Location
London

Hours
Full Time

Salary
£71,148 per annum

About the Role
Guy’s and St Thomas’ Trust is one of the UK’s busiest and most successful NHS foundation trusts, providing a full range of hospital and community services across south London and specialist care for patients from further afield. The Trust is home to Europe’s largest dental school, a £160 million Cancer Centre, and Evelina London Children’s Hospital, among other leading facilities. We are committed to delivering high quality, safe, and patient-centred care, supported by a motivated and engaged workforce of over 23,500 staff.

We have an exciting opportunity to recruit two permanent and one fixed-term Assistant General Manager (AGM) within the Specialist Ambulatory Medical Services (SAMS) Directorate. The fixed-term postholder will commence on 11th May 2026, with secondment arrangements agreed with their line manager.

The AGM roles combine operational and strategic leadership within their specialties, strengthening operational grip, driving performance, supporting workforce planning, and delivering key transformation priorities. AGMs will provide day-to-day leadership and operational resilience across high-activity services with complex pathways, line managing Service Managers, deputising for Deputy General Managers, and working closely with the wider Service Management Team.

This role offers an excellent opportunity for current AGMs seeking to broaden their NHS experience or Service Managers ready to advance their leadership journey.

Main Duties
Operational Performance Management: Ensure efficient day-to-day management of services, establish team agreements, maintain performance frameworks, resolve issues promptly, and support clinical areas with appropriate resources. Monitor and achieve national and local service targets, manage Junior Doctors’ hours, contribute to business planning, and promote a positive departmental image internally and externally.

Management and Leadership: Support workforce planning, lead organisational change, manage recruitment and staff development, handle disciplinary and performance issues, and motivate staff through effective leadership.

Quality, Risk and Governance: Lead on complaint resolution, ensure adherence to risk management and governance policies, and develop compliance monitoring systems.

Financial Management: Manage delegated budgets, identify savings, develop business cases, and ensure compliance with financial instructions.

Strategy, Change and Service Improvement: Identify and lead service redesign opportunities, participate in Trust-wide modernisation programmes, support research and training initiatives, and deliver agreed change projects.

Organisational Values
We are Caring – putting patients first, Ambitious – striving for excellence, and Inclusive – respecting and collaborating with each other. We support flexible working arrangements to promote a healthy work-life balance and accommodate individual needs.

Experience
- Proven operational management experience in complex services
- Experience managing complex budgets from multiple income sources
- Track record of successful project and performance management including business case preparation and contract negotiation
- Experience working within multi-professional teams and collaborative environments

About you
- Strong commitment to improving performance with a passion for quality and safety
- Inclusive leadership style with excellent staff management skills
- High standard of communication, organisational skills, and ability to use initiative
- Ability to lead service improvement projects and work across multiple sectors

Qualifications
- Relevant Masters degree, equivalent professional qualification, or equivalent experience
- Evidence of recent Continuing Professional Development
- Understanding of lean methodology is desirable

Skills and Knowledge
- Advanced analytical and judgement skills, including handling complex statistical and numerical data
- Excellent interpersonal, communication (written, oral, presentation, facilitation), networking, and negotiation skills
- Proven ability to consistently deliver performance targets and write complex business cases, policies, and change initiatives