Head of Governance

Job description

Job responsibilities

Key role responsibilities

Clinical governance and risk management

• Develop Six Degrees vision for integrated governance that ensures excellence in clinical and organisational governance.
• Develop a robust and deliverable plan to collect and report on statutory compliance matters.
• Work closely with the senior management team to ensure a rigorous risk management framework in place.
• Produce and present reports on clinical governance that alert the MD and board to risks while holding accountability and responsibility for any associated actions and improvement initiativesto promote safety, quality and effectiveness.
• Lead on the development of methods and processes to aid the management of clinical risk.
• Monitor and co-ordinate investigations of adverse events occurring and learning within the service, and externally as appropriate.
• Oversee governance audits and ensure effective feedback of the outcomes, learning and solutions where possible.
• Produce data and reports relating to celebrating excellence in practice and adverse events for internal and any external meetings as required.
• Create action plans and risk assessments to prevent recurrence, disseminating information to maximize whole learning.
• Lead on compliance activity within the organisation, ensuring services adhere to statutory regulations and incorporating best practice and national service guidelines.
• Integrate organisational data analysis, information and trends on formal and informal complaints, and present to a wide-ranging audience and demonstrate organisation steps taken to resolve/mitigate.
• Lead on external accreditation that recognise rigorous governance standards.

Quality and improvement

• Lead on the development of organisational quality and safety objectives that are well-defined and regularly reviewed to ensure relevance.
• Lead on the development and delivery of a patient experience and engagement systems and processes that aligns to the organisational vision.
• Oversee complaints/feedback mechanisms to verbal and written complaints received within the service in line with relevant policies.
• Ensure practitioners and managers are aware of trends and themes in complaints and incidents and participate in, drive and oversee shared learning and quality improvement for all staff.
• Take a lead on assuring commissioners on all quality matters.
• Lead on policy integration within the organisation ensuring consistency across standards, aligned with the culture and ethos of the organisation.

Workforce development

• Ensure professional clinical standards are established and maintained across the workforce.
• Develop and implement strategies to promote good governance and effective risk management across all role and job grades.
• Develop the team through sharing information effectively, coaching and communicating a clear vision to ensure that all colleagues are productive, motivated and engaged to deliver the Integrated Governance framework and risk management strategy.

Change and projects

• Initiate and lead project teams to deliver organisational governance and risk management requirements, applying sound project and change management practices.
• Participate in research, project or change teams to ensure governance and risk management implications are considered from the scoping of the project through to development and implementation.
• Drive and deliver improvement workstreams with effective evaluation and feedback mechanisms.

Research Capability

• Build the research capability within the organisation, working with operational managers on improvements in services.
• Develop and oversee a programme of research internally in line with strategic improvement priorities.
• Identify opportunities for research and action learning that ensure evidence based and practice based evidence if continually developed.

Personal leadership

• Lead and maintain a culture of low tolerance of poor performance.
• Foster a cultural of openness, learning and continuous improvement that makes positive and sustained changes for the people and communities we serve.
• Live the Six Degrees values and contribute to the learning culture.
• Be proactive in encouraging, educating and supporting staff in all areas of governance.
• Contribute to networks of quality and safeguarding leads in the sector/region so as to enable a learning environment to assist the spread of good practice.

This job description does not provide an exhaustive list of duties and may be reviewed in conjunction with the post holder in light of service development.

Person Specification

Experience

Essential

• Significant relevant experience providing governance in a clinical setting, with a track record of achievement.
• Highly developed specialist knowledge across a broad range of quality procedures and practices, underpinned by theoretical knowledge and relevant practical experience.
• Knowledge and experience of application of quality improvement methodologies.
• Awareness of techniques used to obtain organisational assurance at commissioner/Board/executive level.
• Sound experience developing risk assessments, development plans and other similar tools.
• Experience working in organisations delivering health or social care.
• Experience working in integrated clinical governance.
• Previous experience of leading and developing teams.
• Root cause analysis training.
• Evidence of participation of audit activities, analysis and reporting.
• Previous experience with policy writing, amendment and development.
• Proven track record of meeting deadlines and closing actions.
• Experience of hosting/managing meetings across all levels of an organisation, including senior and Board members.

Desirable

• Lead in audit activities/clinical audit training.
• Management or leadership training/accreditation.

Qualifications

Essential

• Degree level education in an associated or transferable field.

Desirable

• Clinical qualification.
• Masters degree in an associated or transferable field.
• ICSA qualification/ICSA Advanced Certificate in Health Service Governance.
• IOSH/NEBOSH accredited.

Knowledge and Skills

Essential

• Accountability for practice demonstrating good quality practice, using hard and soft evidence.
• Able to analyse facts and situations relating to individual, team, service and organisational situations and problem-solve, making pragmatic recommendations as to actions and future requirements.
• Evidence of good organisational and administrative skills.
• Competent to use the full range of Microsoft Office applications.
• Able to meet deadlines and to co-ordinate a variety of activity threads simultaneously.
• Able to present data and information in a neat, professional and accessible manner that promotes the reputation of the business.
• A motivated self-starter who can work with initiative with minimal direction, able to develop ideas and translate them into workable systems.
• Excellent analytical skills with the ability to clearly identify risk and trends.
• Ability to work under pressure and use own initiative.
• Ability to communicate effectively in complex and contentious situations and able to remain calm where there may be direct conflict.
• Knowledge of change/improvement management tools and techniques and facilitating cultural change.
• Be willing to travel to and in between different bases in Salford.
• Able to prioritise, work independently and on own initiative.
• Able to multi-task and set goals for completion.
• Ability to work well under pressure.
• Flexibility, creativity, and preparedness to be innovative in a developing organisation.
• Ability to be reliable, co-operative and consistent.

Desirable

• Experience of chairing meetings.
• Experience and knowledge of inspection and accreditation visits/audits.
• Training individuals and teams.
• Political astuteness and an ability to represent locally and nationally when required.
• Experience of implementing clinical governance quality standards.

Knowledge and Skills

Essential

• Accountability for practice demonstrating good quality practice, using hard and soft evidence.
• Able to analyse facts and situations relating to individual, team, service and organisational situations and problem-solve, making pragmatic recommendations as to actions and future requirements.
• Evidence of good organisational and administrative skills.
• Competent to use the full range of Microsoft Office applications.
• Able to meet deadlines and to co-ordinate a variety of activity threads simultaneously.
• Able to present data and information in a neat, professional and accessible manner that promotes the reputation of the business.
• A motivated self-starter who can work with initiative with minimal direction, able to develop ideas and translate them into workable systems.
• Excellent analytical skills with the ability to clearly identify risk and trends.
• Ability to work under pressure and use own initiative.
• Ability to communicate effectively in complex and contentious situations and able to remain calm where there may be direct conflict.
• Knowledge of change/improvement management tools and techniques and facilitating cultural change.
• Be willing to travel to and in between different bases in Salford.
• Able to prioritise, work independently and on own initiative.
• Able to multi-task and set goals for completion.
• Ability to work well under pressure.
• Flexibility, creativity, and preparedness to be innovative in a developing organisation.
• Ability to be reliable, co-operative and consistent.

Desirable

• Experience of chairing meetings.
• Experience and knowledge of inspection and accreditation visits/audits.
• Training individuals and teams.
• Political astuteness and an ability to represent locally and nationally when required.
• Experience of implementing clinical governance quality standards.

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

Six Degrees Social Enterprise

Address

Six Degrees Social Enterprise

Albert Street

Eccles

Manchester

M30 0BL

Employer's website

http://six-degrees.org.uk/ (Opens in a new tab)