APPOINTMENT OF CHIEF EXECUTIVE APPOINTMENT BRIEF June 2018

AN INTRODUCTION King Edward VII’s Hospital is the hospital of choice for anyone seeking the best private medical treatment in

London. For more than 100 years, the Hospital has met the medical needs of its patients with consistent

clinical excellence. Located in Beaumont Street in Marylebone, it is committed to continual investment in state-

of the-art facilities and improving service provision, keeping the Hospital at the forefront of private medical

care.

King Edward VII’s Hospital’s dedication to outstanding patient care dates back to its beginnings in 1899, when

sisters Agnes and Fanny Keyser devoted themselves and their home to caring for sick and wounded officers

returning from the Second Boer War. Under Sister Agnes’ steadfast leadership, the Keyser home – continued as

a hospital for officers after the war. King Edward VII became its first patron.

These beginnings established the core values and traditions for which King Edward VII is recognised:

• Exceptional nursing care and clinical excellence;

• Traditional values based on a clearly articulated ethos which is distinctive in private sector healthcare;

• A commitment to all ranks of Service personnel, as well as their spouses;

• A spirit of philanthropy, underpinned by a network of 2,500 Friends and charitable subsidies and

grants. The Sister Agnes Benevolent Fund (now known as the Military Grants Fund) has been providing

means-tested grants for uninsured Service personnel since the early twentieth century; and

• Royal patronage, from King Edward VII in 1901 to Her Majesty The Queen today. The Duke of Kent is

the Hospital’s President.

King Edward VII’s Hospital’s new Chief Executive will build on this success, with the vision to enable substantial

growth, while piloting a way forward as the UK’s health system faces unprecedented change. This is a unique and

exciting opportunity, requiring the delivery of visible leadership and direction both internally within the Hospital

and externally within the wider health sector. The Chief Executive will be at the forefront of ensuring that King

Edward VII’s Hospital operates as an exceptional health provider, instilling a culture of pride and excitement while

leading the organisation forward, securing a strong financial future, the best of clinical care and cutting edge

facilities.

THE ORGANISATION

King Edward VII’s Hospital is a registered charity which employs 269 staff; the current organisation chart is attached

at Appendix A. There are established relationships with approximately 300 consultants (including 80 anaesthetists),

a growing population to enable the Hospital to serve greater numbers of patients. The Hospital’s governance

structures include a Council of Trustees and a Board of Governors. The Governors meet bi-annually and are

responsible for electing members of Council, Officers, the Treasurer, Auditors and Special Advisors, The Council

meets quarterly and is responsible for managing the affairs of the Hospital via the Senior Management Team.

Committees of the Council are: Medical, Ethics, Audit & Investment, Fundraising, and Governance & Nominations.

Services

King Edward VII’s Hospital offers a full range of inpatient and outpatient services across a range of specialities

provided by seasoned specialist consultants. The Hospital is proud of the very high patient to nurse ratios offered,

and excellent in-house facilities to make the patient’s stay a pleasant as well as healing one. Services are provided

within Medical and Surgical Specialities, and within General Practice, all supported by strong multidisciplinary teams.

There are eight “Centres of Excellence” established within the Hospital:

Orthopaedic

Women’s Health

General Medicine

Colorectal

Plastics

Urology

Ophthalmology

Pain & Neuroscience

The Hospital also has a 24 hour critical care unit staffed with intensive care clinicians and nurse. More information

about the Hospital’s specialities can be found on the website via this link:

http://www.kingedwardvii.co.uk/specialities/ .

Patients are either self-funding, insured or come to the Hospital via the Military Grants Fund which will cover all or

part of the patient’s costs, depending upon need. There is nearly a 50-50 split between day cases and in-patient

cases. King Edward VII’s Hospital also cares for a growing number of international patients.

