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CANDIDATE BRIEF FOR THE POSITION OF
Chief Nurse
Message from the Chief Executive 3
GOSH Profile
5
Job Description
6
Person Specification
14
Message from the Chief Executive
Dear Colleague
Thank you for your interest in the role of Chief Nurse at Great Ormond Street Hospital for Children NHS
Foundation Trust (GOSH). I hope the information contained in this pack encourages you to apply for the role
and I look forward to hearing from you.
As one of the top children’s hospitals in the world, we are a global centre of excellence in child health. Our
reputation is truly international and our eminent clinicians provide services to more than 250,000 children
each year. We are helped in our mission through the support of our wonderful charity which aims to raise
more than £50 million annually to support us with the treatment of some of the most rare and complex
conditions. We have created an ambitious new strategy – Above and Beyond and believe that this represents
an exciting new agenda for our Trust.
This is an exciting time to be joining us as we face a wide range of internal and external challenges and
opportunities. Following the retirement of the Chief Nurse, we are seeking to appoint an outstanding clinical
leader to the role of Chief Nurse. You would join a highly capable and experienced group of executive and non-
executive directors, and play a critical role in ensuring that our diverse and committed nursing, patient
experience, AHP, and safeguarding colleagues provide the outstanding levels of care that our children, families
and carers deserve, every time.
As our new Chief Nurse, you will bring a compelling track record of success, most likely at Board level, within
a complex acute hospital setting. Our ability to provide world leading and specialist care is dependent on our
ability to deliver the highest levels of quality and ensure safety is at the heart of everything we do, and as Chief
Nurse you will lead this agenda. You will have a flexible approach, demonstrating both a transformational and
strategic mindset, combined with an ability to deliver operationally, working particularly closely with our
Medical Director and Chief Operating Officer to realise our strategic ambitions. As a naturally curious, research
driven and innovative Chief Nurse with a passion for patience-focused care, we hope you will bring challenge
and fresh thinking to our Board, enabling us to continuously improve at every level. Our work is underpinned
by our commitment to putting the child and parents/carers at the heart of everything we do. As a member of
the Board you will play a pivotal role in working alongside the other Board members to guide our organisation
forward while preserving our unwavering commitment to patient safety, quality and innovation.
This is a rare opportunity to make a significant impact in child health and to be part of the largest centre in
Europe devoted to research and postgraduate teaching in this field. To succeed in this role, you will utilise
strong relationship management skills and an ability to inspire world-leading clinicians on a journey of service
change that will ensure we excel in delivering the very best care outcomes and performance. You will also
evidence a strong alignment with our core values and behaviours and demonstrate how you reflect these
alongside our commitment to equality, diversity and inclusion.
Your reward will be to be part of an organisation of committed people in providing exceptional care for the
children and families we serve.
Yours faithfully,
Mr Matthew Shaw MBBS RCPCH
Chief Executive
GOSH Profile
Great Ormond Street Hospital for Children NHS
Foundation Trust (GOSH) is an international centre
of excellence in child healthcare. GOSH is an acute
specialist paediatric hospital with a mission to
provide world-class care to children and young
people with rare, complex and difficult-to-treat
conditions.
Together with our research partner, the UCL Great
Ormond Street Institute of Child Health, we form
the UK’s only academic Biomedical Research
Centre specialising in paediatrics.
Since its formation in 1852, the hospital has been
dedicated to children’s healthcare and to finding
new and better ways to treat childhood illnesses.
Great Ormond Street Hospital receives nearly
300,000 patient visits (inpatient admissions or
outpatient appointments) every year (figures from
2016/17).
Most of the children we care for are referred from
other hospitals throughout the UK and overseas.
There are 60 nationally recognised clinical
specialities at GOSH; the UK's widest range of
specialist health services for children on one site.
More than half of our patients come from outside
London and GOSH is the largest paediatric centre
in the UK for services including paediatric intensive
care and cardiac surgery.
Through carrying out research with the Institute of
Child Health, University of London and
international partners, GOSH has developed a
number of new clinical treatments and techniques
that are used around the world.
The UK’s only academic Biomedical Research
Centre (BRC) specialising in paediatrics is a
collaboration between GOSH and UCL Great
Ormond Street Institute of Child Health. We are a
member of University College London (UCL)
Partners, joining UCL with a number of other
hospitals – an alliance for world-class research
benefitting patients. In partnership with six other
NHS trusts, we are the lead provider for North
Thames Genomics Medicine Centre, part of the
national 100,000 Genomes Project.
GOSH offers a wide prospectus of learning to all
staff groups. Together with London South Bank
University, we train the largest number of
paediatric nurses in the UK. We also play a leading
role in training paediatric doctors and other health
professionals.
