Associate Director of Operations

Associate Director of Operations CANDIDATE BRIEFING PACK Contents 1. Welcome Letter 2. About the Trust 2.1 About the Divisions 3. Job Description 3.1 Person Specification 4. Values based behaviours 5. Conditions of service 6. Contacts for more information and timescale for appointment

2 1. WELCOME LETTER Dear Applicant Appointment of Associate Directors of Operations Thank you for your interest in joining TeamASPH. We are proud of our achievements at Ashford & St Peter s and I hope that this briefing pack will provide you with an insight into our organisation, and an understanding of our vision creating excellent joined up patient care as well as our strategies for a sustainable future. This is an exciting time to join Ashford and St Peter s. We have been a Foundation Trust for four years and we were delighted to be rated as Good by the CQC in March 2015 following their recent inspection. We are performing strongly both in terms of clinical quality and financial management. We place a strong emphasis on being a values led organization and you will be able to see that for yourself as you find out more about our Trust. We have announced our plans for merger with our neighbor the Royal Surrey County Hospital Foundation Trust, and you can read more about this on our website. We also know that we need to develop a range of strategies to make sure that we can continue to provide good quality health care in North West Surrey, and that means working with our local health economy to explore new opportunities for our future as described in the NHS vision for the next few years, the Five Year Forward View. Click here to access the document. We are seeking outstanding candidates for these very important leadership roles: to provide senior operational management to a clinical division, working with medical and nursing leaders in a management team; and to be part of our Trust Executive Committee leading the organisation. If you d like to join us at Ashford & St Peter s, then please contact Linda McCue, Acertus to find out more. I look forward to meeting you soon. Yours faithfully Suzanne Rankin Chief Executive

3 2. ABOUT THE TRUST A good place to get your care. That s what the CQC said about Ashford & St Peter s when they rated us as Good following their inspection in December 2014, one of the first under the new tougher hospital inspection regime. The CQC noted our positive reporting culture, good team working and better than average outcomes for patients. We place a strong emphasis on being a values led organisation, and celebrate the contribution of our staff with WOW awards and an annual staff awards ceremony. We believe strongly in staff engagement, and we have a development programme for new Consultants, team and individual coaching programme and emphasis on learning and development. We are delighted that the Trust and individual clinicians have received a number of awards recognising innovation and quality. In May we won the national Quality of Care award at the CHKS Top Hospitals awards where we were also named a Top 40 Hospital for the third year in a row, and were finalists in the patient safety category. Earlier this year one of our Consultants won the HEKSS Emerging Leader 2014 award. Our 2014 staff survey showed a marked improvement on how staff feel about working at ASPH, with 18 of the 29 key findings in line with or above the national average, and two findings in the top 20%. Our Friends and Family test - recommendation of the Trust as a place to work or receive treatment - is better than the national average. We know that a positive culture where staff are engaged and motivated = high quality care for patients Ashford & St Peter's Hospitals NHS Foundation Trust is the largest provider of acute services to residents of Surrey and a growing proportion of west London residents, totalling more than 410,000 people. Our main catchment areas are the boroughs of Runnymede, Spelthorne, Woking and parts of Elmbridge, Hounslow, and Surrey Heath. We have 520 beds covering a wide range of specialties, and a full range of therapeutic and diagnostic services. With a workforce of around 3,300 staff and a budget of 250m, the Trust has an impressive track record of developing integrated models of care, both across and within its two main hospital sites. Ashford Hospital is on the A30 near Heathrow Airport and St. Peter s Hospital is in Chertsey, near the M3/M25. St. Peter s Hospital provides acute complex medical and surgical care and emergency services, along with maternity, paediatrics and a number of specialist services. Ashford Hospital focuses on planned care, such as day case and orthopaedic surgery and rehabilitation services. More information about our services can be found on our website www.ashfordstpeters.nhs.uk/patients/our-services The number of patients treated has increased year on year to around 92,000 visits to A&E, 32,000 Emergency Admissions and 34,000 planned admissions per year. We have built positive partnerships with other healthcare organisations, working in collaboration with our principal commissioner, North West Surrey CCG to provide high quality care to patients, and with the South East Coast Ambulance Service, Community services, Children s & Adult Services, General Practice and Surrey & Borders NHS Foundation Trust to develop effective models of care across clinical pathways. On the academic side, we engage in research and education with the University of Surrey, Royal Holloway University of London, Kingston University, Imperial College and St George s Medical School. Many of our consultants job plans have dedicated PAs at other acute hospitals such as St George s and Epsom & St Helier. Within easy reach of London, as well as the smaller towns of Weybridge, Woking, and Virginia Water, the local area has excellent independent and state schools. Leafy Surrey offers a rounded life outside of work, and as an ambitious Trust, Ashford and St. Peter s offers opportunities for individuals to try new things and to gain exposure, and a supportive and welcoming team in which to do this.

