Job summary
- Main area
- NA
- Grade
- Band 7
- Contract
- Permanent: NA
- Hours
- Full time - 37.5 hours per week (NA)
- Job ref
- 343-7651285- RB-RMD-RL
- Employer
- Epsom and St Helier University Hospitals NHS Trust
- Employer type
- NHS
- Site
- St Helier Hospital
- Town
- Sutton
- Salary
- £53,751 - £60,651 Pa incl HCAS Outer pro rata
- Salary period
- Yearly
- Closing
- 01/04/2026 23:59
Employer heading
Clinical Site Manager
Band 7
At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values.
Job overview
The purpose of the Clinical Site Manager (CSM) is to assume accountability for the management of the hospital site, acting as the coordinator of services working closely with clinical and support staff, guided by both Trust and professional policies and procedures.
The Clinical Site Manager is a clinical leader ensuring quality, safety and efficiency is maintained at all times. Out of hours they will provide clinical advice and leadership in the absence of the divisional senior nurses and managers.
Main duties of the job
- Oversaw patient flow and bed capacity across the trust, ensuring timely ED admissions and escalation of capacity pressures to senior clinicians.
- Coordinated patient decanting from AMU to specialty inpatient beds, working closely with wards, matrons, heads of nursing, and MDTs.
- Liaised with site managers across trusts and external partners to manage bed resources, repatriations, and ambulance diverts.
- Provided 24/7 site cover as senior on-site contact, including out-of-hours periods and during critical or major incidents.
- Delivered clinical leadership, supported nursing staff, authorised bank and agency staffing (with senior approval), and maintained advanced clinical competencies.
- Ensured compliance with infection prevention, health & safety, and trust governance policies.
Working for our organisation
St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in Southwest London and Northeast Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).
After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
At GESH we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.
Detailed job description and main responsibilities
- Trust-wide lead for patient flow and bed capacity across emergency and elective pathways, ensuring safe admissions, escalation of pressures, and minimal cancellations.
- Senior on-site clinical and operational leader providing 24/7 cover, including out of hours and during critical or major incidents.
- Directed patient flow across ED and AMU to support delivery of the 4-hour standard, coordinating specialty bed allocation, decanting, and repatriations.
- Maintained real-time oversight of bed state through ward engagement, bed meetings, and cross-divisional working with matrons, heads of nursing, and clinicians.
- Led cross-directorate operational responses, including ambulance diverts, business continuity, and system escalation in line with trust policies.
- Provided visible clinical leadership out of hours, supporting nursing teams, managing emergencies, and making autonomous clinical and operational decisions.
- Authorised and coordinated bank and agency staffing (with senior approval), ensuring safe staffing levels and effective use of resources.
- Maintained advanced clinical competencies and ensured compliance with governance, IPC, health & safety, and the NMC Code of Conduct.
Person specification
Qualifications
Essential criteria
- NMC Registered Nurse
- Degree level qualification and / or evidence of continuing professional development equivalent to post graduate diploma level
Desirable criteria
- Management / leadership qualification
Experience
Essential criteria
- Considerable post registration experience
- Experience in a clinical leadership / team leader role
Desirable criteria
- Experience of managing patient flow
Knowledge
Essential criteria
- Understanding of patient flow standards and targets relating to urgent and emergency care, and planned care.
Skills
Essential criteria
- Ability to rapidly assess acute situations and take appropriate action
- Good leadership skills and able to influence sustained change
- Able to undertake extended skills such as venepuncture, cannulation and IV drug administration
Desirable criteria
- HMIMMS Course or equivalent
- Advanced Life Support (ALS) Provider
Employer certification / accreditation badges
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Applicant requirements
You must have appropriate UK professional registration.
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Application numbers
This vacancy may have an application cap, so please apply promptly to avoid disappointment. Ensure your supporting statement clearly shows how you meet the job specifications.
Documents to download
Further details / informal visits contact
- Name
- Sarah Asare
- Job title
- Patient Flow Manager
- Email address
- [email protected]
- Telephone number
- 02082962886
- Additional information
Kieron Dicks- Patient Flow manager- 07920703969
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