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 Deputy Chief Executive’s Office is home to CITI – the Centre for Innovation, Transformation and Improvement at Guy’s & St. Thomas’ NHS Foundation Trust. We’re the largest NHS Trust in the country, with a unique range of services from community to quarternary care, and a geography that extends from Southeast to Northwest London. We are a national leader in research and development and have an international reputation for clinical excellence. The foundation and further development of this status is dependent upon our ability to innovate, transform and improve our services. CITI is our answer to that challenge, aiming to make our services fit for the future by drawing on best practice, in-house expertise and the latest technological developments from industry The newly created function co-locates multi-faceted teams to provide the focal point for clinical innovators and services seeking to translate ideas, innovations and opportunities for improvements into clinical practice. The Centre aims both to incubate, implement and commercialise innovations (through CITI Innovation), and deliver large and complex transformation and improvement programmes (through CITI Delivery). This includes novel therapies and digital technologies such as AI and automation. To do so, work closely with our specialist partners across other GSTT departments, such as medical physics and the Data Technology and Informatics, as well as from industry and other areas of the health and social care system. Main duties of the job There is now a unique leadership opportunity for a newly created role of Associate Director CITI Delivery. We are looking for a candidate with subject matter expertise in quality improvement, and a track record of leading large and complex transformation programmes, whether in healthcare or wider industries. The post holder will be the Trust’s leading expert in the theory and practice of improvement, transformation and programme management. The post holder will act as ambassador for CITI across GSTT and externally, collaborating closely with senior internal and external stakeholders. We are looking for a dynamic individual who is driven to fulfil CITI’s ambitions to be an exemplar internationally of a function that stimulates and delivers leading innovation, transformation and improvement. The post holder will lead a number of multi-year, multi-million pound programmes and direct large teams across a number of departments/clinical groups to scope, plan, deliver and measure change initiatives aligning to the Trust’s largest priorities. Please see job descriptions for the role. Interview dates to be confirmed. Working for our organisation CITI at Guy’s and St Thomas’ was newly founded in 2021 under the Deputy Chief Executive (DCE). The DCE is the Executive Director responsible for leading and implementing the Trust’s strategy for innovation and improvement, which aims to develop an ecosystem that encourages the acceleration of new knowledge and capabilities and learn from best practices globally, to deliver improvements in patient care, research and education at scale. CITI co-locates multi-faceted teams to provide the focal point for clinical innovators and services seeking to translate ideas or early stage products or improvements into clinical practice. The Centre aims both to incubate and deliver innovations and improvement ideas, projects and programmes, working alongside and for its clinical customers for the benefit of patients. CITI builds on industry best practice in taking innovation from concept to practice. It aims to foster a culture of innovation and improvement throughout the Trust, and acts as the intellectual home of our core change methodologies. CITI aims to improve the adoption of new clinical technologies with an agile operational model, delivering a data-driven approach to evaluating performance of novel technologies, creating a sustainable culture of innovation in clinical and operational workforce, and to build partnerships with academia, industry, investors, our communities and key Stakeholders. Detailed job description and main responsibilities Key member of the CITI Senior Leadership team and Delivery Leadership Team Develop management and operational processes to govern, monitor, track and report on the activities of the Delivery function Develop communication tools which serve to engage employees and create transformation and improvement opportunities and conversation at all levels in the Trust Be a member of the Major Programme Board to provide Subject Matter Expertise, and represent CITI, CITI Delivery, as well as the Clinical Groups and Programmes the post-holder leads on Lead the CITI prioritisation process for improvement, transformation and improvement opportunities that sit in the pipeline of initiatives for CITI, attending board meetings to advise the Executives at GSTT on strategic direction for complex programmes and CITI Delivery resource Line management responsibility for a number of CITI Delivery teams and other programme staff across a number of Clinical Groups to ensure support is in place for the Clinical Groups to achieve, and exceed, if possible, their performance goals Monitor the development needs of the CITI Delivery team and put in place capability development programmes to ensure the team’s skills and knowledge are fit for purpose Design, facilitate and lead Delivery team meetings and regular meetings with other stakeholders including external agencies and partners Work with others in CITI and senior multi-disciplinary staff on pre-empting problems and misunderstanding in relation to the CITI offering Provide senior level improvement, transformation, change management and programme management expertise with specific responsibility for delivering the vision for the subject matter expertise below outlined in the next section and for CITI more broadly Be responsible for an ongoing programme of audit and assurance relating to delivery projects. This will include designing and carrying out programme assurance in line, with best practice, for a range of projects and programmes across Clinical Groups outside of the post holders direct control i.e. independent and objective programme assurance and reporting. Scoping, Commissioning and Directing programmes Take the organisational lead for key change initiative where the complexity and/or cross organisational impact (incl. financial) requires senior and experienced leadership to ensure delivery Provide effective leadership to multiple, long term strategic plans for sustainable service development, improvement and transformation at service and Trust level. This will involve working across Trust and the wider SEL boundaries, in new and existing areas of change, complex interdependency mapping and managing both fixed and ambiguous requirements such as detailed business planning targets and large-scale change programmes Responsible for improvement, transformation and change initiatives that will be associated with multi-million-pound financial benefits, including identifying and securing commitment to change, engaging and managing stakeholders in order to