4 2.1 ABOUT THE DIVISIONS At Ashford & St Peter s we believe in and value clinical leadership. The clinical operational departments of the hospital are organised into four Clinical Divisions, each led by a triumvirate of Divisional Director (Medical Consultant), Associate Director of Operations, and Divisional Chief Nurse or Midwife. The triumvirates are members of the Trust Executive Committee along with the Executive Director team. Medicine & Emergency Services The division has a budget around 70m and just under 1,000 staff. In addition to the division s key objective to deliver significant improvements across the emergency care pathway to achieve 95% 4 hour standard for A&E at St Peters, in 2015/16 we plan to increase capacity for endoscopy to meet predicted increase in demand for bowel screening (in line with Public Health England Screening programme rollout). The division as a whole is working towards implementation of 7-day services, developing specialist services and implementing a divisional recruitment, retention and return to practice strategy. Theatres, Anaesthetics & Critical Care The Division s objectives for 2015/16 include improving theatre productivity and efficiency through a focus on quality and safety, improved training for theatre staff and ensuring a positive patient and staff experience; continue the expansion of colorectal surgery in line with increasing referral rates and establishing the unit as both a major training department for surgeons, clinical scientists and physician associates but also for collaborative research with Royal Holloway university; investment in staff, equipment, ward and outpatient facilities to extend Bariatric Surgery; improving the quality, efficiency and safety of the Urology service and working with the AMES division to support the Emergency Care Pathway. TASCC has approximately 800 staff and a budget of 54m. Diagnostics & Therapeutics, Trauma & Orthopaedics The division s budget of 46m and just under 700 staff work within Imaging, Therapies, Pharmacy, Pathology and Trauma & Orthopaedics. Across the division, Imaging and Therapies are enhancing weekend working to deliver 7 day services, and assist with achieving 18 week targets. Similarly Pharmacy are seeking to deliver a more comprehensive patient facing pharmacy services across 5 days and move towards a 7 day service; as well as developing at the bedside working coupled with service improvements to deliver better patient outcomes such as a patient facing oncology Pharmacy Service, specifically improving services to the day unit and outreach. Trauma & Orthopaedics are working with the North West Surrey commissioning team to develop Musculo-Skeletal pathways across the locality, including an MSK triage service Women s Health, Paediatrics, Sexual Health Services Division The priorities for the Division in 2015/16 include achieving the RCPCH Invited Review Action Plan, working with NW Surrey CCG to further improve and develop Paediatric A&E, embedding the new Safeguarding Children structure, increasing consultant presence on labour ward; all with an emphasis on Safety Culture. The division are particularly proud of the midwifery-led Abbey birth centre launched in May 2014, and having just seen the 505 th baby born on 5 th May 2015. The division has a budget of 31m and 600 staff including around 130 midwives.

5 3. JOB DESCRIPTION Job Title: Band: Hours: Responsible to: Accountable to: Professionally Accountable to: Responsible for: Base: Associate Director of Operations 8D Full time Divisional Director Divisional Director Chief Operating Officer Operational Services within the Division Service Management Teams, Clinical Offices St Peter s Hospital (cross site working required) Key Working Relationships Internal External Job Summary: Trust Board Divisional Directors Associate Directors of Operations/ Divisional Chief Nurse or Midwife General Managers Service Managers Consultants Corporate Support teams Clinical Commissioning Groups Other NHS and Foundation Trusts Monitor NHS England Local Health and Social Care partners Patients and Carers The Associate Director of Operations will work closely with the Divisional Director and the Divisional Chief Nurse, Executive team and colleagues to develop a culture within the Division that facilitates excellence in clinical services through patient centred multiprofessional team-based care. They will ensure the division delivers high quality services to patients, visitors and staff. They will make a full contribution to reaching the Trust s vision, strategic objectives and key work programmes such that measurable improvements in patient experience, safety, effectiveness and productivity can be seen. Key objectives will include accountability for the delivery of financial, performance, productivity and human resource management targets, agreed at the start of each financial year as part of the appraisal and personal development process. Working in partnership with the Divisional Director, the role will be responsible for the provision of leadership, direction and governance for all services in the Division in order to achieve the highest quality Divisional performance. This will include delivery of local and national strategic and operational service objectives developed by the Division and agreed by the Trust Board. They will work with their senior team to identify suitable benchmarking opportunities for improved productivity, efficiency and clinical quality.

