Job summary
Our Quality Team are looking for a registered health practitioner who has experience of working with quality management processes to join us in a Clinical Governance Manager role.
This role is pivotal to supporting our Trust in consolidating our improvement journey and ensuring consistency and quality of care across all of our services in Norfolk and Suffolk.
The ideal candidate will have previous experience of working with clinical and quality governance, and an understanding of key regulatory compliance frameworks. They will be educated to post graduate level (or have an equivalent qualification or experience) and will have worked as a senior clinician.
Excellent communication and negotiation skills are required to present reports and offer challenge where necessary. Time management skills are required to manage their workload and a flexible approach will be required to meet the needs of the team and Trust.
The ability to work both independently and as part of a team is essential, to be able to deliver against key objectives, in a fast paced and ever changing organisation. The post holder will need to be an individual who enjoys collaborative working and is committed to continuous quality improvement.
Main duties of the job
This role works within the Trust's Quality Team whose purpose is to support the Trust in applying a quality management approach that delivers safe, effective and positive experiences for service users, carers, staff and the community.
This involves supporting on building capability and capacity through active participation in developing and improving systems and processes such as application of regulations, policy development, implementation and assurance
About us
Here at NSFT we pride ourselves on being a welcoming, talented, friendly and supportive team who like nothing better than sharing experiences and learning from each other. In addition to ongoing training and development opportunities, we are committed to providing an environment in which you can thrive.
Why work for us? We have challenges as a Trust, but we have ambitious aspirations, are pushing ahead with exciting transformation work and we need dedicated individuals to support us on our journey. We have strong, established professional networks coupled with an exceptional leadership team who will ensure you are truly cared for and cared about.
Why Norfolk and Suffolk? The people here are warm and welcoming, you'll never be far from the beautiful coastline or Broads National Park. We're an hour and a half away from London and have an international airport in Norwich too. Our villages, towns and cities are packed full of history, independent cafes, shops and theatres. We have excellent shopping, eating out, top ranking schooling and affordable house prices too.
Job description
Job responsibilities
Quality Management Approach
- To support the delivery of a quality management system approach, ensuring the fundamental standards of quality and safety are met.
- Support staff to use systems in place to understand their performance and promote and share best practice.
- To contribute as a leader in supporting the Quality Team in the monitoring of systems that provide evidence for the requirements of the NHS quality agenda NHS England, Care Quality Commission, and Integrated Care Boards.
- Support the Associate Director for Quality with CQC inspection activities.
- To contribute to the review and updates of the Trust wide Improvement Plan.
- To ensure supportive materials and resources are created and available on Trust intranet.
- Act as a role model to develop a culture that improves quality and take the appropriate action when there are persistent quality issues.
Implementing best practice through Quality Planning
- To support clinical effectiveness in the design and implementation of policy reflecting compliance with NICE guidance.
- To analyse guidance and assessing practice/service delivery.
- To participate in the writing and review of policies, Standard Operating Procedures and documents.
- To coordinate the dissemination and implementation of policies following reviews
- To give specialist advice and support to all clinicians regarding the development, formatting and auditing of clinical guidelines, policies and protocols.
- Coordinating and delivering education programmes regarding governance and component parts for internal and external audiences
- To work with the Quality Team to ensure that the Trust Strategy is implemented, progress monitored and improvements sustained.
Quality Assurance
- To support the Trust in providing processes, guidance and evidence to inform the Trust wide improvement plan.
- To support clinical teams in determining appropriate evidence to support the Evidence Assurance Group processes.
- To work with the audit team in identifying audit topics as determined by Trust priorities, developing effective audit tools and supporting improvement actions/shared learning.
- Contribute to improve, device and implement consistent processes and systems for quality surveillance and assurance.
- In conjunction with corporate governance staff, support services to comply with monitoring and assurance systems i.e., audit, Datix, Complaints, service user feedback.
- To have a sound understanding and application of the requirements for assurance, particularly in relation to the Care Quality Commission.
- To support the organisation in ensuring that CQC fundamental standards are met, and evidence is current.
- To work with the Quality Team to ensure that the systems and processes in place to monitor the performance in line with the standards as set out by the Care Quality Commission are adhered to.
- To liaise with Patient Safety and Quality teams to ensure that evidence is triangulated and essential functions are not duplicated
- To participate in the programme of Quality and Safety Reviews as a senior practitioner.
Quality Improvement
- Work to support a culture which achieves best practice and consistent high performance to improve the experience of the service user.
- Monitor available data/intelligence on quality to identify any trends and performance profiles.
- Liaising with senior staff to implement quality initiatives and clinical standards.
- To provide in conjunction with the Quality Team, training / educational package(s) that relate to the assurance and quality agenda of the Trust.
- To work with the Quality Team to identify factors that may reduce quality, identify and support quality improvement initiatives.
- To facilitate teams improvement through use of the Trusts Quality Improvement approach.
- Be an active leader of improvement.
- To support clinical teams in participating and progressing in accreditation schemes.
- To facilitate teams to progress in the Evidence Assurance Group process.
General duties and responsibilities
- To promote shared learning and quality initiatives.
- To be responsible for providing, advice and support across the Trust working alongside senior leaders.
- Ensure clinical quality, clinical effectiveness and priorities for improving patient outcomes are held as the highest priority.
- To ensure the systems and processes within the team are robust, resilient and meet the needs of the Trust.
- To investigate, analyse and report on complex matters on a daily basis as part of providing oversight and governance. This includes reviewing and investigating areas such as incidents, events, complaints, reviewing research and national best practice evidence
- Regularly complete clinical audits, reviewing and analysing outcomes of Trust audits against standards and policy.
- To provide supervision to Quality Team members.
