Job summary

NCTHnet is actively improving and innovating its service provision in line with NHS England's Levy Review recommendations and the National Improvement Network.

The post holder will lead the Quality Improvement Initiative working on the Gender Programme within NHS England's Specialised Commissioning, leading on extensive gender improvement projects and workstreams from within NHSE Specialised Services under the direction of the Quality Improvement Deputy Director. This is a high profile, complex transformation change programme necessitating dedicated leadership and oversight, including close working with several critical partners, providers, and other stakeholders.

The post holder will be expected to work on a range of projects considering financial, operational, and quality aspects to drive sustainable improvement and deliver the best outcomes for patients on the gender pathway.

The Senior Quality Improvement Lead will operate within the Quad Leadership Model, working together with the Head of Patient Safety, Quality & Experience and wider Clinical Leadership to facilitate Safe, Effective, Caring, Responsive and Well-Led Services delivered within the Community & Specialist Care Group.

NCTHnet reserves the right to to close this advert prior to the closing date if sufficient applications are received.

Main duties of the job

The post holder will be expected to work on a range of projects considering financial, operational, and quality aspects to drive sustainable improvement and deliver the best outcomes for patients on the gender pathway.

The key elements of the roles are:

Identifying and evaluating the significant issues providers and systems face in the provision of gender services.Leading quality improvement projects focused on improving operational processes and patient outcomes across national NHS healthcare facilities.Developing and implementing data-driven solutions and interventions to optimize healthcare delivery processes, reduce inefficiency, and enhance patient care quality.Utilise statistical analysis and performance metrics to measure the impact of process improvements, tracking progress and reporting results to senior management.Supporting the process by which providers and system partners agree their preferred solution or course of actions.Support the Clinical and Operational leadership in managing the budgetary implications of activity and proposed changes and developments.Proactively manage the key risks and issues associated with ensuring appropriate actions are taken to mitigate, respond and escalate.Monitoring the overall progress of the developed strategies to ensure completion within agreed timescales.

About us

#TeamNottsHC comprises over 10,500 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health and forensic health services across Nottinghamshire, Leicestershire and South Yorkshire. Our care is provided from over 80 sites, spanning community locations, acute settings and secure environments.

We are one of the largest mental health and community health Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.

We offer a variety of employee-led staff networks, including Equality, Diversity and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.

The health and wellbeing of colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.

The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment.

Details

Date posted

21 October 2026

Pay scheme

Agenda for change

Band

Band 8b

Salary

£66,582 to £77,368 a year Per annum pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

186-959-26-GH

Job locations

Nottingham Centre for Transgender Health

12 Broad Street

Nottingham

NG1 3AL

United Kingdom

Job description

Job responsibilities

Strategy/Planning:

• Leading on the development and delivery of the services Quality Improvement Strategy, connected to the Trusts priorities, objectives and plans.
• Work closely with relevant members of the senior leadership team to raise the profile of the organisation as a learning organisation.
• Develop and sustain positive relationships, based on the QI agenda, with other services and teams within the Trust, and with other national, regional and international relevant organisations
• Promote the use of QI principles to influence all agendas within the service
• Promoting the sharing of learning across the wider system, with the inclusion of all service stakeholders, both internal and external.
• Establish effective monitoring and reporting systems and tools to inform and facilitate discussion and decision making in relation to the progress and performance of the organisation in relation to its QI needs and the solutions being applied. These systems will offer clear exposition of complex concepts and advance interpretation of results, themes and trends.

Delivery of improvement programmes:

• Lead the prioritisation of opportunities for improvement.
• Enabling and facilitating the implementation of measurable and effective improvement initiatives to address issues, risks and opportunities to improve processes, practices, staff experience, and patient outcomes and satisfaction. With a clear hands-on vocation to ensure the success of improvement initiatives.
• Providing supportive oversight to the improvement activity and performance across the service.
• Support and promote innovation within the service.
• Ensure learning from the improvement activity is shared and influences decision making and improvement practice. Create the necessary structures and governance to ensure the effectiveness of the learning process.
• Apply effective project and programme management approaches to ensure the successful management of the improvement agenda.

