Job summary
This role is a critical senior professional management and leadership post within the Clinical Governance Directorate. The post holder will need to be an expert in the field of quality and clinical governance.
To role will provide effective leadership, co-ordination, and management of Group clinical governance functions, providing expert advice and support whilst maintaining a robust assurance seeking role.
The role will be responsible for supporting the Care Directorates with all aspects of quality and clinical governance management providing key support to the Care Directorate Leads and Clinical Governance leads on risk management, governance arrangements, and quality across the Group.
The role will provide support and guidance to clinicians and managers in all aspects of quality and clinical governance and ensure that commitment to managing risk in a coordinated, systematic, transparent, and focused way is achieved.
In conjunction with the Associate Director of Compliance, the role will be responsible for the day-to-day oversight and management of the clinical governance framework within the Care Directorates.
The role will consist of line management responsibilities for the Risk and Datix Team and will deputise for the Associate Director of Compliance as required.
Main duties of the job
Provide expert leadership and guidance to ensure an integrated clinical governance function is delivered, that can evidence high quality, in line with the CQC five key questions that determine quality.
Provide expertise in risk management, holding a suitable risk management qualification.
Ensure that the Group clinical governance framework is robust and that evidence of this is available.
Oversee and refine as necessary reporting and monitoring arrangements which ensure that clinical and quality governance are core to service delivery and professional practice.
Triangulate data and learning from all aspects of the Clinical Governance Directorate and ensure that there is a programme of learning in place across the Group.
Ensure the Group's electronic system for managing risk, incidents and other clinical governance processes is effective.
Prepare, draft, and submit formal reports on all aspects of clinical governance to internal and external audiences.
Support and ensure active participation in the appointment and induction of Clinical Governance leads across the Group
With the support of the Associate Director of Compliance, be responsible for formulating the annual Quality Accounts across the Lincolnshire Community and Hospitals NHS Group.
Deputise for the Associate Director of Compliance as required.
About us
Lincoln Hospital is a thriving university city and with the opening of the medical school, it provides all major specialties and a 24-hour major accident and emergency service.
United Lincolnshire Hospitals NHS Trust has been granted teaching hospital status, after demonstrating evidence to significant teaching commitment. From now on it will be known as United Lincolnshire Teaching Hospitals NHS Trust.
Pilgrim Hospital is situated in beautiful countryside and serves the communities in the South Lincolnshire area. It provides all major specialties and a 24-hour major accident and emergency service.
Grantham and District Hospital serves the communities of Grantham and the local area. It provides ambulatory paediatric and accident and emergency services.
Lincolnshire Community Health Services NHS Trust (LCHS) and United Lincolnshire Hospitals NHS Trust (ULHT) have come together in a Group arrangement, with the goal of improving the care provided to patients across the county.
This will not constitute a formal merger of the two organisations, but will bring the Trusts together under a single Board and Executive Leadership Team, with the goal of improving the care that is provided to patients both in the community and in hospitals across Lincolnshire. Both Trusts will retain their separate statutory names and legal obligations.
The Group will be known as Lincolnshire Community and Hospitals NHS Group (LCHG).
Job description
Job responsibilities
Act as an expert source of advice in respect of maintaining an integrated clinical governance function ensuring that the Care Directorates can demonstrate that its services are Safe, Effective, Caring, Well led and Responsive.
Ensure that the Care Directorates have in place systems and processes which ensure that all aspects of clinical risk are managed appropriately at every level. The post-holder will require a risk management qualification.
Supporting the infrastructure and culture for clinical and quality governance across the Group ensuring that there is a climate which champions accountability, openness, transparency, learning from mistakes and adoption of best practice.
Ensuring quality improvement and clinical governance techniques and tools are embedded in Group decision making, planning and performance management processes.
Ensure that there is a robust clinical governance framework in operation across the Care Directorates of the Group including standard governance agendas, governance reports and that Clinical Governance Leads are aware of their responsibilities.
Overseeing existing reporting and monitoring arrangements which ensure that clinical and quality governance are core to service delivery and professional practice.
Support for the triangulation of data and learning from all aspects of the Clinical Governance Directorate and ensure that there is a programme of learning in place across the Group.
Supported by the Associate Director of Compliance, ensure that the Group has a robust Risk Management Framework and that there are effective systems in place for Group wide identification and management of risk.
Through the Risk and Datix Manager, ensure that the Groups electronic system for managing risk, incidents and other clinical governance processes is effective.
Communicating quality and safety initiatives in a compelling, inspiring, and interesting way using case studies and patient stories.
Prepare, draft, and submit formal reports on all aspects of clinical governance summarising status on issues, appraising outcomes, and providing progress reports for Clinical Governance and senior managers as appropriate. Highlight exceptions and risks ensuring mitigating action can be taken to keep programmes and/or projects on track.
