Candidate Information Medical Director · The Division expanded the Acute Physician led Acute...

Medical Director – West Middlesex University Hospital NHS Trust Candidate Brief

Candidate Information

Medical Director


Contents

Overview of West Middlesex University Hospital NHS Trust

Trust Management Structure

Job Description

Person Specification

Terms of Agreement

Application Process

Trust Organisation Chart

Useful Links o West Middlesex University Hospital NHS Trust o Dedicated microsite o Link to submit your application

http://www.west-middlesex-hospital.nhs.uk/

http://www.acertus.co.uk/firstclass

http://www.acertus.co.uk/firstclass

http://www.acertus.co.uk/candidates/vacancies


About West Middlesex University Hospital NHS Trust

West Middlesex University Hospital is an award winning, modern, busy acute hospital in West London.

We serve a local population of around 400,000 people, mainly covering the London Boroughs of

Hounslow and Richmond upon Thames. Our vision is to become a first class hospital for our

community and to provide high quality care in every way.

Employing over 1,800 people, the hospital has circa 400 beds. The Trust has an annual budget of over

£154 million. The Hospital has an impressive record, performing well in comparative assessments of

clinical performance.

The majority of the hospital is located in a modern facility, completed in July 2003, built and operated

under a Private Finance Initiative.

First Class Future

Under North West London’ strategy, Shaping a Healthier Future (SaHF), the Trust has been designated

as a major hospital, which will bring significant investments in our facilities and staffing, expanding a

number of our services. The change were planned to be implemented in 2017-18, although the North

West commissioners have already brought forward some elements of the programme. The change

identifies the need for additional capacity to accommodate the transfer of births, unscheduled and

elective care arising from the reconfiguration of services predominantly from the borough of Ealing.

Overall, the additional activity equates to:

1000 births i.e. up to 6000 births in total , in addition to the associated increase in non-birth

event attendances and neonatal cot days;

13,000 Accident and Emergency attendances;

72 inpatient ward beds; both medical and specialty;

7 ITU beds; and

5 paediatrics inpatient beds.

The wider strategic agenda around seven day working has already been included into the clinical

standards set out in the Shaping a Healthier Business case. North West London is a national pilot

site for seven days working and the Trust is actively engaged with this programme. Our seven day

working priorities in 2014-15 include: the establishment of an Ambulatory Emergency Centre,

weekend working in diagnostics, consultant onsite presence out of hours for specific specialities and

improved communication with local GPs.

In the summer 2012 West Middlesex University Hospital NHS Trust concluded that it could not achieve

Foundation Trust status as a standalone entity at that time, a decision driven by an assessment of the

financial viability of the organisation. A competitive process to find a partner was instigated and,

following a thorough investigation selected Chelsea and Westminster Hospital NHS Foundation Trust

as the preferred partner with whom to proceed to develop a business case. Discussions have revolved

around whether the enlarged organisation would be robust enough – in terms of financial viability,

and quality and sustainability of services – to enable it to flourish as a successful NHS foundation trust.

It is anticipated that the transaction, coupled with the Major Hospital status awarded to West

Middlesex as part of SaHF Future will lead to a vibrant, sustainable future for the site providing a

greater level of care closer to home for our local population. This is an exciting time to join the Trust


and help influence the future direction of the Trust delivering large scale change and a secure future

for the Trust.

Quality and Patient Safety

The Trust has well developed systems for clinical governance and aims to further develop a patient

safety culture. Key to this development is the engagement of the clinical teams, in which the Medical

Director plays a central role. It has recently strengthened the systems and processes that support

morbidity and mortality reviews, with positive external feedback. Safety crosses have been introduced

in ward areas for the multi-disciplinary team to monitor improvements. A Patient Safety Fellow has

been jointly appointed with Imperial College Healthcare Trust to lead a research project called Head’s

Up, aimed at engaging the ward multi-disciplinary team to identify and manage their day to days risks

in more structured manner.

For purposes of revalidation, the role of Responsible Officer has been separated from the Medical

Director role. System and processes for revalidation are well established and notable areas of practice

include regular use of multi-source feedback as part of the appraisal and high rates of completion for

medical appraisals.

