Appointment of the Chief Nursing Officer

Coventry & Warwickshire Integrated Care Board

Welcome

Dear Colleague

Thank you for your interest in the Chief Nursing Officer position at Coventry and Warwickshire Integrated Care Board (CWICB). This is a pivotal leadership appointment, and I am delighted that you are exploring the opportunity to apply for this important role.

We are already making real progress in Coventry and Warwickshire towards our four key objectives of improving outcomes in population health and health care; tackling inequalities in outcomes, experience and access to services; enhancing productivity and value for money; helping the NHS support broader social and economic development.

Coventry and Warwickshire are committed to improving the lives of children and young people. Through working as part of a strong Local Maternity and Neonates System (LMNS) all of our providers are rated either good or outstanding for maternity care. We are now focussing on delivery of our Maternal Health Equity plan to improve equity and equality for all. To support children and young people who have experienced significant trauma, we are extremely proud of our Positive Directions programme, a new and innovative approach to tackling the physical, mental, and social challenges they face. We have worked closely with children and young people to shape the development and focus of the project, listening to what they need to support them, and designing services around these needs.

Addressing health inequalities is a key area of focus for our ICB.  In a time of financial pressure we have protected the health inequalities funding in Coventry and Warwickshire, focusing on enabling support to happen directly within our local communities. This has enabled a wide array or programmes which target local issues such as debt support in general practice, support for small community and faith based organisations to address mental health in their local area, or targeting cardiovascular disease in Warwickshire North.

As part of the wider Integrated Care System collaboration with our partners is another area in which we are delivering great results for the benefit of our population. One example of this is the Improving Lives of People programme – a pan Coventry programme bringing together social care, community services, acute services and primary care to focus on how we support people throughout their journey and their care transitions in and out of admission, maximising independence, improving experience and reducing costs.

We are seeking a Nurse Leader to join our system at a critical moment for healthcare services.  There is no shying away from the facts; the NHS continues to operate with significant financial, performance and workforce pressures. That said, this role represents an opportunity to channel your strategic influence. Working with system, regional and national leaders to help scale approaches, you’ll help cultivate our mission through support and promotion of integrated working for the benefit of our population. If you have the ambition to work at scale and drive improved outcomes for patients and for our colleagues as well as the facilitative leadership skills to work across organisational boundaries to bring people together for the greater good of patients, I would very much like to hear from you.

We hope you find the information below helpful and naturally, if you’d like a confidential conversation about your possible candidacy, please contact Heather I’anson at Anderson Quigley on 07743 935 502 or contact her at heather.ianson@andersonquigley.com

Phil Johns
Chief Executive

An introduction to our ICS

In Coventry and Warwickshire we are working to help everyone lead healthier and happier lives, be part of a strong community and benefit from effective and sustainable health and care services where and when they need them most. To do this we work together in partnership across health and social care, removing the barriers between services and joining up care around people and populations.

We have well-established ICS leadership and Governance arrangements for our System, along with well-developed, distributed Place based activities which include all key NHS and local authority partners, Primary Care Networks, our Voluntary Community Sector and our communities working together to tackle inequalities.

The two Health and Wellbeing Boards across the two local authorities are a strong asset to our system and provide strength through the cross-sector activities and experiences the members bring. The group work to improve the health and wellbeing of local people with a shared aim to reduce health inequalities and regularly come together, collaborating across the ICS area to reduce health inequalities and strive for better health outcomes for our population.

The system has worked together to develop the Coventry and Warwickshire Integrated Care Strategy through our Integrated Care Partnership and the associated Integrated Health and Care Delivery Plan, led by the ICB. This Strategy, informed throughout by the views of local people, partners and stakeholders, identifies our priorities as a system, shaped by local people and communities and the Integrated Health and Care Delivery Plan outlines how we intend to tackle these challenges head-on and deliver on the ultimate aims of the ICS, to improve outcomes in population health and health care, to tackle inequalities in outcomes, experience and access to services, to enhance productivity and value for money and to help the NHS support broader social and economic development.