Job Title Chief Nurse
Directorate Executive Management Team
Salary Competitive
Responsible to Chief Executive
Grade Executive Director
Type of Contract Permanent
Location Great Ormond Street Hospital for Children
Budgetary responsibility Operational Budgets
Manages Nursing and Patient Experience
GOSH Values
The Trust has developed the Always Values with our staff, patients and families that characterise all that we do and our behaviours with our patients and families and each other. Our Always Values are that we are:
• Always Welcoming
• Always Helpful
• Always Expert
• Always One Team
These values are extremely important to us and we expect everyone who works at GOSH in any capacity, including employees, bank staff, contractors, agency staff, people who hold honorary contracts, students and volunteers to share and uphold Our Always Values. Each value is underpinned by behavioural standards and employees will be expected to display these behaviours at all times. You can find a full copy of Our Always Values on our intranet.
The Trust also expects that everyone who works
here shall act in such a manner as to justify public
trust and confidence and to uphold and enhance
the good standing and reputation of Great Ormond
Street for Children NHS Foundation Trust.
Individuals must therefore at all times carry out
their duties with due regard to the Trust’s Equality
at Work Policy.
Job Profile
The Chief Nurse has a distinctive leadership role across GOSH, ensuring the quality of the Trust’s clinical care, and the
safety of its patients are fundamental to its excellence. The Chief Nurse, in partnership with the Medical Director and
Chief Operating Officer, has a leadership responsibility for advancing those areas, which are critical to the Trust’s
ambition and sense of purpose.
This individual is responsible for leading the nursing strategy, approach to care and nursing standards across the
organisation, prioritising throughout the care needs of the Trust’s patients and their families. They will professionally
lead the Trust’s nurses, bringing them together around a shared vision of the Trust’s future and managing, through their
team, the processes and structures that enable those professionals to succeed.
The Chief Nurse will also provide professional leadership to the Allied Health Professional Workforce, working with the
Chief AHP to ensure that the services and care they provide are of the highest standard in terms of safety, outcomes
and experience.
Key working relationships
Internal:
• Patients and families/carers who use our services
• Chief Executive
• Members of the Board and Executive Team
• Heads of Nursing and Patient Experience
• Matrons, Nurse Consultants, Clinical nurse specialists and advanced practitioners
• All Nursing Staff and representative forums/committees
• Directorate leadership teams / Child protection and safeguarding colleagues and partners
• GOSH Learning Academy.
External:
• The Royal College of Nursing
• Nursing and Midwifery Council
• Care Quality Commission
• Integrated Care System leads / North Central London Chief Nurses
• National paediatric networks
• Regional, national and international universities and education institutions, including the UCL Great
Ormond Street Institute of Child Health
• Pertinent voluntary bodies and local partners
• Great Ormond Street Hospital Children's Charity
• Clinicians with local provider units
• Specialist Commissioners Local Safeguarding Children and Adults Board
• Designated Professionals for Safeguarding
• Chief Nurse for London NHS England/Improvement
• Local Authority Senior Management Team.
MAIN RESPONSBILITIES
The Chief Nurse will:
• Contribute to the strategic and corporate direction and management of the Trust as an Executive Director;
• Provide professional nursing advice to the Trust Board, managers and clinicians in accordance with national policy;
• Provide highly visible effective leadership of the Trust's nursing and allied Health workforce and foster a culture which values continuing professional development and improvement and that empowers nurses to achieve excellence in the delivery of patient care;
• Provide leadership and management of the quality agenda, as the Trust’s joint lead director for quality, including a strategic direction and management of the Patient Experience and Engagement agenda;
• Provide leadership and corporate responsibility of the Patient Experience Teams –including PALs, Complaints, Volunteers, Chaplaincy and Spiritual Care, Bereavement, Play, Patient and Family Information and maintain oversight of the Hospital School ;
• Work collaboratively with the Medical Director to develop a culture which embeds Clinical Quality and Governance and monitors its effectiveness;
• Lead on the safeguarding of children, young people and adults throughout the Trust;
• As Executive lead for IP&C support and enable the Trust's Director of Infection Prevention and Control (DIPC) to develop strategies to ensure effective infection prevention and control and prevent avoidable healthcare associated infections;
• Lead on the Learning Disabilities, Transition , End of Life Care and Health Inequalities agendas;
• Act as Executive Sponsor of the BAME Forum, supporting and enabling the delivery of the Trust’s diversity and inclusion framework, ‘Seen and Heard’.
