JOB DESCRIPTION JOB DESCRIPTION

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1 JOB DESCRIPTION JOB DESCRIPTION Medical Director

2 GOSH Profile Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is a national centre of excellence in the provision of specialist children's health care, currently delivering the widest range of specialist care of any children's hospital in the UK. It is the only specialist Biomedical Research Centre for paediatrics, the largest centre in the UK for children with heart or brain problems, and the largest centre in Europe for children with cancer. It works in partnership with the UCL Institute of Child Health (ICH), part of University College London, and together they form the largest paediatric research and teaching centre in the UK. The hospital at Great Ormond Street is the only exclusively specialist children's hospital in the UK. It does not have an Accident and Emergency department and only accepts specialist referrals from other hospitals and community services. The population of children and young people served by the hospital is characterised by those with multiple disabilities and/or health problems and rare and congenital conditions. Many children and young people need the help of different specialist teams. Improvements in health care and diagnosis mean that many children and young people have dramatically improved survival rates and more therapeutic options than was the case 10 years ago. Sadly though, many of the children and young people cared for at GOSH still have life-threatening or life-limiting conditions. The hospital receives over 283,000 patient visits (inpatient admissions or outpatient appointments) a year, and carries our approximately 18,800 operations each year. The hospital has 446 patient beds, including 44 intensive care beds (21 CICU, 15 PICU and 8 NICU). Many of the children and young people on our wards require high dependency care or are classed as ward intensive care, requiring one-to-one nursing. Around 4,100 full-time and part-time staff work at the hospital. The ICH has around 600 staff. Many senior staff have roles in both organisations. The hospital has approximately 63 paediatric specialties, the widest range of any hospital in the UK, which uniquely enables it to diagnose and pioneer treatments for children and young people with highly complex, rare or multiple conditions.

3 Job Title Medical Director Responsible to Chief Executive Officer Accountable to Chairman Location Great Ormond Street Hospital - London Hours per week According to needs of the service

4 GOSH Values The Trust has developed the Always Values with our staff, patients and families that characterise all that we do and our behaviours with our patients and families and each other. Our Always Values are that we are: Always Welcoming Always Helpful Always Expert Always One Team The Trust also expects that everyone who works here shall act in such a manner as to justify public trust and confidence and to uphold and enhance the good standing and reputation of Great Ormond Street for Children NHS Foundation Trust. Individuals must therefore at all times carry out their duties with due regard to the Trust s Equality at Work Policy. These values are extremely important to us and we expect everyone who works at GOSH in any capacity, including employees, bank staff, contractors, agency staff, people who hold honorary contracts, students and volunteers to share and uphold Our Always Values. Each value is underpinned by behavioural standards and employees will be expected to display these behaviours at all times. You can find a full copy of Our Always Values on our intranet.

5 The Role The Medical Director has a distinctive leadership role across GOSH to ensure the quality of the Trust s clinical care, and the safety of its patients, are fundamental to its excellence. The Medical Director, with the Chief Nurse, has a leadership responsibility for advancing those areas which are critical to the Trust s ambition and sense of purpose. This individual is responsible for leading the clinical approach, strategy and standards across the organisation, prioritising throughout the clinical and care needs of the Trust s patients and their families. They will professionally lead the Trust s doctors, bringing them together around a shared vision of the Trust s future and managing, through their team, the processes that enable our medical staff to succeed. This is a time of continued change at GOSH, with a new Chair appointed to commence with the Trust later in the year; it represents an exciting opportunity to lead this much-admired and loved institution towards its vision of helping children with complex health needs fulfil their potential. Key working relationships Internal: External: Patients and families who use our services Chief Executive Members of the Board Divisional Directors Deputy Medical Director for Medical Education Associate Medical Directors Medical Staff and representative forums/committees Senior Managers UCL s Great Ormond Street Institute of Child Health (GOS ICH), Director of GOS ICH and senior team University College London Royal Colleges (and Regional Advisors) Clinical Commissioning Groups The General Medical Council Other Medical Directors Local universities and education institutions Pertinent voluntary bodies and local partners National Clinical Assessment Service (NCAS) Local Medical Committee Clinicians with local provider units Clinical Commissioning Group clinicians and senior management Local Safeguarding Children and Adults Board Area Team of NHS Commissioning board clinicians and senior management Public Health colleagues in local authority and Public Health England Local Authority Senior Management Team