Our service transformation is grounded in our strong clinical leadership, including the Out of Hospital arrangements, integrated discharge teams and more. We continue to foster a strong commitment to support and develop our workforce so that they can offer the best care to our patients and communities. We value diversity across our workforce and our ambition is to work together to promote a more inclusive environment, which attracts all candidates and signals our commitment to celebrate and promote diversity. We strive to be a local employer of choice, using employment, education and training to improve health and lifestyle choices as an important part of our strategy.

We’re committed to making things better in Coventry and Warwickshire, and we’re looking for someone who is ready to help us lead the way.

You can find out more about our ICS and our story here.

Our partners – working together

As a system, we are fortunate to have strength and variety across the local health and social care organisations who make up our ICS. We have developed a strong working relationship which has been demonstrated in recent service transformation and COVID-19 response.

Our Integrated Care Board

Our Integrated Care Board is coterminous to the Local Authority boundaries of Coventry and Warwickshire.

Our Local Authorities

There are two local authorities within the ICS boundary, Coventry City Council and Warwickshire County Council.

Our Providers                                                                                         CQC Inspection rating

Coventry City Council services                                                            Good-Outstanding

Warwickshire County Council services                                                Good

Coventry and Warwickshire Partnership NHS Trust                           Good

South Warwickshire NHS Foundation Trust                                        Outstanding

University Hospital Coventry and Warwickshire NHS Trust              Good

George Eliot Hospital NHS Trust                                                          Requires Improvement

Wider partners and stakeholders

Our GP practices are an integral part of our system, taking the clinical lead jointly with secondary care services within our Place functions. Coventry and Warwickshire also benefits from a large and active voluntary and community sector with representatives from a range of organisations working with ICS partners to develop and deliver services.

The People of Coventry and Warwickshire

Our current operating model

Working in Coventry and Warwickshire

Coventry and Warwickshire offers huge variety and many great places to live and work. It is home to two of the top 50 universities in the country, one of the oldest castles in history and the city of Coventry is UK City of Culture for 2021.

Coventry is the second largest city in the West Midlands and the heart of England. It is surrounded by public parks and rural countryside. As well as showcasing the great outdoors, Coventry is full of history such as the ruins of the Coventry Cathedral.

Warwickshire is one of the most historical and cultural counties in England with visitors from all over the world. The area is also home to the towns of Warwick, Rugby, Nuneaton, Stratford-Upon-Avon and Leamington Spa. These are a mix of large market towns and have rich history and plenty of things to do from urban to rural activities.

The area offers a range of properties for all budgets and lifestyles, from city centre living to suburban family homes, and from new developments to older buildings. The town of Rugby, for example, is an ideal commuter town for both Birmingham and London whilst still having affordable housing prices.

For other useful links to information about living in Coventry and Warwickshire, please visit www.coventry.gov.uk and www.warwickshire.gov.uk.

The role

Chief Nursing Officer (AQ2493)

Apply now

Job Title: Chief Nursing Officer (CNO)
Professionally Accountable To: Regional Chief Nursing Officer
Reports To: Chief Executive Officer
Base: Warwick / Hybrid
Hours: Flexible to meet the demands of the role
Band: VSM

ICS Chief Officer 

As a member of the unitary board; each board director is jointly responsible for planning and allocating resources to meet the four core purposes of Integrated Care Systems (ICS).

All Chief Officers are also jointly responsible for delivery of the 3 priorities of Coventry and Warwickshire ICS.

Role Priorities

The CNO will support the development and delivery of the long-term plan of the integrated care board (ICB). They will ensure this reflects and integrates the strategies of all relevant partner organisations of the ICB, with a particular focus on developing a shared clinical strategy.

Key Accountabilities

The CNO reports directly to the ICB chief executive.

The CNO, along with the Chief Medical Officer (CMO) is accountable for all matters relating to the relevant professional colleagues across the clinical and care workforce employed by the ICB. They will also be designated accountable for statutory and non-statutory functions that the ICB will need to perform as agreed with the CEO. Examples of these functions would include information governance, quality assurance/improvement and safeguarding.