Clinical staff

King Edward VII's Hospital is the only hospital in the country where consultants have to be invited to practise. This is

a source of pride and excellence that sets the Hospital apart from other private healthcare providers. The rigorous

selection process in place identifies experts who are breaking new ground in their area of healthcare.

Nurses are given regular training and development opportunities. Career development is also emphasised, and it is

a matter of pride that all the ward sisters were once staff nurses. The Hospital is committed to supporting nurses,

and provides housing for some nurses. Work is currently underway to open new staff housing located in Paddington

Basin.

Performance

Clinical performance. The last CQC inspection was a difficult one for the Hospital and its workforce, a rating of

“requires improvement” was dominated by “good” scores for the three elements of effectiveness, care, and

responsiveness, leaving governance and leadership the reason for the rating. The shortcomings outlined are being

addressed as a matter of urgency, and good progress is being made as the Hospital prepares for a new visit from

the regulator.

The patient activity over the last 12 months (to March 2018) can be summarised as follows: -

FY 17-18 FY 16-17

Admissions – Inpatient & Day Cases 4,284 4,310

Average length of stay (in nights) 3.38 3.37

Theatre cases 3,733 3,900

An important indication of satisfaction is the statistic that 98% of patients would recommend the Hospital to their

friends and family.

Financial performance. The Hospital’s income for the year ending March 2018 was £25m. This excludes

fundraising donations and legacies of £12m in FY 17-18 and £11m in FY 16-17. The Hospital has an exposure to its

defined benefit pension scheme of £1.8m, the liability for which has been decreasing year on year. There is an

expectation that there will be an EBITDA surplus of £0.3m, with revenues growing to £26.8m in FY 18-19. The aim is

to grow Hospital income to £45m in 3-5 years’ time, once the new facilities are open.

There have been 3 years of modest growth in income and patient numbers, delivered in an increasingly competitive

environment in London. Fundraising has also been an important source of income, enabling the Hospital to remain

current in its diagnostic services and other medical equipment, and to continue to improve its hotel services and

other infrastructure. Funds raised have also been central to the King Edward VII’s ability to continue to support

service personnel and veterans with the high quality care they so richly deserve.

Capital Development. In an effort to further improve care quality and to expand services, King Edward VII

Hospital’s major and exciting new building programme is now underway, due to be completed in 2020. There is a

Projects Committee chaired by Sir Stuart Lipton, a founder of Stanhope plc, and the co-founder of the property

company Chelsfield. The incoming Chief Executive will sit on this committee and will have responsibility for this

£30m capital redevelopment which will offer the platform for the Hospital’s step change in service delivery and

growth. This programme is enabling the improved positioning of already existing facilities in the current main

hospital building to improve space and working efficiency, and the expansion of surgical space. Ground has broken

on the development of the large area directly opposite the main Hospital entrance, once complete, this will provide

24 consulting rooms, offices, and a new outpatient Imaging department and additional outpatient health services.

Additionally, new nurse accommodation and a new Physiotherapy department will also be completed. This level of

improvement and increased space will help the Hospital to continue to pursue its aim to grow its services and

increase its patient numbers.

Current change, future opportunities – a new Chief Executive

Opportunities for the future, challenges ahead. The future of healthcare provision, especially in London, is becoming

increasingly competitive. Within the rapidly changing healthcare market, the incoming Chief Executive will ensure

the provision of a clear and sustainable strategic direction for the organisation. King Edward VII’s Hospital has an

outstanding reputation for care, which puts it in a positive position but not a complaisant one. While the financial

position of the organisation is stable, and the issues brought to light through the CQC inspection are being

addressed, there is a need to bring about change, financial growth and modernisation to continue to attract new

consultants and grow patient numbers. Early priorities include an upgraded IT system to enable the smooth flow of

patient, financial and clinical information around the Hospital. Emphasis on marketing – across general practice,

with the population directly, and across new and busy consultants – is a priority to deliver stability through growth.

