Own and grow the healthcare recruitment business across framework and off-framework channels. You’ll lead sales and delivery teams to win work, fill roles/shifts at high volume and quality, protect margin, and ensure audit-ready compliance and clinical governance at all times.
Key Responsibilities
1) Commercial Growth & Strategy
* Set and deliver the growth plan across framework and off-framework revenue streams.
* Build and execute strategy by region, client type (NHS, local authority, private), and service line (nursing, care, AHP, locums, etc.).
* Own pricing and margin strategy, balancing competitiveness with sustainable contribution.
2) Framework Performance & Contract Management
* Lead framework delivery: SLAs, KPIs, rate cards, lot performance, and client governance.
* Drive tender/bid strategy with compelling evidence packs, mobilisations, and continuous improvement.
* Ensure readiness for audits and performance reviews; resolve issues quickly and transparently.
3) Off-Framework Business Development
* Win new off-framework clients and expand existing accounts through relationship-led selling.
* Negotiate commercial terms, service levels, and onboarding pathways.
* Build referral channels and partnerships (MSP/VMS, providers, networks) to increase opportunities.
4) Recruitment Delivery Excellence
* Oversee end-to-end recruitment and staffing delivery, ensuring strong fill rates and low cancellations.
* Implement effective pipeline planning by specialty, shift pattern, and geography.
* Improve productivity through team structure, workflow discipline, and clear performance standards.
5) Compliance, Quality & Clinical Governance
* Ensure all candidates meet required compliance standards (Right to Work, DBS, registrations, training, references, occupational health where required).
* Maintain robust clinical governance processes for incidents, complaints, safeguarding, and regulatory requests.
* Work closely with compliance and operations to keep practices consistent, documented, and audit-proof.
6) Leadership & Culture
* Lead, coach, and performance-manage managers and teams across recruitment and sales.
* Build a high-accountability culture with clear targets, feedback loops, and development plans.
* Recruit and retain top talent; create succession plans and capability uplift.
7) Operations, Systems & Reporting
* Own and improve processes across ATS/CRM/VMS systems to ensure accurate data and efficient operations.
* Track and report performance: revenue, margin, fill rates, time-to-fill, compliance outcomes, client satisfaction.
* Identify and deliver operational improvements that reduce cost-to-serve and increase quality.
Key Performance Indicators (KPIs)
* Revenue growth (framework and off-framework)
* Gross margin % and contribution
* Fill rate and time-to-fill
* Cancellation rates and continuity metrics
* Compliance pass rate / audit results
* Client satisfaction (NPS/feedback), complaint and incident rates
* Tender win rate / framework performance ranking
* Team productivity (placements per recruiter, conversion rates)
Required Experience & Skills
* Senior leadership experience in healthcare recruitment (agency or staffing provider environment).
* Proven track record of managing framework contracts and off-framework growth.
* Strong commercial capability: pricing, margin management, client negotiation, sales leadership.
* Deep understanding of healthcare compliance requirements and audit expectations.
* Operational excellence: KPI management, process control, and team performance delivery.
* Confident stakeholder management from ward manager level through to exec/procurement.
* Strong systems mindset (ATS/CRM/VMS) and data-driven decision-making.