deliver effectively and influencing existing opinions to sustain change Responsible for the development of solutions that meet the specification of the end user/client Ensure the programmes are resourced effectively including commissioning external support where required, managing those suppliers and leading blended teams (including CITI Delivery Team members, Clinical Group staff members and external providers) Lead and work with others to understand and track complex interdependencies and delays between different parts of the service or programme Influence and direct staff allocated to work on particular programmes, ensuring they meet expected levels of performance and receive appropriate support and development in order to build an effective internal consultancy Provide direction and ensure that all Delivery team staff, especially those aligned to the transformation and programme management capability group have the necessary skills and experience to operate as an effective internal consultancy and delivery unit Have direct contact with patient and service user representatives to ensure Delivery initiatives are delivered with coproduction and collaboration at their core Responsible for managing and assessing a complex range of data and making informed recommendations which are focussed on outcomes that meet external and internal customers’ and patient needs Design innovative and workable approaches to gathering information and data collection systems. This will include information gathering where data is difficult to get and interpret Use data-driven presentations to challenge existing work practices and beliefs for varying audiences Produce written documentation, including status reports, information/data/reports as required for service and clinical management up to Executive level, bids for funding and explanations of technical and complex issues. Ensure communication is appropriate for target audiences. Make recommendations and present findings at all levels throughout the Trust Be responsible for an ongoing programme of audit and assurance relating to delivery projects. This will include designing and carrying out programme assurance in line, with best practice, for a range of projects and programmes across Clinical Groups outside of the post holders direct control i.e. independent and objective programme assurance and reporting. Clinical Group Leadership and Account Management Be responsible for developing and maintaining effective relationships with members of the following Clinical Groups: Integrated and Specialist Medicine, and Women’s and Children’s Work closely with members of the Clinical Groups’ Executive teams to maintain an overview of the improvement and transformation initiatives within the Clinical Group; Develop and maintain a deep understanding of the structures, processes and challenges the Clinical Group faces; Represent he Clinical Groups’ needs in CITI and Trust-wide forums – e.g. CITI Prioritisation and Major Programme Board; Identify and monitor interdependencies between programmes of work, and with other Clinical Group initiatives Subject Matter Expertise for Digital optimisation and transformation, Improvement science and business performance systems, Evaluation and Measurement, Design Thinking and Experience-based co design, and Patient and Public Engagement Work effectively and collaboratively with all levels of the organisation acting as a subject matter expert, advising the Executives and other senior leaders on the above capability groups Lead on the development and delivery of a comprehensive business management framework for the above capability groups within the Delivery function. Including; developing core methodologies, establishing and growing a community of practice, developing supporting learning and development materials and courses, designing and leading events to engage staff across the Trust and across the network Lead the development of the improvement, transformation and programme management capability within CITI to support the implementation of the clearly identified transformation and improvement approach within the Trust Build organisational improvement, transformation and programme management capability based on sharing information and learning Act as the improvement and transformation expert and champion to lead, manage and embed improvement and transformation methodologies across all functional areas in the Trust, including and training/mentoring employees on improvement, transformation and programme management approaches Lead the above capability groups in ensuring regular interpretation of the benefits of CITI’s work in terms of improved patient and service user experience and other core CITI KPIs System wide leadership and Partnership Working Represent CITI in external forums, and promote CITI’s approaches, programmes and offer externally; Manage strategic partnerships and relationships with partner organisations, public health and social care organisations, wider public sector organisations and private enterprises to advance CITI’s ambitions; Use those relationships to lead establishing and nurturing rotating work placements into the CITI Delivery team with Strategic Partners, such as large professional services firms, the Civil Service Fast Stream, NHS Graduate Management Trainee scheme and internal GSTT Clinical Groups; Promote and advocate CITI’s activities, visions and plans with external partners, identifying opportunities for interdependent programmes and growth For full details, please refer to the Job Description and Person Specifications document. Person specification Qualification/Education Essential criteria Education to Masters degree or equivalent level of knowledge and experience. Relevant post-graduate qualification in relevant discipline. Evidence of continuing professional development Formal qualification in project and portfolio management and change techniques. Desirable criteria Formal qualification in Lean or other relevant improvement methodology Formal qualification in six-sigma Programme management qualification (MSP) Skills Essential criteria Strong leadership, interpersonal skills and authority; able to successfully foster and manage interrelationships between own unit and differing professions including executive and non-executive. Excellent line management and coaching skills for staff deployed across a broad range of complex programmes and clinical groups (depts.). A proven track record of creating a common purpose and instilling organisational values and behaviours that promotes a corporate vision.. Advanced skills in negotiation and influencing at the most senior levels across all disciplines including executives. Knowledge and experience of stakeholder engagement, specifically engaging clinicians and patient involvement. Evidence of the ability to constructively challenge (upwards, downwards, horizontally across structures and organisations) and encourage even the most resistant cynic to think of lateral solutions. Ability to work accurately and with attention to fine details. Is comfortable working with ambiguity, and is able to create structure and short and long term plans in such an environment, and