Awards and Accolades

Hospital gets highest standard for patient safety

Following a rigorous assessment, the West Middlesex University Hospital has achieved the highest

standard for patient safety. The assessment was undertaken by the NHS Litigation Authority and

West Middlesex is now one of the few trusts in England to have achieved their level 3 standards for

both maternity services and acute services.

The Trust has recently also received a number of awards for the quality of clinical services particularly

in maternity, our leadership development programme and for patient and public engagement.

Partnership working

The Trust works in partnership with Imperial NHS Trust with whom we share over 20 joint

appointments, Chelsea and Westminster Foundation Trust, Hounslow and Richmond Healthcare Trust,

Health Education North West London, Buckinghamshire College for Adult Nursing and Thames Valley

University for midwifery.


Trust Management Structure

The hospital is organised into four clinical divisions: Medicine, Surgery & Critical Care, Women & Children’s and Clinical Support services. These are supported by corporate directorates including Information Management, Workforce & Development, Department of Nursing & Midwifery, Finance and Corporate Affairs. Clinical services provided include:

Medicine – The medicine division is the largest clinical division within the trust and spans the spectrum of medical clinical activity across the acute and emergency pathway through to the specialty areas. The Division expanded the Acute Physician led Acute Assessment Unit increasing both its capacity and opening times to radically improve the emergency medical pathway and improve our patients' experience. The division covers late in life services, an acute stroke unit and rehabilitation services. Our busy Emergency Department works with the co-located Urgent Care Centre to deliver more than 135,000 attendances per year.

Women’s and Children’s – includes maternity, an innovative integrated hospital and community sexual health service, gynaecology and emergency inpatient and outpatient children and young people’s services. The Trust is commissioned to deliver circa 5000 births, although this is will increase in the future due to changes within the North West London Health economy.

Surgery and Critical Care – includes a range of surgical services – Orthopaedic, General Surgery including breast, colorectal, urology, ENT, paediatric surgery, surgical podiatry. This includes the West London Day Surgery Centre. Critical Care service provides ITU and HDU facilities. The Trust is seen to be an exemplar for day surgery and the enhanced recovery programme.

Clinical Support services - supports front line services and covers pathology, clinical imaging, outpatients, clinical administration, health records and pharmacy.


JOB DESCRIPTION

This job description is not intended to be exhaustive but to indicate the main responsibilities of the post and may be amended over the course of the appointment

process.

JOB TITLE: Medical Director

SALARY: To be agreed with postholder

DIRECTORATE/DEPARTMENT: Trust Management

HOURS: Exact number of PAs will be agreed with appointee

RESPONSIBLE TO: Chief Executive

JOB SUMMARY

The Medical Director is a key member of the Trust Board and the Executive Team. S/he is an executive member of

the Trust Board and provides advice and guidance to the Chief Executive, Chairman, the Trust Board, on medical

related matters to the Trust.

The post holder is the senior clinician within the Trust, and a Trust Board member, sharing the corporate

responsibilities of the Board. Accountable to the Chief Executive and through her/him to the Trust Board, S/he has

a key role in supporting the Chief Executive in leading and managing the organisation. This includes working closely

with the Chief executive in setting the Trust's strategic direction, monitoring quality and clinical standards, ensuring

effective clinical stewardship and high standards of clinical governance.

S/he will be pivotal in ensuring the provision of an effective high quality clinical function taking full regard of all

professional views within available resources, and facilitating the development of clinical strategies that ensure

the Trusts continued success.

The Medical Director plays a vital role in leading Trust’s Clinical Excellence Committee and other quality initiatives

to improve clinical outcomes and patient satisfaction. In realising these achievements, the Medical Director is

expected to ensure that there are structures in place to support the engagement of clinical staff. Together with

the Executive Team, the Medical Director will be expected to support the development of a culture that encourages

excellence in clinical practice, multi-professional working and development of a patient safety culture.