- Undertake recruitment of junior team colleagues where required.
- Work collaboratively with operational and clinical teams.
- Provide support to all clinical staff in tackling and resolving complex problems.
- Ensure effective communication with all staff within the Trust ensuring governance and patient safety culture is embedded within the organisation.
- Be able to manage own time and workload effectively.
- Seek out and receive appropriate level training to keep abreast of changing trends and practices.
- Undertake specialist training in clinical governance issues. Participate in continuous learning.
- To work across areas of quality and patient safety as required.
- Duty to effectively use resources available.
- Authorised signatory for small financial payments e.g., participation engagement.
Job description
Job responsibilities
Quality Management Approach
- To support the delivery of a quality management system approach, ensuring the fundamental standards of quality and safety are met.
- Support staff to use systems in place to understand their performance and promote and share best practice.
- To contribute as a leader in supporting the Quality Team in the monitoring of systems that provide evidence for the requirements of the NHS quality agenda NHS England, Care Quality Commission, and Integrated Care Boards.
- Support the Associate Director for Quality with CQC inspection activities.
- To contribute to the review and updates of the Trust wide Improvement Plan.
- To ensure supportive materials and resources are created and available on Trust intranet.
- Act as a role model to develop a culture that improves quality and take the appropriate action when there are persistent quality issues.
Implementing best practice through Quality Planning
- To support clinical effectiveness in the design and implementation of policy reflecting compliance with NICE guidance.
- To analyse guidance and assessing practice/service delivery.
- To participate in the writing and review of policies, Standard Operating Procedures and documents.
- To coordinate the dissemination and implementation of policies following reviews
- To give specialist advice and support to all clinicians regarding the development, formatting and auditing of clinical guidelines, policies and protocols.
- Coordinating and delivering education programmes regarding governance and component parts for internal and external audiences
- To work with the Quality Team to ensure that the Trust Strategy is implemented, progress monitored and improvements sustained.
Quality Assurance
- To support the Trust in providing processes, guidance and evidence to inform the Trust wide improvement plan.
- To support clinical teams in determining appropriate evidence to support the Evidence Assurance Group processes.
- To work with the audit team in identifying audit topics as determined by Trust priorities, developing effective audit tools and supporting improvement actions/shared learning.
- Contribute to improve, device and implement consistent processes and systems for quality surveillance and assurance.
- In conjunction with corporate governance staff, support services to comply with monitoring and assurance systems i.e., audit, Datix, Complaints, service user feedback.
- To have a sound understanding and application of the requirements for assurance, particularly in relation to the Care Quality Commission.
- To support the organisation in ensuring that CQC fundamental standards are met, and evidence is current.
- To work with the Quality Team to ensure that the systems and processes in place to monitor the performance in line with the standards as set out by the Care Quality Commission are adhered to.
- To liaise with Patient Safety and Quality teams to ensure that evidence is triangulated and essential functions are not duplicated
- To participate in the programme of Quality and Safety Reviews as a senior practitioner.
Quality Improvement
- Work to support a culture which achieves best practice and consistent high performance to improve the experience of the service user.
- Monitor available data/intelligence on quality to identify any trends and performance profiles.
- Liaising with senior staff to implement quality initiatives and clinical standards.
- To provide in conjunction with the Quality Team, training / educational package(s) that relate to the assurance and quality agenda of the Trust.
- To work with the Quality Team to identify factors that may reduce quality, identify and support quality improvement initiatives.
- To facilitate teams improvement through use of the Trusts Quality Improvement approach.
- Be an active leader of improvement.
- To support clinical teams in participating and progressing in accreditation schemes.
- To facilitate teams to progress in the Evidence Assurance Group process.
General duties and responsibilities
- To promote shared learning and quality initiatives.
- To be responsible for providing, advice and support across the Trust working alongside senior leaders.
- Ensure clinical quality, clinical effectiveness and priorities for improving patient outcomes are held as the highest priority.
- To ensure the systems and processes within the team are robust, resilient and meet the needs of the Trust.
- To investigate, analyse and report on complex matters on a daily basis as part of providing oversight and governance. This includes reviewing and investigating areas such as incidents, events, complaints, reviewing research and national best practice evidence
- Regularly complete clinical audits, reviewing and analysing outcomes of Trust audits against standards and policy.
- To provide supervision to Quality Team members.
- Undertake recruitment of junior team colleagues where required.
- Work collaboratively with operational and clinical teams.
- Provide support to all clinical staff in tackling and resolving complex problems.
- Ensure effective communication with all staff within the Trust ensuring governance and patient safety culture is embedded within the organisation.
- Be able to manage own time and workload effectively.
- Seek out and receive appropriate level training to keep abreast of changing trends and practices.
- Undertake specialist training in clinical governance issues. Participate in continuous learning.
- To work across areas of quality and patient safety as required.
- Duty to effectively use resources available.
- Authorised signatory for small financial payments e.g., participation engagement.
Person Specification
Qualifications
Essential
- Qualified health Practitioner
- Post graduate qualification in a relevant subject or equivalent demonstrable experience.
Desirable
- Extended training in governance activity (e.g. audit, improvement approaches).
Experience
Essential
- Experience of working as a senior health practitioner
Experience
Essential
- Experince of working with quality management processes
Experience
Essential
- Experience of working in a mental health setting
Person Specification
Qualifications
Essential
- Qualified health Practitioner
- Post graduate qualification in a relevant subject or equivalent demonstrable experience.
Desirable
- Extended training in governance activity (e.g. audit, improvement approaches).
Experience
Essential
- Experience of working as a senior health practitioner
Experience
Essential
- Experince of working with quality management processes
Experience
Essential
- Experience of working in a mental health setting
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
