Summary
Overview
Work history
Education
Skills
Timeline
Generic

Christine Hunter

Pulborough,West Sussex

Summary

Dynamic and results-driven healthcare executive with over two years as Director of Clinical Services and extensive prior leadership experience across the NHS and a leading private provider. Proven track record of delivering strategic, operational, and financial transformation in acute and elective care settings. Expert in aligning hospital initiatives with organisational vision, optimising clinical pathways, and embedding a culture of safety, quality, and continuous improvement.

Strategic & Operational Leadership
  • Designed and executed annual strategic and operational plans aligned with Circle Health Group’s long-term vision.
  • Introduced innovative services including Outpatient Carpal Tunnel, Arthrosamid injection pathways (generating up to £10,500/month), and a 23-hour joint discharge programme balancing safety, experience, and revenue.
  • Developed Consultant-led day case hysterectomy pathway, integrating safety and financial sustainability.
  • Increased theatre efficiency to 98% utilisation, freeing capacity and improving throughput.
  • Repurposed theatre slots for joint procedures, delivering £26,000/month additional EBITDA, while creating outpatient profit streams of £11,500/month.
Governance, Safety & Compliance
  • Acts up as Registered Manager, ensuring full compliance with CQC, legal, and governance standards.
  • Maintains comprehensive CQC evidence portfolio and led major infrastructure projects with minimal service disruption.
  • Serves as Site Incident Controller, overseeing emergency preparedness and fire safety.
  • Chairs Water & Ventilation Committee, ensuring proactive risk management and Legionella compliance.
Quality & Continuous Improvement
  • Embedded PSIRF frameworks, MDT meetings, and structured learning initiatives to drive accountability.
  • Developed SOPs for Delirium, Alzheimer’s, Pre-Assessment, and management of unwell patients, improving outcomes.
  • Implemented hospital-wide huddles, patient forums, and Lunch & Learn sessions to enhance engagement.
Financial Stewardship & Innovation
  • Conducted service reviews to optimise schedules, merge underfilled lists, and align staffing to activity.
  • Originated and implemented SLA for staff-grade doctor role, reducing follow-up costs and increasing consultant capacity for high-margin private patients.
  • Developed SLAs for Hematology and explored new services including echocardiography and ultrasound expansion.
  • Introduced remote pre-assessment clinics, tripling throughput (6 face-to-face vs. 18 via telephone), freeing clinical space and improving patient satisfaction.
People Leadership & Culture
  • Coaches Heads of Department, redesigns on-call rotas, and drives succession planning.
  • Delivered Civility Talks, Governance Afternoons, and team training to foster an inclusive culture.
  • Led consultant support, investigations, and disciplinary processes with fairness and transparency.
Board-Level Influence & External Partnerships
  • Reports to hospital leadership on quality, safety, operational efficiency, and financial performance.
  • Leads escalation meetings to MAC and collaborates with Hospital Director and finance teams to translate initiatives into measurable EBITDA gains.
  • Partners with ICBs and commissioners to streamline care pathways and implement safe second opinion processes.
  • Contributes to regional policy development and attended CQC roadshows to influence standards.
Core Strengths
  • Strategic Planning & Execution
  • Governance & Compliance
  • Financial Optimisation
  • Clinical Pathway Innovation
  • Leadership & Culture Development

Overview

21
21
years of professional experience

Work history

Director Of Clinical Services

Nuffield Health
Chichester, West Sussex
12.2023 - Current

Developing experience in strategic hospital leadership, with two years as Director of Clinical Services and prior management roles across the NHS and private healthcare. Skilled in aligning operational plans with organisational vision, enhancing patient safety and experience, and supporting initiatives that improve revenue and margin performance.

Key achievements include:

