Head of System Redesign

Homerton Healthcare NHS Foundation Trust; London Borough of Hackney; On-site; GBP 88,000 - 100,000; Full time

Job summary

Homerton Healthcare NHS Foundation Trust is seeking a Head of System Redesign to drive advanced improvement architecture and governance. You will lead cross-boundary redesign efforts across the Trust and City and Hackney partnership, delivering data-driven improvements and stakeholder engagement.

The role requires senior leadership in continuous improvement, strategic planning, and budget management, with a focus on reducing fragmentation and enhancing patient flow through hospital and community

Qualifications

• Master's degree in health, management or technical field or equivalent senior experience.
• Advanced qualification in Continuous Quality Improvement / System Redesign methodology (e.g. Virginia Mason, IHI).
• PGCert or equivalent qualification.

Responsibilities

• Act as definitive expert on complex improvement systems and redesign methodologies.
• Establish standardised operating procedures, quality governance and toolkits across the directorate.
• Lead large-scale service design and pathway transformation to optimise patient flow and reduce fragmentation.
• Build cross-sector communities of practice to accelerate spread of redesign concepts.
• Lead data analysis for improvement for Trust Board and partnership boards.

Skills

Leadership

Negotiation

Influencing

Coaching

Facilitation

Education

Master's degree

PGCert

Tools

SPC

Job description

Homerton Healthcare NHS Foundation Trust

Head of System Redesign

The closing date is 11 November 2026

The Head of System Redesign will play a crucial part in the delivery of the Trust's strategy - Our Future Together - providing advanced subject matter expertise to develop the advanced improvement architecture, methodological governance and cross boundary working structures across Homerton Healthcare NHS Foundation Trust and the City and Hackney place-based partnership through the institute for change.

Main duties of the job

• Act as the definitive expert authority on complex improvement systems thinkingand system redesign methodologies across the Trust and wider partnership.
• Establish and maintain standardised operating procedures, quality managementgovernance, and technical redesign toolkits across the entire directorate footprint.
• Provide improvement leadership for large-scale service design and pathwaytransformation initiatives that eliminate fragmentation, reduce unwarrantedvariation, and optimise patient flow through hospital services and out into thewider healthcare system.
• Establish cross-sector communities of practice to accelerate the spread ofinnovation, shared learning, and proven redesign concepts.
• Lead the develivery of data analysis for improvement at Trust Board, subcommittees and partnership Boards in order to gain consensus and assurance onwork in progress.
• Build and maintain highly effective collaborative alliances with key externalstakeholders, including the North East London Integrated Care Board (NEL ICB),Primary Care Networks (PCNs), Local Authorities (London Borough of Hackneyand City of London), and voluntary sector partners.
• Provide visible, compassionate, and inclusive day-to-day leadership and linemanagement as required to direct reports within the portfolio.

About us

Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Education

• Educated to Master's degree level in a relevant health, management, or technical field, or equivalent demonstrable senior experience.
• Advanced post-graduate qualification or expert certification in an established Continuous Quality Improvement / System Redesign methodology (e.g. Virginia Mason Production System, IHI Model for Improvement, Design Thinking).
• PGCert

Skills/Abilities

• Highly developed leadership, negotiation, and influencing skills; able to drive consensus across complex multi-disciplinary clinical and operational teams without direct hierarchical authority.
• Highly adept at managing very senior leaders within and beyond the healthcare setting.
• Demonstrated very high levels of coaching and facilitation skills; ability to deliver impactful learning programmes from board to floor.

Experience

• Extensive experience leading large-scale continuous improvement workstreams at a senior level within healthcare or the wider public sector
• Experience of presenting to and managing the outputs of Board level committees
• Proven experience in direct line management, multi-disciplinary team leadership, and managing complex programme budgets.

Knowledge

• Deep, expert knowledge of continuous improvement theory.
• Expert knowledge of Statistical Process Control (SPC) and modern measurement for improvement frameworks.
• Understanding of health economics and value-based healthcare models.

Other

• Understanding and demonstration of the Trust Values
• Commitment and adherence to equality, diversity and inclusion

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.

Homerton Healthcare NHS Foundation Trust

£88,250 to £100,355 a yearpro rata p.a. incl.