Divisional Director Clinical Services

Job description May 2019

Director of Operations, Private Care

Candidate Information Pack

August 2019

The Royal Marsden NHS Foundation Trust Director of Operations – Private Care

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Dear candidate

Thank you for applying to join the Private Care Division at The Royal Marsden. This candidate pack contains all you need to apply for the post. The Royal Marsden has a vital role in championing change and improvement in cancer care through research and innovation, education and leading-edge practice. We are incredibly proud of our international reputation for pushing the boundaries and for our ground-breaking work ensuring our patients receive the very best and latest in cancer treatment and care. The continued growth of the Trust’s Private Care service is vital to ensuring the long term sustainability of NHS services and an improvement of care for all patients. The Trust’s integrated NHS and Private Care model, specialist team-based expertise and research capability give Private Care a significant clinical advantage over other UK private hospitals. The Royal Marsden was recognised as the UK’s leading private hospital in the 2017 and 2018 LaingBuisson Awards because of the quality of its service. Investment in capacity, service and workforce has enabled Private Care to leverage this clinical advantage for commercial benefit, achieving revenue in excess of £120 million in 2018/19. All profits are invested into high-quality services to benefit all NHS and private patients. We are undertaking an exciting period of transformational change to enable us to remain a world-leader in cancer treatment and research. Thank you for your interest in working for The Royal Marsden, I wish you every success in your application.

Shams Maladwala Managing Director – Private Care

The Royal Marsden NHS Foundation Trust Director of Operations – Private Care

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Contents

Page

About the Royal Marsden 4

Job Description 6

Person Specification 10

Useful documents 11

How to Apply 11

Recruitment timetable 11

Appendix 1 – Main terms and conditions 12

Appendix 2 – Private Care Divisional Structure 14

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About The Royal Marsden

As one of the leading cancer centres in the world with a track record of developing new and better ways of diagnosing and treating cancer, The Royal Marsden contributes to improved outcomes for patients globally. Its primary aim is to deliver the best cancer treatment through world-leading research, operating a ‘bench to bedside’ strategy with our academic partner, The Institute of Cancer Research (ICR). As a specialist provider, The Royal Marsden has a responsibility to innovate and ensure that it can act as a test bed of best practice for the NHS. The Trust has a history of trialing new technology, from intensity-modulated radiotherapy techniques to installing the UK’s first Magnetic Resonance Linear Accelerator (MR Linac) machine and developing the largest and most comprehensive programme of robotic surgery in the UK. The Trust is also the host and founder of RM Partners, one of 19 cancer alliances made up of healthcare providers along the pathway from primary care to specialist hospital provision. The Royal Marsden and RM Partners are pioneering new models of care, rapidly translating clinical research into clinical practice. Its focus is on and transforming early diagnosis to improve cancer survival. The best healthcare requires not only technical and clinical excellence but the highest standard of care delivery and The Royal Marsden has a consistent record of top decile performance across all aspects of treatment and care. This includes results from national inpatient and outpatient surveys, a customer service excellence award for all services, international accreditation for safety and quality and some of the highest scores nationally in staff survey results. This is a reflection of the skills and culture of the workforce at The Royal Marsden who work to a set of values developed to reflect what staff do every day. The values demonstrate the commitment to excellence in everything staff do and provide a strong foundation for the delivery of the very best patient care, service delivery and life-saving research as well as being embedded in recruitment and appraisal systems. Our four key values are: Pioneering Change – We lead the way in cancer research and drive continuous innovation to improve the lives of patients.

Pursuing Excellence – We strive to be experts in our field, working to deliver outstanding quality in all that we do.

Working Collaboratively – We work in an inclusive way, bringing together different expertise, partners and resources to achieve the best possible outcomes.

Showing Kindness – We aspire to create a world class experience where all patients, staff and partners feel valued and respected.

