The NHS Commissioning Board is advertising a series of senior jobs with salaries over £100,000, including a deputy medical director whose job will need to “actively influence CCGs in their commissioning decisions, providing assurance the activity has robust clinical leadership”.

The commissioning board is in the process of appointing around 30 senior staff who will report to its top level directors. Job descriptions seen by HSJ show they include:

  • Director of patient experience (domain lead) - £132,500
  • Deputy medical director - £132,500 (or medical terms and conditions)
  • Director of the chair and chief executive’s office - £120,000
  • Director of insight - £102,500
  • Director of customer relations - £115,000

Assuming similar salaries, the pay bill for the other senior posts currently out to appointment would amount to about £3m. That is on top of the £1.7m total salaries of the senior national directors, all of whom have already been appointed except for the national director for patient and public engagement, insight and informatics.

The board is expected to decide in the next few days on how many local area offices it will have. Directors of those offices will then be appointed.

The main task of the deputy medical director post - which is highly likely to be filled by a GP - is “to deputise for the national medical director providing clinical and professional leadership for all medical professionals, taking leadership responsibility for improving all aspects of clinical care and outcomes”. The deputy medical director will also “lead and support work to improve outcomes across all five domains of the outcomes framework”.

The postholder’s tasks include: “To actively influence CCGs in their commissioning decisions, providing assurance that the activity has robust clinical leadership to improve outcomes.”

The deputy medical director will also have primary care specific roles. They include “to ensure primary care is positioned as a key participant in the development of commissioning guidance, and such guidance is developed with the appropriate levers, incentives and metrics to drive progress on improving quality”; and “to provide a primary care perspective to the design of patient pathways”.

All the posts will first be advertised to pools of senior NHS and Department of Health staff whose posts will be abolished next year. If recruitment is not successful from those pools, the jobs will be advertised more widely.