  • Strategic Service Development – Introduced innovative services such as Outpatient Carpal Tunnel, Arthrosamid injection pathways (creating a radiology revenue stream of up to £10,500 per month), and a 23-hour joint discharge programme, balancing safety, experience, and financial sustainability.
  • Governance & Compliance – Acted as Registered Manager, maintained CQC evidence portfolios, drafted SLAs for new roles, and chaired safety committees to ensure robust oversight.
  • Clinical Trend Analysis & Quality Improvement – Regularly analysed clinical trends, embedded PSIRF frameworks, and implemented structured learning initiatives to drive continuous improvement.
  • Investigations & Professional Oversight – Undertook serious incident investigations, consultant reviews, and disciplinary processes where required, ensuring fairness, transparency, and compliance with governance standards.
  • Financial Stewardship – Originated and implemented a staff-grade doctor role for post-operative NHS patient management, increasing consultant capacity for private patients, reducing follow-up costs, and attracting higher-margin self-pay and PMI business.
  • Innovation & Efficiency – Introduced remote pre-assessment clinics, increasing throughput from six face-to-face patients to 18 telephone consultations daily, freeing space and improving patient satisfaction.
  • Leadership & Culture – Supported Heads of Department through coaching and succession planning, and embedded a culture of civility, learning, and continuous improvement.
  • Evidence-Based Practice – Implemented evidence-based practices to improve quality of patient care.
  • Resource Optimisation – Managed budget controls, leading to optimised use of resources.
  • Regulatory Compliance – Ensured compliance with national health regulations, enhancing overall safety standards.
  • Workflow Improvement – Streamlined workflows for enhanced productivity and efficiency within the department.

Clincial Manager of Outpatients & Pre-Assessment

Nuffield Health
Chichester , West Sussex
11.2022 - Current
  • Developed high-performing teams by recruiting, orienting, and training loyal, hard-working staff, fostering a culture of collaboration and excellence.
  • Built strong relationships with Consultants, multidisciplinary teams, and hospital-wide staff, gaining respect and driving effective collaboration.
  • Managed the clinical operations of the hospital in the absence of the Director of Clinical Services, including staff support, incident management, meetings, and acting as the point of contact for all clinical issues.
  • Oversaw Medical Devices management for the hospital, ensuring compliance and safety standards.
  • Designed and delivered in-house teaching sessions on critical topics such as Sepsis, Blood Interpretation, and ECG training, improving clinical knowledge and patient safety.
  • Facilitated on-site and remote staff training, developing processes and procedures to increase operational accuracy and efficiency.
  • Introduced remote working models and optimised patient pathways, increasing throughput and reducing delays in pre-assessment and outpatient services.
  • Applied strong communication and conflict-resolution skills to resolve patient complaints with professionalism and compassion, improving satisfaction scores.
  • Financial Management – Monitored departmental budgets, controlled costs, and implemented resource optimisation strategies to improve efficiency and maintain financial sustainability.
  • Supported revenue generation by improving patient flow and capacity utilisation, enabling increased self-pay and PMI activity.
  • Implemented workflow improvements to enhance productivity and efficiency across departments.
  • Reduced staff turnover by building a positive, inclusive culture and promoting organisational values.
  • Conducted audits and risk assessments to achieve regulatory compliance and maintain CQC standards.
  • Led organisational restructures and team changes to boost productivity and operational resilience.
  • Championed Continuous Professional Development (CPD) by identifying training needs and creating targeted learning opportunities for staff.
  • Actioned feedback from service users to improve patient experience and service delivery.
  • Supervised and evaluated staff performance, providing constructive feedback and succession planning.
  • Developed and updated internal guidelines and SOPs to standardise care and improve safety.
  • Boosted department efficiency by streamlining operational processes.
  • Managed team dynamics by implementing conflict resolution strategies.
  • Led performance reviews, identified areas for improvement.
  • Maintained inventory control, reduced stock shortages.

