Principal LeadinDorchesterinDorchesterPUBLISHED TUE 11 FEB 2025

We know many use AI to enhance their applications. While AI brings efficiency, we value authenticity and urge applicants to reflect their true skills and experiences. NHS Dorset evaluates each application fairly, acknowledging AI's benefits and limitation.

NHS Dorset is looking to empower multi-disciplinary and multi-agency teams (across health, care and the voluntary sector) working better together at the local level as Integrated Neighbourhood Teams (INTs).

If you're excited by the prospect of working across the whole system, designing and implementing scale and pace programmes of work to modernise primary and community services improving population health outcomes and commissioning for integration, this could be the job for you!

This role is a high-profile leadership role with significant influence across a range of stakeholders. The post-holder will work with key system partners to support the development, delivery and commissioning of primary and community integration.

Our goal is to drive improvements in population health and wellbeing outcomes as well as improvements in the INTs effectiveness, efficiency and equity. You will be at the forefront of enabling and leading focussed programmes working closely with Population Health Colleagues and INTs to enable the shift from

1. Treatment to Prevention
2. Analogue to Digital
3. Hospital to Community

The post is currently 18.75 hours per week with the opportunity to increase hours in the future. We support flexible working.

The main duties of the role are the provision of:

• System Leadership for designated portfolio areas
• Programme leadership and management
• Strategic Planning and Organisation
• Matrix working
• Building effective collaboration and partnership working
• Commissioning cycle and commissioning for outcomes
• Population health management and data and insight analysis
• Strategic planning, financial, performance and contract management
• Application of evidence of effectiveness (including economic effectiveness)
• Evaluation and Benefits Realisation

About us

CONTEXT STATEMENT

Our goal is to create a Dorset system where every resident is enabled to reach their full potential and enjoy a long and healthy life. We work collectively to ensure our residents have access to the right services when they need them as well as focusing on prevention and health promotion, supporting residents to take greater care of their own health and live longer, healthier lives.

Dorset ICB is looking to use place-based and neighbourhood approaches to meet the changing needs of people living in Dorset and improve their health and wellbeing outcomes. We are looking to empower multi-disciplinary and multi-agency teams (across health, care and the voluntary sector) working better together at the local level as Integrated Neighbourhood Teams (INTs).

As members of the INTs work better together, we expect to see improvements in population health and wellbeing outcomes as well as improvements in the INTs effectiveness, efficiency and equity. We also expect to see a shift from: -

• Treatment to Prevention
• Analogue to Digital and
• Hospital to Community

Principal Leads within the ICB play an important role in working with our communities and system partners to make this happen.

JOB PURPOSE

This role has been created to lead the commissioning and planning of Primary Care and Integrated Neighbourhood Teams development, supporting the strategic ambition to develop Place and Outcome Based commissioning. As part of our new ways of working, we want a Strategic commissioning function that is based on modern approaches to commissioning in the design and delivery of integrated services, based on improving health outcomes; delivering services in communities; a whole system approach to the design and delivery of new health, care and wellbeing services.

The key responsibilities of this substantive post are:

• Work as part of the Primary and Community senior leadership team, leading the integration and development of INT services as part of further delegated responsibilities from NHS England.
• Working with communities, clinical leads, ICB colleagues and system partners lead and manage programmes that deliver the commissioning cycle, commissioning and contracting new care models in line with strategic commissioning intentions.
• Develop positive relationships with all stakeholders and be the key link for specific portfolios of work, ensuring workstream collaboration for a joined up, integrated approach to programme delivery.
• Make persuasive cases for change, identifying and securing contributions to achieving strategic priorities from across a range of partner organisations and from within the ICB.
• Manage staff resources and the work plan to achieve commissioning priorities and plans including alignment with NHS Operational planning guidance.
• Work with System partners to review and develop primary and community commissioning and planning aligning this to strategic priorities, reflecting the move towards place-based, outcome-based commissioning, supporting integrated neighborhood teams.
• Represent NHS Dorset at governance groups supporting programme delivery and build collaborative relationships with key ICS stakeholders.
• Work with senior leadership team to support staff development, leading the team through a period of transition and change towards new ways of working.
• Lead on the development of future commissioning models, contract operational and people plans to inform Collaborative Commissioning Hub, Strategic Commissioning and Place and cross-directorate resource planning.
• Ensure the effective contract management of Primary Care providers, including quality assurance and working with regional NHS England teams, to develop innovative and efficient frameworks to incentivise quality improvement and transformation.
• Support primary care Workforce and digital planning aligned to primary care transformation priorities and plans, working with System Workforce and Digital leads.

POST SPECIFIC, TASKS AND OBJECTIVES

Commissioning Transformation

• Support the senior leadership team to deliver a transformation work programme across Primary and Community Care services.
• Lead and manage Programmes that contribute to commissioning and contracting new care pathways based on population health management, modernization, integration and outcomes.
• Build strong relationships and work closely with other directorates to develop appropriate primary care commissioning arrangements and comply with all guidance and assurance processes in support of Operational planning guidance.
• Work with partners across the integrated care system to effectively develop models of integrated care that supports resilience, sustainability and transformation.
• Work with Integrated Neighbourhood Teams to effectively address unwarranted variation and poor performance.
• Ensure delivery of key transformation priorities including sustainable general practice; Directed Enhanced Services (DES), Local Enhanced Services (LES) and Improvement plans.
• Ensure that recommendations from the Fuller Stock take Report inform local commissioning planning for integrated care delivery -working with Place teams, Provider collaboratives and System partners.
• Work with partners to adopt innovative practices to support the management of demand and efficiencies, such as the use of technology, workload optimisation tools, quality improvement techniques and approaches.

Outcomes Based Commissioning

• Lead and support the work needed to develop outcomes-based commissioning.
• Develop understanding of commissioning best practice to determine value for money, effective models of delivery to inform this.

Evaluation and Benefits Realisation

• Accountable for the delivery of outcomes, cost, quality, and performance of designated portfolio of work.
• Report programme progress to Boards, Delivery Group, national bodies, and through other local governance mechanisms as required, updating on delivery, budget, and performance.
• Ensure programmes of work adhere to established evidence base or are underpinned by appropriate evaluation where interventions are beyond the evidence base.
• Ensure effective service re-design is embedded and sustained into business as usual.
• Ensure all programme and project proposals are evidence based, operationally effective, delivered equitably, provide value for money, and are recorded in the appropriate programme and project documentation, and information systems.
• Develop and/or utilise programme tracking mechanisms to identify, monitor and evaluate risks and issues to facilitate proactive resolution and escalation.

Other key responsibilities

• Work confidentially, constructively and courageously with key partners and stakeholders across the wider system to support delivery of commissioning priorities and plans.
• Deputise for senior leads as required.
• Develop a sound and consistent understanding of the ICB strategy, priorities and plans, ensuring a broader perspective of strategic and operational issues and interdependencies.
• Support the development of clinical leaders to ensure our work remains clinically led and clinically accountable.
• Support System resilience planning.

Please note we reserve the right to extend the closing date or close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible

For further information, please see full Job Description attached.