provide direction to others.. Ability to successfully analyse highly complex issues, data and situations, provide logical decisions, and reconcile competing interests, providing practical and creative solutions to problems through collaborative working. Knowledge, understanding and application of current NHS policies across healthcare systems and experience of implementing in relevant areas. Apply excellent communication skills, both written and verbal, including advanced formal presentation skills, influencing and negotiating, to audiences that may be highly specialist professionals or may be hostile. Gather and incorporate the views of service users and carers into service change. Set out conclusions and recommendations clearly and concisely in a range of written and verbal styles to reflect the needs of the audience. Is confident presenting to large groups. Influences, negotiates, and motivates senior managers and clinicians to enable delivery of the project in a positive manner with the confidence to manage differing views in order to achieve change and improvement. Works flexibly, prioritises workload and resources in response to changing demands and requirements. Effectively manage workload despite frequent interruptions and conflicting demands. Work with staff, patients and carers to improve services. Lead complex problem solving and influence to ensure high quality, timely delivery Ability to identify and manage complex, interrelated risks. Ability to make clear rational decisions, exercising independent judgement in a professional and competent manner. Confidently facilitate workshops, generating enthusiasm and support from participants. Excellent presentation skills, including the ability to effectively present to senior staff and external professional bodies. Ability to identify, define, promote and communicate clear organisational values and goals with rational and timely decision taking. Ability to be intellectually flexible and to ‘see things differently’, look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships through transformation. Insightfulness to be able to tell what is working in a programme and change course appropriately. Competent in the use of MS Office suite, including MS Excel, PowerPoint and Project. Experience Essential criteria Extensive experience of designing and delivering:  improvement work and transformation programmes  training programmes in continuous improvement methodology and programme management This experience should be in multiple large complex organisations, preferably in a health care or health service environment. These programmes will result in positive value for money outcomes. Specialised knowledge and extensive experience in scoping improvement methodologies, developing implementation plans and tracking progress and benefits. Extensive experience leading senior teams (managers and senior managers) to deliver large complex programmes. Design, development, implementation, and management of change in a multiple stakeholder environment and experience of passing on project improvement to others. Extensive, comprehensive experience of senior staff performance management in large and complex organisations, including motivating, developing, and coaching to meet appropriate deadlines. Extensive experience of providing specialist advice to a range of professionals and in a range of environments, in politically complex organisations. Highly developed knowledge and understanding of the changing NHS environment, strategy, and policy agendas, specifically the South East London structures, strategy, vision and policies. Significant experience working across multiple organisations to secure change; a proven track record of overcoming obstacles to change and facilitating progress of projects. Extensive experience of facilitating group discussions with complex stakeholders, to design, plan and progress programmes and projects. Proven ability to build relationships including key relationships with Executive and senior leaders where there may be significant resistance to change, and advising them on strategic decisions. Strategic thinkers with the ability to take a corporate overview. Ability to balance strategic, operational and financial management. Extensive experience of influencing staff at all levels to ensure that project objectives are owned by all members of the team, including users and stakeholders. Evidence of the ability to involve teams in analysis of situation and solution development; persuade teams to take on new ways of working and to constructively challenge the status quo. Extensive experience developing, monitoring and managing budgets / delivering financial benefits associated with programmes, with the ability to create systems to understand costs and profitability, and track stated benefits/ savings achieved. Extensive experience working in / with complex clinical environments. Transformation and change management experience using lean methodologies and other recognised techniques, with evidence of having led significant programmes of work, some of which should have been delivered in a health care or health service environment Successful complex change management experience, with a proven track record and demonstrated ability of working collaboratively with a variety of organisational levels to deliver programme goals. Highly developed and specialist knowledge and understanding of organisational change and programme management. A strong track record of managing complexity and risk whilst maintaining high standards within tight timescales. Experience of successful management of multiple stakeholders with competing interests, and of operating in a complex political environment. Experience in the development of delivery of complex cross-organisational business cases. Understanding the roles played by health care professionals in primary and secondary care and other settings. Knowledge of the current and future digital approaches that the trust will need to harness and of potential partners the trust will need to work with. Significant knowledge and understanding gained through experience of risk management and issue resolution. Significant knowledge and understanding of programme audit and assurance. Desirable criteria Extensive change management experience using Lean methodologies and other recognised techniques, with substantial evidence of achieving sustained improvement in services. Extensive experience in leading the upskilling and development of large numbers of staff in relation to improvement and project and programme management techniques. Expertise in digital transformation with knowledge and connections within the digital health market place. User-focussed design expertise. Expertise in Agile methodologies. Operational management or experience of clinical services. 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." Further details / informal visits contact Name Laura Gudefn Job title Associate Director of Delivery Email address [email protected] Additional information For further information about the role, or to arrange an informal chat please contact Millie Taylor, [email protected], Senior Business Manager.