Tees Esk and Wear Valleys NHS Foundation Trust
An opportunity has arisen for an experienced Consultant Psychiatrist to become Group Medical Director (GMD) and lead the shared system agenda for transformational change in relation to mental health, learning disabilities and autism, taking strategic responsibilities across networks such as Provider Collaboratives, the ICP or ICS. This will include leading and supporting developments at Trust level but also across the wider ICS area as required. This senior leadership role will be pivotal to enable the system-wide delivery of regional and national mental health strategy.
Applicants with experience in Adult, Older People, Children and Young People Learning Disability, Forensic and Autism services are welcome to apply. The substantive clinical base of the successful candidate will depend upon their specialty and vacant Consultant posts at the time of interview within the North Yorkshire/York region.
It is expected that the postholder will devote 6 PAs of time to the Group Medical Director role in North Yorkshire, York Care Group (NYY). The rest of their time will be devoted to clinical work (including any SPA) up to a maximum of 13 PAs in total. The weekly job plan for the successful candidate will be discussed on an individual basis and can be adapted flexibly.
Main duties of the job
To provide director level leadership to Medical colleagues and to associated professional groups to contribute effectively to the Trust strategic planning processes and the achievement of Trust objectives and performance targets at care group level.
On behalf of the Trust, to develop and sustain excellent working relationships with key individuals and stakeholder groups, promoting the Trust and its services to multiple organisations and agencies both regionally and nationally.
To provide corporate support to the Trust for governance and assurance issues relating to the medical profession on behalf of the Group Managing Director.
To initiate and contribute as lead group director to the operational and long term strategic management of TEWV clinical services within the care group, taking lead responsibility for the modernisation and development of Medical Services as outlined in Trust and service strategies, ensuring the effective involvement of clinicians, service users and carers.
To have an overview of the medical workforce plans across the locality, that will help recruit and retain members of medical staff and to ensure that the skills and talents are deployed across the locality in such a way as to obtain the best possible medical service.
To support the Director of Medical Education by ensuring medical colleagues are able to spend time on high quality training and development for SAS doctors and doctors in training.
About us
We are the Mental Health and Learning Disability NHS Trust for County Durham and Darlington, Teesside, North Yorkshire, York and Selby.
From education and prevention, to crisis and specialist care our talented and compassionate teams work in partnership with our patients, communities and partners to help the people of our region feel safe, understood, believed in and cared for.
We nurture the recovery journey of anyone in need of our help. In Our Trust, everyone has a say in how they are supported and treated because we listen to every person in our care until they feel understood. Our patients, their families and carers work together with us towards better mental health.
We're committed to new thinking that improves the wellbeing of our region. We connect with our communities and partners to get mental health care right, in areas that really need it.
We won't rest until everyone in our region has the mental health care they need, to lead their best possible life.
There are two group localities; Durham & Tees Valley (which includes forensic services) and North Yorkshire & York. In terms of clinical specialties, these comprise:
1. Adult mental health
2. Mental health services for older people
3. Children and young people's services
4. Forensic Services (including prisons)
Job responsibilities
Clinical Responsibilities, Patient Contact
Oversees and understands accountability for the delivery of Medical Services within the care group, in partnership with Associate Medical Directors.
Ensures that all members of the clinical teams have access to agreed evidence based clinical pathways for the understanding and care of clients of the service, through the provision of advice and consultation and the dissemination of knowledge, skills and research.
Makes highly skilled evaluations and provides expert, professional advice and consultation on decisions about treatment options to clinical staff with regard to highly complex cases within own professional field.
Provides oversight to ensure both general and specific support and advice to those undertaking risk assessment and risk management for relevant individual clients and provides both general and specialist advice for medical and other professionals on the therapeutic aspects of risk assessment and management, seeking guidance and leadership from relevant clinical colleagues.
Provides expert consultation regarding the care and treatment of client groups to agencies outside the Trust.
Understands limits of own professional and clinical expertise and seeks guidance and leadership from expert clinical colleagues as required.
Addresses complaints and concerns directly with service users and carers, seeking to achieve a satisfactory outcome for the affected parties.