Patient expectations of care provision continue to evolve, and this requires the confidence to innovate in how

services might be offered differently to meet these expectations, as part of the Hospital’s growth strategy. While

there are currently 8 Centres of Excellence, there is room for the development of others that will stimulate new

membership of the consultant body. Additionally, the new capital development will bring positive change, but there

will inevitably be a period of upheaval as “business as usual” is observed while services shift to new locations over

the next 18 months.

This is a Hospital with a proud history and a fantastic reputation; it is in a position to leap forward positively with the

development of new facilities that is already underway. This is an excellent time to search for a new Chief Executive

who will help the organisation to modernise to grow, and achieve its ambitions with energy and enthusiasm.

THE ROLE PURPOSE OF POST King Edward Vll Hospital is a renowned private, acute charitable hospital in the heart of London with a reputation for

providing the highest standards of hospital and patient services. The Hospital is undertaking significant

development and embracing ambitious change, and now requires a skilled Chief Executive to bring visible and

inspirational leadership, drive and ambition to King Edward VII’s Hospital. The complexity and importance of this

role cannot be underestimated: King Edward VII’s new Chief Executive will need to understand quickly the

organisation’s key stakeholders, positioning the organisation for growth, and ensuring a focus on excellence and

innovation in everything King Edward VII does. The smooth transfer of services across the newly developed hospital

will be an early but important priority; longer term, the new Chief Executive will oversee growth and impact across

London’s healthcare market.

The principal responsibility is to ensure that the Hospital continues to provide high quality services that are clinically

sound and safe to increasing numbers of patients by staff who are valued and motivated. Clarity of purpose and

direction will be articulated by a strategy that includes financial priorities and performance targets. This will mean

building on established strengths as a clinically-led organisation providing outstanding care, and increased and

effective marketing in order to attract a wider patient population. Working with a strong Senior Management Team

and to a dedicated Council of Trustees, the new Chief Executive will build and maintain a shared vision of the

strategic aims, values and culture of the Hospital.

It is essential that this individual has the ability to inspire staff, to stimulate innovation and collaboration, and to

strive for the highest standards of performance. The new Chief Executive will be committed to attracting and

working closely with its consultant and wider clinical staff in order to continue building a fuller range of accessible

acute and specialist services, and to ensure the success of current and future plans.

KEY ACCOUNTABILITIES Leadership and organisation development

Work with the Chairman, the Council of Trustees, the Board of Governors, and the Senior Management

Team to develop and extend the common vision and values of the Hospital;

Define, embrace and support the Hospital’s agenda of development and improvement, and champion

innovation and new ways of working;

Lead the workforce to enable delivery of clinically excellent, safe, caring, and financially sustainable

services. Ensure the development of staff and volunteers so they feel valued, nurtured and engaged;

Oversee the delivery of the Fundraising and Veterans programmes alongside the Hospital’s highly

performing fundraising team;

Build on the existing collaborative, encouraging and respectful culture to stimulate the capacity to innovate,

modernise and improve;

Promote an orientation to quality focused on first class customer service and excellent patient experience,

where staff are supported and developed to contribute effectively to the changing needs of healthcare

provision and the need for continued improvement;

Ensure that the Hospital maintains and develops robust systems of corporate governance in accordance

with agreed standards; and

Provide advice to the Chairman and Council on any service, financial, staff and organisational changes

which are necessary for the Hospital to respond to the changing dynamics of the patient marketplace and

regulatory environment.

Strategic Development

Provide a strategic view of the Hospital's future development, giving clear, long term direction to its

leadership;

Recognise and manage the key operational, clinical, financial and relationship risks that exist, and challenge

King Edward VII’s ongoing success;

Prepare, produce and deliver the Hospital's business plan, through a thorough review of business activity

assumptions, local market and industry trends;

Lead the Hospital in identifying and responding to local, regional and national strategic opportunities;

Promote further the development of specialties; and

Continue and enhance King Edward VII’s Hospital’s drive to be an integrated health organisation.

