Managing Director

£105,000- £115,000 (Pro-rata based on x3 days a week)

As our ManagingDirector you will be joining us at a time of conscious organisational renewaland you will have a unique opportunity to help shape what we will go on tobecome. This is a relational leadership role as much as an operational one. TheManaging Director does not carry delivery alone; they make delivery possible bybuilding trust across practices, holding together complex interfaces, andensuring that our collective ambition translates into coherent and accountableaction

Main duties of the job

Asthe right candidate for Pier, you will be a skilled networker and listener,someone whose instinct is to understand before acting. You will recognise thateach member practice is a distinct partnership with its own culture, pressuresand strengths, and you will be as comfortable operating at practice level, asin board or system forums.

This is not aclinical role and does not require a clinical background. It will howeverrequire genuine curiosity about general practice, deep respect for partnershipstructures, and the credibility to work effectively with GP partners andpractice managers day to day.

About us

PierHealth is at a significant moment. We are a six practice super-partnership witha Primary Care Network (PCN) that extends to include all seven practices in theWeston, Worle and Villages Locality (including Pier Health Group Ltd practice).

ThePCN is at its heart, operating in a system that is changing fast with a shiftto at-scale working and Neighbourhood Health. Our PCN is one of the largest inthe country, covering a population of over 100,000 and with a combined turnoverin the region of £24M. Pier Health Group also hosts the NIHR North SomersetClinical Research Delivery Centre (CRDC) - Primary Care.

Job responsibilities ROLE SUMMARY

TheManaging Director (MD) is a key leadership role which holds responsibilityacross two complementary domains:

PCN Operational Integration

The MD acts as the internal operational integrator for the PCN'sinward-facing work, holding together services such as the One Weston Care HomeHub, ARRS workforce, contracts and KPIs, and ensuring clear accountability fordelivery. Delivery itself sits largely with named operational leads; the MDensures it is coherent, supported and accountable.

Super-Partnership Development

The MD is the senior executive responsible for developing Pier HealthGroup as a sustainable and maturing organisational model. This is one thatstrengthens resilience, builds shared capability, and reduces dependency on anysingle commissioning or policy structure.

The balancebetween these two domains will evolve as organisational maturity develops. Inthe early period, the priority is to build the relational foundations that makeboth possible.

Please see the attachment for further detail.

Person Specification Qualifications

• - Educated to masters degree level or equivalent in a relevant field
• - Evidence of organisational senior leadership (operating at Board or Director level)
• - Demonstrable governance and accountability experience
• - Practical understanding of Primary Care and how it works (including GP partnership structures, unlimited liability, and the realities of practice sustainability)
• - Genuine curiosity about general practice and the pressures practices face
• - Understanding of NHS healthcare operating models and contractual frameworks
• - Senior operational or executive leadership in a complex multi-stakeholder environment
• - Experience navigating governance, risk and financial accountability at executive level
• - Contracting experience
• - Experience of senior level partnership engagement and influencing beyond your role
• - Exceptional listening and relationship-building skills; able to build trust quickly and sustain it across diverse stakeholder groups
• - Ability to hold complexity and difference without judgment
• - Non-hierarchical, service-oriented leadership stance: accountable for outcomes, enabling in approach
• - Commitment to transparent, open-by-default ways of working
• - Ability to navigate a changing NHS landscape and help others understand and prepare future uncertainty
• - Strong stakeholder engagement e.g. ICB, integrated care system forums, and multi-provider environments
• - Ability to translate strategic intent into practical delivery structures and measurable outcomes
• - MBA, Executive MBA or Healthcare Leadership Level 7 qualifications
• - Formal training in risk management or corporate governance or change management
• - Formal training in project or programme management methodologies
• - Direct experience in primary care, community health or a comparable NHS setting
• - Familiarity with NHS or Primary Care workforce models and PCN delivery requirements
• - Experience of organisational integration, turnaround and change
• - Track record of enabling delivery through others as well as carrying it directly
• - Experience of building, repairing or rebuilding relationships in a context of organisational tension
• - Track record of building a 'mutual aid' or collaborative culture across distributed teams
• - Experience of neighbourhood or place-based integration work
• - Understanding of emerging neighbourhood contract development and primary care at scale contexts

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.