Responsibility for Information & Information Systems
Supports the clinical services in the achievement of the highest standards of clinical and corporate record keeping, including timely and accurate electronic data entry, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice and Trust policies and procedures.
Understands and monitors the information assets which are held within the designated area (their purpose, how the information is created, amended or added to over time, who has access to the information and why).
Understands and addresses any risks to the assets, providing assurance to the Senior Information Risk Owner (SIRO).
Regularly (several times per month) produces reports in collaboration with relevant colleagues, on a wide range of strategic and operational issues for senior level groups e.g. Trust Board, Executive Management Team, Operational Management Team, Patient Safety and Clinical Effectiveness committees, Service development Groups etc. Such reports may include detailed spreadsheets requiring the use of formulae to produce statistical information.
Responsibility for Planning/Organising & Strategic/Business Development
Participates in the development of the strategic vision of the Trust, identifying and promoting strategic objectives through regular participation in Board away-days and workshops. Actively engages in Trust-level business planning.
Supporting the strategic development of the trust medical directorate, identifying service priorities and advising on the level of medical provision within the care group.
Advises and supports the medical directorate and associate medical directors in the development of service business plans to ensure they contribute to the achievement of Trust strategies and objectives.
Identifies and highlights to the trust-wide board the implications of national health policy developments relating to medical staff and services and produces, implements and monitors care group actions in response to these developments.
Where appropriate, undertakes the management of significant, long-term care group and Trust-wide projects utilising the Trust's project management framework, reporting progress at Board level or to the Senior Leadership Group.
Policy Development
Responsible for ensuring that all medical staff within the care group have arrangements in place to identify, develop and implement all clinical and non-clinical policies that are required for the safe and effective operation of services. Ensures compliance with service-specific and trust-wide policies across the Medical Directorate.
As a member of the Trust's senior management team, participates in and provides consultation feedback to inform the development of Trust-wide policies. May lead the development of specific Trust-wide policies as appropriate.
Service Development, Project Management
Provides director-level leadership in the development of high quality, responsive and accessible Clinical Services for service-users, carers and families, including advising the Localities on those aspects of the service where medical or associated organisational matters need addressing.
Responsible for identifying, developing and managing service development projects within the care group in accordance with the Trust project management framework and as agreed with the Chief Executive Officer. Projects may have Trust-wide impact and progress is regularly reported to the senior management groups and the Board of Directors.
Lead role in the implementation of the Trust's quality improvement system (QIS) across Clinical services within the care group, being a senior improvement and coach leader and working with the Trust's improvement teams to identify service improvement opportunities and engage staff in regular service improvement events and related training activities.
Strategically manages and collaboratively plans with appropriate external and internal partners and commissioners to ensure that Clinical Services adapt within the wider social care environment and meets the needs, not only of current service users, but also those accessing services in the future.
Responsible for implementing and maintaining effective means of involving service users and carers in service development activity, in a meaningful way, through timely consultation and engagement.
Personal duty of care to complete time sheets, mileage forms, expense claim sheets etc., accurately and in a timely manner, providing receipts as required.
Budget holder for pay and non-pay budgets for medical staffing in area of remit.
Authorised signatory status within revenue expenditure limit.
Manages external funding relating to research programmes.
Lead responsibility for ensuring that high quality services are provided in a cost-effective way, within budget and in accordance with the Trust's policies and procedures, standing orders and standing financial instructions.
Lead responsibility for developing and agreeing at Board level annual Cash Releasing Efficiency Savings (CRES) and ensuring these are met.
Oversees the development of Outline Business Cases for service developments that have significant revenue and capital spend implications.
Responsibility for Physical Resources, Estates, Hotel Services
Responsible for maintaining asset registers.
Ensures that effective systems are in place within the medical remit of the care group for identifying and reporting security and maintenance issues.
Ensures that effective stock control systems are in place throughout the care group Medical Services.
Research, Audit and Governance
Takes the lead role in developing research and development capability within the Trust's Medical Services and in maximising opportunities to establish partnerships with Universities and other external organisations. Secures funding for the furtherance of research and development work.
