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Job summary

Main area
Management
Grade
8D
Contract
2 years (Fixed Term Contract up to 2 years)
Hours
Full time - 37.5 hours per week
Job ref
392-RNOH-1391
Employer
Royal National Orthopaedic Hospital NHS Trust
Employer type
NHS
Site
Royal National Orthopaedic Hospital NHS Trust
Town
Stanmore, Middlesex
Salary
£97,283 - £111,278 per annum
Salary period
Yearly
Closing
26/02/2026 23:59

Employer heading

Royal National Orthopaedic Hospital NHS Trust logo

Director of Clinical Services for Theatres and Perioperative Medicine

8D

Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, who conduct recruitment activities on behalf of Royal National Orthopaedic Hospital NHS Trust. 

The Royal National Orthopaedic Hospital NHS Trust is the largest orthopaedic hospital in the UK and a global leader in our field.  We provide a dynamic working environment where we support frontline staff to implement improvements so that we can realise our vision of being a world leading neuro musculoskeletal hospital providing the best patient care and staff experience in the NHS, delivering world leading research, and offering a strong foundation of education, training and career progression. Our dedicated staff come from diverse backgrounds, and our patients benefit from the wide range of experience they bring to the Trust. The RNOH brings unrivalled expertise together in one place allowing us to deliver some of the world’s most complex and innovative care to our patients

  • Rated Good by the CQC
  • Two sites, one in central London and one in Stanmore - which has recently opened The Stanmore Building, a new, state-of-the-art inpatient facility
  • Our Research and Innovation Centre works closely with our main academic partner, University College London
  • Recognised as a centre of excellence,  leading on national initiatives, such as the Getting It Right First Time (GIRFT) Programme
  • Further major redevelopment underway across the Stanmore site – improving and modernising our facilities to maintain our position as the UK’s leading centre for orthopaedic medicine
  • In the NHS staff survey, over 90% of our staff were satisfied with the quality of care they are able to give to patients - the best result of any NHS Trust in the country
  • Our staff also indicated that they had the best experience of appraisals as compared to all other NHS Trusts.

This is a great time to join us and play a critical role in the next stage of RNOH’s journey to achieving an outstanding CQC rating.

Our aim is to remain a world-leading orthopaedic hospital with the best patient care and staff experience in the NHS. To do this, we have four core values that underpin everything that we do. We use our values to help ensure that we are always focused on the things that our staff and patients believe are most important:

  • Patients first, always
  • Excellence, in all we do
  • Trust, honesty and respect, for each other
  • Equality, for all

Our annual staff survey results have been improving year on year, with our staff telling us that their experience of working at the Trust is getting better and better. They also indicate that our staff feel very loyal to the RNOH and committed to its role in providing the very best care to our complex patient group. We hope that we can welcome you to our growing team soon.

Job overview

This role is central to the RNOH strategy, leading transformation across theatres and perioperative care to ensure high‑quality, effective and efficient services that uphold the Trust’s position as a leading orthopaedic centre.

The Director of Clinical Services will provide strong clinical and operational leadership, driving continuous improvement in processes, ways of working and care delivery.

The post holder will ensure world‑class, patient‑centred and evidence‑based care delivered by a skilled and compassionate workforce. They will give senior nursing and clinical leadership to theatres, recovery, TSSU and pre‑operative assessment, reporting to the Divisional Director and professionally accountable to the Chief Nurse.

Main duties of the job

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.

Working for our organisation

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.

Detailed job description and main responsibilities

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.

 

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.

 

 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.

 

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. 

 

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.

 

 

 

For full details, please see the attached JD/PS. 

Person specification

IT Skills

Essential criteria
  • Excellent skills in MS Office packages including Word, Excel, PowerPoint, Teams
  • Use of databases
Desirable criteria
  • Experience of using an EHR
  • Experience of implementing an EHR

Responsibility for Policy/Service Development

Essential criteria
  • Experience in drafting policies/guidelines, standard operating procedures.

