General Manager - Imaging

NHS; Greater London; On-site; GBP 76,000 - 89,000; Full time

Job summary

A major healthcare provider is seeking a Senior Leader for Imaging Services. In this pivotal role, you will drive operational excellence, oversee financial management, and enhance service delivery for patient care. Your leadership will influence organizational strategy and foster collaboration across departments. A successful candidate will have extensive experience in clinical management, demonstrated success in transforming healthcare services, and strong governance skills. Join us to make a significant impact in the healthcare landscape.

Qualifications

• Significant experience in clinical service management at a senior level.
• Demonstrable success in delivering large scale change projects.
• Track record of financial delivery.

Responsibilities

• Ensure delivery of agreed performance indicators.
• Lead the development of business cases and service plans.
• Monitor compliance with Trust-wide staff management policies.

Skills

Leadership

Financial management

Clinical governance

Performance management

Education

First degree or equivalent

Master's level knowledge

Tools

IT skills including Word and spreadsheets

Job description

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 Trust's 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 you'll be at the forefront of ensuring our services are safe, efficient, compassionate and future-focused. You'll 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

Main duties of the job

• olding 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.

About us

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

Job responsibilities

1.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.

2.PEOPLE MANAGEMENT

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.

3.FINANCIAL MANAGEMENT

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 thatthe 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.

Person Specification

Education

• First degree or equivalent
• Evidence of other specialist knowledge at higher degree or master's level
• Extensive knowledge of the NHS in the acute sector with up-to-date knowledge of patient services
• Evidence of CPD

Experience

• Significant experience in clinical service management at a senior level in a large, complex acute hospital or community service environment
• Demonstrable success in delivering large scale change projects/programs with and through management and clinical teams
• Track record of financial delivery
• A good understanding of the changing NHS environment
• Track record in writing complex cases and policies
• Experience of managing and deciding on complex employment issues

Working with Others

• Highly developed leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams, and have them understand the Trust's and your performance expectations
• Able to network and collaborate constructively with internal and external partners to deliver and improve services
• Able to lead a team, and to adopt a team approach to deliver and improve services
• Excellent inter-personal and communications skills and the ability to direct when required
• Engages effectively across boundaries, while operating in partnership with stakeholders towards a shared vision
• Able to act with integrity, and to value respect and promote equality and diversity

Managing Services

• Able to think and plan strategically, tactically and creatively, and to prioritise work programs in the face of competing demands
• Able to manage and deliver services within resources
• Able to critically analyse and interpret complex financial and clinical data sets
• Able to effectively manage performance by holding themselves and others to account for service outcomes
• Able to actively contribute to plans to achieve service goals
• Manage people, by providing direction, reviewing performance, and motivating others
• Able to ensure patient safety by assessing and managing risk associated with service developments
• Able to facilitate transformation and change to improve services

Skills

• Able to demonstrate sound political judgement and astuteness in understanding the contexts for change
• Ability to analyse highly complex problems and to develop practical and workable solutions using knowledge and evidence
• Able to make sound decisions using all available evidence, and evaluate their impact
• Excellent IT skills, including the ability to create and handle large documents using Word processing skills, producing spread sheets and analysis for presentation at meetings and Board level events

Personal Qualities

• Demonstrate insight into own limitations and abilities and actively seek support and advice when required
• Able to manage themselves by organising and managing themselves while taking into account the needs and priorities of others
• High level of work organisation, self-motivation, drive for performance and improvement, and flexibility in approach and attitude
• Has the drive and energy to make things happen - frequently goes "above and beyond" the call of duty
• Thinks and solves problems creatively
• High level of attention to detail

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Director of Operations Allied Clinical Services

£76,965 to £88,682 a yearper annum plus HCAS (pro rata if part-time)