Chief Dentist (NHS AfC: Band 9) - NHS Bath and North East Somerset, Swindon and Wiltshire ICB

Employer NHS Bath and North East Somerset, Swindon and Wiltshire ICB Employer type NHS Site To be agreed. Town Chippenham Salary £105,385 - £121,271 per annum Salary period Yearly Closing 25/11/2024 23:59

NHS AfC: Band 9

Our commitments to you

We are passionate about creating an inclusive workplace that promotes and values diversity. We know through research and experience that different ideas, perspectives and backgrounds create a stronger and more creative work environment that delivers better outcomes. We welcome applications irrespective of people's age, disability, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances. We have policies and procedures in place to work towards ensuring that all applicants are treated fairly and consistently at every stage of the recruitment process, including the consideration of reasonable adjustments for people who have a disability.

Applications are warmly welcomed from applicants who wish to apply for a position on the basis of a smarter or flexible working arrangement. Where candidates are successful at interview, such requests will be taken under consideration and we will aim to accommodate these wherever the needs of the service allow.

BSW ICB seeks to be a supportive, caring employer and expects all colleagues to behave in a professional and respectful manner and to demonstrate our values. These values underpin our vision for the people of Bath & North East Somerset (Banes), Swindon & Wiltshire, that through an integrated care model local people will live well in a supportive community with joined up care which is underpinned by specialist expertise, and delivered in the best place, by the most appropriate people.

Please note that on 1 st July 2022, Banes, Swindon & Wiltshire CCG will cease to exist. At this time the Integrated Care Board (ICB) in BSW will be established, to be known formally as NHS BSW ICB . NHS BSW ICB assume all the commissioning functions from BSW NHS Commissioners.

Job overview

From 1st April 2023 BSW ICB assumed delegated responsibility for commissioning dental services (including acute, community and primary care), general ophthalmic services and pharmaceutical services. The ICB is developing a Primary Care Dental Strategy for the system which will take the elements of the NHS Southwest roadmap, namely, access, oral health improvement and workforce and ensure local delivery, in part, by building partnerships with those delivering dental services in BSW and with residents using local dental services.

The Chief Dentist role, is a key new role with NHS BSW ICB to lead, shape and inform our strategy for the future commissioning of NHS dental services, that deliver a consistent offer to patients of high quality, patient centred services building on best practice to deliver continuous improvements to accessing dental care for people living in BSW.

This role will require evidence of current clinical NHS dentistry practice.

Main duties of the job

The post holder will provide solution focussed, dental leadership for ICB strategic plans, working with dental practices and the wider ICB team and community and acute providers to improve the quality and effectiveness of the services. Ensuring full engagement of dental primary care by inputting on the development and implementation of local system plans to progress the ICB's dental strategy plan.

These posts are not intended to compete with the Managed Clinical Network (MCN) roles which are speciality driven and include: urgent care, paediatrics, Health & Justice, oral surgery, stabilisation, cancer access, specialist settings and specialised care.

System leadership training could be provided as required.

The Clinical Lead must demonstrate confidence and professionalism by showing a sincere interest in leading the clinical and management team and inspiring others. Please see the ICB Dental Governance Structure diagram.

In this role, the post holder will provide:
1. Dental expertise to and oversight of the dental strategy priority areas; Workforce, Access and Oral Health promotion.
2. Dental advice to ensure accuracy of dental communications from ICB staff (for example when responding to respond to media enquiries or addressing complaints)

Working for our organisation

Currently the organisation has a hybrid approach to working, with colleagues based both at home and in the office. The ICB hosts a number of offices across the BSW region.

For this role, the post holder will be required to travel throughout large parts of BSW and flexible working is expected.

Detailed job description and main responsibilities

Leadership of dental strategy
Providing Dental expertise to and oversight to the ICB in developing and implementing strategic plans including leading and supporting access improvement plans.
Responsible for leading the cocreation of system dental policy and policy implementation related to the commissioning of dental services in BSW. To lead service development for the Primary Care directorate related to the commissioning of dental services.

