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Strategic

•  Develop the long-term strategic direction of all services and teams within the               Group
• Work in conjunction with Trust and other agencies in developing strategies for meeting local and ICS wide improvement and delivery plans
• Develop a multidisciplinary team approach to patient interventions and participate in the development of clinical pathway
• Be responsible for service redesign to improve patient care in line with strategic policies
• Research, audit and write business cases to support proposals for service redesign
• Develop and implement the Group Plans and, in conjunction with Clinical Directorates, agree the level of support required to deliver service delivery plans across the Trust
• In conjunction with Service Professional leads in the Trust develop strategic direction and operational plans to establish and deliver services across the health care boundaries, in line with local and national priorities

 Key Responsibilities

• Support the Clinical Director, Clinical Leads and Matrons in the development of their role and involvement in the management process
• Develop a business plan for the Group Specialties and identify opportunities for developments in line with changing financial structures and ICB processes. To develop appropriate strategies for inclusion in the business plan to take full advantage of these opportunities
• Work with the Group Finance Team to provide appropriate financial and activity information to the Clinical Directors/Divisional Managers, and ensure the financial balance of the Group Specialties and service

• Ensure that quality standards, both those agreed with the commissioners and dictated by national policy, are achieved. Establish local quality standards, to improve patient care and directorate efficiency

• Manage non-medical and non-nursing staff within the Group Specialties complying with Trust personnel policies and procedures. Maximise the contribution of staff by developing systems for individual performance review. Individual and organisational development and continued skill mix review

• Develop strategic plans for the Group Specialties so that the Trust is compliant with national and local standards

• Trust/locality approach to planning, organising and staffing the services, with continuing input from human resources and finance colleagues

• Manage overall pay and non-pay budget management responsibilities, agreeing service contracts with external providers for the provision of clinical services

• Ensure effective working relationships and links with managerial colleagues in other relevant organisations/localities, both internally and externally to the Trust/locality

Specific Duties and Responsibilities

• The following duties and responsibilities will, where appropriate, be undertaken in conjunction with, or support of, the Directorate Managers, Clinical Leads, Matrons, and Support Managers

Operational

• Ensure that the operational performance of the Group is effectively managed to meet agreed objectives across Older Adult Medicine and Palliative Care
• Operationally manage the General Internal Medicine rota in partnership with the Medical Staffing Team and Clinical Lead for the GIM. Ensuring all areas are covered, 24/7 through the development of robust systems and processes 
• Provide leadership to, and be line manager for the Group and all staff within these services
• Establish, maintain, and develop effective communication channels within and across Specialities in the Group
• Work with colleagues from Division 1 and Division 3 in the development and delivery of services that require the specialist input of Older Adult Medicine.
• Facilitate and contribute to an improved effective admission, treatments and discharge planning process along with other Directorate and Trust Objectives
• Manage all Service Level Agreements (SLAs) with providers for which Palliative Care is delivered
• Monitor the Group structures and establishment, and devise workforce plans to meet Trust activity data, taking into account seasonal fluctuations in demand and ensure the needs/priorities of the Trust are met and that there are the necessary levels of competency in any given Professional, clinical, leadership and managerial area
• Monitor the Admin/Clerical support across all service areas, and develop a workforce plan to meet service needs
• Provide leadership and advice to users about services within the Group. Negotiate the level of service provision and workload with Clinical Directors and other commissioners of the service. These arrangements will form part of the objectives of each Service and will be monitored by the Services manager
• Be responsible for ensuring a robust appraisals system is in place in accordance with best practice and Trust policy, to be an appraiser and appraise
• Ensure all staff have a Professional Development Plan which reflects personal ambition and directly contributes to the service strategic direction and operational claims
• Support and guide staff through professional and personal difficulties, alter working conditions if required and direct other agencies if required
• Instigate disciplinary action, both formal and informal, in accordance with Trust Policy
• Ensure robust systems and procedures and in place for the monitoring and recording of:
  • Annual and special leave, sickness absence, training requests and implementing maternity/paternity/adoption policy
  • Induction processes for Older Adult Medicine and Palliative Care Group staff
  • Attendance at mandatory and all other training
• Ensure there is co-ordination of requests for student placements from universities, provision of adequate clinical supervision and maintenance of high standards for patient care, student training and education
• Liaise with Universities, Practice Placement Co-ordinators, and relevant Strategic Health Workforce Development officers regarding Quality Assurance Assessment Major Review issues and ensure compliance with standards
• Contribute to the Trusts On call management rota

Financial and Activity Performance Management 

• Develop key performance indicators to measure performance within the services within the Group
• Work directly with wards and the Group teams to ensure effective flow across ward areas in support of overall organisational flow and the management of ED risk at the front door
• Plan and monitor performance against activity targets and other services objectives, including service efficiency and the Cost Improvement Programme
• To manage the Directorate and Group budgets ensuring an income and expenditure balance and developing implementing rectification plans if required
• To monitor and ensure the income streams for external Service Level Arrangements
• To be responsible in conjunction with Service Department for the negotiation of the most cost-effective locum services and capital equipment requirements

Direct Management and Monitoring 

• Oversee the management of the Group, including regular reviews of establishment, skill mix and levels of delegated authority
• Agree performance objectives for staff and monitor progress
• To be conversant with Trust employment practices and policies and to be responsible for the recruitment of staff within the Group
• Develop and support training and education programmes to facilitate speciality development
• Oversee the investigation of complaints within the Group, and ensure appropriate action is taken within the Trust Complaints Policy timescales 

Contract Management and Planning

• Contribute to the development of the business plan for the Group in line with the Trust’s objectives for the plan period
• Lead on the centralised delivery of all local and national enhanced services and any other schemes or projects as appropriate
• Ensure activity and quality targets are met

Governance and Risk

• Develop, implement and review the Group Governance Strategy and Governance Plan, and ensure they follow the Trust’s Clinical Governance Strategy
• Support the Trust’s Clinical Governance Strategy
• Ensure compliance with all statutory requirements, with particular regard to Health and Safety Legislation, Risk Management, departmental policies and procedures and all corporate policies, Duty of Candor

Professional

• Lead on professional issues relating to the Group
• Represent the Trust on all service issues to external/internal bodies and, where required, represent Group issues to external and internal bodies
• Provide professional advice concerning service issues
• Work with other professional groups to achieve appropriate skill mix
• Establish effective communication with internal and external adjacencies, actively promoting the service professions
• Lead in receiving and resolving highly complex, sensitive and/or contentious information from a number of sources
• Communicate highly complex information to all Group staff in a timely and understandable manner, either written or verbal, group or individual
• Communicate specialist and service-related information to Divisional Managers and Directors from the Trust, and across related primary care/organisational boundaries
• Use negotiating and persuasive skills to gain agreement/co-operation of multiple agencies as requires.
• Implement and manage high level change within the Group