Building capacity:

• Establish a clear framework for the identification and prioritisation of opportunities for improvement, and for the implementation of solutions to address these opportunities and to evaluate the impact of such initiatives. This framework will be supported by effective and dynamic governance arrangements.
• Select and adapt well known QI approaches, methodologies and tools, to support the effective application of the services QI framework and the success of improvement initiatives. These approaches will be based on recognised methodologies such as Lean, Six Sigma, Model for improvement, etc.
• Develop and deliver a QI training programme, accessible to all colleagues within the service.
• Establishing supervision and coaching processes to ensure everyone in the organisation is always positively supported in their improvement activity.
• Create a network of QI champions and experts which will contribute to transform the organisation into a team of QI improvers.
• Offer expert advice to all other programmes and workstreams within the organisation.

Wide culture of improvement:

• Promote an approach of continual improvement across all processes, activities and teams within the organisation.
• Define system for incentivising and empowering colleagues for the identification of opportunities of improvement and the implementation of changes to enhance the quality of the service.
• Establish clear alignment between the priorities and objectives of the service and the improvement decisions.
• Demonstrate the value of small incremental changes.
• Develop an atmosphere of honesty and openness, where errors and suboptimal processes and practices are seen as learning opportunities, avoiding a blame-focused environment.

Data-driven decision-making:

• Development of effective and dynamic measurement systems to help with the prioritisation, monitoring and evaluation of QI needs and the results of improvements.
• Collation, analysis and interpretation of quantitative and qualitative data, with different levels of complexity and from a wide range of sources and subjects. This requires the advance use of visual, and analytical tools.
• Establishing indicator dashboards to enable a close-to-life understanding of QI needs, and the progress and impact of QI initiatives in place.
• Use of tools that support the understanding of flow and capacity, and can support planning, management and modelling of performance.
• Implementing robust systems to ensure the quality of data used to inform performance and improvement.

Communication, reporting and engagement:

• Build productive working relationships with senior leaders within the service, the Trust, patient forums, and other relevant external stakeholders.
• Provide guidance, advice and support to all teams in the service in relation to quality improvement, including specialist advice to the senior leads.
• Ensuring the benefits of the QI function are clearly communicated within the service and also within the Care Group and Trust.
• Provide relevant information, in the most appropriate format, to serve all the needs for information, analysis and interpretation required by all monitoring and decision-making bodies within the service, Care Group and the wider Trust, and external stakeholders.

Planning & Organisational

• To model a collaborative and influencing style of working, negotiating with others to achieve the best outcomes. Embedding this approach across the Network.
• Plan and organise a broad range of complex activities, including but not limited to preparation for performance meetings to ensure quality and consistency, reviewing and adjusting team and departmental governance.
• Formulate and adjust long term plans and strategies involving uncertainty, which may impact across the whole organisation. This may involve KPI evolution and negotiation.
• Plans and implements new ways of working, facilitates collaborative working across the sector which may include capacity planning. Develops long-term strategic plans for performance and service improvement.
• Drive process efficiency in the continuous development of the end-to-end cycle and its associated performance metrics.

Policy and procedures:

• Responsible for proposing and drafting changes, implementation and interpretation to policies, guidelines and service level agreements which may impact national NCTHnet service delivery.
• The post holder will be responsible for policy implementation such as local change control compliance with national policy and guidelines.
• Develops standardised operating procedures and guidance that are implementable across the organisation and in partner organisations, relating to the use of planning and forecasting models.
• Support the creation and locally implement the operational strategy and business plan, clearly identifying links to national, regional and local priorities and policy objectives.
• To develop business plans and provide expert strategic and policy advice and guidance on all areas of the NCTHnet.

Resource Management:

• Act in a way that is compliant with Standing Orders and Standing Financial instructions in the discharge of any budget management responsibilities.
• Constantly strive for value for money and greater efficiency in the use of these budgets throughout all project activity.
• Defining and ensuring scope of work is appropriate and value for money to deliver sustainable solutions.
• Support the NCTHnet, Care Unit and Care Group Senior Leadership teams on advising on budgetary matters.

