Surgical Services Manager - Quality, Resus & ECU

London

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We are seeking an exceptional and experienced healthcare leader to join our Surgical Services Leadership Team as Surgical Services Manager - Quality, Resuscitation & Enhanced Care Unit (ECU).

This is a senior leadership role responsible for providing clinical, quality and operational leadership across the Operating Theatre Department and Enhanced Care Unit, ensuring the delivery of safe, effective and high-quality peri-operative care.

Working in partnership with the Surgical Services Manager - Clinical Operations, you will hold joint accountability for the overall performance, safety, quality, workforce and operational delivery of the theatre and ECU service. You will lead the Quality, Resuscitation and Enhanced Care portfolio while contributing to the strategic direction and ongoing development of Surgical Services.

The successful candidate will provide leadership for clinical governance, patient safety, risk management, quality assurance, education and workforce development across the peri-operative pathway. You will be instrumental in driving a culture of continuous improvement, ensuring lessons learned from incidents, complaints, audits and patient feedback are translated into improvements in practice and patient outcomes.

A key aspect of this role is maintaining organisational leadership and accountability for resuscitation services. You will oversee emergency preparedness, resuscitation training, compliance, standards and assurance processes, ensuring the organisation maintains the highest standards of patient safety and emergency response.

You will also provide leadership for the Enhanced Care Unit and play a central role in its ongoing development, including supporting the planned expansion of enhanced care services and the future development of a High Dependency Unit (HDU). Working alongside clinical and operational colleagues, you will ensure services are appropriately structured, resourced and developed to meet the needs of patients and the organisation.

Joint Leadership and Accountability

The two Surgical Services Managers will operate as peer leaders, both reporting directly to the Director of Surgical Services.
Together, they will hold joint accountability for the overall performance, safety, quality, workforce and operational delivery of the Operating Theatre Department and Enhanced Care Unit.
Each postholder will lead a defined primary portfolio while maintaining sufficient knowledge, skills and oversight of the wider service to provide effective cross-cover and continuity of leadership.
The postholders will jointly contribute to strategic planning, service development, workforce planning, performance management, clinical governance, financial management, risk management and operational decision-making across the theatre and ECU service.
Neither postholder will have exclusive ownership of their portfolio. Both managers will be expected to understand the key priorities, risks, workforce issues, performance requirements and ongoing work within the other's portfolio.
During annual leave, sickness, vacancy, resignation or any other absence, the remaining Surgical Services Manager will assume responsibility for the absent manager's portfolio in addition to their own, until appropriate interim or substantive arrangements are in place.
The postholders will ensure effective handover and maintenance of shared information, reporting and risk-management systems to support continuity.
No area of theatre operations, quality, governance, resuscitation or ECU should be dependent upon the presence of a particular individual for decision-making or operational continuity.

Professional and Clinical Leadership

Provide visible senior clinical leadership across the Operating Theatre Department and ECU.
Work collaboratively with the Surgical Services Manager - Clinical Operations to maintain high standards of patient safety, clinical quality and professional practice.
Provide professional leadership and oversight to the Peri-operative Lead Practitioner and Practice Development Nurse, ensuring clear accountability and effective delivery of their respective portfolios.
Provide senior clinical leadership in relation to the management and escalation of deteriorating patients across peri-operative services.
Maintain organisation-wide leadership and oversight for resuscitation, ensuring appropriate standards, preparedness, training and response arrangements are in place.
Ensure clinical standards, policies, procedures and evidence-based practice are effectively embedded within day-to-day clinical care.
Liaise with medical, nursing, theatre practitioner and multidisciplinary colleagues to promote safe, effective and patient-centred care.
Act as a senior clinical advisor on matters relating to quality, patient safety, resuscitation, peri-operative care and enhanced care.
Maintain sufficient clinical knowledge and visibility to provide effective leadership during periods of clinical complexity, operational pressure or staffing challenge.
Promote a culture of openness, professional accountability, learning and continuous improvement.

Quality, Clinical Governance, Risk and Patient Safety

Have primary responsibility for senior leadership and oversight of clinical governance, quality assurance, patient safety and risk management across the Operating Theatre Department and ECU.
Jointly with the Surgical Services Manager - Clinical Operations, maintain accountability for safe, high-quality patient care and effective management of clinical and operational risks.
Develop, implement and maintain effective clinical governance systems aligned with regulatory requirements, national guidance, professional standards and organisational policies.
Ensure systems are in place for identification, assessment, monitoring and management of clinical and operational risks, including appropriate risk registers and action plans.
Lead the departmental clinical audit programme, ensuring audits are planned, completed, reported and followed by meaningful action and improvement.
Oversee reporting, investigation and management of clinical incidents, near misses, complaints and other patient safety concerns, ensuring appropriate analysis, action planning and dissemination of learning.
Ensure learning from incidents, complaints, audits, investigations and other sources is translated into sustainable improvements in clinical practice.
Lead development, review and implementation of relevant policies, procedures and Standard Operating Procedures.
Ensure appropriate compliance with CQC requirements, NICE guidance, NCEPOD, NatSSIPs, LocSSIPs and organisational standards.
Work with Clinical Coordinators, Lead TPs, Peri-operative Lead Practitioner and Practice Development Nurse to embed quality and safety standards into everyday practice.
Provide governance advice and support to clinical leaders and staff, promoting professional accountability and a culture of openness and improvement.
Monitor quality and patient safety data to identify trends, emerging risks and opportunities for improvement.
Lead or support organisational and regulatory inspections, reviews and assurance processes.
Provide regular quality, governance, risk and patient safety reports and assurance to the Director of Surgical Services and relevant governance forums.

Resuscitation and Emergency Preparedness

Hold organisation-wide accountability for resuscitation, providing strategic clinical leadership and oversight of resuscitation practice, preparedness and response across the organisation.
Act as the organisation's senior Resuscitation Lead, working with relevant governance structures and clinical teams to ensure appropriate standards, policies and processes are in place.
Ensure resuscitation policies, procedures and emergency response processes are developed, reviewed and implemented in accordance with current national guidance, professional standards and organisational requirements.
Provide oversight and assurance of resuscitation training requirements across the organisation.
Maintain oversight of organisational readiness for emergency situations, including availability, accessibility, checking and maintenance of resuscitation equipment and emergency drugs.
Ensure systems are in place for monitoring, audit and assurance of resuscitation equipment, emergency response arrangements and staff competency.
Lead or support review of resuscitation events and significant deteriorating-patient events, ensuring learning is identified, shared and translated into practice.
Liaise with relevant clinical leaders, the Resuscitation Committee and organisational governance forums to identify risks, monitor compliance and implement improvements.
Provide leadership and support in management of deteriorating patients and emergency situations within peri-operative services, including theatres and ECU.
Work with the Practice Development Nurse and relevant clinical leaders to develop and deliver resuscitation and emergency-response education, including simulation and scenario-based training.
Ensure emergency preparedness arrangements are incorporated into development of ECU and the planned future HDU service.