Outpatient and Pre-Assessment Service Manager

Spire Healthcare
Hove, England
03.2021 - 11.2022

Responsibilities and Leadership Impact

  • Service Redesign & Revenue Growth – Redesigned the minor procedure schedule to maximise efficiency and productivity without compromising safety. Introduced one-stop minor operations (Varicose Veins, Dermatology), increasing Outpatient revenue by 50% year-on-year. Implemented HCA support for minor procedures and developed competency frameworks to optimise workforce utilisation and reduce costs.
  • Patient Flow & Efficiency – Analysed waiting times and restructured nurse-led clinics to improve throughput and organisation. Introduced remote optimisation strategies, reducing delays, freeing clinical space for higher-value activity, and improving patient satisfaction.
  • Pre-Assessment Transformation – Overhauled the department by updating policies, implementing buddy systems, and ensuring all staff completed Pre-Assessment training. Delivered measurable improvements in patient safety, operational efficiency, and cost-effectiveness.
  • Triaging & Risk Reduction – Co-led redesign of surgical patient triage aligned with NG45 guidelines, reducing unnecessary tests and almost eradicating same-day cancellations — improving patient satisfaction and generating significant financial savings.
  • Governance & Compliance – Established risk assessments, collaborated with Governance Lead and Medical Director to redesign policies, and maintained compliance with CQC standards. Conducted internal inspections within nine months of appointment, achieving Outstanding ratings for both departments.
  • Financial Stewardship – Used cancellation data to analyse trends and implement changes that reduced waste and improved profitability. Standardised processes and competencies to ensure cost-effective delivery of care.
  • Staff Development & Retention – Led recruitment and retention strategies, creating a positive, rewarding work environment. Delivered CPD opportunities, including ASA teaching, anaemia management, wound care, and manual BP training. Reduced turnover and improved engagement through recognition programmes (GRATIX) and staff huddles.
  • Patient Experience & Engagement – Analysed feedback to drive service improvements, introduced “You Said, We Did” initiatives, and displayed patient comments to enhance transparency and satisfaction.
  • Operational Excellence – Introduced infection control link members, safety champions, and dementia/dignity champions. Standardised departmental guidelines and competencies to ensure consistent, high-quality care.
  • Audit & Performance Monitoring – Collated and improved compliance data (hand hygiene, high-impact interventions) through staff engagement and champion roles.
  • Inspection Leadership – Successfully led Outpatients through an unannounced Spire Central infection control inspection in June 2022, achieving Outstanding.
  • Customer Care & Reputation – Managed complex complaints with professionalism, improving patient experience and protecting business reputation.
  • Environment & Safety – Maintained high standards of cleanliness and hygiene throughout the premises, ensuring patient comfort and compliance with infection control standards.

Lead Of Pre-Assessment

Western Sussex Hospitals NHS Foundation Trust
Chichester, West Sussex
09.2018 - 03.2021

Enhanced Management & Strategic Leadership – Progressed from leading Pre-Assessment to managing Outpatient and Pre-Assessment services, driving operational excellence, patient safety, and financial performance through innovation and governance.

  • Service Redesign & Revenue Growth – Redesigned the minor procedure schedule to maximise efficiency and productivity without compromising safety. Introduced one-stop minor operations (Varicose Veins, Dermatology), increasing Outpatient revenue by 50% year-on-year. Implemented HCA support for minor procedures and developed competency frameworks to optimise workforce utilisation and reduce costs.
  • Patient Flow & Efficiency – Analysed waiting times and restructured nurse-led clinics to improve throughput and organisation. Introduced remote optimisation strategies, reducing delays, freeing clinical space for higher-value activity, and improving patient satisfaction.
  • Pre-Assessment Transformation – Overhauled the department by updating policies, implementing buddy systems, and ensuring all staff completed Pre-Assessment training. Delivered measurable improvements in patient safety, operational efficiency, and cost-effectiveness.
  • Triaging & Risk Reduction – Co-led redesign of surgical patient triage aligned with NG45 guidelines, reducing unnecessary tests and almost eradicating same-day cancellations — improving patient satisfaction and generating significant financial savings.
  • Governance & Compliance – Established risk assessments, collaborated with Governance Lead and Medical Director to redesign policies, and maintained compliance with CQC standards. Conducted internal inspections within nine months of appointment, achieving Outstanding ratings for both departments.
  • Financial Stewardship – Used cancellation data to analyse trends and implement changes that reduced waste and improved profitability. Standardised processes and competencies to ensure cost-effective delivery of care.
  • Staff Development & Retention – Led recruitment and retention strategies, creating a positive, rewarding work environment. Delivered CPD opportunities, including ASA teaching, anaemia management, wound care, and manual BP training. Reduced turnover and improved engagement through recognition programmes (GRATIX) and staff huddles.
  • Patient Experience & Engagement – Analysed feedback to drive service improvements, introduced “You Said, We Did” initiatives, and displayed patient comments to enhance transparency and satisfaction.
  • Operational Excellence – Introduced infection control link members, safety champions, and dementia/dignity champions. Standardised departmental guidelines and competencies to ensure consistent, high-quality care.
  • Audit & Performance Monitoring – Collated and improved compliance data (hand hygiene, high-impact interventions) through staff engagement and champion roles.
  • Inspection Leadership – Successfully led Outpatients through an unannounced Spire Central infection control inspection in June 2022, achieving Outstanding.
  • Customer Care & Reputation – Managed complex complaints with professionalism, improving patient experience and protecting business reputation.
  • Environment & Safety – Maintained high standards of cleanliness and hygiene throughout the premises, ensuring patient comfort and compliance with infection control standards.