Information Management:

• Manage highly contentious situations that require the use of judgements to come to appropriate solutions.
• Oversee the work with the Clinical Director and NCTHnet Senior Leadership team to ensure the information systems are integrated with the overall strategy, ensuring synergy between strategy milestones and objectives.
• Conduct thorough analysis of current processes, identifying inefficiencies, bottlenecks, and areas for improvement using Quality Improvement methodologies and tools.
• Support the appropriate governance structures and programmes of work.
• Develop and implement data-driven solutions and interventions to optimize high-quality healthcare delivery processes, reduce waste, and enhance patient care quality.
• Ensure appropriate stakeholder engagement strategy is in place defining how the strategy will engage with all stakeholder groups and what information flows will be established and maintained.
• Lead the creation, maintenance, analysis and review implementation, of information systems for collecting, evaluating and interpreting complex data. To inform short and medium- and long-term strategies.
• To identify and assess opportunities for new services and threats to existing services.
• To monitor, interpret and quality assure progress against deliverables. Quality assurance and progress of deliverables to the NHS that often require adjustments specifically in relation to the complex corporate business agenda, strategic objectives and the business planning process.

Job description Job responsibilities Strategy/Planning: Leading on the development and delivery of the services Quality Improvement Strategy, connected to the Trusts priorities, objectives and plans. Work closely with relevant members of the senior leadership team to raise the profile of the organisation as a learning organisation. Develop and sustain positive relationships, based on the QI agenda, with other services and teams within the Trust, and with other national, regional and international relevant organisations Promote the use of QI principles to influence all agendas within the service Promoting the sharing of learning across the wider system, with the inclusion of all service stakeholders, both internal and external. Establish effective monitoring and reporting systems and tools to inform and facilitate discussion and decision making in relation to the progress and performance of the organisation in relation to its QI needs and the solutions being applied. These systems will offer clear exposition of complex concepts and advance interpretation of results, themes and trends. Delivery of improvement programmes: Lead the prioritisation of opportunities for improvement. Enabling and facilitating the implementation of measurable and effective improvement initiatives to address issues, risks and opportunities to improve processes, practices, staff experience, and patient outcomes and satisfaction. With a clear hands-on vocation to ensure the success of improvement initiatives. Providing supportive oversight to the improvement activity and performance across the service. Support and promote innovation within the service. Ensure learning from the improvement activity is shared and influences decision making and improvement practice. Create the necessary structures and governance to ensure the effectiveness of the learning process. Apply effective project and programme management approaches to ensure the successful management of the improvement agenda. Building capacity: Establish a clear framework for the identification and prioritisation of opportunities for improvement, and for the implementation of solutions to address these opportunities and to evaluate the impact of such initiatives. This framework will be supported by effective and dynamic governance arrangements. Select and adapt well known QI approaches, methodologies and tools, to support the effective application of the services QI framework and the success of improvement initiatives. These approaches will be based on recognised methodologies such as Lean, Six Sigma, Model for improvement, etc. Develop and deliver a QI training programme, accessible to all colleagues within the service. Establishing supervision and coaching processes to ensure everyone in the organisation is always positively supported in their improvement activity. Create a network of QI champions and experts which will contribute to transform the organisation into a team of QI improvers. Offer expert advice to all other programmes and workstreams within the organisation. Wide culture of improvement: Promote an approach of continual improvement across all processes, activities and teams within the organisation. Define system for incentivising and empowering colleagues for the identification of opportunities of improvement and the implementation of changes to enhance the quality of the service. Establish clear alignment between the priorities and objectives of the service and the improvement decisions. Demonstrate the value of small incremental changes. Develop an atmosphere of honesty and openness, where errors and suboptimal processes and practices are seen as learning opportunities, avoiding a blame-focused environment. Data-driven decision-making: Development of effective and dynamic measurement systems to help with the prioritisation, monitoring and evaluation of QI needs and the results of improvements. Collation, analysis and interpretation of quantitative and qualitative data, with different levels of complexity and from a wide range of sources and subjects. This requires the advance use of visual, and analytical tools. Establishing indicator dashboards to enable a close-to-life understanding of QI needs, and the progress and impact of QI initiatives in place. Use of tools that support the understanding of flow