Raman Chhokar

Day to day operational lead for a large multi site acute provider with a balanced portfolio across both elective and non elective care.

Achievements:

• Formulated and led the UHDB elective recovery plan delivering exit from Tier 1 of national regulation for Elective and Cancer care Q1 24/25 and exit from tiering for Cancer altogether during Q2 24/25 with a 42% reduction in the cancer backlog.,
• Lead for seasonal planning supporting continuous improvement in 4 hour A&E performance through winter 23/24, with a 5% point increase in March 2024. This delivered above the 76% target at network level and represented the best performance or all Trusts in England with attendances above 30,000 per month. Trust level performance sustained at around 70% through 24/25.
• Supported the increase in productivity measured in Value Weighted Activity (% of 19/20) from 97% December 2023 to above 116% by March 2024 and delivery of year end financial targets. VWA sustained at the levels required to average 107% by 24/25 year end.
• Refreshed the Operational Governance Structure to embed processes and framework for sustainable delivery.

Executive team member for Wythenshawe, Trafford, Withington and Altrincham Hospitals as part of MFT, the largest acute trust in England.

Achievements:

• Operational performance and elective recovery lead delivering the national elective targets for 104- and 78-week patients
• Successfully overseeing and delivering the implementation of a new electronic patient record system
• Reconfiguring the inpatient bed base to right size capacity for highly effective winter planning and preservation of the elective programme
• Implementing a Same Day Emergency Care (SDEC) Unit
• Implementing an Urgent Treatment Centre (UTC)

Deputy for Chief operating officer, attending Trust Board, sub-committee meetings and weekly executive team meetings.

Achievements:

• Leading Covid 19 resilience planning for Surgery and Medicine
• Restoring Access standards for Children and Young People
• Delivering the National Emergency Care Constitutional Standard
• Securing investment for a Paediatric Assessment Unit (PAU) opening 2024

Operational lead for A&E ensuring the safe and effective day to day operations of the organisation are maintained.

Achievements:

• Lead on RLBUHT's improvement programme of the Emergency Care Standard to achieve NHSE Trajectory of 90%.
• Lead the organisational Peri operative programme of improvement ensuring adequate and responsible use of finite resources, resulting in estimated efficiencies of £1.5m
• Developing and implementing an organisational performance Management Framework in response to an external governance review to create a culture of performance and the accountability.

Working within a multi disciplinary senior management team to providing high profile leadership to a Clinical Management Group (CMG) to a large complex division with a budget of £130m and approx. 2,000 staff, acting as chief decision maker for the CMG where appropriate

Achievements:

• Average length of stay reduction of 0.6 days in General Medicine
• Delivery of financial balance including full delivery of the CMG's Cost Improvement Plan
• Cultural improvement project across Dermatology to improve patient safety, medical training and operational performance.

• Working with the senior management team (Head of Operations, clinical director and Head of Nursing) as part of a multi disciplinary leadership team, deputising for the Head of Operations and Clinical Director acting as chief decision maker for the CMG where appropriate

Achievements:

• Leading on theatre efficiency within Elective Orthopaedics totalling £1.8m FYE
• Marked improvements in the CMG's access to care time (RTT)
• Leading on and delivering a sustainable strategy for ophthalmology which included investment of £2m for the service over 3-5 years
• Leading activity planning and contracting for the CMG
• Working with system partners to support the left shift of activity into a community setting.

• To provide expert financial advice, support and guidance to the CMG for the achievement of the financial balance, ensuring that all financial targets are met.
• Leading the monthly financial reporting process to provide timely, accurate and relevant financial information for the CMG management team, Clinical colleagues and the Executive team.
• The production of the monthly financial information for the CMG including a conclusive narrative report and full variance analysis for the management team and to feed into Trust Board reports.
• Leading the Trusts medium to long term business objectives through the business planning process for activity and finance within the CMG
• Lead on Financial Forecasting along with the agreement and monitoring against a control total with plans for recovery actions if necessary.
• Leading the CMG's Cost Improvement Programme as chair of the CMG board.
• Financial appraisal of business cases and service developments
• Delivery of financial balance for two consecutive years
• Development of a pan regional business case for Cardiac Surgery
• Development of a business case for Mesothelioma (highly specialised thoracic surgery) as one of only three centres in the U.K
• Leading on the implementation of a fully managed Cath Lab service

• Leading the month end process to produce accurate, timely and appropriate monthly financial and performance management information for budget holders.
• Producing financial projections to forecast monthly and year end outturns and supporting the production of the statutory annual accounts
• Supervising assistant management accountants and management accountancy assistants, including delegation of tasks as appropriate.
• Reporting and maintaining an awareness of activity and contract performance against targets.
• Monitoring, managing and reporting against cost improvement programmes
• Supporting the production of business cases and leading the financial appraisal.

• Financial Accounts Department
• Financial Management Department
• Commissioning Placement - Birmingham East and North Primary Care Trust- Acute Commissioning Team
• Financial Management Contract monitoring team
• Flexi Placement KPMG - Healthcare Advisory Team