Senior Programme Manager - Surgical service redesign

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Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

The Senior Programme Manager (Surgical redesign) is a new leadership role within LGT. It will hold responsibility for planning and driving the successful and timely reorganisation of key clinical services within the organisation, focussed on Breast and Urology services.

This post is majority funded by the South East London Cancer Alliance (SELCA), recognising the important role this post will have in improving access to cancer diagnosis and treatment for our patients.

It is an exciting role, with a big opportunity to make a difference to patients across our system. Breast and urology services are highly networked services which are delivered with the support of partner organisations within South East London. Both clinical services have been under review over the last twelve months, to devise potential options for new, optimised models of clinical services which are more sustainable.

Main duties of the job

The postholder will lead our thinking and implementation of new clinical models of care, in collaboration with partners. They will take work completed to date - at different levels of maturity - and collaborate with clinical and non-clinical teams at all levels and across the system through to implementation.

Working in a collaborative way with internal stakeholders and patient advocates is essential for this role. The post holder will therefore have extensive senior management level experience in health and care services. The postholder will be experienced in clinical programme management and healthcare operational leadership, with a proven track record of delivering sustainable change programmes across complex pathways.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Detailed job description and main responsibilities

To work with operational, clinical, workforce and other teams within and beyond LGT to design a future innovative operating model for the services including the most appropriate management arrangements to support the service.

Develop a 3 - 5 year strategy for relevant clinical services, in partnership with directorate triumvirates/leadership teams; undertake and lead benchmarking exercises (as appropriate)

Ensure that any strategic plans are consistent with wider SEL strategies and direction of clinical networks; ensure alignment with SELCA strategy and operating plan

Identify any issues pertaining to delivery of the new services, including but not limited to clinical pathways, digital, estates, finance, procurement, and workforce; identify co-dependencies, risks and issues to enable delivery of significant change within these areas.

Programme Management
• Support senior leaders and system colleagues in securing appropriate clinical engagement for change programmes, ensuring that all key clinicians are active participants in shaping the planning and development of service delivery.
• Manage the programme to ensure areas for potential clinical service change (Trust and SEL) and opportunities for innovation are identified and delivered, realising tangible benefits and improved outcomes for patients.
• Take responsibility for the management of the Programme ensuring that it is designed, delivered and governed to achieve the agreed objectives and KPIs. This includes leading preparation for all internal governance meetings and an executive-led Programme Board, jointly overseen by senior stakeholders in LGT and GSTT.
• Ensure that the programme aligns with any governance / programme management structures for wider South East London clinical networks.
• Ensure the programme is support by robust business and financial planning, demonstrating and realising benefits to the Trust and broader SEL system.
• Design and implement a governance framework that ensures that issue resolution is embedded and risk management is aligned both to the Trust and the wider SEL infrastructure, with corrective action taken in a timely way.
• Proactively mitigate risk across all programme activity and assure the programme board and relevant key stakeholders are regularly updated on effective risk management plans.
• Ensure that the Programme is delivered within its agreed parameters, for example, cost, speed of implementation, expected / actual benefits realisation.
• Devise a reporting structure that facilitates a broad understanding of the programme and its objectives with appropriate ownership within LGT and the wider SEL stakeholders with effective decision making at all levels
• Working with the Trust and wider SEL delivery teams, lead on reporting against the agreed KPIs.
• Lead on benefits management for the Programme and new service delivery models, working with stakeholders to ensure that identified projects benefits are identified both within the Trust and more broadly across South East London.
• Project manage and lead on designated service development projects within the Programme, ensuring that there is a robust project plan, clear timescales and deliverables and engagement with all relevant parties.
• Deliver required project documentation, consultation and communication material, briefing and formal papers and presentations in order to support delivery of projects using agreed methodology; this will include the development of patient facing materials and supporting internal/external communication plans
• Ensure alignment with other relevant local and national programmes of work and policy.
• Work effectively through ambiguity and uncertainty.

Communication
• Maintain good relationships with and effective reporting to various Boards and formal meetings, ensuring that members are well briefed on the progress of the Programme.
• Use exceptionally well-developed communication, negotiation and influencing skills to engage a range of staff to enable the delivery of the Programme against a range of limiting resource constraints.
• Build and proactively develop effective stakeholder relationships in the health economy and beyond, and actively develop productive relationships in sometimes challenging environments.
• The role will demand frequent face to face, written, verbal and electronic communications. This will be with a range of Executive Directors, other Directors and senior managers in the Trust, the APC, ICB, SELCA, GP's, clinicians and other healthcare professionals, service managers, information and finance professionals.
• Lead and support communication with patients on new service models and redesign, working with patient and public involvement teams.

Budget Responsibilities

Manage the agreed budget, monitoring both expenditure and cost and understanding the impact on the organisation's and broader systems financial position.
• Influencing and leading changes and improvement through new patient pathways and clinical efficiency.
• Making service recommendations and changes, which impact the Trust income.
• Managing delegated financial and physical resources for the projects.
• Ensure financial risks are monitored and escalated appropriately as the programme is delivered

Workforce responsibilities
• Will be required to undertake any workforce responsibilities such as an appointed panel member on an interview or disciplinary hearing. May also be required to undertake any investigations under one of the Trust's workforce policies.
• Whilst it is envisaged there will be no direct line-management within the duties of this post initially it is expected that the post holder will contribute appropriately towards appraising any junior staff that are assigned duties within the project

Person specification

Role criteria

Essential criteria

• Graduate qualification at Masters' level or equivalent
• Evidence of on-going career/professional development
• Programme management experience supplemented by knowledge and experience of service improvement. eg elective surgery management, pathway redesign

Desirable criteria

• Project management qualification (e.g. PRINCE II Practitioner)
• Clinical/operations background

Experience

Essential criteria

• Experience of working with Director level colleagues and senior clinical staff
• Budget management
• Knowledge and understanding of the NHS and emerging national policy
• Extensive experience of managing a number of complex projects, with conflicting priorities
• In depth experience of working across different clinical and managerial functions such as IT, finance, HR.
• Demonstrable record of organisational change management with proven ability of managing resources (people, financial and materials)
• Data analysis, problem solving and option development and appraisal.
• Demonstrable experience in managing projects/directorates within tight budgets
• Proven project management and business planning skills
• Experience of managing people and a team including recruitment, selection and appraisal
• Experience of presenting to a wide range of audiences
• Experience of working effectively with clinical colleagues to achieve tangible outcome

Desirable criteria

• NHS experience - ideally in large acute setting
• Experience of rolling out a project across a number of stakeholders/organisations, and dealing with potential tensions between members

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.

Employer certification / accreditation badges

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• candidate information pack (PDF, 858.8KB)
• Working at LGT (PDF, 4.2MB)