APPOINTMENT OF CHAIR APPOINTMENT BRIEF OCTOBER 2018 - Saxton Bampfylde

APPOINTMENT OF CHAIR

APPOINTMENT BRIEF
OCTOBER 2018

01 AN INTRODUCTION
University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK,
serving a large and diverse population locally and nationally. It balances the provision of nationally recognised
specialist services with the delivery of high-quality acute services to the local populations of Camden, Islington,
Barnet, Enfield, Haringey and Westminster. The Trust treats over one million outpatients, sees more than 138,000
patients in the Emergency Department, admits over 170,000 inpatients each year and has an annual turnover of £1
billion. UCLH aspires to become a world-leading research hospital across all areas of patient care and treatment and
will do so with increased focus on relevant clinical trials and the use of novel therapies, furthering its tradition of
innovation and distinction in research and development.

UCLH provides first-class acute and specialist services across seven central London sites dedicated to the diagnosis
and treatment of many complex illnesses. It has a world-leading reputation for neurosciences, a growing reputation
for cancer treatment and is regarded as one of the most successful providers of women’s healthcare in the UK.
Supported by the provision of excellent medical and surgical care, UCLH is committed to growing these areas of
clinical focus while also ensuring excellent clinical care and enhanced research activity across its whole portfolio of
services.

The Trust operates in collaboration with other providers and stakeholders across its clinical and research portfolios.
In partnership with University College London (UCL), UCLH is one of the country’s five comprehensive Biomedical
Research Centres (BRC) and, as a member of UCLPartners, brings together some of the UK’s world-renowned
medical research centres and hospitals. The UCLH BRC was awarded £111.5 million over five years from 2017 to
expand its research. UCL and UCLH will also host the new government-funded UK Dementia Research Institute.

The Trust works with UCL Medical School and London South Bank and City Universities to provide high-quality
medical and clinical training and education.

The UCLH Cancer Collaborative is the cancer alliance for North Central and North East London and West Essex and
brings together hospital trusts, GPs, health service commissioners, local authorities and patients to improve early
cancer diagnosis, outcomes and care for patients, along with education and awareness.

The healthcare system across North Central London, including clinical commissioning groups, local authorities and
NHS providers, including GPs, has worked to develop a North London Partners in Health and Care Sustainability and
Transformation Plan. This sets out how local health and care services will be transformed and become sustainable
over the next five years, building and strengthening local partnerships and supporting local people to live healthier
lives, access care in different settings and change how care is delivered.

        02 Vision, Values, Strategy and Objectives
UCLH is committed to delivering a vision of top-quality patient care, excellent education and world class research.
The Trust delivers its vision through a strong commitment to four core values – Safety, Kindness, Teamwork and
Improving – which underpin how it serves patients and their families and how to behave with colleagues in UCLH
and beyond. Further information can be found on the UCLH website UCLH Vision.

Underpinned by our vision and values are our four strategic priorities:

    •   Local Care: working with partners, we will improve the health of our local population
    •   Specialist Care: we will invest in specialist services to ensure world class provision for our patients
    •   Expand Research: working closely with UCL and other academic partners, we will become a research
        hospital where research is embedded across all our services

•   Operational Excellence: we will optimise our operational processes, supported by new technology and
        electronic health records, separating acute and elective care wherever possible.

And we will do this through our objectives to:

    •   Provide the highest quality care within our resources and increase the focus on safety
    •   Build on the relationship with UCL, to become a world class academic research hospital, embedding
        research throughout the organisation across all disciplines
    •   Improve patient pathways through innovation and collaboration with patients and partners
    •   Support the development of our staff to deliver their potential and foster talent
    •   Achieve financial sustainability
    •   Deliver operational excellence through the Electronic Health Records System and optimised processes.

This is set out in our strategic document of March 2018 which is available here.

Campus Vision
UCLH’s central London campus development brings exciting opportunities. Phase 4 is a £270 million eleven-storey
clinical facility which will be home to one of only two NHS Proton Beam Therapy centres in the UK, the largest centre
in Europe for the treatment of blood disorders and a state of the art day surgery unit. This facility will open in 2020.
Phase 5 is a new ambulatory care facility on Huntley Street which will be a new home for the Royal National Throat
Nose and Ear and the Eastman Dental Hospitals, opening in 2019.

National Hospital for Neurology and Neurosurgery (NHNN) Reconfiguration
The NHNN, Queen Square, is the UK’s largest dedicated neurological and neurosurgical hospital. It provides
comprehensive services for the diagnosis, treatment and care of all conditions that affect the brain, spinal cord,
peripheral nervous system and muscles. Together with its neighbour, the UCL Institute of Neurology, it is a major
international centre for research and training.

UCLH has just invested £23 million to redevelop the NHNN, opening two new operating theatres, refurbishing four
existing theatres and increasing bed capacity by 22 with the addition of 16 ward and 6 critical care beds. This
increase in capacity will enable the NHNN to deliver world class care in a more up-to-date environment.

