The Princess Alexandra Hospital NHS Trust
Senior Clinical Site Manager
The closing date is 17 March 2026
The post holder will be responsible for the effective and efficient management of the hospital site and be the key contact for operational / capacity related issues throughout the Trust. They will provide on-site cover 24-hours a day, seven days per week, supporting staff to successfully achieve all Clinical / capacity related performance and quality standards. They will demonstrate highly evolved management and leadership skills and possess the operational experience necessary to resolve capacity related pressures. They will assume accountability for the management of the site acting as a coordinator of services working closely with clinical and support managers. As a proactive clinical leader, quality, safety and efficiency on site are paramount.
Main duties of the job
The Clinical Site management Team will provide on-site cover 24-hours a day, seven days per week, to successfully achieve capacity-related performance and quality targets. Therefore, the post of Senior Clinical Site Manager is integral to the delivery of safe, effective, consistent and high quality admission, transfer and discharge services for patients and their carers. The post holder will be responsible for site management services, including the effective management of inpatient capacity and clinical leadership across the site. This will include the safe and appropriate patient placement and the use of beds linked with projected admission and discharge information. Out of hours the post holder will be the key contact for operational, clinical and staffing issues throughout the trust resolving any issues, or escalating to on call Tactical commander.
The Senior Clinical Site Manager will fulfil their role through the following means:
* Site Management
* Bed Management
* Support and advise Clinicians
* Leadership and decision Making
* Quality and Risk assessment
* Patient Safety
* Education and training
About us
The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme that’s changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector. This means we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives. We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences. Join us and help shape the future of care in West Essex.
Job responsibilities
Duties and responsibilities
The Senior Clinical Site Manager provides a 24 hour leadership and managerial presence on the Hospital Site. They will provide immediate response to emergency incidents across the site to safeguard patients, carers, relatives and employee safety. They take a lead in managing and coordinating emergency situations, liaising with Trust Management and external stakeholders to bring incidents to a safe conclusion. In the event of a major incident the Senior Clinical Site Manager is expected to act as Silver Commander until relieved and continues with their designated actions.
The role provides clinical advice, leadership and management to trust wide nursing, medical and allied health professionals and is responsible for monitoring capacity related problems and reporting these to the Head of Site Management along with Associate Directors of Operations and when required the Associate Directors of Nursing.
The role will also provide leadership to the Clinical Site Managers, Discharge lounge team and the Transfer of care Team.
Specific responsibilities include:
* Authority to act on behalf of Trust management out of hours
* Be the recognised person within the organisation to deal with patient flow issues, liaising with Medical staff, ADON’s and ADOP’s and escalating any issues that prevent flow to the appropriate divisional personnel
* Support and assist with the Hospital at Night duties
* Provide a high profile visible presence and be available for advice, support and direct assistance to all hospital wards and departments, staff during the span of duty
* Ensure own practice and that of others upholds the NMC Code to prioritise people, practise effectively, preserve safety and promote professionalism and trust
* Provide Leadership and expert advice to nursing staff acting as a point of contact out of hours for professional nursing issues
* Have responsibility for being the first point of contact for external organisations for all enquiries relating to site capacity and patient flow or management enquiries. Undertake agreed actions as per hospital escalation guidelines. Communicate with internal staff and external agencies to ensure strategic objectives are met. This requires the ability to provide and receive highly complex and sensitive information, negotiate, influence and act with diplomacy at a high level
* Assist the transfer of care team with issues regarding expediting discharges on wards
* Respond to, lead, manage and coordinate emergency situations 24 hours per day
* Work with the Head of Site Management to develop the site management service to meet the changing demands of the trust
* Deputise for the Head of Site and Patient Flow when required
* Provide situational data on demand and capacity
* Assist in the management of clinical and non-clinical emergency situations
* Ensure adherence to Trust policies, procedures and current legislation, and the interpretation of these in out of hour’s situations
* Ensure on a daily basis the discharge lounge is sufficiently staffed to provide a service for the organisation, and provide leadership and support to staff to support maximum capacity in the discharge lounge
* Provide a seamless service that ensures that the hospital is a safe and effective environment for patients, visitors and staff across 24 hours a day
* Act as a strong advocate for excellent patient care, ensuring clinical practice and care delivery is in accordance with relevant standards and operational policies and procedures
* Hold nurses/ practitioners and medical staff to account where patient care and experience is of an insufficient standard and/or where staff fail to meet their professional requirements
* Use clinical judgement, evidence based information and aligned to trust guidelines, protocols and policies to challenge clinical decisions in the best interests of patients and operational site capacity
* Be the point of contact for Police, and other official bodies attending the hospital out of hours acting in a liaison capacity escalating as required
* Be responsible for responding to the “fire bleep” for the period of duty, ensuring they respond to all fire bleeps within clinical areas. Providing experienced nursing support to the affected area and liaising with the Fire Service and Security Teams
* Have oversight and maintain information on patients who need RMN provision whilst an inpatient, and co‑ordinate the deployment of agency RMN staff
* Be accountable for effective budget management and financial management
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure.
Systems & Equipment
The role will require knowledge of computers and the various electronic systems used in the updating of reports and systems. Moving and handling is a key part of the role and may require the movement of patients on trollies or beds in times of extreme pressure.
To manage the workload and adapt to the changing needs and priorities of patients, colleagues and the bigger organisation on a daily basis depending on the pressure experienced.
To work with specific service user groups as specialist knowledge or organisational needs dictate.
To take responsibility for actions in situations where personal liberty or safety is at stake.
Person Specification
Qualifications
* RGN with a degree in health related subject and demonstrate relevant experience of working at post degree level.
* Senior Operational Management experience and a good understanding of the drivers and constraints around effective bed management and formal line management of teams.
* Excellence interpersonally; articulates creative, self‑aware, controlled and confident including good performance under stress with the ability to think and operate tactically.
* A good Clinical knowledge base supported by ILS.
* Innovative, pro‑active, resourceful and self‑motivated with a good understanding of IT and systems.
* Ability to meet the fundamental aspects of the role. And be able to work flexibly to provide 24/7 cover where required.
* RGN with Masters Degree in health related subject or demonstrate relevant experience of working at post degree level.
* Understanding of relevant Government health strategies and implications for nursing. Previous experience of advanced clinical practice. Ward/Team Management experience.
* A reasonable understanding of the theory of constraints and/or queuing theory.
* Management qualification and silver standard major incident training.
Experience
* Experience of working in an acute NHS setting
* Experience of staff and service management at an operational management level.
* Experience of undertaking a clinical management role i.e. Ward Manager, service co‑ordinator.
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
The Princess Alexandra Hospital NHS Trust
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