• Responsible and accountable for the clinical, operational and financial delivery of a range of specialist services across Devon and Cornwall. • Drive the strategic direction and transformation of services to ensure they adapt to meet all objectives in the most efficient, effective and innovative way.• Responsible for providing professional and clinical leadership to senior professional staff across a range of services; encouraging a positive, dynamic and empowering culture of workforce management to ensure all staff are involved in continuous quality improvement and innovation of their services.• Responsible for financial management of services to ensure they are delivered within the financial envelope agreed.• Responsible for negotiating and collaborating with NHSE, CCG and DDC commissioners to ensure service KPI's are appropriate and deliverable.• Effectively monitor performance of services and provide assurance to commissioners via QBRs that contractual and financial performance targets are being met.• Provide assurance to trust board committees including finance committee, operational committee and governance committee.

Initial secondment into a Program / Project Management position which continued alongside operation role supporting:•7 day services •Improving patient pathways for emergency admissions•Developing the Ambulatory Emergency Care Unit•Implementation of the A&E improvement plan•Transformation towards new delivery model for NDHT paediatric teams under the new Children’s Alliance contract

•Responsible for the operational delivery of the Salaried Dental Service and Bladder and BowelCare Service to include all aspects of service delivery. This service treats urgent care patients and patients with special needs.•Line management responsibility for Senior Management Team.•Drive the strategic and operational development of these Services to ensure it meets all of its objectives in the most efficient, effective and innovative way.•Responsible for developing and implementing the financial, capacity and workforce plans for the Services. •Responsible for negotiating with commissioners and other stakeholders to ensure the service level agreements are achievable.•Ensure the effective monitoring and performance management of the service to ensure performance against national and local targets is met.•Lead the development of a positive, dynamic and empowering culture of workforce management within the service where all staff are involved in the continuous improvement and innovation of their services. •Investigate all opportunities for service development to meet changing demands.

• During an interim period prior to, and throughout, re-procurement process I was asked to provide professional leadership and ensure safe delivery of the clinical care to patients by working with the prison and other acute, urgent care and primary care providers to support service delivery.• Responsible for successfully supporting and leading the service through re-procurement process into a new provider.• Within this role I also worked closely with multi agencies, commissioners and other stakeholders to support the appropriate re-procurement of this service.

• Was employed at conception of the Devon service and helped shape and develop national provision of NHS Direct.• Provided national network supervision and business contingency support to multiple health call centre sites and provided local training to support these sites. • Responsible for effectively managing service delivery and leading a team of Nurse Advisers and Call Handlers, ensuring they were competent and motivated and worked in line with strategic objectives and standards to deliver a high quality, clinically safe service.• Provided clinical expertise and support to the workforce, particularly with regards to challenging calls including acutely unwell patients, adult and paediatric safeguarding concerns, the mentally ill and vulnerable adults.

• Responsible for day to day management a large inner city Accident and Emergency department with a yearly attendance of over 100,000 new patients, providing all necessary nursing care and interventions ranging from the acutely ill in the resuscitation area through to minor injuries and illness.• Part of senior team responsible for developing, implementing and operating a city centre walk in centre.

Responsible for providing and maintaining a high quality of emergency care to adults and children.Undertook role of triage nurse and supported and supervised junior staff and students in the clinical area.

Responsible for the care of patients and their relatives on each shift. The unit cared for a wide varietyof patients to include both adults and children who needed intensive respiratory and circulatory care.Many patients were post cardiac surgery.

Based in the Intensive Therapy Unit at the BMI Priory hospital until a substantive post available.

Mainly took medical, surgical and gynaecology emergencies of all types to include GP referrals.

Dealt mostly with trauma, burns and orthopaedic emergencies. Also included the review and redressing of adult and paediatric burns patients.Regularly took charge of the department and acted as Control Nurse.

Accident and Emergency; A district general hospital that took all age groups and types of emergency patient to include medical, surgical, trauma, gynae and paediatric emergencies.

Took charge of the ward that took both emergency and routine gynaecology patients.Carried out vaginal swabs, smear tests and performing infertility treatments and support to patients.