General Manager - Imaging

Your Office Toronto; Greater London; On-site; GBP 90,000 - 120,000; Full time

Job summary

A leading healthcare organization in Greater London is seeking a Senior Leader to oversee Imaging services within an NHS Trust. The successful candidate will drive operational, strategic, and financial leadership to ensure high-quality patient care and performance against targets. Responsibilities include managing senior staff, leading service improvements, and engaging with stakeholders to enhance service delivery. This is a high-impact position ideal for an innovative leader passionate about transforming patient experiences.

Benefits

Supportive work culture

Engagement in diversity initiatives

Professional development opportunities

Qualifications

• Extensive experience in senior leadership within a healthcare setting.
• Strong governance and financial control skills.
• Ability to influence strategy and lead service transformation.

Responsibilities

• Ensure delivery against agreed performance indicators.
• Lead the development of business cases and service plans.
• Manage senior clinical and managerial leaders effectively.
• Act as a senior Trust representative with stakeholders.

Skills

Strategic leadership

Financial management

Operational excellence

Risk management

Team management

Education

Relevant postgraduate qualification

Job description

Overview

Are you a visionary imaging leader ready to drive innovation, elevate patient care, and shape the future of diagnostic services across a major NHS Trust? This is your opportunity to step into a high-impact role at the heart of a dynamic, ambitious organisation.

We are seeking an experienced and credible senior leader to provide operational, strategic and financial leadership within the complex Imaging environment. The post holder will be responsible for delivering high-quality, safe and effective services, ensuring performance against agreed objectives, and supporting the Trusts wider strategic priorities.

This role requires a professional who can work collaboratively with clinical and managerial colleagues, demonstrate strong governance and financial control, and lead service improvement in line with organisational values. The successful candidate will bring sound judgement, resilience, and the ability to operate effectively at senior level within a changing healthcare system.

Imaging is central to modern healthcare and youll be at the forefront of ensuring our services are safe, efficient, compassionate and future-focused. Youll influence Trust-wide strategy, drive service transformation, and champion excellence across a diverse, talented workforce.

This is your chance to make a measurable difference to patient experience, clinical quality, and the development of imaging services across the organisation.

PLEASE NOTE: Interview date 24th February 2026

Holding overall accountability for the operational performance of Imaging services, including quality, safety, access standards, clinical governance and patient experience.

Leading performance management arrangements to ensure delivery against agreed activity, access, quality and financial targets, taking corrective action where required.

Leading the development of business cases, service plans and performance reports, providing assurance to Divisional and Executive leadership.

Managing and developing senior clinical and managerial leaders, ensuring effective workforce planning, performance appraisal, and compliance with Trust workforce policies.

Maintaining robust financial control.

Ensuring effective risk management, clinical governance and business continuity arrangements across the service, including the investigation and management of serious incidents and complaints.

Contributing to divisional and Trust-wide strategic initiatives, supporting service redesign, innovation and system-wide collaboration.

Acting as a senior Trust representative with internal and external stakeholders, including commissioners, partner organisations and regulatory bodies.

Deputising for the Divisional Director of Operations as required and participating in the senior manager on-call rota.

Our People Are Our Greatest Asset. When We Feel Supported And Happy At Work, This Positivity Reaches Those Very People We Are Here For, The Patients. Engaged Employees Perform At Their Best And Our Equality, Diversity & Inclusion (EDI) Initiatives Contribute To Cultivate a Culture Of Engagement. We Have Four Staff Networks, a Corporate EDI Team And a Suite Of Programmes And Events Which Aim To Insert The 5 Aspirations

Improving representation at senior levels of staff with disabilities, from Black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development

Widening access (anchor institution) and employability

Improving the experience of staff with disability

Improving the EDI literacy and confidence of trust staff through training and development

Making equalities mainstream 2. PEOPLE MANAGEMENT 3. FINANCIAL MANAGEMENT 4. RISK & CLINICAL GOVERNANCE 5. STRATEGY AND SERVICE IMPROVEMENT

