GatenbySanderson
Interim Chief Operating Officer

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Interim Chief Operating Officer | Health | Start ASAP | Until end of March 2027 | VSM | Hybrid (3-4 days per week on site)
We are currently working on an exclusive, retained search basis with Betsi Cadwaladr University Health Board in the search for an Interim Chief Operating Officer. This is a high-profile executive leadership role, providing operational leadership during a critical period of recovery, improvement, and organisational development.
The successful candidate will be responsible for driving performance improvements across urgent and emergency care and planned care services, while ensuring strong operational governance, leadership stability, and delivery against key organisational priorities. Working closely with the Chief Executive, Executive Team, and Board, the Interim COO will play a pivotal role in supporting the Health Board's recovery journey, including progression towards the de-escalation of special measures.
Key Responsibilities
- Provide visible and credible executive leadership, maintaining a strong on-site presence (minimum 3-4 days per week)
- Lead operational performance improvement across Urgent and Emergency Care and Planned Care services, delivering measurable improvements against key targets, particularly ambulance handover performance and waiting times
- Work closely with Interim Recovery Directors to ensure delivery of agreed recovery and transformation objectives
- Ensure stability, capability, and effective leadership across Integrated Health Communities (IHCs) and operational management teams
- Drive improvement activity in support of special measures de-escalation and organisational recovery
- Lead operational preparedness and resilience planning for winter pressures
- Contribute to Board preparation and readiness for the Well-Led Review
- Support delivery of the Health Board's financial recovery objectives, ensuring operational services are aligned to financial sustainability plans
- Strengthen safety, governance, and assurance arrangements, delivering measurable improvements against key quality and safety indicators
- Lead the operational response to HIW inspection findings, developing and embedding clear improvement actions across services and teams
Reasons to use Rodeo
I’m in my final year doing Economics and I don’t know whether to apply for grad schemes now or do a masters first. What do you think?
Honest answer — it depends on where you want to end up. A lot of top grad schemes (Big 4, civil service, banking) don’t need a masters. Let’s look at the ones you’d be competitive for now, and we can decide if a masters actually adds anything.
Also worth knowing: most autumn 2026 applications are open now. Timing matters more than you think.
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Graduate Consultant — 2026 Scheme
Why you're a good match
StrongYour economics background and your summer at a regional bank line up with what PwC looks for on the consulting scheme. Applications close in four weeks.
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Why you're a good match
You’ve got the grades and the economics background, and your bank internship is exactly the experience this scheme looks for. Apply soon — deadlines close within the month.
Experience fit
Your summer at the bank plus your econometrics coursework map directly to the day-one responsibilities on this scheme — client modelling, market briefings, and deal support.
Only hits
No noise. No "maybe this fits." Just roles with a clear explanation of why they're right — and where to focus when applying.
Experience Required
- Significant Board-level operational leadership experience within a large NHS acute healthcare organisation
- Extensive experience leading complex acute hospital operations and delivering sustainable performance improvement programmes
- Demonstrable success in improving Urgent and Emergency Care and Planned Care performance against national standards and operational targets
- Strong understanding of the challenges associated with system recovery, organisational turnaround, and regulatory improvement programmes
- Proven experience of delivering improvement within highly scrutinised healthcare environments, including governance, quality, and safety agendas
- A credible and visible leadership style, with the ability to engage clinical and operational teams while building strong relationships with executive colleagues, regulators, and external stakeholders
- Experience contributing to financial recovery programmes and delivering operational efficiencies within complex healthcare systems
- Excellent stakeholder management, influencing, and communication skills, with the ability to operate effectively at Board level


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How to Apply
If you would like to apply for this Interim Chief Operating Officer position, please submit an up-to-date CV demonstrating how you meet the criteria outlined above, together with your contact details, availability, and desired rate.
Due to the high volume of applications we receive, we will only contact candidates who meet the required criteria to discuss the opportunity further.
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