Digital Transformation
In 2017, UCLH awarded a ten-year contract to Atos to become its digital transformation partner and create a step
change in the delivery of digital services at the Trust. Atos is providing a more stable IT environment and replacing
hardware throughout the organisation to provide the infrastructure on which our new Electronic Health Records
System (EHRS) will work.

Implementation of the EHRS commenced in July 2017, working with our partner Epic, a worldwide market leader in
developing and implementing health records technology. The EHRS system will go live on 31 March 2019,
transforming patient services, processes and record keeping and impacting on all our staff. An EHRS is a single
integrated and comprehensive health record that is kept up-to-date in real time and can be accessed by anyone in a
patient’s care team. This will improve information sharing with patients, staff and healthcare partners, such as GPs
and other hospitals. It will also include a new patient portal, which patients can access through a customised app on
a mobile phone, tablet or computer. We are currently working with patients and clinicians to determine exactly what
information and services will be available through the portal. This will empower patients, allowing them to better
manage their conditions and communicate more effectively with their clinical teams. EHRS is a major step towards
UCLH becoming fully interoperable with our NHS partners, supporting data sharing with North London Partners in
Health and Care. The EHRS will be thoroughly tested towards the end of 2018 and in early 2019 and all staff will be
trained on the new system early in 2019, ready for go-live.

Research Hospital
UCLH is one of the most research active hospital trusts in the UK. In 2017/18 there were 294 research studies
approved to begin recruitment at UCLH, ranging from clinical trials which often involve complex and novel
treatments to patient satisfaction studies. There are currently 1734 studies involving UCLH patients that are open to
recruitment or follow up. 64% of these studies are adopted on the National Institute for Health Research Clinical
Research Network portfolio of research. In 2017/18, we recruited 14,000 participants to research studies. We want
to offer even more patients the opportunity to take part in research and have created an online gateway to provide
information about ongoing studies in specific disease areas. The EHRS will also help to identify more opportunities
for patients to participate in research. In 2017, we created a new fellowship programme for junior doctors, funded
by the UCLH Charity, to enable them to have dedicated time to undertake research projects for up to a year. There
are also research opportunities for nurses, midwives, allied health professionals and pharmacists to undertake
research.

UCLH is continually striving to improve the services offered to patients.

Trust Governance
Role of the Board

UCLH’s Board of Directors (the Board) comprises 17 statutory members including the Trust Chair and Chief
Executive, Professor Marcel Levi. The Board sets the overall policy and strategic direction for the Trust, approves and
monitors UCLH’s business plans, budgets and major capital expenditure and monitors performance against
objectives. Non-executive directors also sit on Board sub-committees (audit, remuneration, finance and investment,
and quality and safety). Further information is available here.

Composition of the Council and its role

UCLH’s Council of Governors (the Council), which is chaired by the Trust’s Chair, is made up of 24 elected governors
(five public, twelve UCLH patients, one carer of a patient and six staff) and 9 appointed governors from partner
organisations including key stakeholders.

The Council’s statutory responsibilities are described in the UCLH Constitution. These include the appointment and
removal of non-executive directors, including the Chair, and holding them individually and collectively to account for
the performance of the Board. The governors represent the interests of the members of UCLH as a whole and the
interests of the public.

The Council is a valued and effective body advising the Board on issues that are important to patients, carers, staff
and the wider community. The Council is not responsible for the day to day running of the Trust but works with the
Trust to ensure that UCLH provides the best possible service to its patients. Governor representatives are actively
involved in some Trust committees. See more here.

Clinical Leadership Model

UCLH has a clinical leadership model delivered through four Medical Directors and its Chief Nurse. Three of the
Medical Directors are the chief operating officers for the three clinical boards – Medicine, Specialist Hospitals,
Surgery and Cancer. The three clinical boards have 17 clinical divisions and are supported by corporate functions
such as finance, digital services and workforce.

03 THE ROLE

THE OPPORTUNITY
The Chair is responsible for the leadership of both the Board and the Council and ensures their effectiveness
in all aspects of their roles.

The Board is collectively responsible for the success of UCLH. This includes the effective delivery of UCLH’s
vision to deliver top-quality patient care, excellent education and world class research and to provide a
positive work environment for all employees.

This is an exciting opportunity to lead the Board of a world-class hospital, committed to delivering the highest
quality patient care, and excellent education and research, through a period of significant transformation.
Leading both the Board and the Council of Governors, UCLH’s in-coming Chair will share the Trust’s values
and aspirations. Drawing on a background of significant leadership experience, the Chair will bring a
collaborative, partnership-orientated approach and the ability to work with an exceptional team of colleagues
to develop this already high-performing organisation further, for the health of the local population, and

patients from across the UK.