and capacity, and can support planning, management and modelling of performance. Implementing robust systems to ensure the quality of data used to inform performance and improvement. Communication, reporting and engagement: Build productive working relationships with senior leaders within the service, the Trust, patient forums, and other relevant external stakeholders. Provide guidance, advice and support to all teams in the service in relation to quality improvement, including specialist advice to the senior leads. Ensuring the benefits of the QI function are clearly communicated within the service and also within the Care Group and Trust. Provide relevant information, in the most appropriate format, to serve all the needs for information, analysis and interpretation required by all monitoring and decision-making bodies within the service, Care Group and the wider Trust, and external stakeholders. Planning & Organisational To model a collaborative and influencing style of working, negotiating with others to achieve the best outcomes. Embedding this approach across the Network. Plan and organise a broad range of complex activities, including but not limited to preparation for performance meetings to ensure quality and consistency, reviewing and adjusting team and departmental governance. Formulate and adjust long term plans and strategies involving uncertainty, which may impact across the whole organisation. This may involve KPI evolution and negotiation. Plans and implements new ways of working, facilitates collaborative working across the sector which may include capacity planning. Develops long-term strategic plans for performance and service improvement. Drive process efficiency in the continuous development of the end-to-end cycle and its associated performance metrics. Policy and procedures: Responsible for proposing and drafting changes, implementation and interpretation to policies, guidelines and service level agreements which may impact national NCTHnet service delivery. The post holder will be responsible for policy implementation such as local change control compliance with national policy and guidelines. Develops standardised operating procedures and guidance that are implementable across the organisation and in partner organisations, relating to the use of planning and forecasting models. Support the creation and locally implement the operational strategy and business plan, clearly identifying links to national, regional and local priorities and policy objectives. To develop business plans and provide expert strategic and policy advice and guidance on all areas of the NCTHnet. Resource Management: Act in a way that is compliant with Standing Orders and Standing Financial instructions in the discharge of any budget management responsibilities. Constantly strive for value for money and greater efficiency in the use of these budgets throughout all project activity. Defining and ensuring scope of work is appropriate and value for money to deliver sustainable solutions. Support the NCTHnet, Care Unit and Care Group Senior Leadership teams on advising on budgetary matters. Information Management: Manage highly contentious situations that require the use of judgements to come to appropriate solutions. Oversee the work with the Clinical Director and NCTHnet Senior Leadership team to ensure the information systems are integrated with the overall strategy, ensuring synergy between strategy milestones and objectives. Conduct thorough analysis of current processes, identifying inefficiencies, bottlenecks, and areas for improvement using Quality Improvement methodologies and tools. Support the appropriate governance structures and programmes of work. Develop and implement data-driven solutions and interventions to optimize high-quality healthcare delivery processes, reduce waste, and enhance patient care quality. Ensure appropriate stakeholder engagement strategy is in place defining how the strategy will engage with all stakeholder groups and what information flows will be established and maintained. Lead the creation, maintenance, analysis and review implementation, of information systems for collecting, evaluating and interpreting complex data. To inform short and medium- and long-term strategies. To identify and assess opportunities for new services and threats to existing services. To monitor, interpret and quality assure progress against deliverables. Quality assurance and progress of deliverables to the NHS that often require adjustments specifically in relation to the complex corporate business agenda, strategic objectives and the business planning process.

Person Specification

Qualifications

Essential

• Master's Level or equivalent in quality. improvement, quality manage or equivalent
• Training to (or equivalent) to Black Belt level in relevant quality improvement or management.
• Experience within the public or private sector, including the NHS, Social Care, Local Government and the Voluntary, Community & Social Enterprise Sector.

Experience

Essential

• Demonstrates significant experience in managing people, services, and resources within the NHS, Social Care, Local Government, or across wider sectors including Private, Voluntary, Community, or Social Enterprise organisations.
• Leading quality improvement projects where lean sigma, or similar methodology have been used.
• Responsibilities for the management of the wider quality management agenda.
• Experience of successfully leading improvement projects.
• Experienced in leading and managing change processes, including workforce transformation, service improvement, and cultural development.
• Experience of managing staff performance within a service.
• Demonstrates the ability to leading projects that deliver positive outcomes where there may be significant resistance to change.