The CNO will (along with the CMO) have an influential executive role and shared accountability for the development and delivery of the long-term clinical strategy of the ICB, ensuring this reflects and integrates the strategies of all relevant partner organisations within the ICS.

The CNO will (along with the CMO) be accountable for providing high quality clinical and professional leadership of the ICB’s activities. This includes ensuring that clinical and care professional leadership is embedded at all levels of the ICS as set out in the Clinical and Care Professional Leadership Guidance.

The CNO will be responsible for building partnerships and collaborating with provider collaboratives, public health, local government, other partners, and local people to deliver better access, improvements in life outcomes and reductions in health inequity. With the CMO, they will be accountable for securing professional clinical and care leadership in delivery of the ICB’s objectives and form part of the wider network of clinical and care leaders in the region and nationally. With the ICB board they will ensure that population health management, innovation and research support continuous improvements in patient services including digitally enabled clinical and care transformation and the clinical and care elements of a sustainable People Plan for the ICS workforce.

You will influence and work collaboratively as part of a wider system to create opportunities to make sustainable long term improvements to population health with key partners. This may include developing approaches which are non-traditional in nature, ambitious and wide reaching in areas which incorporate the wider determinants that have an impact on improving clinical outcomes, better life outcomes and reducing health inequalities for the population of the ICS.

The CNO is professionally accountable to the regional chief nurse and may from time-to-time be formally requested to act on behalf of NHS England and NHS Improvement on key performance, monitoring and accountability matters. This will include the identification of performance risks and issues related to the quality and safety of patient care and working with relevant providers and partners to enable solutions.

As a registered professional, individuals in these roles will be accountable for their own practice and conduct in the role.

It will be for the CEO to determine what other specific corporate functions each executive board member is accountable for within the ICB.