As cancer incidence increases and new treatments allow us to significantly improve survival, the Trust will face increasing pressure on its services, facilities and staff, in particular its capacity to deliver on the national 62 day and two-week targets. This also presents the Trust with a workforce challenge to recruit and retain trained staff, and to adapt its workforce to reflect the increasingly complex delivery of cancer care using the latest technology and precision treatments. The Royal Marsden has a strong track record of financial performance, and has been given a low risk rating by its regulator, NHS Improvement, since its inception as an NHS Foundation Trust on 1 April 2004. It was one of the first 20 NHS Foundation Trusts in the country, and has a well-developed governance structure with a high-quality Board and a Council of Governors. However, the economic climate and the cost of delivering healthcare – especially for a cancer centre – means that financial sustainability over the next five years remains a significant challenge.

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Five Year Strategy The Trust recently refreshed its Five Year Strategy 2018-19 to 2023-24, which can be found on our website using the following link: https://www.royalmarsden.nhs.uk/about-royal-marsden/quality- and- safety/regulatory-information/five-year-strategic-plan The Trust Board The Trust Board comprises an independent chair, executive directors, (Chief Executive, Chief Operating Officer, Chief Nurse, Chief Financial Officer and Medical Director), and five non-executive directors. The Leadership Team At the Royal Marsden NHS Foundation Trust, the hospital management structure is organised into four divisions: Cancer Services, Clinical Services, Private Care and Clinical Research. Each division is managed by a Divisional Director supported by a number of Clinical Business Unit teams, which differ slightly by division. The service divisions are supported by corporate functions such as Finance, Workforce, Marketing and Communications, Information and Performance, and Estates. The Executive Directors along with the Divisional Directors, Directors of the corporate functions and Managing Director of The Royal Marsden Cancer Charity comprise the Leadership Team of The Royal Marsden. ICR The ICR is the academic partner of The Royal Marsden. ICR is a College of the University of London. It was established in 1909 to investigate the causes of cancer and develop new strategies for its prevention, diagnosis, treatment and cure and is now a centre of excellence employing some of the world’s leading scientists working on cutting edge research. The ICR is on two sites located adjacent to both the Chelsea and Sutton sites of T he Royal Marsden and is closely integrated with the NHS clinical provision.

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Job Description

Job title Director of Operations – Private Care Division

Division Private Care

Reports to Managing Director, Private Care Division

Accountable to Managing Director, Private Care Division

Liaises internally with Leadership Team, Chairman of Quality and Risk Committee (sub-

Committee of the Board), Director of Royal Marsden Cancer Charity

and Clinical Leads in Private Care

Liaises externally with RM Partners, ICR, NHS England (London) & CCGs, STP Leads

(Sustainable Transformation Plan) South West London and Peers in

other NHS providers

1. Job summary

The postholder is responsible for the overall delivery of patient care in the Division and is the

operational and strategic lead. The Division is one of five Divisions central to the running and

functioning of the Trust. As the Director of Operations the post holder will be the most senior

manager within the Division reporting directly to the Managing Director. The post holder will sit as

a formal member of the Trust Leadership Team.

The postholder is required to work with medical, clinical, commercial and administrative

colleagues at all levels within Private Care and the Trust, and will maintain constructive service

relationships with all stakeholders

The postholder will be expected to support and develop active working relations with relevant

national and international organisations including: private healthcare insurers, funders and

providers, embassies and other governmental and non-governmental bodies to promote our

services and support our growth strategy.

2. Key areas of responsibility

Strategic leadership for implementation of the Private Care strategy

2.1 The operational delivery of the Division’s business plan, including the achievement of performance and financial targets, with a consistent focus on the highest standards of treatment and care with the Divisional Nurse Director.

2.2 Site strategy development including Cavendish Square (a new private patient site in Central London), Chelsea, Sutton and Kingston.

2.3 Ensuring organisational progress against the Divisions risk register and governance objectives, including effective management of incidents and complaints.

2.4 Provide leadership and direction for all of the operational activities of the Division, with the authority to make operational and policy decisions as required.

2.5 Provide expert advice to the Managing Director, Trust Board and its Executive Team on all appropriate operational issues.

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2.6 Work with the Transformation Board, Surgical Strategy and other Trust-wide initiatives to embed continuous service improvement.

2.7 Support closer working with Clinical Research and the Trust’s research strategy wherever possible.

2.8 Contribute to ensuring that the corporate aims and vision of the Trust are achieved.

2.9 Set the vision with the Managing Director and determine the objectives of Private Care, monitor performance against these and take corrective action where appropriate.

