Clinical Site Manager

Job overview

The purpose of the Clinical Site Manager (CSM) is to assume accountability for the management of the hospital site, acting as the coordinator of services working closely with clinical and support staff, guided by both Trust and professional policies and procedures.

The Clinical Site Manager is a clinical leader ensuring quality, safety and efficiency is maintained at all times. Out of hours they will provide clinical advice and leadership in the absence of the divisional senior nurses and managers.

Main duties of the job

• Oversaw patient flow and bed capacity across the trust, ensuring timely ED admissions and escalation of capacity pressures to senior clinicians.
• Coordinated patient decanting from AMU to specialty inpatient beds, working closely with wards, matrons, heads of nursing, and MDTs.
• Liaised with site managers across trusts and external partners to manage bed resources, repatriations, and ambulance diverts.
• Provided 24/7 site cover as senior on-site contact, including out-of-hours periods and during critical or major incidents.
• Delivered clinical leadership, supported nursing staff, authorised bank and agency staffing (with senior approval), and maintained advanced clinical competencies.
• Ensured compliance with infection prevention, health & safety, and trust governance policies.

Detailed job description and main responsibilities

• Trust-wide lead for patient flow and bed capacity across emergency and elective pathways, ensuring safe admissions, escalation of pressures, and minimal cancellations.
• Senior on-site clinical and operational leader providing 24/7 cover, including out of hours and during critical or major incidents.
• Directed patient flow across ED and AMU to support delivery of the 4-hour standard, coordinating specialty bed allocation, decanting, and repatriations.
• Maintained real-time oversight of bed state through ward engagement, bed meetings, and cross-divisional working with matrons, heads of nursing, and clinicians.
• Led cross-directorate operational responses, including ambulance diverts, business continuity, and system escalation in line with trust policies.
• Provided visible clinical leadership out of hours, supporting nursing teams, managing emergencies, and making autonomous clinical and operational decisions.
• Authorised and coordinated bank and agency staffing (with senior approval), ensuring safe staffing levels and effective use of resources.
• Maintained advanced clinical competencies and ensured compliance with governance, IPC, health & safety, and the NMC Code of Conduct.