Management Restructure December 2010

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							                                             JOB DESCRIPTION


JOB TITLE: General Manager


GRADE: 8d ( banding subject           Clinical Division (CD):       Medicine
to review)


HOURS: 37.5 per week                  RESPONSIBLE TO: Director of Operations and Strategy



JOB SUMMARY:

West Middlesex has recently embarked on a management restructure and is now organised into four
clinical divisions: Medicine, Clinical Support, Surgery and Critical Care and Women’s and Children’s. A
fifth Division led by the Deputy Director of Operations supports patient access.

Requiring exceptional political, influencing, coaching, financial, general management and business
acumen the post holder will lead the Medical Division to deliver operational performance, strategy and
service developments.

The post holder will provide leadership to the Clinical Division (CD), translating strategy into
operational policy/practice and corporate objectives into meaningful targets for the CD. The post
holder will be responsible for the delivery of operational performance targets (finance, activity, contract
performance, workforce and quality/safety) and the achievement of local and national standards
relevant to the CD. As a key member of the CD leadership team, the post holder will hold responsibility
for the implementation of all Trust policies and the service improvement agenda within their area and
will be expected to actively seek opportunities to enhance the reputation of the Trust as a local service
provider and employer of choice.



Corporate
       To deputise for the Director of Operations and Strategy.
       To act as an Ambassador for the Trust at all times.
       To provide strong and visible leadership within the organisation and the local health and social
        care community.
       To lead on the formulation of the CD’s strategy and service development.
       To lead on business planning within the CD, translating the Trust’s strategic direction and
        business priorities into meaningful operational targets.
       To lead and co-ordinate with other members of the CD on the entirety of the Trust’s
        performance agenda including; finance, activity, contract performance, national and local
        standards, workforce, quality/safety, access, and clinical governance.
       To be responsible and accountable for standards of patient care, patient safety and the quality


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        of the patient experience with the Divisional Director
       To ensure effective leadership and line management arrangements are in place for all staff
        within the CD.
       To adhere to the standards laid down in the NHS Code of Conduct for Managers and at all
        times act in a manner that reflects and promotes the values of the Trust.
       To work closely with other senior colleagues to achieve improvements in the quality and
        efficiency of patient services
       To participate in the Trust on-call rota
       Represent the Trust in external forum as appropriate to the role.
       To actively seek opportunities to enhance the reputation of the Trust as a service provider and
        employer of choice.
       To act as a positive role model in order to promote a professional and well-motivated
        workforce.
       To ensure that the response of the CD to complaints, SUI’s and all written reporting is of a
        consistently high quality.
       To work with other members of the CD to ensure that all Trust policies and procedures are
        adhered to.
       To undertake projects that cut across the divisions as directed by Director of Operations and
        Strategy.

Operational Management
       To achieve all national and local performance standards through the establishment of CD
        performance objectives and securing the infrastructure to support the levels of performance
        required.

       To ensure activity and workforce reporting is accurate, timely, effective and contributes to the
        CD financial profile.
       To lead by example, proactively developing the leadership, managerial and business
        capability within the CD to bring about effective change.
       To develop effective partnerships with other CD’s and corporate functions in order to deliver
        the strategic and operational priorities of the Trust.
       To oversee the planning and management of service improvement within the CD robustly
        delivering the annual plan.
       To ensure effective communication and staff engagement mechanisms are in place in the CD
       To maintain an overview of all complaints and incidents reported and be responsible for
        ensuring; appropriate high quality investigation and responses, analysis and identification of
        trends , action is taken against issues arising from incidents/accidents and /or complaints and
        lessons learnt from the process are shared

People management

       To performance manage teams within the CD, including agreeing and monitoring activity,
        access, financial, workforce and quality/safety standards.
       To hold managers and clinical leaders to account in the delivery of targets, the development
        and maintenance of high standards and ensuring that staff, patients, carers and the public are
        treated with dignity and respect.
       To line manage service managers, clinical service managers, matrons and performance and

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        operations managers holding individuals to account for performance.
       To ensure CD teams utilise available performance information to facilitate the monitoring of
        performance and identify opportunities for improvements, agreeing plans to improve service
        efficiency and quality
       To develop and maintain excellent relationships with external stakeholders including Primary
        Care Trusts, Community Providers, Sector Commissioning Unit, London Deanery, Education
        Providers, Local Authority and Patient Groups.

       To ensure the Division implements and adheres to Trust HR policies and procedures and that
        all issues are dealt with in a timely and consistent manner including disciplinaries, sickness
        absence, capability, appraisal, and training.

       To ensure that the contributions and perspectives of all staff are heard and valued and
        influence decision making.

       To implement effective communication strategies and techniques to promote involvement and
        effective decision making.