2.10 Lead, manage and develop a culture and environment where safe and high quality patient care is consistently delivered across Private Care.

2.11 Lead Private Care in the planning of service developments (including capital development) which most appropriately meet the needs of patients and achieve the maximum service return on the resources invested.

2.12 Take responsibility for strategy and policy development related to Private Care including the implementation of any legislative requirements and risk management arrangements.

2.13 Work with all staff to develop changes in clinical practice through the development of research and evidence-based practice which compliments the Trust Five Year Strategy; promote effective leadership by empowering individuals to take appropriate decisions and encourage team working.

2.14 In conjunction with others, agree capacity and efficiency plans and be responsible for delivering agreed activity levels to enhance performance.

2.15 Work with key partner originations (e.g. RM Partners and ICR) to ensure successful collaboration in the fields of cancer service and research.

2.16 To participate in Director on-call rota.

2.17 Deputise where appropriate for the Managing Director.

3. Performance and resource management

3.1 Lead the development of strategic plans for departments within Private Care and the creation of business plans to support service delivery.

3.2 Agree activity levels and produce capacity plans for Private Care which achieve delivery of key targets.

3.3 Advise on, and where appropriate to ensure implementation of, new practice/ developments within Private Care which may have an impact on the effective and efficient delivery of activity targets.

3.4 Ensure full compliance with the statutory responsibilities of the Trust for Health and Safety and fire safety regulations.

3.5 Ensure that effective operational management arrangements are in place.

3.6 Ensure delivery of efficient and productive work processes and systems top meet/ exceed local/ national targets.

3.7 Ensure cohesive working practices within the division and in collaboration with other Divisions and services of the Trust.

3.8 Ensure business objectives are met, including those derived from local SLAs and Trust Business Plan.

3.9 Ensure Private Care is able to meet all national and local performance standards taking corrective action where necessary.

3.10 In conjunction with others, agree capacity and efficiency plans and be responsible for delivering agreed activity levels to enhance performance.

3.11 Contribute to the establishment and monitoring of internal and external standards to maintain, monitor and improve patient safety and quality of care.

3.12 Contribute to the Trust’s transformation plans and efficiency targets.

3.13 Work with Finance to ensure services are appropriately costed and priced for the market.

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3.14 Plan specialist service bids and business cases in conjunction with multi-disciplinary teams and Head of Commercial Finance and submit in line with Trust/external requirements

3.15 Work with Finance, the Divisions and other providers to ensure Service Level Agreements (SLAs) are effectively implemented and managed

3.16 Monitor income and expenditure. Identify causes of variance and ensure the timely reporting of significant issues. Devise remedial action plans where appropriate.

3.17 Review and authorise out of hours payments, agency staff usage and on-call payments

3.18 Ensure maintenance and supply contracts are reviewed to ensure value for money and quality of service provision.

3.19 Actively contribute to the Trust’s annual business planning and strategic review process.

3.20 Be aware of latest best practice, thinking and service delivery elsewhere.

4. Human resource management

4.1 Further develop a culture where empowerment is the norm and decision making is allocated to appropriate levels, allowing every individual to feel able to make a valuable contribution.

4.2 Ensure that effective appraisal and personal development planning mechanisms within the Private Care Division and that corporate workforce targets are met.

4.3 Ensure mechanisms are in place for effective staff engagement and that there are year-on-year improvements in staff survey results.

4.4 Ensure the right calibre of individuals are recruited and retained with necessary training knowledge and expertise to perform an outstanding role.

4.5 In conjunction with Private Care leads, agree job plans and appraisals with consultant medical staff and ensure that effective arrangements are established to engage doctors and other clinical professionals in the planning and management of services.

4.6 Ensure workforce planning is in place for development of new and existing services, undertaking appropriate staffing or skill mix reviews where appropriate, and in partnership with Human Resources.

4.7 Promote staff education and development opportunities throughout the Division in line with overall objectives of the Division and individual educational requirements.

