Assistant General Manager

King's College Hospital; Greater London; Hybrid; GBP 66,000 - 73,000; Full time

Job summary

King’s College Hospital NHS Foundation Trust is recruiting for an Assistant General Manager to provide operational leadership for Theatres and Anaesthetics. You will manage day-to-day service delivery, ensure patient-centred care, and drive performance against national and local targets.

You will lead governance, risk, and cost improvement programmes while supporting staff development, engagement, and multidisciplinary collaboration across the Denmark Hill site in London.

Qualifications

• Experience managing complex services with multiple stakeholders.
• Strong project and operational performance improvement.
• Understanding HR processes and staff management.

Responsibilities

• Oversee day-to-day operational management of the theatres and anaesthetics care group.
• Lead governance, patient safety, and cost improvement initiatives.
• Monitor budgets and performance against targets.

Skills

Operational management

Finance management

Staff management

Stakeholder engagement

Education

Degree level

PRINCE2

Job description

Main area Administrative- Theatres and Anaesthetics Grade Band 8A Contract Permanent Hours Full time - 37.5 hours per week Job ref 213-DivisionC-8053454

Employer King's College Hospital NHS Foundation Trust Employer type NHS Site King's College Hospital Town London Salary £66,274 - £73,496 per annum including HCA Salary period Yearly Closing 14/10/2026 23:59

King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching Trusts with a turnover of c£2.1 billion, 1.5 million patient contacts a year and more than 14,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King’s College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in the London Borough of Bromley.

We encourage all our staff to have a healthy work/life balance. In doing so, you can apply for flexible working from the beginning of your employment. We offer a range of options which are designed to suit different circumstances and priorities in line with service requirements.

The Assistant General Manager (AGM) is responsible for the operational leadership and day-to-day management of services within Theatres and Anaesthetics, ensuring the delivery of safe, effective, high-quality, and patient-centred care. Reporting to the General Manager, the post holder will support the achievement of Trust objectives, national standards, performance targets, and financial requirements.

Working closely with clinical, nursing, and operational teams, the AGM will provide visible leadership across services at the Denmark Hill site, overseeing operational performance, resolving service challenges, and implementing sustainable solutions to improve patient care and service delivery. Acting on behalf of the General Manager, the post holder will ensure service priorities are effectively represented within the Care Group leadership team.

The role will support the Clinical Director and General Manager in delivering strategic objectives, service improvement programmes, and organisational change initiatives. The post holder will lead governance and patient safety activities within Theatres and Anaesthetics, working collaboratively with multidisciplinary teams to drive quality improvement and address areas of underperformance.

The AGM will also be responsible for monitoring operational and financial performance, managing budgets, identifying financial risks, and leading cost improvement initiatives while maintaining high standards of care.

Main duties of the job

The role is responsible for service planning, performance management, workforce development, financial management, governance, and service improvement. The post holder will ensure the effective use of resources, monitor key performance indicators, manage budgets, and implement initiatives to improve productivity, patient flow, and operational performance. Working collaboratively with multidisciplinary teams, they will address operational challenges and support the delivery of strategic objectives.

As a senior leader within the Care Group, the post holder will provide visible leadership, promoting staff engagement, recruitment, retention, and organisational development. They will foster an inclusive and supportive culture that enables teams to deliver outstanding patient care.

The role includes responsibility for quality, risk, and governance, including complaints management, incident investigations, regulatory compliance, and the implementation of systems to monitor and improve service quality. The post holder will work with clinical and corporate colleagues to identify opportunities for innovation, service redesign, and continuous improvement.

In addition, they will contribute to business planning, business case development, cost improvement programmes, research, education, and workforce development initiatives.

Working for our organisation

The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King’s to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

Operational Performance Management

• Responsible for the day to day efficient and effective operational management of service area, linking appropriately with clinical and multi disciplinary staff in all matters affecting the delivery of core services.
• Establish and build agreements within the team to ensure the delivery of the services provided.
• Ensure area has a performance management framework that complements the Trust use of key performance indicators across a number of metrics, using service line reporting/management to ensure timely and accurate capture of information from which metrics reported.
• Responsible for the day to day efficient and effective operational management of all services in the care group at the designated site, linking appropriately with clinical and multi-disciplinary staff in all matters affecting the delivery of core services.
• Respond to daily problems and ensure issues are swiftly resolved; implement longer term solutions to issues raised. Work with site management other care groups at the site, to ensure that issues are resolved locally where possible.
• Work closely with the Clinical Leads, site management, and local operational management to ensure effective support services are in place for all clinical areas.
• Ensure facilities and other resources are available to meet service needs, including analysing and managing space requirements.
• Ensure all policies and procedures are adhered to as required by the Trust.
• Responsible for achievement of national and local service targets in conjunction with Directors and General Manager; monitor performance against targets, identify areas of concern and take remedial and preventative action as appropriate putting in place plans to improve performance where required.
• Respond to any service target breaches in line with Trust standards and put in place remedial plans to ensure such events do not occur again
• Ensure sufficient staffing levels and allocation depending on service needs
• As a member of the care group management team, contribute to the Annual Business Plan, ensuring staff involvement, in line with Trust objectives.
• Manage the analysis of data so that the Management team has access to timely and accurate information on all key performance indicators.
• Lead on the development of reporting processes from relevant information systems and integrating them into the performance management function.
• In conjunction with the General Manager, analyse service data to monitor referral rates and identify changes or likely changes to this practice that may impact on the Care Group’s services.
• Provide information across the Trust on performance within Care Group, including reporting performance to the Board.
• Promote a positive image of the department both externally and internally
• Participate in and contribute to Trust wide initiatives and projects as appropriate.
• Build effective networks with other departments, working in collaboration to support efficient patient flow.

Person specification

Education and Qualifications

• Educated to degree level or equivalent knowledge, skills and experience
• PRINCE 2

Knowledge and Experience

• Operational experience in managing complex services including design, development, implementation and management of change in a multiple stakeholder environment.
• Understanding of HR processes and experience of staff management.
• Evidence of managing successful project and / or operational performance and improvement; including business case preparation, service initiation / commissioning, contract negotiation and the development and monitoring of output and outcome measures.

Skills and Competencies

• Excellent interpersonal, communication (written, oral, presentation, facilitation), networking and negotiation skills with a track record in consistently delivering performance targets and writing complex business cases, policies and change.
• Clear understanding of management in relation to finance and manpower

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King's College Hospital NHS Foundation Trust Annual Reports and Other Corporate Publications

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King's College Hospital is part of King's Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between King's College London, and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts.

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This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.