To identify quality improvement and governance training requirements, providing training across the Group to both small and large audiences as required.
Takes an active role in the appointment and induction of Clinical Governance leads across the Group providing support and guidance throughout the term of office in relation to the roles and responsibilities of the post.
Responsible for the development and delivery of programme/project plans with agreed milestones and outcome KPI measures, to achieve sustainable service improvement in line with the Patient Safety Incident Response framework and focussed patient safety work. Organise and administer associated meetings, keeping up-to-date action logs.
Promote collaborative working with System partners in support of Patient Safety activities and co-ordinate stakeholder contributions to the programme/projects.
Manage the relationship between Business as Usual and improvement work in order to demonstrate achievement of the overall Improvement journey.Responsible for transferring sustainable programmes/projects to business as usual with up-to-date policies, procedures and standard operating procedures in place were required. Demonstrate delivery and sustainability through appropriate testing and monitoring, for example: surveys.
Maintain own personal and professional growth, keeping up to date with changes, new ways of working and future developments.
Supporting activities relating to the implementation of the National Patient Safety Strategy.
With the support of the Associate Director of Compliance, be responsible for formulating the annual Quality Accounts across the Lincolnshire Community and Hospitals NHS Group.
Deputise for the Associate Director of Compliance as required.
Like all other staff members, there is an expectation that the post holder adheres to the Lincolnshire Community and Hospitals NHS Group (LCHG) policies, procedures, and guidelines.
All staff are required to advocate, champion, and demonstrate the LCHG values.
LCHG requires all staff to safeguard children, young people and adults.
Job description
Job responsibilities
Act as an expert source of advice in respect of maintaining an integrated clinical governance function ensuring that the Care Directorates can demonstrate that its services are Safe, Effective, Caring, Well led and Responsive.
Ensure that the Care Directorates have in place systems and processes which ensure that all aspects of clinical risk are managed appropriately at every level. The post-holder will require a risk management qualification.
Supporting the infrastructure and culture for clinical and quality governance across the Group ensuring that there is a climate which champions accountability, openness, transparency, learning from mistakes and adoption of best practice.
Ensuring quality improvement and clinical governance techniques and tools are embedded in Group decision making, planning and performance management processes.
Ensure that there is a robust clinical governance framework in operation across the Care Directorates of the Group including standard governance agendas, governance reports and that Clinical Governance Leads are aware of their responsibilities.
Overseeing existing reporting and monitoring arrangements which ensure that clinical and quality governance are core to service delivery and professional practice.
Support for the triangulation of data and learning from all aspects of the Clinical Governance Directorate and ensure that there is a programme of learning in place across the Group.
Supported by the Associate Director of Compliance, ensure that the Group has a robust Risk Management Framework and that there are effective systems in place for Group wide identification and management of risk.
Through the Risk and Datix Manager, ensure that the Groups electronic system for managing risk, incidents and other clinical governance processes is effective.
Communicating quality and safety initiatives in a compelling, inspiring, and interesting way using case studies and patient stories.
Prepare, draft, and submit formal reports on all aspects of clinical governance summarising status on issues, appraising outcomes, and providing progress reports for Clinical Governance and senior managers as appropriate. Highlight exceptions and risks ensuring mitigating action can be taken to keep programmes and/or projects on track.
To identify quality improvement and governance training requirements, providing training across the Group to both small and large audiences as required.
Takes an active role in the appointment and induction of Clinical Governance leads across the Group providing support and guidance throughout the term of office in relation to the roles and responsibilities of the post.
Responsible for the development and delivery of programme/project plans with agreed milestones and outcome KPI measures, to achieve sustainable service improvement in line with the Patient Safety Incident Response framework and focussed patient safety work. Organise and administer associated meetings, keeping up-to-date action logs.
Promote collaborative working with System partners in support of Patient Safety activities and co-ordinate stakeholder contributions to the programme/projects.
Manage the relationship between Business as Usual and improvement work in order to demonstrate achievement of the overall Improvement journey.Responsible for transferring sustainable programmes/projects to business as usual with up-to-date policies, procedures and standard operating procedures in place were required. Demonstrate delivery and sustainability through appropriate testing and monitoring, for example: surveys.
Maintain own personal and professional growth, keeping up to date with changes, new ways of working and future developments.
Supporting activities relating to the implementation of the National Patient Safety Strategy.
With the support of the Associate Director of Compliance, be responsible for formulating the annual Quality Accounts across the Lincolnshire Community and Hospitals NHS Group.
Deputise for the Associate Director of Compliance as required.
Like all other staff members, there is an expectation that the post holder adheres to the Lincolnshire Community and Hospitals NHS Group (LCHG) policies, procedures, and guidelines.
All staff are required to advocate, champion, and demonstrate the LCHG values.
LCHG requires all staff to safeguard children, young people and adults.
