Central and North West London NHS Foundation Trust
Associate Director of Place Delivery & Integration
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Job Overview
Hillingdon Place is establishing a Place Integrator Team to protect and improve delivery capability, organisational memory and system coordination. The integrator team is deliberately lean: it enables delivery across organisational boundaries rather than duplicating provider operational, corporate or programme functions. The Associate Director of Place Delivery and Integration will act as the senior integrator supporting the Place Managing Director. The postholder will provide whole-system delivery leadership, executive coordination, governance support, performance grip, escalation and partnership management across Hillingdon's Place programme. The role will be central to maintaining momentum across neighbourhoods, reactive care, discharge, specialist mental health, hospital-to-community transformation and the new hospital redevelopment trajectory.
Main duties of the job
The postholder will work at senior level across Hillingdon Health and Care Partners to translate agreed Place priorities into practical delivery, ensuring that responsibilities, risks, dependencies, milestones and escalations are clear across partners. The role will maintain a shared view of delivery progress and performance, line managing the BI Lead and Light-touch Delivery/PMO Lead and ensuring that analytical insight, programme controls and escalation routes operate as a coherent Place integrator function. It will ensure that issues which cannot be resolved within individual programmes or organisations are surfaced and progressed through the appropriate Place, partner or system route.
This is not an operational director role and does not directly manage provider services. Its value lies in integration, coordination, grip, assurance, senior deputising capacity and the ability to secure executive follow-through across organisational boundaries.
Working for our organisation
The postholder will be working in the the Core team of the Place-based Partnership. The team is friendly and supportive, enjoys hybrid working opportunities, and encourages innovation and self development.
Detailed Job Description And Main Responsibilities
Senior Place integration and delivery leadership
- Act as senior integrator and principal delivery support to the Place MD across agreed Hillingdon Place priorities.
- Deputise for the Place MD in their absence, representing Place in agreed forums, maintaining continuity of senior decision support and ensuring urgent issues are escalated appropriately within delegated authority.
- Provide cross-system leadership to maintain delivery grip across neighbourhoods, reactive care, discharge, specialist mental health and agreed hospital-to-community transformation priorities.
- Turn strategic intent and Board decisions into clear delivery actions, ownership, milestones and escalation routes.
- Work with partners to maintain alignment between local Place priorities, W&NL ICB requirements, the London Neighbourhood Health framework and the Hillingdon new hospital redevelopment trajectory.
- Protect continuity of delivery and organisational memory during transition from the former Borough Team arrangements.
Executive coordination and partnership management
- Coordinate executive follow-through across Place partners, ensuring that agreed actions are progressed and barriers are surfaced rapidly.
- Build and maintain senior relationships across NHS providers, local authority, primary care, VCSE, ICB teams and wider system partners.
- Broker solutions where issues sit between organisational boundaries, using influence and structured escalation rather than direct line authority.
- Support the Place MD in preparing for, following up and assuring key discussions with partner executives and system leaders.
- Represent and speak on behalf of the Place MD in agreed meetings and system discussions when required, ensuring the Place position is clear, consistent and aligned with agreed governance.
- Promote a culture of shared ownership, transparency, delivery discipline and constructive challenge across the partnership.
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Performance Grip, Assurance And Benefits Realisation
- Work with the BI Lead to maintain a shared understanding of pathway performance, outcomes, risks and benefits across Place priorities.
- Use data and operational intelligence to identify delivery risks, unwarranted variation, emerging pressures and opportunities for improvement.
- Ensure that benefits realisation arrangements are proportionate, credible and linked to agreed Place outcomes, including urgent and emergency care, discharge, neighbourhood delivery and hospital redevelopment assumptions.
- Prepare concise, evidence-based assurance products for Place governance, partner boards and system forums.
- Ensure that performance concerns are translated into practical recovery actions with named owners and timescales.
Governance, risk and escalation
- Support effective operation of Place governance, including agenda shaping, action discipline, risk escalation and decision follow-through.
- Oversee the Place delivery risk and dependency picture, ensuring that material issues are escalated at the right level and not left within individual organisational silos.
- Work with the PMO Lead to maintain proportionate programme controls, delivery plans, milestone reporting and action tracking.
- Ensure that decisions requiring partner approval, formal governance or financial sign-off are routed appropriately and supported by clear evidence.
- Maintain clear boundaries between Place integration, provider operational management and statutory organisational accountability.
Transformation and programme delivery
- Provide senior delivery oversight across agreed Place transformation programmes, ensuring that workstreams are coherent, sequenced and aligned to the operating model.
- Support SROs and workstream leads to unblock delivery barriers, clarify dependencies and maintain pace.