Executive Director Leadership Competencies

  • Setting strategy and delivering long-term transformation
    You will be responsible for influencing and contributing to the ICB plans and wider system strategies of the ICS. With the aim of driving innovation in clinical outcomes, reducing health inequalities and achieving better life outcomes across the ICS. This will include creating and influencing leadership relationships and wide scale system change to ensure that the ICB acts as an enabler to harness system development opportunities to improve the population health of the ICS.As a professional clinical and multi-professional system leader, you will provide leadership across organisational and professional boundaries and pathways to facilitate transformational change for the ICS population. You will ensure that the ICB influences and seeks input from wider ICS system leaders including provider collaboratives, public health, local government, voluntary and community sector, other partners and local people to make real transformational differences for the population through local, regional and national forums.You will support the production and delivery of a five-year ICB plan with the key aim to improve clinical outcomes, better life outcomes and reduce health inequalities, working with the CEO, other board members, partners across the ICS and the local community. You will be accountable for the supporting clinical strategy, including interpretation and implementation of the NHS Long Term Plan, NICE quality standards and other national strategic priorities.You will also be responsible (along with the CMO and wider ICB/ICS colleagues) for developing the necessary multi-disciplinary clinical and care professional leadership required to deliver this strategy, including leading and influencing the development of a diverse group of clinical leaders to enhance the opportunities for collaboration across the ICS.You will ensure that there are effective mechanisms for anticipating, identifying, and responding to key clinical risks that could impact on the successful delivery of the strategy. This will include engaging with system leaders from across the ICS to drive research, innovation, quality improvement, patient safety and population health outcomes from a risk-based approach across the ICS footprint.Acting as an ambassador for nursing, midwifery, and allied health professional workforce matters, you will be responsible for ensuring there is a talent supply for the ICB working in partnership with key partners and stakeholders. Providing strategic leadership with senior nurses/midwives/allied health professionals (AHPs) and HR/people leaders to develop a fit for purpose workforce to enable the successful delivery of integrated services. You will support the development of a talent pipeline strategy that increases the diversity of new recruits and retains the high-quality nurses, midwives, and other allied health professionals.You will collaborate with colleagues in NHS England Workforce Training and Education, Skills for Health, Skills for Care, and higher education institutions to ensure the current and future needs of health and social care providers are clearly identified and met. This will include enabling entry level career pathways for the local population which supports reducing vacancies and developing opportunities in both health and social care.You will promote research and innovation to support the development and delivery of your own ICB strategy and share learning to inform approaches to population health management and health improvement across the country through engagement with regional and national colleagues as part of wider integrated care networking opportunities.
  • Building trusted relationships with partners and communities
    Success in this role is dependent on having strong relationships with local patient communities, their representatives, ICS partners and specifically clinical and care professional leaders across health and social care at all levels of the system.You will promote and facilitate collective responsibility for improving whole pathways and removing organisational barriers to accessing health and care services. Negotiating with and influencing board level system leaders across health and care as well as with wider ICS partners will be a key responsibility of this role to ensure that progressive transformational change can be achieved which meets the population needs of the ICB.
  • Leading for Social Justice and health equality
    Reducing health inequalities is a core objective of the ICB and the medical director will foster a culture in which equality, diversity, inclusion and allyship are actively promoted across the ICS.You will drive innovative, clinically-evidenced change on behalf of the ICB, focusing on ensuring that inequalities across the system are addressed and you will promote and enhance strategic approaches to further developing personalised care locally so that the ICB achieves the best possible health and care for its communities.
  • Driving high quality, sustainable outcomes
    You will take a lead role on behalf of the ICB and where required on behalf of NHS England and NHS Improvement to ensure that there are appropriate and effective clinical monitoring and performance arrangements in place to ensure the ICS has robust quality and safety of clinical care outcomes through insight, involvement and improvement which meet the needs of its population.As a clinical system leader, acting as a catalyst and advocate, you will be responsible for ensuring that there is a collective accountability for high standards of clinical care across the ICS. You will positively engage with key system leaders to lead professional collective ICS leadership for the medical profession and wider professions. You will take the role of a system leader to promote and lead clinical quality data driven improvements which have a direct impact on the population health needs of the ICB.You will support wider executive colleagues in influencing strategic change and collaborative initiatives which have a direct impact on population health outcomes including key matters such as future workforce supply, quality and safety initiatives and system wide joint working at a strategic board level with system partners.You will work with other ICB executive colleagues to oversee the quality of all health services delivered in the ICS area, including implementing a safer and just culture, safer systems, and safer care. You will ensure there is clinical input, including robust and considered challenge, into ICB decision-making at all levels.You will promote patient and public involvement in service design and decision-making and champion the delivery of personalised care in all clinical practice.You will promote continuous quality improvement through learning, improvement methodologies, research, innovation, and data driven improvement initiatives both at a strategic and operational level.You will take action to ensure underperformance in any service commissioned by the ICB is addressed in a timely manner, working with the relevant providers and NHS England and NHS Improvement regional team as required.
  • Providing robust governance and assurance
    You will support a strong culture of public accountability, probity, and governance, ensuring that appropriate and compliant structures, systems, and process are in place to minimise risk and promote the freedom to speak up.You will lead on the identification of performance risks and issues related to the quality and safety of patient care and work with relevant providers and partners to enable solutions, including making recommendations for informal/formal intervention where appropriate.You will work closely with regional professional standards teams to manage any concerns arising regarding clinical or care professionals working within the ICS area.
  • Creating a compassionate and inclusive culture for our people
    You will create and promote a culture of inclusive, multi-professional leadership. You will be visible as a collaborative clinical leader and role model, engaging health and care professionals across the whole system in the development and delivery of the ICB plan. This includes:

    •  Providing mentoring and support to other clinical and care professional leaders.
    • Ensuring that clinical and professional leaders are supported to perform their roles and given opportunities to develop.
    • Ensuring that the talent management and development of clinical and care professional leaders is embedded at all levels of the system.

 

PERSON SPECIFICATION

This person specification lists the requirements necessary to perform the job. Candidates will be assessed according to the extent to which they meet or have the potential to meet the specifications. It is therefore important that applicants pay close attention to all aspects of the person specification when deciding if their skills, experience and knowledge match these requirements.

All of the following criteria are considered essential unless otherwise noted.

