Director of Clinical Services for Theatres and Perioperative Medicine
| Dyddiad hysbysebu: | 12 Chwefror 2026 |
|---|---|
| Cyflog: | Heb ei nodi |
| Gwybodaeth ychwanegol am y cyflog: | £97,283 - £111,278 per annum |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 14 Mawrth 2026 |
| Lleoliad: | Stanmore, Middlesex, HA7 4LP |
| Cwmni: | Royal National Orthopaedic Hospital NHS Trust |
| Math o swydd: | Cytundeb |
| Cyfeirnod swydd: | 7785017/392-RNOH-1391 |
Crynodeb
A Vacancy at Royal National Orthopaedic Hospital NHS Trust.
This role is pivotal to the RNOH strategy, leading a programme of transformation across theatres and perioperative care to ensure that the Trust has the highest quality, effective and efficient services to maintain its place as a leading centre for orthopaedic surgery.
The Director of Clinical Services will show strong clinical and operational leadership to embed a culture of continuous improvement through delivering change in processes, ways of working and care delivery to ensure the highest quality, effective and efficient services, which offer an exceptional experience to patients and staff. The post holder will be responsible for the provision of world class patient care which is patient-centred and evidence-based and delivered by a highly skilled, motivated, and compassionate team in line with organisational, regulatory and governance requirements.
The post holder will provide senior nursing/clinical leadership and oversight to theatres, recovery, TSSU and pre-operative assessment (POA), reporting to the Divisional Director for Surgery, Cancer and Children and Young People, with professional accountability to the Chief Nurse.
The post holder will:
· Be responsible for the provision of strong clinical and operational leadership and oversight throughout theatres and perioperative services,to ensure the best experience and outcomes for patients, demonstrating accountability for the delivery of high quality, safe and effective services.
· Provide clinical leadership and management oversight to ensure that the appropriate operating policies, structures and processes are developed, disseminated and adhered to in order to ensure effective planning and execution of theatre lists and deployment of staff and resources to ensure safe, efficient running of theatres, and maximise efficiency and utilisation.
· Build effective relationships with surgical teams and all theatre users, to understand and plan for the needs of each speciality, establish clear channels of communication and feedback, and ensure operating policies are followed.
Please see the JD/PS for more details.
At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:
• Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
• Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
• Ranked #1 among all Acute Specialist Trusts for "We work flexibly."
At RNOH, we’re committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.
Joining our organisation means enjoying a wide range of staff benefits, including:
• 24/7 access to wellbeing support through our Employee Assistance Programme.
• A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
• A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
• Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare
At RNOH, we are more than a workplace—we are committed to patients, to excellence and the wellbeing of our staff.
Transformation and Service Development
1. Lead a programme of transformation across theatres and perioperative services to drive forward improvement and growth initiatives in support of the Trust’s strategy
2. Undertake clinical service and pathway review to ensure a high quality efficient and effective pathway through POA and theatres, and perioperative services meet the needs of relevant specialities to ensure quality and safety and to maximise productivity.
3. Lead the development of evidence-based procedural documentation and ensure that these are embedded effectively into ways of working.
4. Engage key Trust stakeholders in contributing to clinical service and pathway reviews as well as wider quality improvement work for shared services, ensuring that plans are operationalised and delivered to a high standard.
5. Work alongside the Unit Director, Executive Team, Consultants and clinical leads to identify and scope opportunities for the growth and development of perioperative services to support performance targets, service improvement and innovation.
6. Take a lead role inthe development and presentation of business plans for the development of services as required for both capital and revenue developments, in linewith Trust strategy, priorities and financial targets.
Clinical Responsibilities
1. Support the delivery of care through visible clinical leadership, working in partnership with senior colleagues, clinical leads and the multidisciplinary team, and maintain oversight of day-to-day operational delivery, quality of care and patient experience.
2. To monitor standards of care, intervening and taking corrective action where necessary.
3. Demonstrate inspirational leadership working with clinical and operational leaders to promote a culture that nurtures and promotes effective multi-professional team working to strengthen quality and safety and promote a culture of continuous improvement.
4. Have oversight of patient experience and quality of care in their services promoting the delivery of kind, compassionate and respectful care which is person centred, advising the Chief Nurse of any concerns and showing proactive leadership to address any these and initiate quality improvement.
5. Undertake the investigation of incidents and complaints ensuring prompt, compassionate responses, promoting patient and family involvement and ensuring all recommendations and actions address key learning and deliver improvement andchange.
6. Ensure that environmental inspections achieve cleaning, catering, infection prevention and control and health and safety targets.
