Orchestrate Health Services is an independently CQC-registered private community mental health service, rebooting from the ground up in 2026 to fill a structural gap in the UK market. It sits between weekly outpatient therapy and acute inpatient admission the level of care at which most preventable hospitalisations happen and which the UK private market does not currently serve well.
The service is psychiatrist-led, MDT-delivered, and built around four named programmes: Crisis & Admission Avoidance, Post-Discharge Stabilisation, Intensive Outpatient Programme, and Re-integration & Recovery. Care is delivered virtually, in the patients home, and through NHS Open Spaces coordinated from a service centre in Leicester, with national reach from day one.
We are recruiting a Managing Director to lead OHS through its growth phase. Day-1 leadership includes a named Consultant Psychiatrist Clinical Lead and a Clinical Operations Director & CQC Registered Manager already in post. The MD who has to be able to evidence a very strong sales/commercial track record In (NDD services, Mental Health or Learning Disabilities) runs the business on top of that foundation: strategy, commercial growth, payer and corporate relationships, team building, and the commercial-clinical interface that will define whether OHS becomes a category-defining UK service over the next 24 months.
We want someone who combines sales and marketing leadership in mental health with genuine clinical understanding ideally a former mental health clinician who moved into commercial leadership, or a commercial leader whose career has been embedded in mental health services long enough that clinicians respect their judgement.
This is a full-time executive role, not a portfolio or consulting arrangement. The reboot retires the previous premium-HNW, nurse-led framing and rebuilds OHS as a psychiatrist-led community service with programme-based, outcomes-evidenced propositions for payers, ICBs, and corporates alongside self-pay. The binding constraint on most mental health launches credible consultant psychiatric leadership is already solved.
• No regional clinic estate. A Leicester operational team, a sessional MDT panel, and delivery via virtual, in-home, and NHS Open Spaces.
• The model draws on what other organisations have proven about structured, productised, outcomes-evidenced community mental health care adapted to the UK regulatory and payer landscape.
• Compensation and structure
Competitive base salary commensurate with the seniority of the role and the sector. A performance element linked to the growth milestones OHS is building toward.