- Ensure that transformation priorities are connected to the integrated operating model, including neighbourhoods, reactive care and specialist pathways.
- Contribute to development of investment cases, delivery propositions and partner-backed funding or hosting arrangements where required.
- Support mobilisation of new arrangements, handovers and implementation plans following partner decisions.
People, leadership and management
- Line manage the BI Lead and PMO Lead, ensuring clear objectives, supervision, appraisal, workload prioritisation and professional development in line with host organisation policy.
- Operate as a senior role model for collaborative system leadership, maintaining credibility with clinical, operational, corporate and executive colleagues.
- Support development of a high-performing, inclusive and delivery-focused Place team culture.
- Provide matrix leadership to wider Place integrator, programme and delivery support capacity as agreed through the host organisation and Place governance, ensuring clarity of role, purpose, priorities and reporting routes.
- Comply with host organisation policies on people management, appraisal, supervision, health and safety, information governance and equality, diversity and inclusion.
Role boundaries and decision-making parameters
- The postholder will not directly manage provider services, replace provider operational directors or hold statutory organisational accountability on behalf of partner organisations.
- The role will not duplicate the technical BI function, finance and contracting leadership or provider PMO structures. It will line manage the BI Lead and PMO Lead to ensure these functions operate coherently within the Place integrator model while preserving their technical/professional responsibilities.
- The postholder will operate through influence, coordination, agreed governance, escalation and executive follow-through. Any delegated decision-making authority will be defined by the host organisation and Place governance arrangements.
Financial And Resource Responsibilities
- Contribute to delivery of Place programmes within agreed resource envelopes and governance arrangements.
- Work with finance and contracting colleagues to ensure that delivery proposals, investment cases and benefits assumptions are coherent and appropriately evidenced.
- Monitor risks to delivery value, affordability and benefits realisation, escalating material concerns through agreed governance routes.
- The postholder may hold delegated budget responsibility only where explicitly agreed by the host organisation.
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Information governance, quality and equality
- Ensure all work complies with host organisation and partner requirements for information governance, confidentiality, data protection and records management.
- Use data responsibly to support service improvement, assurance and population health management.
- Promote equality, diversity, inclusion and health equity in all aspects of Place delivery and partnership working.
- Ensure that plans and reports consider the impact of proposals on residents, staff, inequalities, quality, safety and experience.
Person specification
Qualifications
Essential criteria
Educated to master's level or equivalent senior management experience in health, care, public sector or partnership delivery.
Desirable criteria
Relevant management, project/programme, improvement, finance, commissioning or system leadership qualification.
Experience
Essential criteria
Substantial senior management experience in a complex health, care, local government or public sector partnership environment, including working directly with executive leaders and deputising for senior accountable leaders where required. Proven experience of leading cross-organisational delivery without relying solely on direct line management authority. Experience of maintaining delivery grip across multiple programmes, including risks, dependencies, milestones, escalation and benefits realisation. Experience of producing Board-level assurance, decision papers, recovery plans and senior briefing materials.
Desirable criteria
Experience working in an integrated care system, place-based partnership, provider collaborative or equivalent multi-agency partnership. Experience supporting new operating model implementation, organisational transition or major service transformation. Experience working across neighbourhood, urgent care, discharge, mental health, community, primary care or hospital-to-community transformation programmes. Experience of working directly with executive directors, clinical leaders, local authority senior officers and elected/system stakeholders.
Delivery and performance
Essential criteria
Able to translate strategic aims into practical delivery plans, action ownership, milestones and escalation routes. Strong analytical judgement: able to interpret data, identify delivery risks and convert insight into action.
Desirable criteria
Experience using population health, operational flow or pathway dashboards to drive improvement. Familiarity with tools such as Optica, WSIC, UCP, EPR-derived dashboards or equivalent intelligence platforms.
Governance and risk
Essential criteria
Strong understanding of governance, risk management, assurance, delegated authority and decision-making in complex public sector partnerships.
Desirable criteria
Experience preparing or supporting formal governance reports for NHS, local authority or partnership boards.
Communication
Essential criteria
Excellent written and verbal communication skills, including the ability to produce concise, politically astute and evidence-based senior reports.
Desirable criteria
Experience presenting to partnership boards, committees, executive groups or external system forums.
People and matrix leadership
Essential criteria
Able to provide visible senior leadership, direct line management of BI and PMO functions, and matrix leadership to teams working across organisational boundaries.
Desirable criteria
Experience developing small delivery teams, integrator functions, BI/analytics interfaces or PMO functions.
System leadership and partnership working
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