7. Lead on the implementation of accreditation across the relevant services promoting staff and patient engagement, ensuring prompt action in regard to areas for improvement and overseeing the delivery of all quality improvement plans arising from accreditation.
8. Provide regular reports on key areas of quality and safety, maintaining service dashboards and risk registers and escalating areas of concern asappropriate
9. In accordance with Trust’s policy for Safe Staffing and Skill Mix levels, formally agree with the Chief Nurse the workforce requirements for all clinical areas and departments, utilising acuity and dependency tools to monitor and review the nursing workforce as indicated, ensuring integration with the local delivery plan, and the optimal deployment of the nursing/ODP workforce.
10. Champion a safeguarding culture that meets the needs of vulnerable adults and children escalate issues to relevant others accordingly.
11. Ensure that the delivery of care meets the individual needs of patients, that systems are in place to seek and share feedback from patients and families, and mechanisms are in place to learn and improve in response to feedback.
Professional Leadership and Management
1. Provide professional leadership for nursing/operating department practitioners and advise on all matters pertaining to professional standards and quality of care across services.
2. Be a visible, clinically credible leader and implement structures/measures to ensure effective communication and dissemination of key information to all staff and theatres users, establishing mechanisms to listen to and respond to staff feedback or enquiries.
3. Represent perioperative services at Executive level and with key internal and external stakeholders.
4. Participate in the relevant Trust nursing and quality forums and external / speciality networks as appropriate.
5. Implement a clear organisational structure, ensuring there are clear roles and responsibilities/key result areas agreed for all senior clinical and operational post holders in the department and that reporting lines and accountability are clear and accountability is understood by all staff.
6. Manage timely and effective recruitment and retention of staff in conjunction with the Human Resources department, and ensure optimal use of staffing resources, reviewing workforce requirements as required.
7. Ensure appraisals are carried out for all staff and training needs are identified with resources and manage mandatory training compliance, ensuring all records are kept up to date.
8. Ensure staff are aware of and implement Trust policies and procedures and establish and implement local guidelines, policies and procedures as appropriate.
9. Ensure that the Trust's policies on conduct and performance are adhered to and communicated effectively to all staff, that all managers have robust structures in place for managing absence, and all staff are working to maintain a healthy and safe working environment.
10. As required, lead on investigations within own service(s) and support Human Resources to provide independent investigations into complex Human Resource matters in other areas within the Trust. This may include, with support, responsibility up to and including terminating a staff member’s contract.
11. Provide leadership and role modelling to support equality and diversity initiatives, and promote a culture of inclusivity.
12. Be responsible for interpreting relevant national and sector guidance and translating it into service development plans to align national direction/strategies and local priorities, considering the necessary changes in current practice and resources implications
13. Work with HR to develop and implement the staff survey action plan, to raise the profile of the staff survey throughout managed services, ensure compliance with national targets and deliver genuine improvements in working lives based on local evidence.
Performance and Operational Management
1. Be responsible for the effective performance of clinical services against agreed KPIs and service standards. Develop and implement recovery and improvement plans as required
2. Work alongside and influence key Trust stakeholders to ensure that perioperative services deliver its strategic objectives.
3. Provide direction and leadership to the theatre leadership team to ensure that valuable resources, for example, allocated theatre time, are used to maximum benefit by the all services and to liaise proactively with relevant leads/departments to facilitate activity targets and exceptional patient and staff experience, specifically to ensure:
i optimal theatre list utilisation
ii Reduction in avoidable cancellations on the day,
iii reduction in late starts, early finishes and unplanned overruns
4. Contribute to strategic and development projects as desired.
5. Monitor and report activity levels relevant to areas of responsibility and implement improvement plans to achieve performance against targets and other imperatives impacting on the Trust.
Workforce and Education
1. Work in conjunction with the Corporate Nursing/Education and Learning and Development to develop and maintain clinical learning environments that are fit for purpose, in line with quality assurance guidelines and other external regulatory bodies and ensure the Trust meets its responsibilities to provide clinical experience and mentor support for pre-registration for nurses/ODPs, and high-quality preceptorship across all areas.
2. Provide professional leadership for nursing and ODP recruitment and retention across services and work with other senior nurses and HR colleagues to develop innovative recruitment and retention approaches and support the introduction of new ways of working.
3. In collaboration with the Chief Nurse and other senior clinical colleagues, develop and review workforce plans including a six-monthly review of nursing/ODP skill mix.
4. Ensure nursing staff/ODPs have the appropriate skills and competencies to care for patients within the speciality of orthopaedic/MSK nursing, working with the education/learning and development team to ensure the appropriate education programmes are in place.