       To work closely with the Divisional Director to develop robust consultant job plans and to
        maintain EWTD compliance.
       To recognise and work with professional leads within the Trust to ensure that staff work within
        their professional codes of conduct and to take account of their responsibilities when affecting
        change and developing the workforce.


Financial management
       To have overall budgetary responsibility and accountability for the CD working with the multi-
        disciplinary team to ensure effective management of all delegated pay and non-pay budgets.

       To deliver the financial and operational plan for the Division.

       To ensure the optimum use of resources and establishing effective processes to ensure
        financial control.

       To ensure budgetary management is appropriately delegated and that all managers are
        appropriately trained.

       To ensure that the Division complies with standing financial instructions.

       To act as an authorised signatory for any budgets delegated to the post holder.

       To participate in setting yearly income targets and expenditure budgets.

Communication and patient involvement

       To drive the development and implementation of effective patient and public involvement
        ensuring mechanisms are in place to seek feedback to help improve/develop services.

       To maintain effective communication within the Division and with other Divisions.

       To attend senior level meetings as required.

       To represent and negotiate on behalf of the Trust in external meetings.


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       To lead the investigation of complaints and Serious Incidents for the Division.

Information Management

       To work with the information teams to ensure the collection and analysis of information
        relating to performance, contract activity and quality.

       To implement corrective action where necessary.

       To ensure that staff are competent to use IT systems and work with the IT department to
        develop specifications and implementation of IT systems pertinent to the Division.

       Regularly benchmark services and workforce establishment as an integral part of the service
        development and business planning process, to ensure effective use of resources.



INDUCTION & DEVELOPMENT REVIEWS:

All staff are required to undertake the Trust’s Corporate Induction prior to taking up their post. They
are also expected to have a local induction to their place of work which will be undertaken by their
line manager or nominated person and sent to Learning & Development for record keeping.

All staff are expected to have an annual development review with their line manager; this includes a
review of their current job description.



CONFIDENTIALITY:

Information relating to patients, employees and business of the Trust must be treated in the strictest
confidence. Under no circumstances should such information be discussed with any unauthorised
person(s) or organisations. All staff must operate within the requirements of the Whistleblowing
Policy (formerly Freedom of Speech policy).



HEALTH & SAFETY:

Employees are required to ensure they are aware of, and comply with, policies and procedures
relating to Health & Safety (whether statutory or Trust), and assist in ensuring the compliance of
other staff.



INFECTION CONTROL:

The Trust considers Compliance with the West Middlesex University Hospital Infection Control Policy
and Procedures, including hand hygiene, is the responsibility of all employees who work in clinical
areas. Failure to do so may result in formal action being taken against an employee




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CONTROLS ASSURANCE:

Controls Assurance is an `over-arching` policy providing a framework of control covering a whole
range of other NHS policies enshrined in the 18 Controls Assurance standards. Through self -
assessment and external and internal audit, Trusts are expected to monitor their progress against
these Standards. Risk management is the core standard. Staff responsibilities will be outlined in the
Risk Management Strategy.



WORKING TIME REGULATIONS:

The Trust is committed to the principle that no member of staff should work, on average, more than
48 hours per week. Staff who do exceed this limit need to complete an opt out form. Any member of
staff who undertakes work outside the Trust, regardless of whether they exceed 48 hours or not,
must inform their manager of this in writing.



EQUAL OPPORTUNITIES:

The Trust is pledged to equal opportunities for all and is committed to ensure that no job applicant or
employee receives less favourable treatment on the grounds of gender, marital status, age, race,
colour, sexual orientation, creed, nationality, ethnic or national origin or disability.



IT SKILLS:

Members of staff should be skilled in IT to the required level for the job. The Trust reserves the right
for these skills to be developed appropriately.



POLICIES:

It is the responsibility of staff to be familiar with the Trust policies that affect them, and work within
the scope set out in them. These can be found on the Trust’s Intranet site, any queries should be
raised via the line manager. Managers are responsible for ensuring staff know of, and work within,
Trusts policies procedures and protocols.



CODES OF PROFESSIONAL CONDUCT:

Staff are required to abide by the professional code of the conduct relevant to their governing body
e.g. NMC Code of Conduct for Nursing, GMC code for doctors etc.

 This job description is not exhaustive and will be reviewed and amended, with the postholder,
                                        when necessary.


