Head of Transformation

Head of Transformation

Main area

Administration

Grade

NHS AfC: Band 8c

Contract

Fixed term: 12 months (Limited Term Cover)

Hours

Full time - 37.5 hours per week (The Transformation Team's base office is at RBH site, but role is cross-site across all GSTT (Harefield, Guy's, Royal Brompton, and St Thomas') hospital sites.)

Job ref

196-SMT1635

Employer

Guy's and St Thomas' NHS Foundation Trust

Employer type

NHS

Site

Royal Brompton Hospital

Town

London

Salary

£82,462 - £93,773 per annum inc. HCA

Salary period

Yearly

Closing

28/10/2024 23:59

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts.





We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting,





school nursing and support for families of children with long-term conditions.

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre,





providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.







The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.

Job overview

The Head of Transformation is a vital role in the delivery of innovation across our hospitals. Its availability coincides with a time of exciting change for our hospitals. The merger with Guy’s and St.





Thomas’ NHS Foundation Trust to form the largest provider of heart and lung services in Europe, our Cardiovascular collaboration across the King’s Health Partnership and the implementation of the Epic Electronic Health Record collectively represent a uniquely dynamic and fertile environment for innovation. Furthermore, the impact of COVID-19 has generated the added imperative of sustaining care through largely virtual means. We have already realised substantial transformation of our clinical and administrative pathways, but work remains to fully embed these and build on them.

Main duties of the job

The successful candidate will lead the Transformation Programme for HLCC founded upon the principles of Quality Improvement but also one that exploits the latest digital tools available.





Supported by a team of Transformation Leads, Information Analysts and a Programme Support Officer, the Head of Transformation will develop, deliver and monitor a coherent set of initiatives that align with our strategic objectives and make a tangible difference to patient care. They will demonstrate exceptional organisational and communication skills, an ability to develop effective teams and work collaboratively with a wide range of stakeholders, the initiative to seek out opportunities to improve services and the creativity, experience and knowledge to realise them.

Working for our organisation

Our Transformation team works with clinical and operational teams of the Heart, Lung, and Critical Care Clinical Group based across Royal Brompton,





Harefield and Guy’s and St Thomas’ hospitals to identify opportunities to improve services, create a vision to guide improvements, and provide the inspiration, resource and tools to execute changes in a collaborative way. We aspire to continually enhance the quality of care we deliver, the outcomes our patients achieve as a result, and their experience of our services. We must meanwhile future-proof the organisation and protect our world-leading services and research by making care delivery as efficient as possible. To do so we must leverage our existing clinical and administrative resources whilst taking advantage of emerging healthcare technologies.

Key Relationships

- HLCC Executive Team
- Directorate Management teams and
- Commissioners, CCGS, ICSs






- Clinical professional groups including, CNSs, AHPs, Professional Clinical Leads and operational managers
- Performance & Planning and Informatics teams
- Corporate functions such as: Corporate Strategy, OD, PPE, QI and Patient Safety, CITI, Apollo
- KHP Cardiovascular and Respiratory Partnership Programme
- Network teams; Cardiovascular, Critical Care, Respiratory

Detailed job description and main responsibilities

Project and Programme Management

· Plan, develop and maintain a robust programme strategy, aligning to the organisation’s long-term vision, taking into account the uncertainty and complexity inherent in a large provider of healthcare

· Design, establish and deliver programme governance, including project oversight, reporting architecture encompassing the executive leadership team, escalation of risks and issues, and all related documentation

· Develop the scope and objectives of a programme of initiatives collaboratively with exe directors and operational and clinical leads

· Establish benchmarks, KPIs and related reporting mechanisms to evidence the outputs, outcomes and benefits of transformation initiatives

· Support Transformation Leads in the delivery of initiatives, acting as a point of expertise, oversight and intervention where required

· Assess complex situations and the options available for improvement, for example in developing business cases or in determining the most suitable course of action during a project

· Plan and organise a broad range of complex activities that will lead to delivery of the programme’s objectives, covering business analysis, staff modelling, business case development and the introduction of new ways of working and business solutions

· Chair project meetings involving senior operational and clinical personnel

· Develop strong working relationships with senior stakeholders, ensuring they are informing and engaged in transformation initiatives

· Capture lessons learned to inform the shape and delivery of the later lifecycle of the initiatives as well as new initiatives, and share effectively with the rest of the team and the organisation

· Take a structured approach to stakeholder engagement, ensuing a targeted approach based on individual and group drivers and interests

· Develop a structured approach to project and programme management for the team and the wider organisation

· Maintain oversight of a wide range of projects simultaneously, which may entail a variable work pattern, to ensure accuracy of info and attention to detail

Service Improvement and Change

· Interpret NHS policies and guidance from regulators, royal colleges and other institutions to inform the development of new clinical pathways, models of care, service changes and projects, in collaboration with clinical and operational colleagues

· Demonstrate highly developed, specialist knowledge in QI and/or other change methodologies, underpinned by theoretical understanding and experience of bringing this to life in real-world project delivery

· Demonstrate a comprehensive awareness of the latest developments in healthcare delivery, including the use of digital technology to enable virtual models of care, improve administrative efficiency and enhance clinical decision-making

· Develop policies for clinical directorates in collaboration with clinical, operational and corporate colleagues, to govern new care pathways, systems and processes, and subsequently implement them

· Put in place measures to ensure and monitor sustainable adherence to policies in the longer-term.