5. Promote a culture that values continuing professional development and strives for excellence in the delivery of patient care.
6. Be well networked in nursing/perioperative medicine, relevant speciality areas and within orthopaedics and MSK services.
For full details, please see the attached JD/PS.
This advert closes on Thursday 26 Feb 2026
This role is pivotal to the RNOH strategy, leading a programme of transformation across theatres and perioperative care to ensure that the Trust has the highest quality, effective and efficient services to maintain its place as a leading centre for orthopaedic surgery.
The Director of Clinical Services will show strong clinical and operational leadership to embed a culture of continuous improvement through delivering change in processes, ways of working and care delivery to ensure the highest quality, effective and efficient services, which offer an exceptional experience to patients and staff. The post holder will be responsible for the provision of world class patient care which is patient-centred and evidence-based and delivered by a highly skilled, motivated, and compassionate team in line with organisational, regulatory and governance requirements.
The post holder will provide senior nursing/clinical leadership and oversight to theatres, recovery, TSSU and pre-operative assessment (POA), reporting to the Divisional Director for Surgery, Cancer and Children and Young People, with professional accountability to the Chief Nurse.
The post holder will:
· Be responsible for the provision of strong clinical and operational leadership and oversight throughout theatres and perioperative services,to ensure the best experience and outcomes for patients, demonstrating accountability for the delivery of high quality, safe and effective services.
· Provide clinical leadership and management oversight to ensure that the appropriate operating policies, structures and processes are developed, disseminated and adhered to in order to ensure effective planning and execution of theatre lists and deployment of staff and resources to ensure safe, efficient running of theatres, and maximise efficiency and utilisation.
· Build effective relationships with surgical teams and all theatre users, to understand and plan for the needs of each speciality, establish clear channels of communication and feedback, and ensure operating policies are followed.
Please see the JD/PS for more details.
At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:
• Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
• Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
• Ranked #1 among all Acute Specialist Trusts for "We work flexibly."
At RNOH, we’re committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.
Joining our organisation means enjoying a wide range of staff benefits, including:
• 24/7 access to wellbeing support through our Employee Assistance Programme.
• A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
• A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
• Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare
At RNOH, we are more than a workplace—we are committed to patients, to excellence and the wellbeing of our staff.
Transformation and Service Development
1. Lead a programme of transformation across theatres and perioperative services to drive forward improvement and growth initiatives in support of the Trust’s strategy
2. Undertake clinical service and pathway review to ensure a high quality efficient and effective pathway through POA and theatres, and perioperative services meet the needs of relevant specialities to ensure quality and safety and to maximise productivity.
3. Lead the development of evidence-based procedural documentation and ensure that these are embedded effectively into ways of working.
4. Engage key Trust stakeholders in contributing to clinical service and pathway reviews as well as wider quality improvement work for shared services, ensuring that plans are operationalised and delivered to a high standard.
5. Work alongside the Unit Director, Executive Team, Consultants and clinical leads to identify and scope opportunities for the growth and development of perioperative services to support performance targets, service improvement and innovation.
6. Take a lead role inthe development and presentation of business plans for the development of services as required for both capital and revenue developments, in linewith Trust strategy, priorities and financial targets.
Clinical Responsibilities
1. Support the delivery of care through visible clinical leadership, working in partnership with senior colleagues, clinical leads and the multidisciplinary team, and maintain oversight of day-to-day operational delivery, quality of care and patient experience.
2. To monitor standards of care, intervening and taking corrective action where necessary.
3. Demonstrate inspirational leadership working with clinical and operational leaders to promote a culture that nurtures and promotes effective multi-professional team working to strengthen quality and safety and promote a culture of continuous improvement.
4. Have oversight of patient experience and quality of care in their services promoting the delivery of kind, compassionate and respectful care which is person centred, advising the Chief Nurse of any concerns and showing proactive leadership to address any these and initiate quality improvement.
5. Undertake the investigation of incidents and complaints ensuring prompt, compassionate responses, promoting patient and family involvement and ensuring all recommendations and actions address key learning and deliver improvement andchange.
6. Ensure that environmental inspections achieve cleaning, catering, infection prevention and control and health and safety targets.
7. Lead on the implementation of accreditation across the relevant services promoting staff and patient engagement, ensuring prompt action in regard to areas for improvement and overseeing the delivery of all quality improvement plans arising from accreditation.