Education and Professional Qualifications

Essential criteria
  • Registered Nurse/ODP
  • Evidence of continuing professional development
  • Educated to postgraduate degree level or equivalent experience
  • Management or leadership qualification or equivalent experience
Desirable criteria
  • Masters level qualification
  • Recognised teaching/assessing qualification

Communication & Relationship Skills

Essential criteria
  • Role model commitment to improving patient care and raising clinical and professional standards.
  • Advanced interpersonal and communication skills including influencing and negotiation skills
  • Ability to achieve effective team working within own services and across an organisation
  • Confident problem-solver, willing to change processes and ways of working to better meet the needs of the business
  • Broad understanding of the NHS and key policy issues
  • Partnership & collaborative working with internal and external stakeholders
  • Able to lead by example and challenge the status quo constructively and effectively
  • Accomplished at leading and delivering to deadlines and within set resources
  • Well networked professionally and in the field of perioperative practice or related area
  • Experience of working across service and professional boundaries

Knowledge, Training & Experience

Essential criteria
  • Significant experience as a senior nurse/AHP in a relevant area
  • In-depth professional knowledge, acquired through training and experience
  • Relevant experience relating to services including theatres/ /perioperative practice
  • Demonstrable success in delivering transformation programmes to effect change, service improvement, enhanced quality performance and positive financial impact
  • Experience of providing advice on complex professional issues
  • Experience of managing staffing establishments and analysing workforce and safe staffing data
  • Staff management & leadership of a large team / clinical services
  • Experience of managing clinical incidents and HR/disciplinary processes
  • Experience of supporting learners in practice
  • Experience of audit, quality metrics/reporting, and working knowledge of QI methodology
  • Experience of stakeholder/patient and family engagement
  • Ability to plan and think strategically, and creatively to prioritise work programmes in the face of competing demands
  • Accomplished at leading and delivering to deadlines and within set resources
  • Demonstrable success in delivering transformation and performance with and through others across an organisation
  • Thorough knowledge and experience of clinical governance issues, quality improvement and minimising risk for the organisation
Desirable criteria
  • Strategic planning and project management
  • Previous clinical leadership/management role in theatres
  • Experience of having dealt with complex HR issues
  • Understanding of healthcare education/workforce agenda

Analytical & Judgment Skills

Essential criteria
  • Numerate, IT literate, analytical and able to use business intelligence effectively.
  • Used information to progress a business plan/ case
  • Ability to understand and analyse complex performance, financial and clinical data and identify key points to highlight and present to others in a meaningful way

Responsibility for financial & physical resources

Essential criteria
  • Managing large budgets
  • Experience of CIP development/delivery

Responsibility for Equality, Diversity and Inclusion

Essential criteria
  • Demonstrable commitment to anti-discriminatory and inclusive behaviours and practices
  • Understanding of the equality, diversity and inclusion agenda and its practical application to services.

Planning & Organisational Skills

Essential criteria
  • Ability to deliver to deadlines and within resources.
  • Ability to translate vision, strategy, policy/guidelines and targets into effective strategic and operational plans.
  • Ability to write and present reports/ business cases
  • Experience of managing staffing establishments and analysing workforce / safe staffing data
  • Attention to detail

Freedom to Act

Essential criteria
  • Ability to work under pressure and flexibly in a dynamic environment
  • Self-aware & reflective

Employer certification / accreditation badges

NHS Pastoral Care Quality AwardApprenticeships logoNo smoking policyInvestors in People: GoldImproving working livesCare quality commission - GoodMindful employer.  Being positive about mental health.Disability confident employerNHS Rainbow badgeNational Preceptorship for Nursing Quality MarkBronze Trailblazer by Race Equality MattersDefence Employer Recognition Scheme (ERS) - GoldAccredited Menopause Friendly EmployerRoyal College of Anaesthetists AccreditedCareLeaver CovenantThe Employer Standards provide a clear framework to businesses of all shapes and sizes to maximise the impact of employer engagement with young people, ensuring mutual value and long-term business successSilver membership of the 5% Club

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Julie Kerr
Job title
Divisional Director, Surgery, Cancer and CYP
Email address
[email protected]
Telephone number
02039470290
Additional information

N/A