Qualifications/education (assessed by application form/CV):

  • Registered Nurse.
  • Current valid registration with the Nursing and Midwifery Council.
  • Master’s degree in nursing or health related subject.
  • Leadership qualification or development programme. (Desirable)

Knowledge and skills (assessed by application form/CV and interview):

  • Substantial board or system leadership health care experience is essential.
  • Substantial experience of providing board level and/or system leadership within a regulatory environment and across complex systems with demonstrable impact.
  • Experience of managing highly sensitive situations with patients, families, or carers and/or with wider advocating agencies.
  • Experience of managing relationships with the media and political stakeholders.
  • Experience of providing clinical leadership, mentorship, and professional development at a very senior level with demonstrable outcomes.
  • Experience of leading highly complex and contentious quality improvement/clinical change and digital transformation at significant scale.
  • Extensive knowledge of the health, care and local government landscape and an understanding of the social determinants of public health.
  • Current evidence and thinking on practices which reduce health inequality, improve patient access, safety and ensure organisations are Well-Led.
  • Sound knowledge of health and care financial planning and budgeting at a corporate and/or system level.
  • Exceptional communication skills which engender community confidence, strong collaborations, and partnership.
  • Strong critical thinking and strategic problem solving; the ability to contribute to a joint strategic plan and undertake problem resolution and action. Analytical rigour and numeracy.
  • Highly sophisticated leadership and influencing skills; building compassionate cultures where individuals and teams thrive at organisation, partnership, and system levels.
  • Extensive knowledge of safeguarding at an executive level.
  • Extensive knowledge of IPC at an organisational or system level.

Personal values

  • Personal commitment to the values of the NHS Long Term Plan, the NHS People Plan, Nolan Principle and the Fit and Proper Persons regime.
  • Demonstrates a compassionate leadership style with a track record of improvements to equality, diversity, and inclusion.
  • Lives by the values of openness and integrity and has created cultures where this thrives.
  • Committed to continuing professional development.
  • Committed to the values of the ICB.

Equality and Diversity

In addition to any specific criteria laid out above, each applicant will be expected to demonstrate a basic understanding of the principles of equal opportunities in relation to the post.

Disability Confident Scheme

This means we will guarantee an interview to any candidate who has a disability if they meet the essential requirements of the person specification. Candidates who would like to discuss adjustments to the selection process or the working arrangements should they be successful should contact HR in the first instance.