8. Provide regular reports on key areas of quality and safety, maintaining service dashboards and risk registers and escalating areas of concern asappropriate
9. In accordance with Trust’s policy for Safe Staffing and Skill Mix levels, formally agree with the Chief Nurse the workforce requirements for all clinical areas and departments, utilising acuity and dependency tools to monitor and review the nursing workforce as indicated, ensuring integration with the local delivery plan, and the optimal deployment of the nursing/ODP workforce.
10. Champion a safeguarding culture that meets the needs of vulnerable adults and children escalate issues to relevant others accordingly.
11. Ensure that the delivery of care meets the individual needs of patients, that systems are in place to seek and share feedback from patients and families, and mechanisms are in place to learn and improve in response to feedback.
Professional Leadership and Management
1. Provide professional leadership for nursing/operating department practitioners and advise on all matters pertaining to professional standards and quality of care across services.
2. Be a visible, clinically credible leader and implement structures/measures to ensure effective communication and dissemination of key information to all staff and theatres users, establishing mechanisms to listen to and respond to staff feedback or enquiries.
3. Represent perioperative services at Executive level and with key internal and external stakeholders.
4. Participate in the relevant Trust nursing and quality forums and external / speciality networks as appropriate.
5. Implement a clear organisational structure, ensuring there are clear roles and responsibilities/key result areas agreed for all senior clinical and operational post holders in the department and that reporting lines and accountability are clear and accountability is understood by all staff.
6. Manage timely and effective recruitment and retention of staff in conjunction with the Human Resources department, and ensure optimal use of staffing resources, reviewing workforce requirements as required.
7. Ensure appraisals are carried out for all staff and training needs are identified with resources and manage mandatory training compliance, ensuring all records are kept up to date.
8. Ensure staff are aware of and implement Trust policies and procedures and establish and implement local guidelines, policies and procedures as appropriate.
9. Ensure that the Trust's policies on conduct and performance are adhered to and communicated effectively to all staff, that all managers have robust structures in place for managing absence, and all staff are working to maintain a healthy and safe working environment.
10. As required, lead on investigations within own service(s) and support Human Resources to provide independent investigations into complex Human Resource matters in other areas within the Trust. This may include, with support, responsibility up to and including terminating a staff member’s contract.
11. Provide leadership and role modelling to support equality and diversity initiatives, and promote a culture of inclusivity.
12. Be responsible for interpreting relevant national and sector guidance and translating it into service development plans to align national direction/strategies and local priorities, considering the necessary changes in current practice and resources implications
13. Work with HR to develop and implement the staff survey action plan, to raise the profile of the staff survey throughout managed services, ensure compliance with national targets and deliver genuine improvements in working lives based on local evidence.
Performance and Operational Management
1. Be responsible for the effective performance of clinical services against agreed KPIs and service standards. Develop and implement recovery and improvement plans as required
2. Work alongside and influence key Trust stakeholders to ensure that perioperative services deliver its strategic objectives.
3. Provide direction and leadership to the theatre leadership team to ensure that valuable resources, for example, allocated theatre time, are used to maximum benefit by the all services and to liaise proactively with relevant leads/departments to facilitate activity targets and exceptional patient and staff experience, specifically to ensure:
i optimal theatre list utilisation
ii Reduction in avoidable cancellations on the day,
iii reduction in late starts, early finishes and unplanned overruns
4. Contribute to strategic and development projects as desired.
5. Monitor and report activity levels relevant to areas of responsibility and implement improvement plans to achieve performance against targets and other imperatives impacting on the Trust.
Workforce and Education
1. Work in conjunction with the Corporate Nursing/Education and Learning and Development to develop and maintain clinical learning environments that are fit for purpose, in line with quality assurance guidelines and other external regulatory bodies and ensure the Trust meets its responsibilities to provide clinical experience and mentor support for pre-registration for nurses/ODPs, and high-quality preceptorship across all areas.
2. Provide professional leadership for nursing and ODP recruitment and retention across services and work with other senior nurses and HR colleagues to develop innovative recruitment and retention approaches and support the introduction of new ways of working.
3. In collaboration with the Chief Nurse and other senior clinical colleagues, develop and review workforce plans including a six-monthly review of nursing/ODP skill mix.
4. Ensure nursing staff/ODPs have the appropriate skills and competencies to care for patients within the speciality of orthopaedic/MSK nursing, working with the education/learning and development team to ensure the appropriate education programmes are in place.
5. Promote a culture that values continuing professional development and strives for excellence in the delivery of patient care.
6. Be well networked in nursing/perioperative medicine, relevant speciality areas and within orthopaedics and MSK services.
For full details, please see the attached JD/PS.
This advert closes on Thursday 26 Feb 2026
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