Business Support Manager

We are seeking an experienced and highly organised professional to lead medical staffing and rota management within the division. Working closely with Service Managers, Clinical Leads and senior stakeholders, the post holder will ensure safe, compliant and cost‑effective junior doctor rotas, aligned with New Deal and Working Time Directive requirements.

The role supports delivery of operational objectives, oversees administrative teams, and plays a key role in workforce planning, performance monitoring and service improvement. Responsibilities include managing leave, sickness and locum cover, advising on staffing and rota issues, supporting NHS performance targets, and contributing to service redesign to improve patient flow and the acute care pathway.

The post holder will also provide leadership in people and financial management, ensuring effective communication, accurate systems recording, and compliance with Trust policies, while promoting high standards of performance, governance and patient safety. The post holder will lead, in conjunction with Service Managers and Lead Clinicians, on all matters relating to medical staffing within the division and will oversee the administrative team.

The role supports Service Managers in delivering agreed operational objectives, prioritised by the Senior Management Team.

Key responsibilities include managing the effective running of clinical rotas, ensuring full compliance with Working Time Directive requirements, overseeing junior doctor working patterns, and leading departmental inductions. The post holder will advise Service Managers, the General Manager, Clinical Director and Lead Clinicians on rota and staffing‑related operational issues.

• Lead monitoring and management of medical rotas, ensuring compliance with New Deal and EWTD legislation.
• Secure appropriate approvals to recruit to vacancies, minimising locum usage where possible.
• Work with doctors and Consultants to redesign rotas in response to changing service demands, balancing service delivery, training and working hours.
• Negotiate and influence clinical staff to support service change, incorporating their views into planning.
• Advise Service and General Managers and Lead Clinicians on rota issues, including those raised by the BMA.
• Work with Finance to ensure establishment controls are maintained and staff are paid correctly against cost centres, owning changes with Capita.
• Support analysis of performance data to maintain NHS 4‑hour targets.
• Ensure Trust conduct, performance and communication policies are implemented effectively.
• Oversee staff onboarding, IT access, training, telecoms equipment, directories, group emails and web content.
• Maintain accurate records of leave, appraisals and staffing data on e‑Rostering systems.

• Ensure safe junior doctor cover at all times.
• Arrange cover for rota gaps using internal solutions before seeking agency locums in line with agreed rates.
• Maintain accurate, compliant rotas and coordinate training on rota systems.
• Track locum bookings, approvals, payments and financial accruals.
• Attend meetings to reduce agency spend and improve service quality.
• Distribute rotas to staff in a timely manner.

• Lead, coach and manage staff performance, addressing underperformance and recognising excellence.
• Set objectives, conduct appraisals, and identify training and development needs.
• Ensure compliance with mandatory and statutory training.
• Manage sickness absence, vacancies, exception reporting and return‑to‑work processes in line with Trust policy.

• Ensure locum use is justified and approved.
• Advise senior managers on cost‑effective rota changes and flag potential cost increases.
• Maintain accurate records of contracts, extensions and leavers.
• Line manage administrative teams, monitor attendance and ensure compliance with Trust policies.

• Maintain health, safety, confidentiality, infection control and professional standards in line with Trust and statutory requirements.
• Take responsibility for personal development and contribute to team development.
• This job description…