The Medical Director will be expected to provide clinical leadership in supporting the Trust to develop its services

to meet strategic challenges and opportunities presented by Shaping a Healthier Future, North West London’s

strategy for service reconfiguration, the development of partnership working arrangements with Chelsea and

Westminster Foundation Trust, transformation agenda and delivery of quality standards.


MAIN TASKS AND RESPONSIBILITIES

1. STRATEGIC AND CORPORATE RESPONSIBILITIES

a. Contribute to all major service development and investment decisions through membership of the Trust

Board and Trust Executive, as well as all aspects of performance management across all the services of the

Trust. Participate fully in the corporate management of the Trust, including the formulation of the strategic

framework, annual business plan and financial recovery plans.

b. Provide clinical leadership to development of the Trust’s strategic direction. Currently the key strategic issues

include Shaping a Healthier Future, the transaction process with Chelsea and Westminster Foundation Trust,

transformation agenda and delivery of the quality standards during period of change.

c. Develop and maintain productive collaborative working relationships with other members of the Trust

Executive.

d. Actively pursue opportunities for positive collaboration of mutual benefit, with other agencies/organisations

in the local health economy and /or across London.

e. Contribute to the achievement of all the Trust's objectives, including the financial, workforce and performance

targets within the Trust's standing orders and standing financial instructions, and the overall corporate

governance framework.

f. Bring to the attention of the Chief Executive any medical issues that which might affect the Trust's

performance and reputation.

g. Jointly with the Chief Executive, work closely with Imperial College School of Medicine and Academic Health Science Centre, in order to develop strong and mutually beneficial working relationships.

h. Participate in Executive on-call rota.

PROFESSIONAL ADVICE AND MEDICAL LEADERSHIP a. Maintain a high level of performance of the medical staff within the Trust. This includes the establishment of

effective local systems to enable individual doctors to discharge their professional obligations and to identify, help and, if necessary, bring to the attention of the Trust, any cause for concern that the conduct, performance or health of clinical colleagues might present a threat to patients.

b. Manage any disciplinary issue, which may arise involving the Lead Clinicians and other medical staff in accordance with Trust policies and procedures.

c. Lead the job planning process working together with Director of Workforce and Development. This includes regularly reviewing the job planning process to ensure that this is aligned with the Trust priorities and commissioning intentions business planning process, corporate objectives and that Trust is maximising opportunities to increase workforce productivity and effectively manage pay costs.

d. Work closely with the Director of Nursing and Midwifery as the two professional advisors to the Trust and to contribute actively to all major investment decisions through membership of the Management Executive. The Medical Director will also be expected to provide senior professional

e. Provide professional advice on all major strategic developments that impact on quality of care provided.

f. Oversee and support work of the Responsible Officers for the purposes of revalidation.

g. Together with the Director of Workforce and Development and Responsible Officer, regularly review systems


that support revalidation for medical staff.

h. Oversee and support work of the Director of Infection Prevention and Control (DIPC).

i. Actively promote the role of the Lead Clinicians within clinical divisions and ensure appropriate involvement in strategic and divisional decision-making.

j. Demonstrate professional leadership by consistently representing the Trust in the wider health economy and by making visible to staff within the Trust, clinical involvement in strategic and divisional decision-making processes.

k. Arbitrate where differences of opinion arise between clinicians within their speciality that have not been resolved by the appropriate Lead Clinician or Divisional Director.

l. Act as professional link with the General Medical Council, Trust Development Authority and the Care Quality Commission.

SERVICE REDESIGN

a. Ensure that the medical profession understands the need for and implications of, service improvement and

change. This will include seeking out and introducing appropriate innovation and leading edge initiatives

found in other parts of the NHS and other health systems internationally, and acting as a change agent within

the medical profession.

b. Working closely with the Director of Workforce and Development, lead the modernisation of working

practices and conditions for consultant medical staff, including implementation of changes to the consultant

contract and the job planning.

c. Actively promote the role of clinicians in management and the development of effective relationships with

management. Develop future clinical leaders within the Trust.

d. Facilitating the implementation of key clinical systems working closely with clinical representatives and the

systems supplier to ensure that local priorities are met and resultant opportunities for the modernisation of

clinical care are maximised.