Finance and commercial results

Ensure that financial targets and key performance indicators are achieved without compromising on the

quality of care;

Build King Edward VII’s ability to achieve financial stability and growth in charitable and statutory funds at a

time when it will meet increasing market competition;

Act as the Project Director for the Hospital's expansion and refurbishment programmes, totalling circa

£35m, including the development of capital investment plans in the Main Hospital and the building being

developed directly across the road;

Lead the repositioning of the brand, in conjunction with the Marketing Manager, by anticipating shifts in the

rapidly changing health market and contributing actively in developing business growth opportunities; and

Build and maintain effective relationships with new consultants and customers, and potential users of the

Hospital's services and resources.

Customers/Relationships

Build and maintain excellent working relationships with all Consultant users of the Hospital in order to

maximise business opportunities, including recruiting new Consultants to the Hospital and exploring new

ways of working/partnering;

Develop and monitor an understanding of the hospital's customers and their changing needs;

Actively and positively promote effective communication throughout the organisation;

Closely monitor and continually seek improvement in all areas of customer service and customer

satisfaction, to ensure at all times the highest attainable standards are maintained and the excellent

reputation of King Edward Vll’s Hospital is upheld;

Promote and develop effective working relationships with all external partners, suppliers and service

providers;

Participate as appropriate in external activities which contribute to the standing, reputation and perception

of King Edward VII’s Hospital;

Act as Secretary to the Council of Trustees who meet four times per year and to the Governors who meet

two times per year; and

Work closely with the Chairman in all matters, and discuss with this person any issues or opportunities that

may impact patient care, relationships, the service or the Hospital.

Clinical governance and quality

Ensure all aspects of the Hospital management comply with relevant legislation and regulation to meet

quality, financial and corporate governance rules, while ensuring that the delivery of high quality patient

care is at the centre of everything the Hospital does;

Work with Matron, as the Registered Manager of the Hospital, to ensure implementation and compliance

on quality governance, to enable the delivery of quality nursing and clinical services and the monitoring of

nursing and clinical practice. This includes complaint management, practising privileges, patient records

and risk management;

Work effectively with the Medical Director/Chairman of the Medical Committee to ensure the Medical

Committee is kept abreast of major developments within the hospital and consulted before introducing

major change affecting the Hospital;

Build on a patient-centred culture in order to command the confidence of greater numbers of consultants,

encourage and promote innovation, and drive continuous improvement;

Lead, through the Medical Director and Matron, the continued development of the Hospital’s clinical

governance programme;

Ensure that effective procedures are in place and fully understood by staff for the timely and thorough

investigation of complaints, concerns and untoward incidents;

Produce an annual quality improvement plan for the Hospital and ensure that the Quality Governance sub-

committee of the Medical Committee receives necessary data to function effectively;

As Safety Officer, be responsible for ensuring the health, safety and welfare of anyone on the hospital

premises; and

Serve as a member of the Audit & Investment Committee and the Medical Committee.

PERSON SPECIFICATION The successful candidate will have a significant track record of leadership, gained at Board level, and the

proven ability to lead transformational change in a large and complex service organisation with highly

valued staff. Some experience in and knowledge of healthcare, particularly in the private sector, would be

an advantage. A track record which clearly demonstrates the prioritising of excellence in the provision of

care services will be a prerequisite.

Candidates will have a substantial track record which demonstrates:

A successful track record of leadership in a complex environment. This experience should include

direct involvement in the development of strategy, finance, planning and operational

effectiveness;

Strong evidence of personal leadership in motivating colleagues to achieve organisational

outcomes;

The ability to position an organisation successfully to maximise opportunities and growth in a

challenging and competitive consumer oriented environment through the effective leadership of

the senior team;

The achievement of high quality standards whilst meeting financially demanding measures;

Project management skills, and the ability to guide stability for an organisation in the midst of a

major capital development;

An extensive record of successful workforce, financial and resource management;

The ability to develop and sustain productive working relationships with customers, partners and

stakeholders both inside and outside the organisation;

Evidence of success in building and enhancing organisational reputation;

Judgment, and the ability to navigate strategic and operational complexity; and

An understanding of the national/political context within which the health sector operates, and

the current challenges/opportunities this presents.

