Head of Governance and Risk

Job description

Job responsibilities

Main Duties & Responsibilities:

Key Duties and responsibilities

Governance and Risk

1.Lead and manage the hospices Integrated risk register, Board Assurance Framework (BAF), policies and systems taking into account organisational strategy and objectives, key risks, external scrutiny and regulatory requirements.

2. Actively promote the benefits of effective governance and implement strategies to increase the knowledge of hospice staff of governance and risk processes and regulatory requirements.

3.Ensure we have effective systems in place to monitor, audit and continuously improve and, that any shortfalls are identified, understood and mitigated and escalated appropriately.

4.Provide a leadership role to support good information governance and support compliance with GDPR, and DPST, and meeting the requirements of NHS Digital and the Information Commissioners Office.

5.Work with the Head of Clinical Services/Quality Matron to review and analyse clinical risk and quality data and ensure that there are effective data collection systems and evidence of compliance to national policy in all areas of the hospice in order to safeguard high standards of care and service.

6.Oversee the systems which ensure all incidents and complaints are recorded and closed in accordance to policy timeframes.

7.Ensure incidents are trended and lessons learned are shared across the hospice using a robust process to embed learning and driving a lesson learned culture of continuous learning and patient safety.

8.Working closely with the Executive Leadership Team to ensure information systems allow clear and comprehensive reports for staff, managers and Board members to support governance and continuous improvement.

9.Provide a focal point for the escalation, resolution and/or discussion of all risk issues with the aim to reduce risks, minimise mistakes and reduce avoidable harm.

10.Co-ordinate investigations following serious incidents, near misses and accidents, and lead where indicated, and ensure these are reviewed at the appropriate governance/committee meetings, and shared externally when required, within agreed timescales.

Compliance

1.To take a proactive approach to minimising risk and in conjunction with the Head of Clinical Services/Quality Matron prepare the hospice for system regulatory inspections and ensure that the appropriate evidence is in place to meet the inspection requirements.

2.In response to any external inspection findings, co-ordinate the formulation of action plans and ensure implementation of these through the appropriate individuals/committees.

3.Review and analyse information from a range of external bodies (e.g., NICE, national confidential enquiries, CQC, PHSO) and provide briefings/reports as required to support safe, high-quality care.

4.Ensure that improvement plans from investigations/ assessments/ audits are SMART, and that outstanding actions are monitored through the relevant governance group.

5.Ensure there is a robust process for the review, development and archiving of policies, guidelines, protocols and patient information for services within the hospice.

Assurance

1.Promote a culture of active benchmarking and seeking to achieve best practice in all aspects of our business and facilitate the provision of trend data.

2.Ensure ongoing improvement and active review of outcome data and compliance to hospice policy.

3.Facilitate a seamless process for informing patients/ families whose care is subject to an internal investigation, and for sharing the investigation report, ensuring that the hospices Duty of Candour responsibilities are maintained.

4.Review patient/service-user feedback through complaints and patient satisfaction surveys and develop quality improvement action plans with the Head of Clinical Services/Quality Matron.

5.Provide support to hospice managers and staff in the implementation of improvement action plans and creating an environment in which excellence will flourish.

6.Support both clinical and non-clinical audits to drive improvements in the quality of care and services.

Finance

1.Promote efficiency, demonstrate cost-effectiveness and embed a culture of value-for-money and return on investment.

Leadership/Management

1.Promote and facilitate strong, effective leadership engagement in relation to governance and risk across the hospice.

2.The post holder will provide education and training for staff within the hospice, related to quality governance and risk management issues, and ensure learning from clinical incidents, complaints and investigations are cascaded to all relevant staff groups.

3.The post holder will be the named person for compiling the Annual Quality Account with the support of the Director of Clinical Services and Governance or deputy.

4.Deputise for the Director of Clinical Services and Governance as required.

5.Participate in the senior manager on call rota.

6.Proactively line manage the Corporate Administration and Information Governance Manager, Governance and Quality Officer and Data Analyst and Systems Support Officer.

Person Specification

Experience

Essential

• The post holder must have significant recent experience of working in a complex health or social care environment and have:
• Experience of leading effective programmes of audit
• Experience of managing Risk Management and quality governance functions/committees
• Experience of Systems Administration
• Experience of managing risk registers and developing effective risk monitoring systems
• Experience of Complaints Management

Skills

Essential

• Strong organisational and forward planning skills
• Excellent communication and relationship skills
• The ability to effectively challenge existing processes and promote change.
• Ability to lead and work within a team as well as on own initiative
• Proficient in risk management and quality governance practices.
• Knowledge of Information Governance
• Ability to analyse and interpret data and create useful/relevant reports
• Proficient in Microsoft Word, PowerPoint, Excel
• Effective presentation skills, both verbal and written.

Qualifications

Essential

• Educated to degree level or significant experience in relevant discipline.
• Evidence of continuing professional development in relevant discipline.

Desirable

• Qualification in Risk Management is desirable

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Barnsley Hospice

Address

104-106 Church Street

Gawber

Barnsley

S75 2RL

Employer's website

https://www.barnsleyhospice.org/ (Opens in a new tab)