e. actively promote the full utilisation of e-technology by the medical staff

CLINICAL GOVERNANCE QUALITY AND RISK MANAGEMENT

a. Lead and Chair committees as appropriate, e.g. Clinical Excellence Committee and Trust wide Mortality and

Morbidity Review meeting, to drive forward improvements in clinical effectiveness and clinical outcomes.

b. To actively support work to develop a framework for clinical outcomes and benchmarking.

c. To be responsible for the development and implementation of a successful and comprehensive Trust-wide

Quality and Risk Management Programme, working closely with the Director of Nursing and Midwifery.

d. To champion patient safety initiatives and ensure that this agenda remains central to the annual business

planning process. Actively support the implementation of infection prevention and control strategies.

e. Together with the Director of Nursing and Midwifery ensure NICE guidance is captured and acted upon as

appropriate.

f. Ensure that effective clinical audit processes are put in place and that action is taken on the basis of findings.


g. Jointly with the Chief Executive, and in accordance with the Trust's Complaints Procedure, deal with all

complaints made regarding the services provided by the Trust, where these have not been resolved by the

appropriate directorate(s), and ensure that clinical and service improvements are made as appropriate.

h. To be the Trust’s Caldicott Guardian, working closely with the Assistant Director of IM&T and the Governance

and Risk team to deliver this role.

MULTI PROFESSIONAL EDUCATION, TRAINING AND RESEARCH

a. Actively work towards enhancing the Trust’s standing as a teaching Hospital.

b. Support the development of multi professional team planning and care delivery.

c. Liaise with Lead Clinicians and Director of Workforce and Development with regard to medical staffing levels

for the services within the Divisions to ensure an appropriate balance between service delivery and support

to the Trust's commitment to medical education and training.

d. Together with Director of Workforce and Development and Lead Clinicians, ensure that the targets for New

Deal for Junior Doctors Hours and European Working Time Directive are achieved and that the accreditation

requirements for all training posts are met in order that recognition is retained.

e. Support development of research within the Trust working with Academic Health Science Centre and CLARC.

COMMUNICATION AND COLLABORATION

a. Lead collaborative work, on behalf of the Trust, with external partner agencies in health and social care,

education, training and research, and other stakeholders in the development of comprehensive clinical service

networks across North West London.

b. Communicate the objectives, plans and progress of the Trust to all Medical Staff.

c. Foster effective relationships with fellow Medical Directors, the Trust Development Authority, NHS England

(London Office), Department of Health and Social Care, CCGs as well as liaising with professional bodies to

ensure that the Trust's interests-are properly met.

GMC and revalidation requirements

Medical practitioners are expected to be compliant with the GMC requirements for revalidation and standards

of behaviour.

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.


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.

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.

General

This job description does not represent an exhaustive list of responsibilities but is an outline framework of the

key requirements of the post and may be subject to review and amendment in content in the light of future

changes or development in consultation with the postholder.


PERSON SPECIFICATION

Essential Desirable Evidence

Qualifications

Qualified as a consultant and on the specialist register

CV

Postgraduate management diploma or experience of equivalent level

CV

Experience

Experience of working as a Consultant in an acute Hospital CV

Experience of holding a leadership role such as Lead Clinician or Clinical Director or Associate Medical Director

CV

Evidence of improving quality of service provision at strategic level

CV & interview

Demonstrable track record of achievement as a medical leader in an acute setting

CV & interview

Evidence of collaborative approach to implementing changes Interview

Leading a major change programme CV & interview

Skills and abilities

Strategic vision for the development of clinical services Interview

Ability to establish credibility with Board and clinical colleagues

Interview

Ability to handle difficult and contentious discussion at Board level and with medical colleagues

Interview

Ability to contribute effectively operationally Interview

Excellent leadership skills Interview

Ability to negotiate and influence across all levels and professions, internally and externally

Interview

Excellent communication skills Interview

Manages conflict resolution effectively and is able to make difficult decisions

Interview

Ability to enable others to develop vision and translate that into realistic plans