6 MAIN DUTIES AND RESPONSIBILITIES Strategic Planning and Organisation 1.1 Contribute to ensuring that the corporate aims and vision of the Trust are achieved. 1.2 To set the vision and determine the objectives of the Division, monitor performance against these and taking corrective action on poor performance. 1.3 To lead, manage and develop a culture and environment where safe and high quality patient care is consistently delivered across the Division. 1.4 To lead the Division in the planning of service developments which most appropriately meet the needs of patients and achieve the maximum service return on the resources invested. 1.5 Take responsibility for strategy and policy development related to the Division areas including the implementation of legislative requirements. 1.6 In conjunction with others, agree capacity and efficiency plans and be responsible for delivering agreed activity levels to enhance performance. 1.7 Develop an annual Divisional business plan, ensuring that the strategy is fully implemented. 1.8 Be responsible for leading the development and implementation of improved and innovative capacity planning, including bed management arrangements to enable more flexible use of clinical capacity. 1.9 Identify new opportunities for developments within and across the Divisional services, which may arise from changes to the internal or external environment. 1.10 Work with the senior team to identify suitable benchmarking opportunities for improved productivity, efficiency and clinical quality. 1.11 Participate in the trust on-call senior manager rota. Operational Planning and Delivery 2.1 Be responsible for the operational management and performance of all services within the Division on behalf of the Trust. 2.2 Work closely with internal teams to devise systems proactively to manage service demands and ensure that these are fully implemented. 2.3 Initiate regular review of services within the Division and ensure new developments are appropriately resourced through the business planning process. 2.4 Monitor activity in relation to agreed SLAs and national access targets, and implement immediate corrective action in relation to any significant underperformance / over-performance. 2.5 Respond, 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. Governance and Risk 3.1 In partnership with the Divisional Chief Nurse actively involve Divisional staff in the delivery of clinical governance, in accordance with the Trust Clinical Governance Strategy. 3.2 Support the Divisional Chief Nurse to establish and maintain a system of internal control within the Division that supports an integrated approach to governance. This will include ensuring a comprehensive and robust mechanism across the Division for reporting on and learning from incidents and complaints that promotes a culture of openness and honesty. 3.3 Ensure that Divisional responsibilities with respect to external assessments e.g. CNST and the Care Quality Commission are fulfilled. 3.4 Support the Divisional Director in the provision of strong leadership to facilitate a robust governance culture within the Division and at a corporate level.

7 3.5 Support the Divisional Chief Nurse to ensure full compliance within the Division with the Trust s complaints and litigation procedures, taking action where necessary to improve the quality of service to patients. 3.6 To assume overall responsibility within the Division for ensuring compliance with Health & Safety regulations. Performance and Resource Management 4.1 To lead the preparation of annual cost improvement programmes across the Division and be responsible and accountable for the delivery of savings and to support processes which improve financial information and budgetary control. 4.2 To operate within the Trust s standing orders, standing financial instructions and schemes of delegation. 4.3 To develop and manage service level agreements with other NHS Providers as appropriate. 4.4 To lead the development of strategic plans for departments within the Division and the creation of business plans to support service delivery. 4.5 To agree activity levels and produce capacity plans for the Division which achieve delivery of key targets. 4.6 To monitor the performance of the Division against agreed objectives including the analysis of complex data and be responsible for taking corrective action when performance is not in accordance with performance plans. 4.7 To advise on, and where appropriate, to ensure implementation of, new practice/developments within the Division which may have an impact on the effective and efficient delivery of activity targets. Leadership 5.1 To oversee the workforce planning, recruitment, selection and development of all staff within areas of responsibility. 5.2 To ensure appropriate communication and staff involvement structures are in place for all staff within areas of responsibility. 5.3 Ensure that all staff are appropriately managed and developed and that they are therefore efficient, effective, engaged and highly motivated to deliver the business plan and reform agenda whilst improving patient experience. 5.4 Create a supportive organisational culture across the Trust in which people feel empowered and committed to high standards of care within the context of Trust s management culture. 5.5 To promote effective leadership by empowering individuals to take appropriate decisions and encourage team working. Communication and Relationships 6.1 To develop and maintain productive relationships using effective pro-active communication mechanisms with staff maximising the opportunity for staff involvement. 6.2 To develop excellent relationships with clinicians to ensure that professional staff have an opportunity to influence the planning, management and development of services within the Division. 6.3 To develop effective partnerships with other Division and corporate functions in order to develop the Trust business strategy and operations of the Trust. 6.4 To develop productive relationships with all external stakeholders including CCGs, NHS England and Local Authorities. 6.5 Support the Divisional Chief Nurse to investigate and action complaints made by members of staff, the public, patients representatives or other organisations, including face-to-face meetings