Responsibilities

• PERFORMANCE MANAGEMENT
• Ensure the delivery of agreed performance indicators for the Directorate in relation to clinical outcomes, clinical efficiency and service line reporting.
• Ensure the Directorate has clearly defined performance objectives supported by a management regime to deliver continuous improvement.
• Develop and implement effective reporting arrangements to accurately record and monitor performance against targets and to pro-actively manage any variances.
• Provide regular reports of performance trends and service specific analysis to the Chief Operating Officer and other Executive Directors with assurance that appropriate follow up actions will be completed.
• Lead on and oversee drafting and presentation of high-quality business cases, position papers and service plans for the Directorate.
• Lead the development of the annual Service Business Plan in conjunction with the Divisional Director of Operations, Service Leads and divisional managerial staff. Lead on specific elements of the divisional plan as defined by the Divisional Director of Operations.
• Hold Lead Clinicians, Lead Nurses and Service Managers to account for delivery of their objectives through regular performance and service review meetings.
• Deal directly with key external stakeholders including local ICBs and Place teams, other external agencies and contractors as required.
• Participate in the Trust Manager on-call rota.
• Monitor compliance within the directorate with Trust-wide staff management policies and procedures and take remedial action with accountable managers where shortfalls occur.
• Line manage, coach and develop Lead Clinicians, Lead Nurses and Service Managers and conduct their annual performance appraisal in conjunction with, respectively, the lead clinician and lead nurse.
• Ensure that managers have been trained in core workforce policies and are competent to deal with first line workforce issues.
• Ensure that all staff have annual appraisals and Personal Development Plans that support the Trusts excellence agenda.
• Ensure that staff are deployed cost-effectively and controls are in place to meet key workforce performance indicators on bank and agency, sickness absence reduction, turnover, etc.
• Take a proactive approach towards tackling HR issues including recruitment and retention, labour utilisation and skill mix.
• Ensure that appropriate action is taken to deal with issues of staff discipline, grievance, poor performance and sickness, up to and including dismissal.
• Manage and lead in a way that ensures respect and inclusion of all groups of staff, patients and carers.
• Act as an authorising signatory for capital and revenue budgets within agreed limits.
• Ensure compliance with financial procedures and the Trusts Standing Financial Instructions.
• Ensure the achievement of key deadlines for financial reporting and planning.
• Work with the Finance Business Partner in developing and engaging clinicians and managers in a collaborative approach to financial management.
• Ensure that the Directorate is achieving its agreed activity and access targets.
• Work with key stakeholders and partners to maximise the cost improvement programme agenda and meet levels of saving commitment allocated to the service.
• Monitor activity and income against plan, reporting regularly to the Divisional Director of Operations and enacting remedies where performance deviates from the plan.
• Manage the implementation of systems, control processes and risk management arrangements to support monitoring of compliance with clinical governance standards, other Trust-wide policies and processes and best practice requirements.
• Respond to urgent or serious patient complaints ensuring immediate risk management, and where possible defusing complaints by satisfying the complainant with the actions taken.
• As a Trust Senior Manager carry out management investigations into clinical incidents and staff management issues as requested, and to act as presenting manager or chair meetings held under the Trust workforce policies.
• Support, alongside the Lead Nurse and other clinical staff, root cause analyses and trend analyses of all complaints and adverse incidents.
• Take responsibility for business continuity of the services within the Directorate.
• Ensure the Division provides high quality pathways and services and is responsive to the needs of patients, carers, service users and General Practitioners.
• Put the interest of patients / service users at the heart of all managerial decisions.
• Support the Divisional Director of Operations in identifying both new opportunities for the individual services within the Directorate, arising from changes in the external environment or internal innovation, and potential threats and ways to respond to them.
• Challenge existing practices, ensuring that progressive solutions, which take into account models of best practice, are incorporated into service plans.
• Support clinicians to re-design services to deliver improved clinical outcomes for patients, reduce waiting times and use resources more efficiently.
• Manage service improvement projects within the Directorate and contribute to Trust-wide and Divisional service improvement projects within agreed timeframes and financial targets.

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