Terms of appointment

General

  • Other duties
    This job description is not a definitive or exhaustive list of responsibilities but identifies the key responsibilities and tasks of the post holder. The specific objectives of the post holder will be subject to review as part of the individual’s performance review/appraisal. There may be a requirement to undertake other duties as may reasonably be required to support the ICB in accordance with your grade/level in the organisation.
  • Code of Conduct
    The ICB requires the highest standards of personal and professional conduct from all of its employees. All employees must comply with the Code of Professional Conduct appropriate to their professional governing body and to the ICB’s Code of Conduct.
  • On-call
    As a senior manager in the ICB you will form part of the on-call rota for ICS system out of hours.
  • Policies and Procedures
    All employees are expected to comply with all the policies and procedures drawn up by the ICB.
  • Health, Safety and Risk Management
    Staff are required to adhere to and act consistently with all relevant health and safety legislation and ICB policies and procedures in order to ensure that their own and others health and safety and security is maintained. This will include identifying and reporting all risks to health and safety, security of equipment and property and the achievement of ICB objectives in accordance with the ICB’s risk management strategy and policies. Training will be provided.
  • No Smoking Policy
    The ICB operates a no-smoking policy. This applies to all staff and visitors. It is a condition of employment for staff that they do not smoke anywhere on ICB premises. Whilst we do not discriminate against employing smokers, they are expected to adhere to this policy and all prospective employees should be aware of this.
  • Equal Opportunities
    The ICB is working towards equality and has policies relating to the equality of opportunity in employment and service delivery. All Governing Body members are expected to comply with these policies.
  • Confidentiality
    As a staff member, you will gain knowledge of a range of highly confidential matters being given consideration by the ICB. Under no circumstances should such information be divulged or passed to any unauthorised person or person(s). This includes holding discussions with colleagues concerning patients in situation where they conversation may be overheard. Breaches of confidence will result in disciplinary action, which may involve dismissal.
  • Infection Control
    All staff have a responsibility to ensure that infection control policies, procedures and guidelines are adhered to and to support the ICB’s commitment to preventing and controlling healthcare associated infections.
  • Safeguarding Children, Young People and Vulnerable Adults
    The ICB is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all Governing Body member to share this commitment and to understand the requirements of the Government’s Prevent strategy and promote its key principles. Rigorous recruitment checks are carried out and successful applicants may be required to undertake an Enhanced Disclosure via the Disclosure and Barring Service (DBS) and undergo the necessary training.
  • Freedom of Information
    All staff must be aware of their responsibilities under the Freedom of Information Act 2000. All staff must undertake Information Governance training to ensure they fully understand the implication of the Freedom of Information Act. This job description will be reviewed as necessary and may be amended to meet the changing needs of the ICB. It will also be used as the basis for determination of objectives and the contents will be used as part of the annual appraisal.
  • Conflict of Interest
    Staff are required to declare any relevant and material personal or business interests for them or close relatives and will be required to abide by the Conflict of Interest Policy.
  • Data protection
    All employees must adhere to appropriate ICB standards/policies in respect of the use of personal information, including guidance on the use and disclosure of information. The ICB also has a range of policies for the use of computer equipment and computer-generated information. These policies detail the employee’s legal obligations and include references to current legislation. Copies of the Policy on the Protection and use of Personal Information and other Information Technology can be obtained from the ICB.
  • Criminal convictions
    If during the course of your employment you are convicted of, or charged with a criminal offence (with the exception of a traffic offence) whether it arises from your employment or otherwise, you are required to report the matter to Human Resources, who will decide on the appropriate course of action. Should you be convicted of an offence and receive a custodial sentence, the organisation reserves the right to terminate the contract of employment after careful consideration of the facts. Failure to report a conviction may itself lead to disciplinary action being taken. Any information will be treated confidentiality except insofar as it is necessary to inform other relevant members of management. Additionally, if driving is part of your duties and you are convicted of any traffic offence, you must report them to Human Resources who will decide on the appropriate course of action.
  • Risk management
    Staff are responsible for adopting the Risk Management Culture and ensuring that they identify and assess all risks to their systems, processes and environment and report such risks for inclusion within the ICB’s Risk Register. Staff must also attend mandatory and statutory training, report all incidents/accidents including near misses and report unsafe occurrences as laid down within the policies.
  • Governance
    All staff have a responsibility to be aware of governance arrangements and ensure that the reporting requirements, systems and duties of action put into place by the ICB are complied with.
  • Disclosure and barring
    If your post is one that requires a disclosure (at whatever level) from the DBS, the organisation retains the right to request that a further disclosure is sought at any time as deemed to be appropriate. If you have been appointed and are awaiting the outcome of a DBS check and it proves to be unsatisfactory, your employment will be terminated.

How to apply

Anderson Quigley is acting as an advisor to the ICB, an executive search process is being carried out by Anderson Quigley in addition to the public advertisement.

The closing date for applications is Friday 15th March

Applications should consist of:

  • A full CV.
  • A cover letter outlining your motivations for the role and how you meet the essential criteria of the person specification.
  • Please include details of two referees in either your CV or covering letter, though please note that we will not approach your referees without your prior consent and only should you be shortlisted.

Should you wish to discuss the role in strict confidence, please contact Heather I’anson at heather.ianson@andersonquigley.com, or (0) 7743 935 502 or Helene Usherwood at helene.usherwood@andersonquigley.com or (0) 7719 322 669.

The ICB is actively working to achieve a diverse, gender balanced and representative workforce where diversity is actively valued and celebrated, including at board level. With this in mind we welcome applicants from all backgrounds to ensure that our Board reflects the diversity of our communities and encourages diversity of thought.

Preliminary interviews with Anderson Quigley Monday 18th March to Tuesday 9th April (extended in recognition of the Easter holidays)
Stakeholder Panel Tuesday 23rd April
Final interview Wednesday 24th April