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Director of Clinical Pathways & Clinical Transformation

Band 9 (indicative)

Main area
Clinical Pathways and Clinical Transformation
Band 9 (indicative)
Full time
Job ref
London Ambulance Service
£100,832 - £115,172 per annum inclusive of HCAS
Salary period
06/07/2022 23:59

London Ambulance Service covers an area of 620 sq. miles, serves one of the world’s most dynamic and diverse cities and is the busiest ambulance service in the UK. We handle over 1.9 million emergency calls from across the capital and attend more than 1.2 million incidents every single year as well as delivering a 24 hour NHS 111 Integrated Urgent Care Service in South East and North East London that we estimate will respond to around 1.4million urgent care calls by the end of the year.


We employ over 8,000 people who work or volunteer across London to respond to the health needs of over eight million people who live, work and travel in the capital. We work closely with our NHS partners and are commissioned by 32 clinical commissioning groups spread across 5 sustainability and transformation partnerships (STPs) and NHS England for our specialist services. We work alongside London’s hospital, mental health and specialist trusts, as well as the five STPs across Greater London.


In addition we work in partnership with the other emergency services, London’s Air Ambulance and London’s Resilience Forums to make sure we are ready and prepared to respond to major incidents and ensure we keep Londoners safe. As the only pan-London NHS provider we have a unique opportunity to play a leading role in integrating access to emergency and urgent care right across London.


By 2023 we will improve outcomes and experiences for all our patients by providing the right care to patients at the right time, and in the most cost effective way. This will mean up to 122,000 fewer patients being taken to emergency departments when their needs could be better met in a different way, and we will deliver significant efficiencies in avoided costs to the urgent and emergency care sector.

Job overview

Please note this role is open to internal applicants only.

This is an exciting and challenging time for our Trust, following the recent announcements of our new leadership structure and appointment of our joint Deputy CEOs.  To support our aim of putting clinical leadership at the centre of how we operate, we are recruiting a Director of Clinical Pathways & Clinical Transformation.

Main duties of the job

Using your clinical operational expertise you will develop strategies for out of hospital and specialist pathways ensuring that these are implemented and achieve operational maturity.  This will include working with system colleagues as well as LAS clinical and operational teams, setting out the benefits, reducing barriers and ensuring equality of provision to patients in London.  You will identify opportunities for growth and diversification of alternative pathways, highlighting clinical innovation and best practice; driving improvements in the quality of care.

Working closely with the LAS Medical Directors for Emergency Care, Urgent Care and the Director for Community and Mental Health integration, you will form strategic alliances and build sustainable relationships with ICS partners and NHS England/Improvement (London Region). 

This will be part of the Senior Clinical on call rota taking responsibility and being accountable for providing expert clinical advice to the Trust Strategic Commander. This requires working on call, some out of hours, including weekends and bank holidays to support delivery of major incidents and public events in London, acting as the public face of the LAS. 

Reporting to the Medical Director, you will, through personal leadership, commitment and practice, demonstrate the highest professional standards in all these areas, working with senior Executive colleagues, the Trust Board and other Trust Directorates.

Working for our organisation

The post is part of the Deputy CEO senior leadership team and will have a key role in contributing to collective and compassionate leadership across the organisation. 

Applications are invited from suitably qualified and experienced colleagues. Please state clearly details of your current role and experience and how you meet the expectations of the role as described in the job description and person specification in your supporting statement.

Please send a copy of your CV to Laura Clements – Recruitment Team Leader - when you have submitted your application.

Detailed job description and main responsibilities

For a full job description, please see attached document.

Please note this role is open to internal applicants only.

Person specification

Qualifications, Accreditations, Education

Essential criteria
  • Registered and practicing clinician, participating in a Senior Clinical on-call rota and on frontline duties to maintain clinical registration
  • Educated to Masters level, and evidence of significant postgraduate education
  • Clinical registration with an appropriate professional body
  • Doctorate or equivalent level of theoretical knowledge
  • Specialist knowledge of clinical pathway development, information governance and patient safety and risk


Essential criteria
  • Significant experience and expertise working at a very senior level / Director level
  • Experience of working at a senior level within an acute Health Provider , and clear evidence of line management experience at this level
  • Experience of working in more than one NHS organisation
  • Clear evidence of supervising, developing and motivating staff in a large team
  • Proven to experience to scope, lead, plan and deliver transformational clinical change and able to provide specific examples of the changes implemented including the benefits realised
  • Able to demonstrate outstanding communication skills and ability to manage complex multi-disciplinary teams
  • Proven experience in working and decision making under uncertainty, managing changing and conflicting priorities
  • Experience conducting highly complex investigations and writing reports that may include sensitive or contentious information
  • Influencing at a strategic/policy level and demonstrable experience of developing long term strategic plans which span multiple services or organisations, in order to achieve organisational goals
  • Understanding of the NHS organisation and quality governance and assurance framework
  • Experience of working in a business planning cycle and contributing to cost-effective, value-for–money processes and continuous improvement
  • A sound understanding of corporate and clinical governance
  • Experience of working with and influencing in a political environment
  • Experience of conducting a serious incident investigation
  • Experience of leading and chairing site wide meetings including evidence of facilitating complex negotiations to a successful outcome
  • Ability to utilise frameworks for clinical care and quality, apply them to current problems and design and implement solutions based on evidence and data
  • Ability to work within budgets and deliver services which provide excellent patient care and outcomes but also deliver efficiencies
Desirable criteria
  • Experience of working at a senior level within an Ambulance Service delivering effective cross-team and cross-discipline working, including collective decision-making groups such as organisational wide programmes of work or healthcare partnerships that may impact service delivery
  • Investigating and chairing conduct and attendance hearings where the potential outcome may be dismissal

Personal Abilities

Essential criteria
  • Adhere to the Trust values and behaviours
  • Excellent interpersonal skills that promotes cooperation or negotiation with individuals or groups, and experience of effective networking and collaboration
  • Ability to influence and persuade others by articulating a balanced view and provide constructive challenge and feedback
  • Excellent written and verbal communication skills in potentially hostile, highly complex or sensitive environments, and the ability to recognise and ensure any barriers to understanding are overcome
  • Highly effective analytical skills to fully understand complex information, articulate the findings to ensure cause and effect is understood and develop plans to address and correct areas of risk
  • Highly resilient individual with the ability to cope under pressure within a continually changing environment
  • Able to flex style when the needs arises in order to achieve successful outcomes in a timely manner, and able to think laterally
  • Leading, inspiring, motivating, developing and managing medium-large sized teams of managers and staff
  • Numerically literate with the ability to critically review, challenge and effectively utilise financial and performance information for decision-making
  • Able to understand and analyse complex issues, drawing on the breadth of data needed to inform decision-making
  • Recognises own behaviours and able to moderate to suit different audiences and individuals
  • Proactive and self-starting, with a commitment to deliver agreed outcomes

Employer certification / accreditation badges

Apprenticeships logoNo smoking policyCare quality commission - GoodDisability confident committedStep into health

Applicant requirements

You must have appropriate UK professional registration.

Documents to download

Apply online now

Further details / informal visits contact

Fenella Wrigley
Job title
Chief Medical Officer
Email address