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Chief Operating Officer

Job details
Posting date: 15 January 2026
Salary: £105,000.00 to £118,000.00 per year
Additional salary information: £105000.00 - £118000.00 a year
Hours: Full time
Closing date: 04 February 2026
Location: London, N22 7TY
Company: NHS Jobs
Job type: Permanent
Job reference: U0002-26-0001

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Summary

Strategic focus The COO role is intentionally focused on four core priorities: 1. Operational Grip & Assurance Ensuring consistent delivery, performance stability, and Board confidence supported through an integrated performance report with a focus on health outcomes, inequalities, accessibility quality, patient experience and financial efficiency. 2. System Integration, Co-design & Credibility Enabling the Federation to operate effectively across organisational boundaries as a Place & System integrator through working in partnership across health, care and voluntary sector partners alongside local residents. 3. Workforce & Operating Model Alignment Ensuring services are delivered through sustainable, well-designed operating models that support staff and clinicians utilising a multidisciplinary approach with robust clinical supervision and alignment to Neighbourhood Models of care and emerging Integrated Neighbourhood Teams. 4. Scalable Delivery & Readiness for Growth Building repeatable, resilient operational systems that support service mobilisation, transformation, and expansion. Purpose The COO holds executive accountability for operational delivery, including: Day-to-day performance and service delivery Operational quality, safety, and assurance Workforce-operating model effectiveness Operational financial control and productivity System integration and escalation The CEO retains overall accountability for organisational strategy, external positioning, and corporate leadership, delegating operational authority to the COO as appropriate.

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