Interview

Ability and preferably experience of handling media CV & Interview

Able to think laterally and develop a whole systems approach Interview

Knowledge

Current best practice in the provision of quality healthcare CV & interview

Sound understanding of current NHS policy CV & interview

A broad understanding of the clinical governance agenda CV & interview

Tools and techniques for quality improvement CV & interview


Broad knowledge of Payment by Results and financial awareness

CV & interview

Personality Traits

Completer/finisher Interview

Team player Interview

Open, honest and with high level of integrity Interview

Politically astute Interview

Effective management of conflicting demands Interview


TERMS OF AGREEMENT WITH PERMANENT OR CONTRACT STAFF (TO BE DIRECTLY ENGAGED BY THE CLIENT) Should you decide to formally apply we write to confirm how we will provide our recruitment services to you.

1. Acertus Search and Select are to provide you permanent or contract recruitment services that is to say we will act as an agency as defined under the Employment Agencies Act 1973.

2. You authorise Acertus Search and Select to submit your formal application for the position of

Medical Director to our client on your behalf. Should you have any queries, or require any further information on the services we provide please contact Linda McCue on 01730 266208 or [email protected].

mailto:[email protected]


Application Process

Application is via CV and concise supporting statement to be submitted to Linda McCue at Acertus via the website www.acertus.co.uk/candidates/vacancies. In your application please detail how you meet the requirements of the role as outlined in the job and person specification. Please do not apply via NHS Jobs. If you wish to discuss any aspect of the role, organisation or application process please do not hesitate to contact Linda McCue at Acertus on 01730 266208. Following the closing date candidates will be longlisted by West Middlesex University Hospital NHS Trust by scrutiny of their application. Longlisted candidates will be asked to attend a preliminary interview with Acertus. As part of this, candidates will be required to complete an online Occupational Personality Questionnaire (OPQ), feedback will be provided at the preliminary interview. Following this West Middlesex University Hospital NHS Trust will shortlist candidates for final assessment and interview. Appointment will be subject to the receipt of satisfactory references and employment checks. All information will be treated in the strictest confidence.

Indicative Recruitment Timetable

HSJ Advertisement

27th June 2014

Closing Date

21st July 2014

Preliminary Interviews

w/c 28th July, w/c 4th and 11th August 2014

Final Panel Interviews

w/c 1st and/or 8th September 2014

http://www.acertus.co.uk/


Jacqueline Docherty

Chief Executive Officer

Gerrie Adler

Interim Director of Operations

Faizal Mohomed-Hossen

General Manager

Clinical Support Services

Andrew Howlett General Manager

Medicine

Marion Pavitt

General Manager

Surgery

Stephanie Stevenson-Shand

General Manager

Women’s & Children’s

Catherine Ramsey

Divisional Director

Clinical Support Services

Iain Beveridge

Divisional Director

Medicine

Hugh Rogers

Divisional Director

Surgery

Suzanne Hollamby

Divisional Director

Women & Children’s

Susan Sinclair

Director of Strategy

Transaction Programme

Management

Office

Jonathan Molyneux

Interim Director of Finance

Bimal Patel

Deputy Director of Finance

Pam Sohi

Assistant Director

Procurement

Ian Bryant

Assistant Director ICT

Debbie Green

Assistant Director

Facilities

Tracy Braniff

Deputy Director of Finance

(Income and Contracts)

Stella Barnass

Medical Director

Vacant

Darrzi Fellow

Nina Singh

Director of Workforce & Development

Jyoti Grewal

Deputy Director of

Human Resources

Karen Boakes

Assistant Director Learning &

Development

Elizabeth Owen

Director of Clinical Studies

Christina Cotzias/Michael

Beckett

Director of Medical Education

Jane Lewis

Trust Board Secretary/Head of Corporate Affairs

Tonie Neville

Acting Director of Nursing & Midwifery

Shan Jones

Director of Quality Improvement

Karin Burke

Deputy Director of Nursing

Joe Johnson

Associate Director/Patient & Public Involvement

Michael Ssernkuma

Chaplain

James Friend Director of

Transformation

Transformation

Programme Management Office

Trust Organisation Chart

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