Pre-Assessment Deputy Sister

Western Sussex NHS Trust
Chichester
12.2011 - 09.2018

Enhanced Management & Strategic Leadership – Progressed from leading Pre-Assessment to managing Outpatient and Pre-Assessment services, driving operational excellence, patient safety, and financial performance through innovation, governance, and team development.

  • Service Redesign & Revenue Growth – Redesigned the minor procedure schedule to maximise efficiency and productivity without compromising safety. Introduced one-stop minor operations (Varicose Veins, Dermatology), increasing Outpatient revenue by 50% year-on-year. Implemented HCA support for minor procedures and developed competency frameworks to optimise workforce utilisation and reduce costs.
  • Patient Flow & Efficiency – Analysed waiting times and restructured nurse-led clinics to improve throughput and organisation. Introduced remote optimisation strategies, reducing delays, freeing clinical space for higher-value activity, and improving patient satisfaction.
  • Pre-Assessment Transformation – Overhauled the department by updating policies, implementing buddy systems, and ensuring all staff completed Pre-Assessment training. Delivered measurable improvements in patient safety, operational efficiency, and cost-effectiveness.
  • Triaging & Risk Reduction – Co-led redesign of surgical patient triage aligned with NG45 guidelines, reducing unnecessary tests and almost eradicating same-day cancellations — improving patient satisfaction and generating significant financial savings.
  • Governance & Compliance – Established risk assessments, collaborated with Governance Lead and Medical Director to redesign policies, and maintained compliance with CQC standards. Conducted internal inspections within nine months of appointment, achieving Outstanding ratings for both departments.
  • Financial Stewardship – Used cancellation data to analyse trends and implement changes that reduced waste and improved profitability. Standardised processes and competencies to ensure cost-effective delivery of care.
  • Staff Development & Retention – Led recruitment and retention strategies, creating a positive, rewarding work environment. Delivered CPD opportunities, including ASA teaching, anaemia management, wound care, and manual BP training. Reduced turnover and improved engagement through recognition programmes (GRATIX) and staff huddles.
  • Patient Experience & Engagement – Analysed feedback to drive service improvements, introduced “You Said, We Did” initiatives, and displayed patient comments to enhance transparency and satisfaction.
  • Operational Excellence – Introduced infection control link members, safety champions, and dementia/dignity champions. Standardised departmental guidelines and competencies to ensure consistent, high-quality care.
  • Audit & Performance Monitoring – Collated and improved compliance data (hand hygiene, high-impact interventions) through staff engagement and champion roles.
  • Inspection Leadership – Successfully led Outpatients through an unannounced Spire Central infection control inspection in June 2022, achieving Outstanding.
  • Customer Care & Reputation – Managed complex complaints with professionalism, improving patient experience and protecting business reputation.
  • Environment & Safety – Maintained high standards of cleanliness and hygiene throughout the premises, ensuring patient comfort and compliance with infection control standards.

Pre-Assessment Nurse

Western Sussex NHS Trust
Chichester
06.2009 - 12.2011
  • Conducted comprehensive medical histories to assess patient suitability for surgery, ensuring accurate risk stratification and safe surgical planning.
  • Managed day wards, preparing patients for surgery and coordinating workflow to prevent delays to theatre schedules.
  • Evaluated patient safety through detailed respiratory, cardiac, and hemodynamic monitoring, escalating concerns promptly.
  • Ordered, interpreted, and actioned diagnostic test results to support clinical decision-making and optimise patient outcomes.
  • Maintained service efficiency by prioritising workload according to clinical urgency and patient needs.
  • Designed and implemented individualised nursing care plans for surgical patients, ensuring adherence to best practice standards.
  • Collaborated closely with surgical teams and multidisciplinary professionals regarding patient medications and perioperative care.
  • Assessed patients for discharge readiness, ensuring compliance with protocols and safe transition of care.

Theatre Practitioner

Western Sussex NHS Trust
Chichester
07.2005 - 06.2009
  • Prepared operating rooms to meet specific surgical requirements, ensuring readiness and compliance with safety standards.
  • Managed and executed the on-call system, providing responsive support for urgent surgical needs.
  • Evaluated theatre equipment for cleanliness and functionality, guaranteeing optimal conditions for patient safety.
  • Prevented disruptions by proactively stocking supplies and equipment according to surgical lists and priorities.
  • Oversaw theatre lists and coordinated staff allocation to maintain smooth workflow and timely procedures.
  • Prepared specialised equipment including endoscopes, microscopes, and lasers for surgical use, ensuring precision and reliability.
  • Maintained sterile fields and assisted in infection control measures to minimise risk and uphold best practice standards.