6 Main Responsibilities The Medical Director will: Provide clear leadership and direction of the Trust s clinical and medical improvement, quality and safety aspirations; Provide effective professional leadership for all medical staff, and ensure medical resources are deployed to maximum effect and efficiency; To work in conjunction with the Associate Medical Director for Professional Affairs to ensure that Responsible Officer duties for revalidation of medical staff are adhered to in accordance with Department of Health legislation, ensuring that systems of clinical governance and appraisal are working and are appropriate for revalidation; Provide professional advice to the Board and Chief Executive on service and medical issues, and contribute to the overall corporate management of the Trust, with specific responsibility for medical advice in relation to operational issues; As a member of the Trust Board, contribute to the development and implementation of trust strategy, leading on medical input in the development and implementation of trust strategy, and sharing corporate responsibility for the implementation of agreed Board decisions as appropriate; Act as an ambassador for the Trust, contributing to the wider health and organisational agenda in the region and nationally, as appropriate, and developing, with colleagues, sustainable partnerships within the multi-agency health and social care community; Work collaboratively with the Chief Nurse, to lead on the Trust s quality agenda and to develop a culture which embeds Clinical Quality and Governance and monitors its effectiveness; Lead a team which includes the Trust s Caldicott Guardian and act as the Trust s Accountable Officer for Controlled Drugs; and Participate in the Executive Director On-Call Rota. Professional Leadership Responsibility for providing professional leadership across the organisation means that the Medical Director will: Provide effective visible leadership for medical staff on both professional and managerial issues; Ensure regular communication and meetings with medical staff, in conjunction with operational senior managers, ensuring they are engaged with the development and implementation of service plans and policies. This will also include participation of medical staff within individual specific service changes, as members of those services and ensure that any potential for professions feeling isolated is minimised;

7 Main Responsibilities Helping develop clinical leaders across the trust and provide executive leadership to divisions. Lead on the development and implementation of medical workforce plans; Lead on the appointment and induction of new medical staff for the Trust operating within policies, procedures and statutory/regulatory bodies requirements; In line with national requirements, ensure arrangements are in place for appraisal, job planning, Continuing Professional Development, and revalidation of doctors employed by the Trust; the Medical Director will appraise Consultants and Doctors personally as required, and ensure a robust and transparent approach to job planning which takes into consideration the needs of the services; Lead on resolving issues relating to the poor performance of medical staff and the implementation of disciplinary procedure; Promote an organisation culture committed to learning from complaints, incidents, audits, research and development; Ensure there is a system to work with the Chief Pharmacist on the development and implementation of prescribing policies for services that are clinically and cost effective; Work with the Chief Nurse to develop clinical governance strategies, systems and processes and to ensure the active participation by all medical staff; Ensure a robust approach with the DDME to the development and education and training programmes for students and doctors, linking closely with HEE; Ensure that medical staff undertake their duties in line with statutory and mandatory training requirements for doctors; Keep abreast of professional developments in keeping with this professional leadership role and maintain networks necessary for the role; Promote an organisational culture that facilitates team-work in the design, management and delivery of clinical services, ensuring medical staff are both cognisant of and active in ensuring holistic models of care; Take a professional lead on the delivery of productivity and efficiency as it relates to the medical directorate and work with the executive team on the whole productivity and efficiency agenda; Promote a culture of service user empowerment and valuing in design of services; Offer statements to the media on medical related issues as appropriate and develop positive relations with local media, enhancing public education where appropriate; Enhance and encourage research based activity; and Represent both medical opinion and the local service at external groups and events as appropriate.

8 Person Specification The Trust is looking to attract an inspirational clinical leader who will be ambitious on its behalf, working with GOSH s world class clinicians to build an organisation which delivers truly excellent care in a sustainable way. Education/Qualifications Be a qualified Medical or Dental Professional; Offer further evidence of their management training; Clinical Experience Have extensive experience gained as a Consultant, ideally in a Paediatric specialty; Have medical Management experience; Have knowledge and experience of clinical governance; Offer evidence of cross professional working; Knowledge Have leadership experience; Have experience of service innovation, and development; Have significant organisation change experience/managing difficult and complex change; Be knowledgeable about revalidation; Be a team player with experience of managing teams; Have a good understanding of the health and social care management environment and of roles and responsibilities within it; Have a good understanding of national targets and of performance management methodology; Have strategic and business planning experience and experience of managing budgets; Have experience of implementing national and statutory requirements. Skills and Abilities Demonstrate leadership and ambassadorial skills with an ability to demonstrate a flexible leadership style; Have strong prioritisation skills with the ability to manage competing demands; Have a high degree of analytical skills and report writing skills; Have a track record of achievement in: o Effective performance management; o Introducing robust systems and processes; and o Facilitation of groups; Be skilled in undertaking sensitive negotiations; Have a track record of successful initiation and facilitation of strategic partnerships working and alliances; Be able to develop an organisational culture that promotes clinical engagement in decision making and leading continuous change and improvement in services, encouraging the use of new clinical and service technologies; Be able to enthuse, lead and motivate others; Be a decisive leader, capable and committed to translating policy and analysis into practical actions; Have the ability to become proficient dealing with the media; Have a high level of: o Negotiating skills; o Interpersonal skills, and o Communication skills Be innovative, with strong service focused approach, exceptional communication, interpersonal, negotiating and influencing skills; Have the ability to think and act strategically and to articulate a clear sense of direction and vision to a wide audience;

9 Have the ability to build effective relations with a range of internal and external stakeholders. Person Specification