KEY ACCOUNTABILITIES
    •   Uphold the highest standards of corporate governance, integrity and probity

    •   Set a style and tone that will promote effective decision making and constructive debate

    •   Ensure that constructive relationships based on candour, trust and mutual respect exist between
        executive and non-executive directors, elected and appointed members of the Council, and between
        the Board and the Council

    •   Understand and give priority to the interests of patients and recognise the key role of UCLH staff

    •   Ensure the effective running of the Board and the Council

    •   Undertake regular performance evaluation of the Board, its committees and directors

    •   Establish and develop constructive relationships with professional and trade union representatives,
        stakeholders and regulators, including NHS Improvement, NHS England, the Department of Health
        and Social Care, healthcare partner organisations, especially stakeholders in North London Partners
        in Health and Care

    •   Represent the Trust and act as both a spokesperson and an ambassador

    •   Establish a relationship of trust, collaboration and openness with the Chief Executive and other Board
        members.

KEY RESPONSIBILITIES
    •   Ensure that UCLH works in strong partnership with NHS health partners, national and local
        government, and community and voluntary sector partners to maximise the benefits for the patients
        and public it serves

    •   Promote high standards of corporate governance including a clear structure for the effective running
        of Board committees and support for non-executive directors so as to capitalise on their contribution
        and maintain their independence

    •   Set the agenda for Board discussions to promote effective decision making and constructive debate

    •   Ensure the effective implementation and communication of Board decisions, holding the Chief
        Executive accountable for their delivery

    •   Ensure the Board maintains the financial viability of the Trust, using its resources effectively to meet
        its responsibilities within the requirements issued by NHS Improvement (our economic regulator)

    •   Develop an effective relationship of trust with the Chief Executive, providing support and advice
        whilst respecting executive responsibility

    •   Chair the Remuneration Committee which determines the levels of remuneration for directors and
        very senior managers

    •   Conduct an annual appraisal of the Chief Executive and lead the appointment process for a
        replacement when necessary

•   Develop and refresh the knowledge and skills of Board members and ensure that the non-executive
        directors as a team provide effective and constructive challenge to the executive team

    •   Promote inclusion and equality in the treatment of staff and patients

    •   Lead the Council, providing clear direction and focus, and ensure that the Board and the Council
        collaborate effectively for the benefit of UCLH

    •   Promote open communication with all governors and encourage them to use their skills to maximise
        their contribution, promoting their work both inside and outside the Trust.

        04 PERSON SPECIFICATION
UCLH is seeking to appoint an exceptional individual as Chair for whom the welfare of UCLH and its
patients and staff will be paramount. The successful candidate will have a demonstrable track record of
achievement, including managing change, ideally gained in a senior leadership role within an organisation
with a significant budget and of significant size and complexity in the public, private, voluntary or
community sectors.

Specifically the ideal candidate would demonstrate the following:

    •   Substantial chairing experience, coupled with evidence of successful leadership and of holding
        senior management teams to account, driving continuous improvement in quality and managing
        change, demonstrable financial acumen and proven ability to assess and prioritise competing
        requests

    •   An enabling style with first class chairing skills, the ability to engender respect from others at all
        levels of the organisation, fostering an inclusive culture

    •   Highly developed interpersonal and communication skills with the ability to work in a constructive
        way and listen sensitively to the views of a wide range of others

    •   An ability to influence and persuade at the highest levels in private and public sector contexts,
        along with experience of building strong alliances and productive working relationships with a
        range of stakeholders, securing high quality outcomes for public benefit

    •   Sound knowledge of governance, including strategic planning, financial management, risk,
        performance management and service development

    •   Evidence of a commitment to inclusion, diversity and equality of opportunity

    •   An interest in healthcare and commitment to NHS values and to the needs of UCLH patients, staff
        and the local and national communities served by the Trust

    •   Political awareness and an ability to think strategically, to assimilate complex data and make
        informed judgements, together with an appreciation of the NHS political and operational
        environment.

    •   A willingness and ability to devote the time required. It is expected that this position will require
        an overall time commitment of 2.5-3 days per week and that this will be the main or sole element
        of the successful candidate’s portfolio. There is likely to be a particular need in the early months
        to devote significant effort to becoming familiar with the Trust and its staff and governors.

    UCLH is committed to appointing diverse, talented and high-performing individuals and therefore
    welcomes applications from candidates irrespective of their background.

Appointments are made in keeping with UCLH’s commitment to value diversity and promote equality
    in that there should be equal opportunities for all and no discrimination on the grounds of age,
    disability, gender, race, religion or sexual orientation, providing individuals meet the required criteria.

    The position specification is not exhaustive. There will be other accountabilities not specified here that
    would be expected from a Chair.

         05 TERMS OF APPOINTMENT
Eligibility

To apply for this appointment you need to be eligible to be a public or patient member of UCLH. A
member can be a resident of a London borough or have been a patient of the Trust in the past three
years.

Remuneration

£64,000 per annum

Location

Central London

              06 HOW TO APPLY
  Saxton Bampfylde Ltd is acting as an employment agency advisor to University College London Hospitals NHS
  Foundation Trust on this appointment.

  Candidates should apply for this role through our website at www.saxbam.com/jobs using code TACAIA.

  Click on the ‘apply’ button and follow the instructions to upload a CV and cover letter, and complete the
  application and equal opportunities monitoring* form.

  The closing date for applications is noon on Monday 29 October 2018.

  * The equal opportunities monitoring online form will not be shared with anyone involved in assessing your
  application. Please complete as part of the application process.