Knowledge

Essential

• Knowledge of quality improvement projects where lean sigma, or similar methodology have been used.

Skills

Essential

• Proven ability to build and maintain effective communication and collaborative working relationships with a diverse range of colleagues, stakeholders, and partner agencies.
• Ability to motivate and achieve buy in for change.
• Ability in leading projects to deliver positive outcomes where there may be significant resistance to change.
• Advanced IT Skills.
• Excellent interpersonal skills to enable delivery of highly complex, sensitive and contentious corporate messages.
• Experience of managing staff performance within a service.
• Proven ability to manipulate complex data, use differing IT programmes and write complex reports for senior leadership level, including Board level.
• High level of organisation skills to manage and run medium /large scale complex projects, timetables and implementations.
• Ability to identify, analyse, design and implement process improvement activities in complex settings.
• Understand the application of continuous improvement methodologies in a healthcare setting and that different approaches work in different places.
• Evidence of the development of an improvement strategy.
• Effective analytical skills with the ability to evaluate and interpret evidence.
• Effective negotiating and influencing skills requiring diplomacy and professionalism.

Contractual Requirements

Essential

• A full, current UK driving licence and access to a vehicle fit and insured for business use are required for this post. Reasonable adjustments will be made for disabled staff in line with the Equality Act 2010.

Person Specification Qualifications Essential Master's Level or equivalent in quality. improvement, quality manage or equivalent Training to (or equivalent) to Black Belt level in relevant quality improvement or management. Experience within the public or private sector, including the NHS, Social Care, Local Government and the Voluntary, Community & Social Enterprise Sector. Experience Essential Demonstrates significant experience in managing people, services, and resources within the NHS, Social Care, Local Government, or across wider sectors including Private, Voluntary, Community, or Social Enterprise organisations. Leading quality improvement projects where lean sigma, or similar methodology have been used. Responsibilities for the management of the wider quality management agenda. Experience of successfully leading improvement projects. Experienced in leading and managing change processes, including workforce transformation, service improvement, and cultural development. Experience of managing staff performance within a service. Demonstrates the ability to leading projects that deliver positive outcomes where there may be significant resistance to change. Knowledge Essential Knowledge of quality improvement projects where lean sigma, or similar methodology have been used. Skills Essential Proven ability to build and maintain effective communication and collaborative working relationships with a diverse range of colleagues, stakeholders, and partner agencies. Ability to motivate and achieve buy in for change. Ability in leading projects to deliver positive outcomes where there may be significant resistance to change. Advanced IT Skills. Excellent interpersonal skills to enable delivery of highly complex, sensitive and contentious corporate messages. Experience of managing staff performance within a service. Proven ability to manipulate complex data, use differing IT programmes and write complex reports for senior leadership level, including Board level. High level of organisation skills to manage and run medium /large scale complex projects, timetables and implementations. Ability to identify, analyse, design and implement process improvement activities in complex settings. Understand the application of continuous improvement methodologies in a healthcare setting and that different approaches work in different places. Evidence of the development of an improvement strategy. Effective analytical skills with the ability to evaluate and interpret evidence. Effective negotiating and influencing skills requiring diplomacy and professionalism. Contractual Requirements Essential A full, current UK driving licence and access to a vehicle fit and insured for business use are required for this post. Reasonable adjustments will be made for disabled staff in line with the Equality Act 2010.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Nottinghamshire Healthcare NHS Foundation Trust

Address

Nottingham Centre for Transgender Health

12 Broad Street

Nottingham

NG1 3AL

United Kingdom

Employer's website

https://www.nottinghamshirehealthcare.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Nottinghamshire Healthcare NHS Foundation Trust

Address

Nottingham Centre for Transgender Health

12 Broad Street

Nottingham

NG1 3AL

United Kingdom

Employer's website

https://www.nottinghamshirehealthcare.nhs.uk/ (Opens in a new tab)