The Deputy Chief Operating Officer (DCOO) provides strategic and operational leadership across the GP federation, supporting the CEO in delivering high-quality, coordinated, and sustainable primary care services. The postholder plays a key role in the day-to-day management of service delivery, workforce planning, and operational performance, ensuring that services are responsive, patient-focused, and aligned with national and local priorities.
The DCOO is responsible for overseeing the implementation of service transformation initiatives, supporting the development of new models of care, and embedding continuous improvement across the federation. Working collaboratively with clinical, operational, and corporate teams, as well as external stakeholders, the DCOO helps drive integration, efficiency, and innovation across service pathways. This role also carries responsibility for delegated budgets, contractual compliance, and resource management, ensuring services are delivered safely, effectively, and within agreed financial frameworks.
Key Responsibilities
1. Provide strategic and operational leadership across the federation, supporting the CEO in delivering high-quality, integrated, and sustainable services.
2. Lead the delivery of the Primary Care Network (PCN) contract, including direct line management of Digital and Business Transformation Managers, and strong collaboration with PCN Clinical Directors.
3. Drive the development and implementation of service delivery plans and transformation initiatives that reflect national policy, local priorities, and the federation's strategic objectives.
4. Lead quality assurance and compliance processes for the federation's directly managed GP practices, ensuring high standards of care, patient safety, and readiness for CQC inspection.
5. Ensure robust governance and risk management frameworks are embedded across operational delivery.
6. Monitor compliance with contractual obligations and key performance indicators, producing regular reports for the CEO and Board.
7. Lead on learning from incidents, complaints, and audits, embedding improvements and promoting a culture of accountability and transparency.
Formed in 2016, NCGPA is a GP federation made up of over 30 member practices within Nottingham city, covering a population of over 400,000 patients.
We believe the best way to support general practice is through partnership and collaboration. By sharing knowledge and pooling resources, we help practices become more resilient to challenges. From our headquarters in Nottingham city centre, we run four practices from a central hub, support employment of staff in PCN teams, and operate City Wide Services. We provide finance, HR, communications, and logistical support so frontline staff can focus on patient care.
The company is managed by a Senior Management team, including the Chair, Finance Director, Medical Director, and Chief Executive Officer, working alongside our Board to shape our future direction with input from our member practices. They bring extensive experience in delivering quality care and share a unified vision for the future of general practice.
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