Clinical Governance Manager

Job description

Job responsibilities

Job description

The team at The New Foscote Hospital, part of the Akessa Health Care is expanding and needs additional colleagues to assist with development and supporting of its Clinical Governance structure in line with our culture and values. This is a unique opportunity for an experienced Clinical Governance professional to join the team on a full time, permanent basis.

The New Foscote Hospital does not offer hybrid working and all posts are on site only.

About us

The Akessa Healthcare Group is managed and run by clinicians. We are proud to be part of a highly skilled, diverse team.

The New Foscote Hospital was established in Banbury over 40 years ago and has provided services and treatments to thousands of people from across the region. We have over 50 consultants, all of whom are leaders in their specialist fields and choose to hold their private practices here, working alongside our friendly, highly qualified and experienced nursing and support teams.

The Royal Buckinghamshire Hospital was established in Aylesbury in 1832 and has provided services and treatments to thousands of people from across the region. The ownership of the hospital was transferred to our new management team in January 2023. By joining our existing portfolio, the hospital is now run professionally and provides clinical care to private, insured and NHS patients, with a strong ethos on caring for our staff.

Significant ongoing investment into both hospitals includes complete refurbishment of the wards, the outpatient area, reception, staff facilities, radiology and the construction of additional state-of-the-art operating theatres and endoscopy suites.

With the expansion of the Group this is an exciting opportunity for a Clinical Governance professional to join our growing team to provide clinical excellence for our patients at both hospitals.

We have over 50 consultants, all of whom are leaders in their specialist fields and choose to hold their private practices here, working alongside our friendly, highly qualified and experienced nursing and support teams. The clinical outcomes of the hospital are of the highest standards. The latest CQC report rated our hospital standards as good across all parameters.

Our organisation has strong IT, operational, clinical governance and accountancy support.

All colleagues are encouraged to feel empowered and to have an active voice on the management of their services.

Main duties of the job

• Assisting the clinical governance team of the organisation.
• Assess, monitor and review performance to ensure full compliance with the CQC.
• Working Together with the Director of Governance and the Matron, lead the preparation for inspection or assessment visits from the CQC and other relevant regulatory bodies and work closely with the Matron in leading the accurate and timely reporting process to the CQC.
• Assist with development and delivery of the patient experience strategy and agenda.
• Promoting and developing a learning culture.
• Promoting and developing practice improvement through learning.
• Attendance at Governance meetings providing clinical governance update report (as required) including Medical Advisory Committee; Clinical Governance Committee; Clinical Audit, risk and Effectiveness Committee.
• Support the efficient co-ordination of the Clinical Governance Committee to ensure it functions effectively, according to an annual plan.
• Assist with the incident reporting system, ensuring all incidents are investigated in a timely manner and the lessons learnt are shared with all relevant teams and team members.
• Assist with effective dissemination and central reporting of all issued MHRA and regulatory alerts and collation of actions required.
• Review current national regulation and guidance (as issued) to ensure all hospital activity and policies are compliant.
• Assist with regulatory external reporting requirements including collection of data and reporting.
• Share examples of best practice with colleagues across the teams.
• Lead by example in quality improvement offering advice and support to others, whilst ensuring continuous governance compliance throughout the hospital group.

Who we're looking for:

• Registration with NMC or HCPC is desirable
• Able to demonstrate continuous professional development
• Must have a track record of successful delivery in audit, risk and governance role in a healthcare setting
• Qualification in risk, audit or governance desirable
• To have auditing skills across clinical standards and departments
• Experience of producing reports and presentations required
• Experience of risk assessment required
• Able to work under pressure with tight deadlines, with excellent organisational skills
• Ability to build relationships with a range of stakeholders
• Ability to manage conflict and negotiate outcomes
• Must be proactive and can self-motivate, but also work as part of a team

Personal and professional attributes:

• An individual with the ability to learn and champion internal and external IT systems.
• An agile, dynamic and dependable individual able to work flexibly and respond to urgent matters whilst following instructions/agreed processes.
• An ambitious colleague with the desire to learn from their peers, develop their skills and positively contribute to the success of the hospital Group.
• A diligent individual with high standards who takes pride in team achievement.
• Commitment to our Core Aims, Professional Service, Clinical Excellence, Quality Care.
• Demonstration of our Five CIVIC Values; Community, Integrity, Vigour, Innovation, Compassion

We are proud to be offering this opportunity as a Disability Confident Committed and Real Living Wage employer.

Person Specification

Qualifications

Essential

• - Experience of clinical governance?
• - Health care experience

Desirable

• - CQC Regulatory Affairs
• - HCPC or NMC registration (preferred)

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

The New Foscote Hospital

Address

2 Foscote Raise

Banbury

OX16 9XP

Employer's website

https://thefoscotehospital.co.uk/ (Opens in a new tab)