Theatre Practitioner

East Surrey NHS Trust
Surrey
09.2004 - 07.2005
  • Prepared operating rooms to meet specific surgical requirements, ensuring readiness and compliance with safety and infection control standards.
  • Managed theatre lists and coordinated staffing to maintain smooth workflow and timely procedures.
  • Carried out on-call duties, providing responsive support for urgent surgical needs.
  • Evaluated theatre equipment for cleanliness and functionality, guaranteeing optimal conditions for patient safety.
  • Prevented disruptions by proactively stocking supplies and equipment according to surgical schedules and priorities.
  • Prepared specialised equipment including endoscopes, microscopes, and lasers for surgical use, ensuring precision and reliability.
  • Maintained sterile fields and assisted in infection control measures to minimise risk and uphold best practice standards.

Education

Diploma of Higher Education - Infection Prevention

University Of Middlesex
Middlesex
06.2024 - 02/2025

Management and Leadership

Western Sussex NHS Trust
Chichester, West Sussex
01.2019 - 06/2020

Certificate of Higher Education - Supporting Learners In Practice

University Of Portsmouth
Hampshire
04.2017

Bachelor of Science - Adult Nursing

University of Greenwich
London
08.2004

Edward Jenner Programme

NHS Leadership Academy
London
03.2021 - 09/2021

Certificate of Higher Education - Healthcare Science and Operating Theatre Practice

University Of Greenwich
Kent
06.2006

Skills

I am ready to embrace the challenge and responsibility of an Executive Director role, where I can leverage my strategic leadership experience to inspire, influence, and drive operational excellence across a wider team, delivering outstanding patient outcomes and sustainable growth

  • Strategic Leadership & Vision – Driving organisational strategy, aligning operational plans with long-term objectives, and influencing board-level decisions
  • Clinical Governance & Compliance – Acting up as Registered Manager, ensuring full adherence to CQC standards, regulatory frameworks, and risk management protocols
  • Financial Stewardship & EBITDA Growth – Developing experience in analysing service profitability, identifying opportunities for cost optimisation, and supporting initiatives aimed at improving revenue and margin performance
  • Operational Excellence – Streamlining pathways, optimising theatre utilisation, and introducing innovative services to enhance efficiency and patient experience
  • Stakeholder Engagement & Negotiation – Building strong partnerships with ICBs, commissioners, consultants, and external bodies to shape care pathways and secure strategic positioning
  • Quality & Patient Safety Leadership – Embedding PSIRF frameworks, MDT processes, and continuous improvement culture across all clinical and non-clinical teams
  • Innovation & Service Development – Launching new clinical services, remote care models, and digital solutions to improve throughput and patient convenience
  • People Leadership & Culture Transformation – Coaching senior leaders, driving succession planning, and fostering an inclusive, respectful, and high-performance culture
  • Crisis & Risk Management – Leading emergency preparedness, incident control, and proactive safety initiatives across complex hospital environments
  • Board-Level Reporting & Influence – Translating operational data into strategic insights, presenting to MAC and executive boards, and shaping regional policy

Timeline

Diploma of Higher Education - Infection Prevention

University Of Middlesex
06.2024 - 02/2025

Director Of Clinical Services

Nuffield Health
12.2023 - Current

Clincial Manager of Outpatients & Pre-Assessment

Nuffield Health
11.2022 - Current

Outpatient and Pre-Assessment Service Manager

Spire Healthcare
03.2021 - 11.2022

Edward Jenner Programme

NHS Leadership Academy
03.2021 - 09/2021

Management and Leadership

Western Sussex NHS Trust
01.2019 - 06/2020

Lead Of Pre-Assessment

Western Sussex Hospitals NHS Foundation Trust
09.2018 - 03.2021

Pre-Assessment Deputy Sister

Western Sussex NHS Trust
12.2011 - 09.2018

Pre-Assessment Nurse

Western Sussex NHS Trust
06.2009 - 12.2011

Theatre Practitioner

Western Sussex NHS Trust
07.2005 - 06.2009

Theatre Practitioner

East Surrey NHS Trust
09.2004 - 07.2005

Certificate of Higher Education - Supporting Learners In Practice

University Of Portsmouth

Bachelor of Science - Adult Nursing

University of Greenwich

Certificate of Higher Education - Healthcare Science and Operating Theatre Practice

University Of Greenwich
Christine Hunter