Workforce development within the system
Responsible for leading the cocreation, development and implementation of training pathways for dental care professionals across BSW, working in conjunction with NHSE Workforce, Training and Education team
Input on dental care professional’s pathway in joint working with Bristol Dental school.
Strategical oversight of local apprenticeships development with available College providers.
Providing strategic leadership for workforce development, through assessment of clinical skill-mix and development of ICB workforce strategy.

Engaging dental clinical teams and expertise
Influencing, leading and supporting the development of excellent relationships across the ICB to enable collaboration for better patient outcomes.
Establish and maintain relationships with people working in dental clinical teams within BSW.
Establish effective collaborative working to help ensure the ICB meets local and national priorities and action plans.
Establish good communication with key partners such as the Local Dental Committee (LDC) and Healthwatch and to support the ICB to build their relationship with key partners.

Improving Quality and Outcomes
Responsible for holding staff to the highest integrity by adhering to all government regulations and obligations under the General Dental Council.
Provide dental expertise to support the ICB to commission innovatively.
Present to the ICB feedback received from dental clinical teams, NHSE, et al on clinical needs assessments, service delivery, quality, treatment outcomes, cost-effectiveness and equity of access data; so that information may be used to inform ICB commissioning plans.
Support the ICB to develop recruitment and retention plans to make flexible and efficient use of dental skills & capacity available including developing a range of new offers such as dental fellowships.
Communicate with the ICB where a need for further education has been identified with suggestions on how the need can be met.

Enabling Patient and Public Involvement
Support the promotion of an open and transparent policy of public engagement.
Ensure effective and regular interaction with patient and public groups in respect of feedback and consultation on ICB proposed workplans.
To act as a champion for patients and their interests in respect of the strategy development and decision-making of the ICB.
Accountable for leading the system development of strategy, planning, assurance and delivery of dental services in BSW.

Promoting Equality
Ensure that the ICB consider improvement of care that specifically address health inequalities.
Uphold organisational policies and principles on the promotion of equality.

Using insight and evidence for improvement
Provide and receive highly complex, highly sensitive and potentially highly contentious information. This could include:
Communicating complicated clinical matters for inclusion in multi-stranded business cases.
Communicating with dental contractors about reduction or ending of contract where there could be significant barriers to acceptance and the environment may be hostile, antagonistic or emotive.
Data will be used to support all activities, including identifying opportunities for service improvement; identifying and understanding variation in practice, and suggesting and developing proposals to address this to the ICB. Support targeted engagement intervention as required to support the ICB to ensure that commissioning activity is delivered.
Make judgements involving highly complex facts or situations. Analyse, interpret and compare a range of options. Options may include several components and expert opinion may differ.
Use dental expertise to make judgements about situations which are unique to dentistry taking into accounts complexities which do not have obvious solutions.
Improve data available to produce insight by designing and developing information systems to collate dental data. Explore incorporation into the BSW Integrated Care Record to support both direct patient care and commissioning of services.

Information Governance
To ensure compliance with confidentiality and governance.
To always adhere to professional codes of conduct.

Research and development
Influence the BSW Research and Innovation Strategy to ensure research and innovation relating to dental services are appropriately represented.
Coordinate and implement research and development programmes relating to dental services.

Key working relationships will be:
Primary Care, Medical Directorate and Health and Care Professional Director .
Local Dental Committees, Local Dental Networks and Managed Clinical Networks .
Public Health Directorate in BaNES, Swindon and Wiltshire Council’s
Dental clinical teams providing dental services across BSW including secondary, community and primary care providers.
Patient and Family representatives, including Healthwatch.
Primary Care Networks .
Regional Dental Public Health Team and Regional Dental Workforce Team.
Collaborative Commissioning Hub.
NHSE Workforce, Training and Education Directorate.

Accountable for the delegated budget for commissioning dental services (including acute, community and primary care). Responsible for the budget setting across dental services to ensure the population’s dental needs are met.

