic qualification
  • Relevant Management qualification or equivalent


  • Masters degree and/or equivalent experience



  • Knowledge of the financial flows in the NHS and the impact on service planning
  • Demonstrate a working knowledge of employment law and good HR management practice
  • Knowledge and understanding of national strategies/policy concerning patient care and national plans
  • Knowledge of the clinical and corporate governance agenda and role of the CQC
  • Knowledge of the inspection and regulation environment in which the trust operates



  • Ability to analyse issues and make judgements on a wide range of general management subjects e.g. Finance, HR, quality, environment and external issues
  • Excellent communications skills including the ability to make effective formal presentations and informal approaches to a wide range of audiences, adapting the style and method of communication as appropriate.
  • Able to form effective working relationships and partnerships across professional groups/ divisional boundaries and maintain personal credibility
  • Well-developed IT skills to manage and report on complex performance management information
  • Ability to conduct negotiations with others in the organisation and externally
  • Ability to quickly grasp new ideas/concepts
  • Ability to influence and motivate staff to deliver targets
  • Ability to critically analyse and interpret complex management and patient information and data
    Any attachments will be accessible after you click to apply.


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