NHS Ayrshire & Arran
251497 Divisional Manager - Medical and Emergency Departments

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About The Role
We are seeking an experienced, motivated and values-driven Divisional Manager to provide senior operational leadership for the Medicine and Emergency Department Divisions within the NHS Dumfries & Galloway Acute and Diagnostics Directorate.
This is a key leadership post with a high degree of autonomy, influence, and responsibility. The postholder will work across professional groups, services, and sites to support the delivery of safe, effective, person-centred, and sustainable care for the people of Dumfries and Galloway as healthcare continues to evolve in the modern era.
Base: Dumfries and Galloway Royal Infirmary, with occasional work at Galloway Community Hospital in Stranraer
Our Services
The Medicine and Emergency Department portfolio includes a broad and complex range of services, such as:
- Palliative Care
- Care of the Elderly
- Stroke
- Acute Rehabilitation
- Cardiology
- Renal Medicine
- Diabetes and Endocrinology
- Gastroenterology
- Respiratory Medicine
- Acute Medicine
- Rheumatology
- Neurology
- Dermatology
- Outpatient Parenteral Antimicrobial Therapy (OPAT)
- Outpatient Services
- Diabetic Eye Screening
- Emergency Department services
Leadership and Accountability
The Divisional Manager will form part of the core leadership group for Medicine and Emergency Department services, working closely with Clinical Directors, Clinical Nurse Managers, and wider professional leads. The role is central to:
- Direction setting
- Service planning
- Performance delivery
- Daily operational management of services
The postholder will be expected to provide visible, credible, and compassionate leadership, supporting staff across all professions to deliver high-quality care while maintaining a clear focus on:
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- Governance
- Performance
- Workforce management
- Finance
- Service improvement
- Patient flow
Key Responsibilities
- Provide senior operational management and leadership across Medicine and Emergency Department services
- Collaborate with Clinical Directors, Clinical Nurse Managers, and professional leads to:
- Set priorities
- Plan services
- Deliver agreed objectives
- Lead service improvement, redesign, and transformation programmes that support safe, sustainable, and effective care
- Support delivery against national and local performance standards across:
- Planned care
- Unscheduled care
- Divisional priorities
- Utilise data, intelligence, and professional judgement to identify priority areas for action and improvement
- Ensure robust governance, risk management, financial stewardship, and workforce planning across the portfolio
- Promote a culture of openness, teamwork, accountability, learning, and continuous improvement
- Represent the division in:
- Operational forums
- Strategic forums
- Partnership forums (as required)
About You
You will be an experienced manager and leader with a strong track record of delivering results in complex health or care settings. You should bring:
- Experience of working across planned care and unscheduled care environments
- Evidence of:
- Delivering against targets
- Managing competing priorities
- Leading improvement in partnership with clinical and professional colleagues


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You will be comfortable operating within:
- A significant degree of autonomy
- The ability to:
- Identify priority areas for focus
- Translate strategic objectives into practical operational delivery
You will also demonstrate:
- Strong communication and relationship-building skills
- Strong influencing skills
- A commitment to NHS Scotland values and the needs of the population you serve
Why Join NHS Dumfries & Galloway?
NHS Dumfries & Galloway is responsible for planning, commissioning, and delivering health services for the population of Dumfries and Galloway. We work with regional and national partners to deliver:
- Safe
- Effective
- Person-centred care
We are guided by NHS Scotland values:
- Care and compassion
- Dignity and respect
- Openness, honesty, and responsibility
- Quality and teamwork
This role offers the opportunity to make a meaningful contribution to the future shape of acute and emergency care across a rural health board, supporting:
- Services that are vital to the local community across Dumfries and Galloway
Information Contact
Informal enquiries are welcomed. Please contact:
- Peter Girvan (Deputy General Manager)
- Email: peter.girvan@nhs.scot
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