· Undertake research into key areas of clinical care, digital technology and process redesign to identify new opportunities for improvement and productivity

· Undertake analysis of Trust performance data to identify inefficiencies that could be addressed through the development of transformation initiatives

· Oversee the delivery of transformation/innovation initiatives by making use of QI methodology, including:

o Designing and facilitating workshops and activities to ensure engagement and collaboration

o Developing implementation plans that draw on principles of continuous improvement

o Using data and analytics to inform the direction and substance of transformational initiatives

o Using a wide range of communication skills to win hearts and minds on sensitive change issues, including building close relationships with members of staff at all grades

· Guide and support the rest of the organisation in the planning and implementation of change initiatives by:

o Representing the Transformation team in sharing an approach to change that is rooted in improvement science

o Develop a programme of training sessions alongside the CITI team on improvement science and/or project management methodologies and deliver these to members of staff from diverse backgrounds

o Alongside the delivery of training, act as a mentor for QI projects delivered independently by clinicians and other members of staff within directorates

· Using prior experience and insight, ensure that the human resources implications of transformation initiatives are considered through the change process, working with and bringing in colleagues from HR

Communication

· Provide and receive highly complex, sensitive or contentious information relating to service change, and communicate this, where appropriate, to key stakeholders lucidly ensuring that barriers to understanding are overcome

· Present such information to large groups of staff, often in challenging atmospheres when changes could prove controversial, and build buy-in to key initiatives that will ultimately benefit patients and staff

· Act as an ambassador for the Transformation Programme, presenting relevant data and updates as required at internal and external meetings to update and engage Trust staff and other stakeholders

· Oversee the development of papers to internal governance, presenting to project boards and steering committees

· Keep the team updated with latest Trust developments by being engaged with a wide range of teams across the organisations

· Identify opportunities for increased communication and engagement, working with the internal communications team and workstream leads

Information Analysis and Management

· Work with the team’s business informatics resources to ensure all workstreams have a set of quantifiable, realistic, targeted and measurable KPIs that amount to the delivery of its objectives, and reporting that tracks these KPIs

· Demonstrate a deep understanding of information governance to ensure that reports are safely maintained and shared

· Develop the analytical skills of the team

· Interrogate data and related information to identify trends and steer workstreams towards targeted interventions, including escalation to operational leads, and evidence progress towards objectives

· Use range of data and information to appraise several options available to address a service need

· Design and undertake audits (such as time in motion studies or activity tracking) and patient/staff surveys where appropriate to determine root causes and inform as well as demonstrate the progress of improvement plans

· Support patient engagement by designing and participating in forums to understand opportunities to improve care and address areas of poor patient experience

· Collate quantitative info in varying formats in order to report workstream status and progress

· Correlate activity data with actions that would result in a financial improvement

· Use data to identify further opportunities for improvement, either within existing workstreams/projects or as part of the scoping of new initiatives

· Work with BI colleagues to produce ad hoc reports where appropriate

Financial and Human Resource Management

· Responsibility for the departmental budget and contribute to budget setting for the department

· Oversee the setting and management of multiple project budgets

· Work with divisional and corporate (HR and Finance) colleagues to identify and quantify any resource implications or needs of an initiative. Ensure that such financial implications are managed, monitored and escalated appropriately

· Escalate where project resources do not meet the needs of delivery and assess needs accordingly

· Line manage Transformation Leads and Business Informatics Lead

· Deploy resources effectively and efficiently, whilst developing staff capability within the work area.

· Use performance management techniques to manage, appraise and support a large multi-disciplined team; engenders a culture of co-operation and support, both within the designated programme and more widely across the organisation.

· Lead, motivate and deploy specialist delivery teams in a dynamic multi-project environment; inspire others to overcome obstacles of delivery; challenge and influence established beliefs and behaviours where there is significant resistance to change. The delivery teams will be typically made up of direct reports, staff working on assignment and technical and specialist resources.

· Support the organisation’s ways of working, modelling its values and championing a culture of empowerment, accountability and recognition.

· Manage succession planning and robust people management practice that improves productivity and efficiency.

· Develop synergies within multi-functional teams across organisational/external boundaries.

· Use knowledge of audience views and interests; choose and employ diverse methods, tools, and resources to educate and build enthusiasm in potential partners and supporters.

Other

· Help to foster a collaborative, supportive culture within the team

· Provide a safe and attractive working environment for the team within available resources

· Lead sessions to coach and/or train members of staff, both clinical and non-clinical, in the concepts and processes of service improvement or other relevant skills that the post-holder has, as appropriate

· Attend and play a part in corporate groups as a representative of the directorate and team to represent the Trust at regional and national conferences and on working groups as appropriate

· Work to develop a personal and professional development plan by productively participating in 1:1s and independently identifying informal and formal training that is relevant to the role and the individual’s career goals

Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Flexible working

We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.

Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.

Please apply for this post by clicking "Apply Online Now."

Please contact Janet Ayres *******@rbht.nhs.uk if you would like to discuss the role in more detail.

▶️ Head of Transformation
🖊️ Royal Brompton hospital
📍 London