Executive Director Infrastructure | Guy's and St Thomas' NHS Foundation Trust


Company:	Guys and St Thomas NHS Foundation Trust
Salary:	VSM
Hours:	Full-time
Location:	London, SE1 4YB
Job type:	Permanent
Posting date:	22 Jul 2026
Closing date:	22 Aug 2026

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Summary

This is a role which will be key to the Trust’s role as leader and influencer in South East London and to achieving Essentia’s strategic ambitions. The role is highly autonomous and ultimately accountable for interpretations of legal and national policies and interpreting this into a deliverable strategy and operational practice that ensures GSTT sites are compliant.

This is a pivotal leadership position responsible and wholly accountable for leading the planning, delivery, and performance of all infrastructure services across Guy's and St Thomas' NHS Foundation Trust. The role will be responsible for leading infrastructure strategy, development and integrated operational delivery of infrastructure management, engineering and maintenance services to ensure the estate and associated infrastructure is fit for purpose, legally compliant, whilst the teams provide high levels of customer service and meeting other institutional priorities and initiatives. The role will also play a crucial role in delivering GSTT’s sustainability strategy and carbon reduction targets.

The role requires an executive-level strategic planning, people centric leader, who delivers operational transformation whilst championing the Trust values prioritising our commitments to EDI and culture transformation.

• Lead the infrastructure stewardship of the estate, ensuring it is legally compliant, safe and with appropriate levels of resilience and instil a customer and solution-oriented culture.

• Lead the development of strategies to address GSTT’s legacy of under investment in estate infrastructure and that delivers a safe, healthy, accessible and secure environment for patients, staff and visitors.

• Lead the implementation of GSTT’s strategy for re-active and PPM maintenance of the estate across all estate infrastructure having regard to agreed institutional and clinical priorities.

• Establish and deliver operational performance (financial and non-financial) targets against agreed service standards, including compliance with Financial & Procurement Regulations.

• Continuously monitor and review services; identify and implement service, operational and financial improvements to deliver within allocated budgets, improving value for money, including being responsive to changing business needs.

• Ensure the team has appropriate technical and professional skills and the necessary management competencies to undertake duties in line with the Trust values and behaviour

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best-known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high-quality care, clinical excellence, research and innovation

We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark

The NHS Pension Scheme - one of the most generous and comprehensive in the UK. When you start working for the NHS you automatically become a member, and you will get an excellent package of pension benefits.

• Interest free Season Ticket Loan

• Long Term Service Awards

• Subsidised on-site nurseries and childcare vouchers

• A comprehensive staff health and well-being programme, '5 ways to a healthier YOU'

• Ride to work scheme

• Employee assistance programme

• Free stop smoking service

Our Trust values: We are Caring / Ambitions / Inclusive

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both overviews, please view the Job Description attachment with the job advert.

This advert closes on Wednesday 29 Jul 2026

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