Responsible for the performance management of Medical Staff research and development activity within the service.
Undertakes, coordinates and implements appropriate research, complex audit and service evaluation and provides leadership and advice to other staff undertaking research and development activities within the Medical Directorate to help develop and improve services to service users and carers.
Maintains an active engagement with current developments in the field of Medicine relating to mental health.
Responsible for the systematic governance of practice within the medical profession, actively engaging, and ensuring appropriate clinical representation with trust-wide governance programmes.
Participates in the Trust's clinical governance programme, supports staff to evaluate practice through clinical audit and ensures the implementation of action plans to effect change as required.
Active member of the Patient Safety Committee and Clinical Effectiveness Committee.
Makes judgements and decisions on a wide range of highly complex operational and strategic issues affecting Medical Services. This may require the analysis and interpretation of data from multiple sources which may conflict and where differences of opinion need to be resolved and where minimal or no guidance may be available.
Makes decisions on challenging issues such as budget expenditure, cost improvement, policy change, service level agreements and new developments requiring these decisions to be communicated positively and appropriately to staff throughout the service.
Analyses highly complex financial and operational information, performance targets etc. to inform the business planning process at a strategic level.
Analyses highly complex clinical information in order to provide expert advice in own field regarding e.g. management of risk or therapeutic options.
Reporting directly to the Executive Medical Director and Care Group Managing Director, works with minimal supervision, guided by own interpretation of Trust policies, local and national commissioner standards (e.g. CQUIN), national regulatory standards (e.g. CQC, NHSLA), national guidance etc.
Person Specification
Personal Attributes
* Able to work in accordance with the Trust Values and Our Journey to Change
* Committed to continual quality and service improvement.
* Self-aware and committed to continual professional and personal development. Able to accept and respond positively to feedback from supervision.
* Committed to promoting a positive image of people with mental health conditions and learning disabilities.
* Committed to promoting a positive image of the wider Trust.
Skills
* Excellent leadership skills including highly developed communication, decision making, facilitation and negotiation skills evidenced both within TEWV and also with external partner agencies, service users and carers.
* Ability to articulate the value added by Medical staff within the context of multidisciplinary mental health and learning disability healthcare provision and government and national professional policy.
* Provide expert consultation to other professionals and non-professional groups both within and external to the Trust or NHS.
* Undertake complex multiagency working and liaise with multiple systems.
* Motivate and work positively and constructively with other members of the team.
Knowledge
* Extensive knowledge of strategic issues relating to Clinical Services across the Trust and nationally.
* Extensive knowledge of the NHS policy environment at local, regional and national level.
* Extensive knowledge of NHS quality and regulatory issues and requirements including CQC registration, CQUIN, NHSLA.
* Quality and Assurance Governance Agenda
* Quality Improvement Systems
* Record of having published in either peer review or academic or professional journals and/or books in relevant subjects.
Experience
* Extensive experience in the following areas:
* Significant previous experience in a senior medical leadership role.
* Working collaboratively with statutory, voluntary and private sector agencies.
* Working at a strategic level on a range of clinical and management issues.
* Participation and supervision of quality and service improvement initiatives.
* Experience of strategic management and leadership across multiple systems.
* Managing quality and assurance governance issues.
* Interpreting and implementing national policy, guidance and standards within a healthcare organisation.
* Experience of use of the Mental Health Act and its governance.
* Developing policy and services within a healthcare organisation.
* Leading organisational change, including internal and external consultation processes.
* Representing a healthcare organisation at external forums.
* Managing highly complex human resources and financial management issues within a healthcare setting.
* Undertaking research and development activities.
* Experience acting as a leader within a multidisciplinary team.
Qualifications
* Medical Degree and registered on specialist register.
* Current registration with the GMC or other regulatory body.
* Evidence of training within Management and Systems Leadership.
* Evidence of continuing professional and personal development.
* Postgraduate qualifications in areas relevant to post (Example Leadership).
Other Requirements
* Ability to travel independently in accordance with Trust policies and service need.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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