REVISED BY: Director of Operations and Strategy                DATE. May 2011




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                         WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST

                                  Person Specification – General Manager
                        REQUIREMENTS                           ESSENTIAL   DESIRABLE   MEASURE
EDUCATION AND QUALIFICATIONS
Masters degree in a subject relevant to service area                Y                     A
or
First degree with post graduate qualification and equivalent
level experience
Management qualification (could be post graduate                    Y                     A
qualification mentioned above)
Evidence of continuous professional/personal development            Y                     A
post qualification
Project management qualification                                              Y
EXPERIENCE
A minimum of 5 years experience in senior position in a             Y                     A
clinical or non-clinical role
Evidence of service development                                     Y                    A/I
Demonstrable change management experience of a                      Y                    A/I
complex nature
Record of successful operational management at senior               Y                    A/I
level
Resource management for successful delivery of key NHS              Y                    A/I
targets and standards
Experience of business planning, budget setting and                 Y                    A/I
financial controls
Experience of leading teams and managing complex                    Y
staffing issues
Previous experience in strategic development                                  Y          A/I
Experience of implementing systems to improve patient               Y
safety and patient experience
Media Training and experience of handling media enquiries                     Y
KNOWLEDGE
Extensive knowledge of current NHS policy and its                   Y
implications for an acute hospital
Knowledge and understanding if the clinical governance and          Y
its application to improve care
Knowledge and positive approach to promoting equality               Y
and diversity
SKILLS/ABILITIES
Ability to work autonomously and make decsions on                   Y
contentious and/or complex issues
Political astuteness                                                Y                    I/R
Ability to write business cases/reports/SUI’s/complaints to a       Y                    I/R
consistently high level.
Ability to distil complex data into useful management               Y                    I/R
information
Demonstrate ability to understand a financial budget and            Y                    I/R
interpret/resolve issues identified.
Highly developed communication skills and ability to                Y                    I/R
convey complex or contentious issues to a variety of
audiences (including presentation, written and oral)

  669a287a-4f6b-4b55-b7ba-a3327e9b18e5.doc   Page 6 of 9
                        REQUIREMENTS                               ESSENTIAL   DESIRABLE   MEASURE
Ability to demonstrate a high level of experience in                   Y                     I/R
providing senior leadership
Well developed problem solving and decision-making skills             Y                      I/R
Ability to work effectively across other areas within the Trust       Y                      I/R
and external groups
IT skills (Microsoft office)                                          Y                      I/R
Advanced influencing and negotiation skills to manage                 Y                      I/R
conflict
Ability to work autonomously and be accountable for own               Y                      I/R
actions
Ability to work to tight deadlines and manage conflicting             Y                      I/R
priorities
Commitment to NHS core values                                         Y                      I/R
Honesty, openness and integrity                                       Y                      I/R


 A - Application, I - Interview, P - Presentation, R – reference




  669a287a-4f6b-4b55-b7ba-a3327e9b18e5.doc   Page 7 of 9
                              TERMS AND CONDITIONS OF EMPLOYMENT

Post:                            General Manager

Department:                      Medicine

Pay Band:                        Band 8d

Hours:                           37.5

Salary:                          Band 8d: £65,270 - £80,810 per annum

Allowances:                      High Cost Area Supplement of 15% of basic salary subject to minimum of
                                 £3,414 and maximum of £4,351

Annual leave                     27 days per annum plus 8 Bank Holidays
entitlement:                     29 days per annum plus 8 Bank Holidays, after 5 years within the NHS.
                                 33 days per annum plus 8 Bank Holidays, after 10 years, within the NHS.

Pension scheme:                  Membership of the NHS pension scheme is voluntary. The scheme
                                 offers a full range of excellent benefits to members. Contribution rates
                                 are tiered depending on your level of whole-time equivalent earnings, as
                                 follows:
                                       Up to and including £19,682 = 5%
                                       £19,683 to £65,002 = 6.5%
                                       £65,003 to £102.499 = 7.5%
                                 The Trust contributes an amount equal to 14% of your pensionable pay.
                                 Full details are available upon request.

Notice period:                   You are entitled to receive 12 weeks' notice. You will be required to give
                                 the Trust 12 weeks' notice of leaving.

Contract type:                   Permanent

Method of payment:               Monthly by direct debit

                                                        Equal Opportunities
It is the policy of the Trust that no job applicant or employee receives less favourable treatment on the grounds of sex,
marital status, age, race, colour or disability nor will be disadvantaged by any rules, conditions or requirements which cannot
be shown to be justifiable in job related terms.

                                                   No Smoking Aim
The West Middlesex University Hospital NHS Trust's aim is to minimise smoking on its premises and to demonstrate a
commitment to health promotion by discouraging its staff, patients and visitors from smoking. Employees are permitted to
smoke only in designated areas. A copy of the complete Smoking Policy is available in all departments.

                                                      Flexible Working


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The Trust actively encourages managers to consider a variety of flexible working arrangements, i.e. part-time, job share,
flexible work patterns, to enable staff to achieve a successful balance between their work and personal lives. If you have
specific requests that you wish us to consider please indicate these on your application form.

                                                        Health Clearance
The position will be offered subject to a satisfactory health clearance. This may include screening for Hepatitis B where the
post involves invasive prone procedures.




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