4.8 Lead or participate in disciplinary, grievance or other employee relations investigations or hearings.

4.9 Adhere to all Trust HR policies and procedures ensuring compliance with employment legislation and regulations at all time. Compliance with the Trust’s Diversity and Equality Strategy, and Improving Working Lives should also be adhered to with measures taken to embed this into the division.

5. Communications and relationships

5.1 Develop and maintain productive relationships using effective pro-active communication mechanisms with staff maximising the opportunity for staff involvement.

5.2 Maximise opportunities to promote work and achievements of the division.

5.4 Develop excellent relationships with clinicians to ensure that professional staff have an opportunity to influence the planning, management and development of services within Private Care.

5.3 Develop effective partnerships with other Divisions and corporate functions in order to develop the Trust business strategy and operations of the Trust.

5.4 Develop productive relationships with all external stakeholders including CCGs, NHS Commissioning Board outposts and any other Local Authorities.

5.5 Investigate and action complaints made by members of staff, the public, patients’ representatives or other groups/people, including undertaking face-to-face meetings with patients, their relatives or carers.

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6. Governance

6.1 To be fully involved in the integrated governance framework within the Division ensuring systems and processes are in place to provide the required assurance to the Trust Board.

6.2 Review and maintain clinical standards alongside the Divisional Clinical Leads and Divisional Nurse Director in order to ensure the highest standards are achieved and that relevant national policies and objectives in relation to clinical governance are achieved.

6.3 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.

6.4 Monitor performance against NHSLA requirements and initiate appropriate actions to ensure plans are in place for ongoing improvement.

6.5 Take overall responsibility within the Division for ensuring compliance with Health & Safety regulations.

6.6 Initiate and review serious incident investigations, participate in panels, implement and monitor resulting actions plans, ensuring patient and employee safety.

6.7 Co-ordinate and support research and development activity within the Division ensuring research governance standards are adhered to.

6.8 Provide service lead for clinical records management and ensure that statutory and Trust requirements for record keeping are met.

6.9 Lead on complaints with the service manager who will co-ordinate and/or draft responses, and devise remedial action plans where appropriate. This may include face-to-face meetings with all parties (including patients) as necessary.

6.10 Ensure serious incidents are investigated and oversee the implementation of corrective action plans.

6.11 All governance and performance functions are translated through service lines.

6.12 Review standards and policies across all sites to ensure equity and continuity.

6.13 Develop, implement and report on clinical governance objectives for the service

6.14 Ensure service compliance with the Trust infection control programme.

This job description is intended as an outline of the areas of activity and can be amended in the light of the changing needs of the service and will be reviewed as necessary in conjunction with the postholder.

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Person Specification

Candidates must be able to

demonstrate

Essential or

Desirable

Assessed by

Education – training and qualifications

Educated to Degree Level or Clinical Qualification Higher Degree or equivalent Track record of continuous professional and management development

Essential Desirable Essential

CV CV CV

Experience and knowledge

Significant up-to-date experience as a Senior Manager in a medium to large acute healthcare provider NHS and/or private healthcare experience Experience of delivering services on a multi-site basis Experience of market development and income generation Experience of innovative service development

Essential Essential Desirable Essential Essential

CV and references CV and interview CV and interview CV and interview CV and interview

Skills – abilities and knowledge

Leadership and Influencing Skills Highly motivated, independent Financial management and analysis skills Political and media skills Integrity Presentation and communication skills Evidence of supporting major change processes Evidence of effective working with clinicians and multi-disciplinary teams Evidence of successful influence of organisational relationships and culture Track record of management innovation and service improvements Track record of delivering against a challenging cost improvement programme

Essential Essential Essential Desirable Essential Essential Essential Essential Essential Essential Essential

CV CV and interview Interview Interview and references (media training) Interview and references CV, application, interview CV, application and interview CV, application, interview and references CV, application, references CV and interview CV and interview

Other Requirements

Flexibility to meet the needs of the service (e.g. on- Essential Interview

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call) Commitment to NHS and Trust values

Essential

Interview

The above attributes have been identified by management to be necessary for this post, and will be used when short listing applicants for interview.