The post-holder will work to annual priorities with clear objectives as defined with and agreed by the Director of Primary Care and BSW’s Dental Strategy Group and other relevant Strategy and Delivery groups. The individual will be expected to make suggestions to the Director and to the Dental Operational Group and will have autonomy to undertake their role.

The progress of BSW ICB’s plans to improve NHS dentistry will be monitored by the ICB’s Primary Care Executive Group, the ICB Executive Group and Quality and Outcomes Committee (see appendix one). We will be held to account by BaNES, Swindon and Wiltshire’s Health Overview and Scrutiny Committee and by NHSE. Our responsibility is ultimately to the people of BSW and they will be key in judging whether our plans are delivered successfully.

Person specification

Qualifications and Training

• Registered dental practitioner with current GDC registration
• Currently on the NHS performers list in BSW
• Highest level of specialist training. Equivalent to doctorate plus further specialist training, research or study.

Experience

• Experienced clinician with credibility and the ability to command the respect of clinical dental teams and non-clinical professionals
• Experience of developing, applying and reviewing an evidence-based approach to decision making
• Experience of active involvement in local, regional or national strategy groups
• Experience of service re-design
• Knowledge of the importance of audit
• Track record of implementing changes to commissioned services
• An understanding of the implementation of evidence-based practice
• Local knowledge of the pathways of care
• This role will require evidence of current clinical NHS dentistry practice

Knowledge

• A good understanding of how to use data to improve quality & productivity
• Understanding of the broader framework of the NHS alongside current policies in relation to health and social care
• Understanding of social and political environment

Skills and Abilities

• Ability to build trusted relationships with dental clinical teams in BSW
• Ability communicate with a wide group of stakeholders
• Ability to travel throughout BSW as required
• Ability to develop effective and mutually supportive relationships with key partners across
• Able to assimilate complex and lengthy information
• Able to develop effective and mutually supportive relationships with key partners within and without organisations
• Strong intellectual, strategic and systematic thinking skills, with the ability to think creatively and laterally to achieve outcomes
• The ability to plan and structure work and manage time effectively
• Excellent oral and written communication skills with the ability to develop strong working relationships with clinicians and managers at all levels
• Effective interpersonal, motivational and influencing skills
• Good presentational skills (oral and written)
• Able to operate effectively across organisational boundaries
• Computer literate (evidence of knowledge and use of a variety of software packages e.g. MS Office)

Values and behaviours

• Demonstrable commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
• Works across boundaries, looks for collective success, listens, involves, respects and learns from the contribution of others
• Ability to work effectively within multidisciplinary team
• Enquiring, critical approach to work
• Commitment to continuing education
• Ability to put personal or provider specific views aside in order to represent the views of broader stakeholders
• Demonstrably involves patient and the public in their work
• Values diversity and difference, operates with integrity and openness
• Uses evidence to make improvements, seeks out innovation
• Actively develops themselves and others. Demonstrable commitment to partnership working with a range of external organisations
• Able to prioritise work. Able to work well against a background of change and uncertainty. Adaptable to situations, can work productively with people of all capabilities and attitudes
• Commitment to team -working and respect and consideration for the skills of others. Self -motivated, pro -active and innovative. High standards of professional probity. Proven and recognised interest in clinical service development

BSW ICB is obligated to manage conflicts of interest effectively in order to protect healthcare professionals and maintain public trust in the NHS. In order to support BSW ICB in meeting this obligation, applicants should declare any real or perceived interest which, if employed by the ICB, may have an adverse bearing on the organisation. Declarations of interest must be made in the supporting information section of any application. If an applicant does not have an interest to declare they should clearly state ‘No interests to declare’ within the supporting information section.

Please note that failure to provide information about an interest or a ‘No interests to declare’ statement at this stage of the application process will result in your application not being considered.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name James Whitehead Job title Head of Directorate Operations – Medical Email address [emailprotected]