Professional Leadership
• Provide effective visible and compassionate leadership of the Trust’s nursing and AHP workforce and foster a culture which values continuing professional development and research and empowers the teams to achieve excellence in the delivery of patient care;
• Lead the development and implementation of the nursing response to the Trust Strategy ‘Above and Beyond’ Advise the Trust Board, Executive Team and directorate teams on professional nursing issues, including the changing opportunities for nursing roles and responsibilities;
• Ensure the maintenance of professional standards of care within the Nursing and Midwifery Council (NMC) Code of Professional Practice;
• Provide professional support to the Chief of Allied Health Professionals and ensure that the AHP voice is properly represented at all levels across the organisation;
• Lead on the development of the nursing and AHP research agenda’s ensuring that their work is integrated into the overall Trust research strategy.
Corporate Leadership
• As an Executive Director of the Trust Board and member of the Executive Team, contribute to the management and strategic development of the Trust's services in accordance with local health needs, education, development and research priorities within available financial resources;
• Contribute to the development of the Trust's business planning process and the wider health community's health strategy:
• The requirement for and the deployment and utilisation of nursing resources to ensure the provision of high quality, cost effective care within the Trust;
• The legislative requirements of the relevant statutory authorities in relation to the provision of nursing care;
• Share corporate responsibility to promote the Trust within the wider community, so developing sustainable partnerships within the multi-agency health and social care community;
• Represent the Trust at regional/national/international levels on professional nursing and corporate issues, developing partnerships, sharing best practice and integrating this nursing knowledge within the Trust;
• Have corporate responsibility for Infection Prevention and Control throughout the Trust as delegated by the Chief Executive;
• Participate in the Executive Director On-Call rota.
Infection Prevention and Control
• Lead the development, and oversee the implementation, of the Trust's annual prevention and control of infection annual programme;
• Lead the Trust's Infection control team and oversee infection control policies and their implementation;
• With the Director of Infection Prevention and Control provide assurance to the Trust Board that Infection Prevention and Control policies are fit for purposes, ensure effective systems for the prevention and control of infection are embedded across the organisation and audited;
• Act as the focal point for integrating prevention and control of infection within the Trust's clinical governance/patient safety systems;
• Ensure that the protection of patients from infection receives the highest priority across the Trust;
• Ensure that the Trust Board and Executive Team are aware of issues concerning the prevention and control of infection and that these are considered when corporate decisions are taken.
GOSH Learning Academy
• As the Executive lead for education, provide oversight and assurance to the Trust Board for the
GOSH Learning Academy;
• With the Chief Finance Officer provide Executive oversight and accountability of the Health
Education England Education Contract;
• To lead the provision of professional development, education and training for nursing and
allied health professional staff;
• With the Director of Education ensure the delivery of the Trust Strategy to ‘Develop the GOSH
Learning Academy as the first-choice provider of outstanding paediatric training’.
Service Development and workforce
• Align to the Trust strategy to ’make GOSH a great place to work by investing in the wellbeing
and development of our people’ be responsible for the development of recruitment, retention
and return to nursing strategies which enhance job satisfaction, and promotes career
development for nurses;
• Develop and review workforce plans for nursing, advising the Trust Board on issues of skill mix,
deployment and utilisation of the nursing workforce consistent with National guidance;
• Work closely with the Chief Finance Officer to identify and deliver corporate efficiencies,
advising on the implications for service delivery;
• Support the Director of Estates and Facilities to implement the national strategies for Hospital
Cleanliness and Better Hospital Food through the continuing development of the nursing
leadership role.
Safeguarding
• As executive lead for safeguarding provide regular support and managerial oversight and
supervision of the Named Professionals;
• Support the Nurse Consultant for Safeguarding to further integrate the safeguarding and social
work teams to encourage greater alignment to maximise the potential of both teams to
enhance and promote strong safeguarding and child protection practice across the
organisation;
• Chair the Strategic Safeguarding Committee and give assurance to the Trust Board that there
are effective governance arrangements in place in line with national requirements;
• Ensure that the Trust is ready and prepared to implement the Liberty Protection Safeguards
and that there is continued awareness and appreciation of the Mental Capacity
Act/Deprivation of Liberties;
• Provide executive level participation on the Local Safeguarding Children Partnership and
establish effective working relationships with the designated professionals and NHS
England/Improvement.
Patient Experience
• Oversee and support the effective implementation and delivery of the Trust’s Patient and
Family Experience and Engagement Framework and services/initiatives arising from this;
• Lead the Patient Experience Team ensuring that services are effective and meet the needs of
patients and families in line with legislative and regulatory requirements and best practice;
• Provide assurance to the Board of effective, robust and fit for purpose governance structures
and policies;
• Oversee and support the assessment and evaluation of new Patient Experience services and
initiatives, ensuring that feedback from patients and families drive improvements in experience
and that meaningful engagement is embedded into the Trust’s strategy and culture;
• Oversee effective management of complaints through rigorous and robust review of responses
ensuring effective, transparent and evidence based investigation and learning from
complaints, appropriate and compassionate engagement with patients and families and
escalation of issues arising from complaints;
• Act as lead executive for the Health Inequalities agenda in line with national expectation.