8 with all parties (including patients) as necessary. Professional and Personal Development 7.1 To undertake continued professional development activity to maintain and develop management competencies. 7.2 To participate in Trust mandatory training. 7.3 To participate fully in the Trust appraisal programme. 7.4 To undertake appropriate coaching, mentoring, training and development activities will all linemanaged staff and a variety of other more junior managers across the Trust as necessary. Financial Responsibility 8.1 To take overall budgetary responsibility within the Division, ensuring it meets its financial targets and contribute to the Trust meeting its own corporate and financial obligations. 8.2 To work in partnership with the Divisional Director and Divisional Chief Nurse, in the ongoing identification and operational delivery of schemes to contribute to the FT cost improvement programme (CIP) and maintain cost effectiveness of services through ensuring and demonstrating that services are provided in the most efficient manner possible 8.3 To work in partnership with the Divisional Director and Divisional Chief Nurse to ensure that nursing and medical staff budgets (pay and non-pay) are managed appropriately 8.4 To work in partnership with the Divisional Director and Divisional Chief Nurse to identify the cost and productivity benefits of increased clinical quality in order to focus on those care and clinical interventions; pressure ulcers and VTE for example, that have the greatest opportunity and potential impact.

9 3.1 PERSON SPECIFICATION Factors Essential Desirable Assessed by: Always puts patients first Attitude, Application Customer service focus Behaviour form and Willing and able to take personal responsibility and Values interview Demonstrates passion for excellence Willingness to take on challenges and comfortable with constructive challenge Strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority, responsibility and accountability. Highly self-motivated Leadership skills and ability to motivate a team Seeks out and takes opportunities for improving services Takes pride in their work, and their team and has the ability to complete projects to a satisfactory conclusion Flexible in attitude and behaviours to support team working and delivery of objectives Respects, values and carers for others Supports learning and development of self and others Supports and promotes equality and diversity Qualifications and Further Training Experience Knowledge Skills A formal management qualification, which has been tested in a management post or appropriate equivalent managerial experience. Degree and/or an appropriate professional qualification or equivalent Significant previous senior managerial experience in a large and complex organisation preferably within the NHS. Experience of service redesign and development Significant experience of effective management of budget and leadership of staff. NHS Constitution Trust vision, values, strategic objectives and key work programmes A strong understanding of multi-disciplinary issues and commitment to multi-disciplinary work. Evidence of political awareness and sensitivity to the Trust profile Proven success in business planning and in the development and effective implementation of complex strategic plans. A proven record of success in managing significant operational change while also developing and maintaining high standards of quality. Excellent communication skills, including the ability to liaise and negotiate effectively at a senior level. The ability to both work co-operatively within the senior management team of the Trust and to develop effective working relationships within the business centre. Application form and interview Application form and interview Application form and interview Application form and interview

4. VALUES BASED BEHAVIOURS The Values Based Behaviours above describe the standards of behaviour the Trust supports and expects from all staff, and these are used to assess and develop staff through all aspects of their career with the Trust, from recruitment, through induction, appraisal and development. 5. CONDITIONS OF APPOINTMENT The appointment will be subject to NHS Employment Checks. This appointment is covered by Agenda for Change Terms and Conditions of Service and local Ashford & St. Peter s Hospitals NHS Foundation Trust policies. Where an appointed candidate wishes to apply for reimbursement of removal or associated expenses this must be agreed by the Trust prior to taking up the post. This ensures that eligibility and amount can be determined before the candidate incurs expenses which the Trust may not consider appropriate for reimbursement. The standard hours of work are 37.5 per week however postholders are expected to work such hours as are required to deliver objectives. The Trust is aiming to extend 7 day services, and you may be required to work such hours as the Trust specifies, including nights, evenings and weekends. In return, the Trust offers flexible working, and support for support for study leave and personal development. This job description is an outline of the role and responsibilities. From time to time due to the needs of the service, the postholder may be required to undertake other duties that are consistent with the role / grade. The detail and emphasis of the role may change with clinical and technical advances in the specialty; you will be expected and supported to keep up to date with this. Significant and long-term changes to the role would be in consultation with you and in line with the needs of your work area. June 2015

12 6. CONTACTS FOR MORE INFORMATION AND TIMESCALE We welcome your application for this post. For further information or to arrange an informal visit, please contact: Carley.murray@acertus.co.uk / 01730 266208 Linda.mccue@acertus.co.uk / 01730 266208 / 07958 032839 http://www.ashfordstpeters.nhs.uk/ - Trust website www.acertus.co.uk/leadership - dedicated recruitment microsite Timescale for appointments Click here to submit your application via NHS Jobs. Closing Date Preliminary interviews Interview and assessment Date 30 th June w/c 6 th July July, date tbc