Overview
The NHS England, East of England, Medical Directorate wishes to appoint a Medical Director for Commissioning and System Improvement. This is a key leadership role in the regional health system. The post comprises two part‑time roles (each approximately 0.5 WTE, negotiable): one role covering Commissioning, Specialised Services, Health and Justice; and another role covering Medical Director, System Improvement.
The NHSE East of England regional team supports local Integrated Care Systems (ICS) which lead in their geographies. Our role is to assure care, support system transformation and secure ongoing improvement in clinical outcomes and patient experience.
Responsibilities
* Provide system leadership and clinical improvement advice to support local healthcare system resilience, with a focus on patient safety and high‑quality care.
* Engage with clinical leaders across commissioning organisations in the region to ensure a whole pathway approach to optimising clinical outcomes and resource use.
* Engage with clinical leaders across providers to improve outcomes through collaboration and by ensuring providers understand commissioning requirements and can inform future priorities.
* Work closely with the Strategic Clinical Networks, the Senate and Operational Delivery Networks to ensure their resources and clinical leadership capacity support and inform direct commissioning.
* Provide professional and clinical leadership including addressing professional performance issues and promoting whole system working.
* Work collaboratively with multi‑professional members of the medical directorate and provide support to the Regional Gold on‑call rota.
* Provide medical oversight for ICS through Regional System Co‑ordination functions and support the region with areas requiring a secondary care perspective and clinical leadership.
* Support regional delivery of quality surveillance and assurance for NHS providers and the independent sector; contribute to planning and delivery of regional care across planned and unplanned services.
* Contribute to public health advice in respect of direct commissioning and support quality improvement of health and healthcare, including research, development, innovation and evidence‑based practice.
* Work with the RMD/CCIO and Regional Chief Nurse to deliver regional quality surveillance and assurance.
* Help develop clinical leadership skills and foster effective system leadership across the region.
Qualifications and experience
* Medically qualified with a current licence to practice.
* Proven senior‑level leadership experience, e.g., as a board director or equivalent within an NHS organisation.
* Track record of delivering quality improvement projects or programmes.
Additional information
Our staff bring expertise across clinical, operational, commissioning, technology, data science, cyber security, software engineering, education and other specialisms, enabling the design and delivery of high‑quality NHS services.
We lead the NHS in England by enabling local systems to improve health, reduce health inequalities, supporting a great workplace, and optimising the use of digital technology, research and innovation while delivering value for money.
If successful at interview, we will initiate an Inter Authority Transfer (IAT) via the Electronic Staff Record (ESR) to support onboarding, including competency status, Continuous Service Dates (CSD), and annual leave entitlement. You may opt out at any stage.
Colleagues with a contractual office base are expected to spend, on average, at least 40% of their time working in‑person.
This advert closes on Tuesday 10 February 2026.
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