World-class care requires world-class leadership. Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is seeking an exceptional Chief Operating Officer to join its Executive Team and lead excellence in operational delivery at one of the world’s leading centres for babies, children and young people with rare, complex and difficult-to-treat conditions.
Founded in 1852 as the first hospital in the United Kingdom dedicated solely to the care of children, GOSH was built on a simple but radical principle: that children need healthcare designed around them. Today the Trust is home to around 400 beds and over 67 specialist and sub-specialist services, the widest range available on any single site in the UK, including 22 highly specialised nationally commissioned services. It hosts the UK’s only National Institute for Health and Care Research Biomedical Research Centre dedicated solely to child health, supports more than 800 active research studies, and works in close partnership with the UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital Children’s Charity. Although its home is in London, half of GOSH’s patients are referred from elsewhere in the country, and children travel from around the world for treatment available nowhere else.
GOSH is at a pivotal moment in its evolution. The Trust has developed an ambitious five-year direction, “Together We Power Care”, built around three pillars: shaping how care is delivered, advancing discovery, innovation and impact, and embracing more holistic, connected care for children, young people and families. The new Children’s Cancer Centre, due to open in 2029, will transform cancer services with enhanced facilities for theatres, imaging, critical care and the hospital school: you will be the operational lead for the cancer transformation this £360m redevelopment brings. Alongside the opportunities presented by genomics, AI and digital transformation, this creates a distinctive platform from which the next Chief Operating Officer can shape how a specialist paediatric hospital operates for the decade ahead.
As Chief Operating Officer, you will be a Board-level Executive Director and the senior accountable officer for the delivery, performance and productivity of GOSH’s services. Reporting to the Chief Executive, Karl Munslow Ong, and working in close partnership with the Chief Medical Officer and Chief Nurse and your executive colleagues, you will be a convening, partnering leader, influencing every part of GOSH: NHS services, research, private and international care, education and corporate teams. You will be Senior Responsible Officer for the cancer transformation programme, Lead Director for Emergency Planning Resilience and Response, and Senior Information Risk Owner for the Trust.
This is a role for a leader who builds capability, followership and energy. As GOSH develops a more distributed model of leadership, you will grow the leadership capacity of our care groups, devolve real decision-making, and create the conditions in which operational and clinical leaders take accountability for improvement themselves. You will put in place a performance framework that informs and empowers rather than simply polices, and you will bring an outward, horizon-scanning perspective and a curiosity around innovation and adaptation, anticipating how shifts in demand, technology, workforce and the wider system will shape children’s healthcare, and positioning GOSH to meet that future rather than react to it. You will also help navigate a genuine tension: a growing national emphasis on community-based care that does not always align neatly with GOSH’s role as a specialist tertiary children’s hospital.
We are looking for an accomplished, credible and values-led operational leader with significant senior management experience in an NHS Trust, and a track record of leading improvement and change in operational health services of real complexity, through cross-organisational working, under pressure. You will bring demonstrable success in developing clinical operations leadership teams, and the ability to sustain improvement through periods of significant disruption, such as a major capital project. You will combine strong operational grip and a determination to deliver the best possible services for patients with a nuanced leadership style that flexes to circumstance, and you will lead through influence, partnership and collaboration with world-class colleagues, in clinical specialties and across the organisation.
You will be resilient, agile and personally credible at Board level, an outstanding communicator comfortable operating in the spotlight that comes with the GOSH name and committed to an inclusive culture where everyone feels valued, seen and heard. You will live the Trust’s values of Collaboration, Respect and Curiosity, and offer support and constructive challenge to colleagues in equal measure.
This is a rare opportunity to make a distinctive leadership contribution to children’s health, helping GOSH advance care for children and young people with rare and complex conditions so they can fulfil their potential, both within the hospital and beyond its walls.
GOSH particularly welcomes applications from historically under-represented groups, including people with disabilities and members of minority ethnic communities, in order to increase representation at senior levels of the organisation.
The MBS Group is acting as GOSH’s advisor on this appointment. Please find the candidate pack here. To apply, please send a covering letter of no more than two A4 pages, your CV, and a completed Diversity Monitoring Form with the subject line “Application for the role of Chief Operating Officer” to [email protected] by midnight on Monday 19th October 2026.