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Useful documents

Please see links below for further information on the Trust

Trust website – https://www.royalmarsden.nhs.uk/

Trust Five Year Strategy - https://www.royalmarsden.nhs.uk/about-royal-marsden/quality-and-safety/regulatory-information/five-year-strategic-plan

Board papers - https://www.royalmarsden.nhs.uk/about-royal-marsden/how-we-run-ourselves/board-papers

Board of Directors - https://www.royalmarsden.nhs.uk/about-royal-marsden/how-we-run-ourselves

Council of Governors - https://www.royalmarsden.nhs.uk/about-royal-marsden/how-we-run-ourselves/council-governors

How to apply

To apply to this post, please submit: A comprehensive CV detailing your career to date

A concise supporting statement (no more than two pages) that demonstrates why you are the right person for the job

Applications should be submitted to Linda McCue, linda.mccue@acertus.co.uk, all applications will be acknowledged. If you have any queries about any aspect of the appointment process, need additional information, or wish to have an informal and confidential discussion with Shams Maladwala Managing Director – Private Care please contact Linda McCue via email or call 07958 032839.

Recruitment timetable

Advert opens

16th August 2019

Closing date for advert

Midday 9th September 2019

Stakeholder Events

TBC – provisionally mid-late September

Interview date:

TBC – provisionally mid-late September

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Appendix 1 - Main terms and conditions

Salary £110k - Very Senior Manager

Base The post holder will be expected to work across all sites (London: Chelsea; Surrey: Sutton and Wallington)

Hours 37.5

Notice period 12 weeks

On-call The postholder will be expected to be part of the management on-call arrangements

Additional terms and conditions

1. Confidentiality and Data Protection Act/GDPR

1.1 On appointment, you may be given access to confidential information which must only be disclosed to parties entitled to receive it. Information obtained during the course of employment should not be used for any purpose other than that intended. Unauthorised disclosure of information is a disciplinary offence.

1.2 All employees of The Royal Marsden NHS Foundation Trust must not, without prior permission, disclose any information regarding patients or staff (please also see the Trust’s policy on Whistleblowing). In instances where it is known that a member of staff has communicated information to unauthorised persons, those staff will be liable to dismissal. Moreover, the Data Protection Act 1998 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.

1.3 All employees are expected to comply with the requirements of the GDPR (General Data Protection Regulations which come into effect on 25 May 2018.

2. Safeguarding and Wellbeing of Children and Vulnerable Adults

2.1 The Trust is committed to safeguarding and promoting the welfare of children and vulnerable adults. To achieve our commitment, we will ensure continuous development and improvement of robust safeguarding processes and procedures that promote a culture of safeguarding amongst our workforce. All staff are expected to be aware of national, organisational and departmental policies and procedures on safeguarding and promotion of the wellbeing of children and vulnerable adults and should be able to communicate this to others.

3. Health and Safety

3.1 All staff are required to make positive efforts to maintain their own personal safety and that of others by taking reasonable care, carrying out requirements of the law whilst following recognised codes of practice and Trust policies on health and safety.

4. Customer Service Excellence

4.1 All staff are required to support the Trust’s commitment to developing and delivering excellent customer-focused service by treating patients, their families, friends, carers and staff with professionalism, respect and dignity.

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5. Emergency Planning

5.1 In accordance with the Trust's responsibilities under the Civil Contingencies Act 2004 all staff are required to undertake work and alternative duties as reasonably directed at variable locations in the event of and for the duration of a significant internal incident, major incident or pandemic.

6. Equality and Diversity Policy

6.1 The Royal Marsden NHS Foundation Trust is committed to eliminating all forms of discrimination on the grounds of age, disability, gender reassignment, marriage / civil partnership, pregnancy / maternity, race, religion or belief, sex and sexual orientation.

7. Human Rights

7.1 You are required to comply with the regulations of the Human Rights Act 1998 during the course of your employment.

8. No Smoking Policy

8.1 There is a no smoking policy at this Trust.

9. Business conduct and conflicts of interest

9.1 As a senior manager will be expected to comply with the Trust’s business conduct and conflict of interest policies, which may be updated from time to time. The postholder will also be expected to comply with NHS Code of Conduct for Managers.

10. Review of this Job Description

10.1 This job description is intended as an outline of the general areas of activity. It will be amended in the light of the changing needs of the organisation.