Leadership Development
• Ensure the visibility of senior nurse management through regular "walkabouts" and other
means of communication and engagement;
• Lead and support, in conjunction with other executive directors, the development of
leadership and management skills and capabilities throughout the organisation;
• Act as an ambassador for the Trust and profession and contribute to the wider health and
organisational agenda in the region and nationally as appropriate.
Risk Management and regulation
• Ensure that the highest standards of corporate and clinical governance are maintained in the
organisation;
• Ensure that robust risk management arrangements are in place which correctly identify key
risks and how they will be managed;
• Ensure that a proactive approach to infection control is embedded into clinical directorates
and reflected in the performance management system;
• As trust lead for restraints, therapeutic holding and restrictive practice ensure that there is
trust wide understanding of this agenda to enable health care professionals to deliver care that
is in line with national best practice;
• Promote and embed the use of the ward accreditation scheme as part of the overall quality
management system and to ensure that the trust is compliant with regulatory standards.
Other information
Great Ormond Street Hospital for Children NHS Foundation Trust is a dynamic organisation, therefore changes
in the core duties and responsibilities of this role may be required from time to time. These guidelines do not
constitute a term or condition of employment.
Confidentiality
On appointment you may be given access to confidential information which must only be disclosed to parties
entitled to receive it. Information obtained during the course of employment should not be used for any purpose
other than that intended. Unauthorised disclosure of information is a disciplinary offence.
Risk Management
You will be required to ensure that you implement systems and procedures at a local level to fulfil the requirements
of the organisation’s Risk Management Strategy including local management and resolution of complaints and
concerns, management of SUIs/incidents and near misses. Your specific responsibility for risk management will be
clarified to you by your manager at your local induction.
Emergency Planning
In accordance with the organisations responsibilities under the Civil Contingencies Act 2004, you may be required to
undertake alternative duties as is reasonable directed at alternative locations in the event of and for the duration of
a significant internal incident, major incident or flu pandemic.
Human Rights Act
You are required to comply with the regulations of the Human Rights Act 1998 during the course of your
employment.
Sustainable Development
You will be required to demonstrate a personal commitment to the Trust’s Sustainable Development Plan and to
take personal responsibility for carrying-out your work duties in a way which is compliant with this Plan.
Person Specification
Evidence for suitability in the role will be measured via a mixture of application form, testing and interview
Our always values
E
Always welcoming – positive, polite, prompt, responsive
E
Always helpful – respectful, supportive, approachable; caring
E
Always expert – Up-to-date knowledge , strive to provide a quality service, proactive
E
Always one team – informative, mindful, appreciative, open, honest
Skills and abilities
E Be a dynamic, passionate, open, participative leader with a supportive leadership style;
E Be a team builder, able to delegate;
E
Be a decisive leader, capable and committed to translating policy and analysis into practical actions;
E
Have a high level of: o Negotiating and influencing skills; o Interpersonal skills; and o Communication skills
E Be innovative, with a strong service focused approach
E
Have the ability to think and act strategically and to articulate a clear sense of direction and vision to a wide and diverse audience;
E
Have the ability to build effective relations with a range of internal and external stakeholders; .
E
Be able to contribute to policy development including nationally;
E
Have strong prioritisation skills with the ability to manage competing demands;
Person Specification
Skills and abilities
E Have a good understanding of the health and social care management environment and of roles and responsibilities within it; E Have a good understanding of national targets and of performance management methodology;
E Be a team player with experience of managing teams.
Education, training and qualifications
E Educated to Master’s Degree or equivalent level management qualification;
E Have a relevant professional qualification in nursing;
E
Offer evidence of recent management and leadership development and evidence of continuous professional
and personal development;
E Registered with Nursing and Midwifery Council.
Knowledge and experience
E Have demonstrable and substantial previous senior nursing and leadership experience;
E Have a demonstrable track record of achievement in quality and patients’ safety arena and in patient experience;
E Have experience of leading service and/or transformational change, and experience in the management of complex projects;
E Have experience of effective partnership and working with internal and external stakeholders;
E Have experience in the management of substantial budgets;
E Have experience of working with patients and the public to enhance and develop patient pathways;
E
E
Have experience of implementing national and statutory requirements;
Year on year improvement against financial and operational targets
E Have a track record of relevant leadership roles in an acute or specialist hospital setting;
D Have prior experience of leading or exposure to, complex paediatric services.