Managing Director

NHS Lancashire and South Cumbria Integrated Care Board (125); Preston; On-site; GBP 90,000 - 120,000; Full time

Job summary

A regional healthcare organization in England is seeking a Managing Director to lead All Age Continuing Care services. The successful candidate will drive strategic leadership and help transition to a sustainable commissioning model. Ideal applicants should have senior NHS experience and a proven ability to manage large budgets. Competitive compensation and opportunities for professional development are offered.

Qualifications

• Senior leadership experience in NHS commissioning or system turnaround.
• Proven record of leading large-scale change and financial recovery.
• Experience managing multi-million-pound budgets.

Responsibilities

• Drive strategic leadership and operational excellence.
• Lead the transition to a sustainable future commissioning model.
• Ensure delivery of safe, equitable, and efficient outcomes.

Skills

Leadership and influencing skills

Strategic and analytical thinking

Financial acumen

Excellent communication and negotiation

Change management capability

High digital literacy

Education

Master's level or equivalent experience

Financial, commissioning, or health management qualification

Job description

Managing Director

The closing date is 05 December 2025

Are you a dynamic and visionary leader with a passion for transforming healthcare services? Lancashire and South Cumbria Integrated Care Board (ICB) is seeking a Managing Director for All Age Continuing Care (AACC) and Individual Patient Activity (IPA) to drive strategic leadership and operational excellence. In this pivotal role, you will lead the transition from turnaround to a sustainable future commissioning model, ensuring the delivery of safe, equitable, and efficient outcomes for service users and their families. Join us in shaping the future of healthcare and making a lasting impact on our community.

Main duties of the job

The role will be varied and will adapt over time as the ICB develops. However, the postholder is expected to fulfil the following key functions:

• Stabilise operational and financial performance across AACC and IPA
• Deliver and evidence progress against the £60.2m Waste Reduction Programme (WRP) 2025/26 target
• Implement and embed the AACC Future Service Model and Transition Plan governance, Standard Operating Procedures (SOPs), and performance metrics
• Establish the AACC Transitional Steering Group with clear reporting cadence
• Complete design of the AACC Future Service Model
• Deliver a robust Workforce OD and Wellbeing Plan aligned to transition
• Align all AACC performance and financial reporting to ICB and NHSE assurance frameworks
• Produce a formal Transition Exit and Handover Plan ensuring readiness for AACC Future Service Model

This role is a non-clinical one. The post holder will be expected to work alongside clinical leaders in the AACC team as well as clinical Executive colleagues, to shape a safe, compliant and efficient service.

About us

Lancashire and South Cumbria ICB is a complex organisation serving a population of over 1.8 million people. Its role is to improve population health and healthcare by planning and commissioning services, managing budgets, and working with local providers to achieve better health outcomes, reduce inequalities, and ensure value for money. Delivering efficient and effective All Age Continuing Care for the residents of Lancashire and South Cumbria is a fundamental part of achieving those aims.

The AACC team is a large group of clinical and managerial staff who have significant experience in delivering care to our residents and are eager to work with the new MD to transform the service for the future.

Job responsibilities

Key working relationships

The post holder may have regular contact with a wide range of staff at all levels within the ICB, with senior and other representatives of local stakeholders, as well as with patients and their representatives. Some of the key direct relationships include:

Internal

• Chief Executive Officer & Executive Teams
• Chief Nursing Officer
• Chief Finance Officer
• Director of People and OD
• ICB Clinical and Place Directors
• AACC Operational Leads, BI and PMO Teams

External

• Directors of Adult and Childrens Services (Local Authorities)
• NHS England Regional CHC Leads
• Provider Trust Executives
• External suppliers
• System Partners and IC Collaborative Boards

Person Specification

Qualifications

• Educated to Master's level or equivalent experience. Evidence of ongoing professional and leadership development.
• Financial, commissioning, or health management qualification (e.g. CIPFA, MBA, ILM Level 7).

Experience

• Senior leadership experience in NHS commissioning, CHC/AACC, or system turnaround. Proven record of leading large-scale change and financial recovery. Experience managing multi-million-pound budgets and working in partnership with LAs, providers, and regulators.
• Experience of developing or leading pooled budgets (e.g. Section 75). Exposure to digital transformation in continuing care.

Knowledge

• In-depth knowledge of CHC, PHB, and Section 117 frameworks. Understanding of the NHS 10-Year Plan, ICB Blueprint, and Good Practice for AACC. Strong grasp of population health and outcomes-based commissioning.
• Familiarity with Lancashire & South Cumbria system and local partnership landscape.

Skills

• Exceptional leadership and influencing skills. Strategic and analytical thinker. Strong financial acumen. Excellent communication and negotiation. Change management and OD capability. High digital literacy and data insight interpretation.

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.

Employer name

NHS Lancashire and South Cumbria Integrated Care Board (125)

Address

NHS Lancashire and South Cumbria Integrated Care Board

Level 3, Christ Church Precinct, County Hall, Fishergate Hill