Candidates will also have:

The ability to set ambitious targets and take calculated risks aimed at delivering added value;

The ability to bring out the best in people and to stimulate a positive and empowered

organisational culture;

The intellectual flexibility to move easily between significant detail and the bigger picture;

The ability to analyse complex data and extract insight;

Innovative thinking and approaches, and the confidence to encourage creativity in others and to

champion new ways of working;

An understanding of the dynamics of process and service change;

An interest in keeping abreast of the latest developments in healthcare and in using broad

networks to do so;

A strong commitment to making service improvements and achieving high quality outcomes for

patients, and to challenge poor performance when necessary;

Excellent influencing and negotiation skills, and the ability to develop effective and collaborative

long-term relationships with colleagues, staff, patients, Trustees, Governors, members of the

community and regulators;

The ability to communicate King Edward VII’s Hospital’s vision in a way that inspires staff and

partners to contribute fully and to understand the contribution they have to make;

The willingness to be held to account for both success and failure, and to hold others to account

for the same;

A strong sense of commitment to openness, honesty, inclusiveness and high standards; and

Energy, resilience, a sense of urgency, and an understanding of their own strengths and

limitations.

TERMS OF APPOINTMENT Remuneration:

An attractive salary will be negotiated with the successful candidate depending upon the skills and

experiences that person brings. In addition to salary, other benefits include: 27 days Holiday (excluding

Bank Holidays), Private Medical Insurance, Bonus Scheme, Interest free season ticket travel loan, Staff

restaurant (one free meal a day while on duty),

Location:

The Chief Executive will be based at the Hospital which is located in Marylebone, London.

Pension:

Defined Contribution Group Pension Scheme with AVIVA, minimum Employee contribution of 4% (with an

Employer contribution of 6%) to a maximum Employee contribution of 6% (with and Employer

contribution of 8%).

HOW TO APPLY Saxton Bampfylde Ltd is acting as an employment agency advisor to King Edward VII’s Hospital on this

appointment.

Candidates should apply for this role through our website at www.saxbam.com/jobs using code YAAAKA.

Click on the ‘apply’ button and follow the instructions to upload a CV and cover letter, and complete the

application and equal opportunities monitoring* form.

The closing date for applications is noon on 2nd July 2018.

If you are unable to apply through the website, please email belinda.beck@saxbam.com quoting reference

YAAAKA.

* The equal opportunities monitoring online form will not be shared with anyone involved in assessing your

application. Please complete as part of the application process.

Updated May 2018

Executive Team and Head of Departments

Acting Chief Executive Officer (Lindsey Condron)

Medical Director (Prof Justin Vale)

Matron (Caroline Cassels)

Finance Director (Ian Deans)

Director of Operations (temp vacant )

Director of Governance (Dr Jenny Davidson)

Director of Fundraising (Tim Brawn)

Director of Business Development (vacant)

Human Resources

Manager

Imaging/Physio and

Clincial Informatics

Manager

Theatre

Manager

Pharmacy

Manager

Head of

Procurement

IT Manager

Estates Manager

Business Manager

Head Chef

Housekeeping and Hotel

Services

Front of House Supervisor

Matrons Office

Deputy Matron

Non-Clinical Risk Manager

Stores Supervisor

Financial

Controller

Critical Care

Manager

Patient Safety & Risk Lead

Audit & Compliance Lead

Consultant Credentialing

Lead

Infection Control &

Prevention Nurse

Marketing

Manager

Business

Development

Manager

International

Liaison Manager

Health & Safety Advisor

Major Donor and Trust

Manager

Centre for Veterans

Health Co-ordinator

Redevelopment Project

Manager