Royal United Hospitals Bath NHS Foundation Trust
Head of Site Operations

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Job Overview
We are seeking an experienced and inspirational Registered Nurse to join our senior operational leadership team as Head of Site Operations.
This pivotal role provides strategic and operational leadership for Clinical Site Management, Patient Flow and Discharge Services across the Trust. The successful candidate will combine operational expertise with professional nursing leadership to ensure the delivery of safe, effective and patient-centred care.
Working closely with clinical and operational leaders, the post holder will lead Trust-wide initiatives to improve patient flow, optimise capacity, reduce delays and enhance patient experience. They will provide visible leadership to the Clinical Site Team, promoting high standards of clinical practice, professional development, governance and patient safety, while ensuring effective management of hospital capacity and escalation.
The post holder will provide expert clinical leadership during periods of operational pressure, supporting timely decision-making, risk management and service improvement. They will work across organisational and system boundaries to develop innovative pathways and deliver sustainable improvements in quality, performance and patient outcomes.
This is an exciting opportunity for a senior nurse leader with significant experience in acute hospital operations, patient flow and service transformation to influence care delivery at scale and help shape the future of hospital site operations.
Main duties of the job
The Head of Site Operations will provide strategic and operational leadership for Clinical Site Management, Patient Flow and Discharge Services, ensuring the safe, effective and efficient management of patient flow across the Trust. As a senior Registered Nurse, the post holder will provide visible professional leadership, promoting high standards of patient safety, clinical governance and quality of care. The role is responsible for leading operational resilience, escalation management, capacity optimisation and discharge improvement programmes, whilst supporting delivery of national and local performance standards. Working collaboratively with clinical, operational and system partners, the post holder will lead service improvement and transformation initiatives, develop the Clinical Site workforce, and provide expert advice on patient flow, capacity management and site safety to senior leaders across the organisation.
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We are proud to be part of BSW Hospitals Group - a formal partnership between the Royal United Hospitals Bath NHS Foundation Trust, Great Western Hospitals NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17,600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.
We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.
By working together, we make a real difference for our patients, each other, and our community. Every role matters in delivering the exceptional, person-centred care we’re proud of.
We’re committed to a compassionate, inclusive culture where kindness is championed, differences are valued, and diversity makes us stronger.
We want to support you to thrive, taking your career to its full potential. We prioritise staff wellbeing – and yes, we even have a pool!
Discover what it’s like to live and work in Bath, explore our RUH staff benefits, and learn how we’re building healthcare for the future through the Dyson Cancer Centre and our commitment to research.
Detailed Job Description And Main Responsibilities
The Head of Site Operations will provide strategic and operational leadership for Clinical Site Management, Patient Flow and Discharge Services, ensuring the safe, effective and efficient flow of patients across the Trust.
The post holder will lead and develop a high-performing multidisciplinary workforce, providing visible professional nursing leadership and promoting a culture of patient safety, continuous improvement and compassionate care.
The role is responsible for overseeing capacity management, patient placement, discharge processes, escalation management and operational resilience arrangements, ensuring the organisation can respond effectively to periods of increased demand and operational pressure.
The post holder will lead implementation of the National FOCUSED methodology and other best-practice approaches to improve patient flow, reduce delays and optimise the use of hospital capacity.
Working collaboratively with clinical, operational and executive leaders, the post holder will support the delivery of key performance standards, develop and monitor performance frameworks, identify risks to service delivery and lead recovery and improvement plans where required.


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The role will provide expert advice on patient flow, site safety, capacity management and operational performance, supporting decision-making at both operational and strategic levels.
As a senior Registered Nurse, the post holder will provide professional leadership for the Clinical Site Team, ensuring high standards of clinical practice, governance, workforce development and patient experience. They will lead service redesign and transformation programmes, working closely with internal and external partners to deliver sustainable improvements in quality, performance and patient outcomes.
The post holder will participate in the senior manager on-call rota and act as a senior operational leader during major incidents, business continuity events and periods of significant operational escalation.
Person specification
Experience
Essential criteria
- Experience
- Qualifications
Please note - Due to recent changes in UK immigration and visa rules applicants who do not currently have the right to work in the UK may not be considered unless an alternative right to work solution can be provided. Candidates requiring sponsorship (or will need sponsorship at the end of a current visa e.g. those with graduate visa's) should review the eligibility criteria on the gov.uk website before applying: Prove your right to work to an employer: Overview - GOV.UK
Applicant requirements
- You must have appropriate UK professional registration.
- The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to download
Further details / informal visits contact
- Name: Sarah Hudson
- Job title: Deputy Chief Operating Officer UEC
- Email address: sarahhudson@nhs.net
- Telephone number: 07813199479
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