Head of System Redesign
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Homerton Healthcare NHS Foundation Trust Head of System Redesign
The closing date is 11 November 2026
Job summary
The Head of System Redesign will play a crucial part in the delivery of the Trust's strategy - Our Future Together - providing advanced subject matter expertise to develop the advanced improvement architecture, methodological governance and cross boundary working structures across Homerton Healthcare NHS Foundation Trust and the City and Hackney place-based partnership through the institute for change.
Main duties of the job
- Act as the definitive expert authority on complex improvement systems thinkingand system redesign methodologies across the Trust and wider partnership.
- Establish and maintain standardised operating procedures, quality managementgovernance, and technical redesign toolkits across the entire directorate footprint.
- Provide improvement leadership for large-scale service design and pathwaytransformation initiatives that eliminate fragmentation, reduce unwarrantedvariation, and optimise patient flow through hospital services and out into thewider healthcare system.
- Establish cross-sector communities of practice to accelerate the spread ofinnovation, shared learning, and proven redesign concepts.
- Lead the develivery of data analysis for improvement at Trust Board, subcommittees and partnership Boards in order to gain consensus and assurance onwork in progress.
- Build and maintain highly effective collaborative alliances with key externalstakeholders, including the North East London Integrated Care Board (NEL ICB),Primary Care Networks (PCNs), Local Authorities (London Borough of Hackneyand City of London), and voluntary sector partners.
- Provide visible, compassionate, and inclusive day-to-day leadership and linemanagement as required to direct reports within the portfolio.
About us
Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.
We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).
Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.
Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.
We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.
Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.
Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.
Details
Date posted
29 October 2026
Pay scheme
Agenda for change
Band
Band 8c
Salary
£88,250 to £100,355 a year pro rata p.a. incl.
Contract
Fixed term
Duration
24 months
Working pattern
Full-time
Reference number
293-CSEP-0745
Job locations
Homerton Hospital
Hackney
E9 6SR
United Kingdom
Job description
Job responsibilities
The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Job description
Job responsibilities
The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents please view the attachment/s on this page
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Person Specification
Education
Essential
- Educated to Master's degree level in a relevant health, management, or technical field, or equivalent demonstrable senior experience.
- Advanced post-graduate qualification or expert certification in an established Continuous Quality Improvement / System Redesign methodology (e.g. Virginia Mason Production System, IHI Model for Improvement, Design Thinking).
Desirable
- PGCert
Skills/Abilities
Essential
- Highly developed leadership, negotiation, and influencing skills; able to drive consensus across complex multi-disciplinary clinical and operational teams without direct hierarchical authority.
- Highly adept at managing very senior leaders within and beyond the healthcare setting.
- Demonstrated very high levels of coaching and facilitation skills; ability to deliver impactful learning programmes from board to floor.
Experience
Essential
- Extensive experience leading large-scale continuous improvement workstreams at a senior level within healthcare or the wider public sector
- Experience of presenting to and managing the outputs of Board level committees
- Proven experience in direct line management, multi-disciplinary team leadership, and managing complex programme budgets.
Knowledge
Essential
- Deep, expert knowledge of continuous improvement theory.
- Expert knowledge of Statistical Process Control (SPC) and modern measurement for improvement frameworks.
Desirable
- Understanding of health economics and value-based healthcare models.
Other
Essential
- Understanding and demonstration of the Trust Values
- Commitment and adherence to equality, diversity and inclusion
Education
Essential
- Educated to Master's degree level in a relevant health, management, or technical field, or equivalent demonstrable senior experience.
- Advanced post-graduate qualification or expert certification in an established Continuous Quality Improvement / System Redesign methodology (e.g. Virginia Mason Production System, IHI Model for Improvement, Design Thinking).
Desirable
- PGCert
Skills/Abilities
Essential
- Highly developed leadership, negotiation, and influencing skills; able to drive consensus across complex multi-disciplinary clinical and operational teams without direct hierarchical authority.
- Highly adept at managing very senior leaders within and beyond the healthcare setting.
- Demonstrated very high levels of coaching and facilitation skills; ability to deliver impactful learning programmes from board to floor.
Experience
Essential
- Extensive experience leading large-scale continuous improvement workstreams at a senior level within healthcare or the wider public sector
- Experience of presenting to and managing the outputs of Board level committees
- Proven experience in direct line management, multi-disciplinary team leadership, and managing complex programme budgets.
Knowledge
Essential
- Deep, expert knowledge of continuous improvement theory.
- Expert knowledge of Statistical Process Control (SPC) and modern measurement for improvement frameworks.
Desirable
- Understanding of health economics and value-based healthcare models.
Other
Essential
- Understanding and demonstration of the Trust Values
- Commitment and adherence to equality, diversity and inclusion
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Employer details
Employer name
Homerton Healthcare NHS Foundation Trust
Address
Homerton Hospital
Hackney
E9 6SR
United Kingdom
Employer's website
https://www.homerton.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Homerton Healthcare NHS Foundation Trust
Address
Homerton Hospital
Hackney
E9 6SR
United Kingdom
Employer's website
https://www.homerton.nhs.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Executive Director of Discovery and Innovation
Katy Earth
Details
Date posted
29 October 2026
Pay scheme
Agenda for change
Band
Band 8c
Salary
£88,250 to £100,355 a year pro rata p.a. incl.
Contract
Fixed term
Duration
24 months
Working pattern
Full-time
Reference number
293-CSEP-0745
Job locations
Homerton Hospital
Hackney
E9 6SR
United Kingdom
Supporting documents
Privacy notice
Homerton Healthcare NHS Foundation Trust's privacy notice (opens in a new tab)
Support links
© Crown copyright
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