Person Specification
Qualifications
Essential
- Highly developed specialist knowledge to a Master level or equivalent experience in a relevant area e.g governance, change management, management
- Professional management training qualification or equivalent experience.
- Evidence of continuing professional development.
- Risk Management qualification
Desirable
- Project Management Qualification e.g. Prince 2 or equivalent.
- Professional registration
Skills/competencies
Essential
- Effective leadership skills that motivate and involve a team.
- Excellent analytical and problem-solving skills with the ability to understand complex, sensitive, or contentious information.
- Excellent written and verbal communication skills with the ability to communicate across a wide range of stakeholders across the Group and externally.
- Excellent organisational skills; able to work effectively under pressure and to identified and work successfully towards deadlines.
Desirable
- Project management skills
Knowledge
Essential
- Knowledge and demonstrable experience of working within clinical governance in the NHS or wider Public Sector service.
- Knowledge of the components of governance and assurance, national policies, standards, requirements and directions that relate to identifying, measuring and improving the quality of patient care.
- Understanding and knowledge of external assessment or regulation within the NHS.
- Working knowledge of Microsoft Office, including Word, Excel, and Teams to present and format documents in a professional and consistent manner.
- Responsible for the development and implementation of a range of policy and guidelines in relation to the Clinical Governance framework and the Risk Management Framework across the Group- this will involve writing, implementing and overseeing how these are embedded and utilised.
Desirable
- An understanding of the regulatory framework applicable to the delivery of healthcare services in an acute and community setting.
Experience
Essential
- Experience of working at a senior/corporate level within the NHS.
- Experience of leading and managing a team of staff.
- Experience of managing complex projects.
- Demonstrable experience in managing and influencing teams.
- Significant experience of communicating and working with staff at all levels.
- Experience of budget and staff management.
- Experience of managing competing priorities.
- Experience of change management / service redesign.
- Experience in the use of Microsoft Office Applications and / or commercial IT systems
- Experience of producing data and information across a wide range of governance activities
- Experience of working with patients/ staff / stakeholders to improve quality of services
Desirable
- Experience of using the Datix Risk Management System
Special attributes/specific requirements
Essential
- Able to work independently as well as collaboratively within The Group
- Able to write concise and grammatically correct reports and summaries, presenting information clearly and in an accessible way
- Demonstrable ability to train others in relevant areas.
- The ability to be flexible, responsive, motivated, and supportive whilst innovating a positive approach to managing issues.
- Ability to negotiate and influence across a range of internal and external stakeholders.
- Self-motivated and committed to improving the quality and safety of healthcare services within the Group.
Person Specification
Qualifications
Essential
- Highly developed specialist knowledge to a Master level or equivalent experience in a relevant area e.g governance, change management, management
- Professional management training qualification or equivalent experience.
- Evidence of continuing professional development.
- Risk Management qualification
Desirable
- Project Management Qualification e.g. Prince 2 or equivalent.
- Professional registration
Skills/competencies
Essential
- Effective leadership skills that motivate and involve a team.
- Excellent analytical and problem-solving skills with the ability to understand complex, sensitive, or contentious information.
- Excellent written and verbal communication skills with the ability to communicate across a wide range of stakeholders across the Group and externally.
- Excellent organisational skills; able to work effectively under pressure and to identified and work successfully towards deadlines.
Desirable
- Project management skills
Knowledge
Essential
- Knowledge and demonstrable experience of working within clinical governance in the NHS or wider Public Sector service.
- Knowledge of the components of governance and assurance, national policies, standards, requirements and directions that relate to identifying, measuring and improving the quality of patient care.
- Understanding and knowledge of external assessment or regulation within the NHS.
- Working knowledge of Microsoft Office, including Word, Excel, and Teams to present and format documents in a professional and consistent manner.
- Responsible for the development and implementation of a range of policy and guidelines in relation to the Clinical Governance framework and the Risk Management Framework across the Group- this will involve writing, implementing and overseeing how these are embedded and utilised.
Desirable
- An understanding of the regulatory framework applicable to the delivery of healthcare services in an acute and community setting.
Experience
Essential
- Experience of working at a senior/corporate level within the NHS.
- Experience of leading and managing a team of staff.
- Experience of managing complex projects.
- Demonstrable experience in managing and influencing teams.
- Significant experience of communicating and working with staff at all levels.
- Experience of budget and staff management.
- Experience of managing competing priorities.
- Experience of change management / service redesign.
- Experience in the use of Microsoft Office Applications and / or commercial IT systems
- Experience of producing data and information across a wide range of governance activities
- Experience of working with patients/ staff / stakeholders to improve quality of services
Desirable
- Experience of using the Datix Risk Management System
Special attributes/specific requirements
Essential
- Able to work independently as well as collaboratively within The Group
- Able to write concise and grammatically correct reports and summaries, presenting information clearly and in an accessible way
- Demonstrable ability to train others in relevant areas.
- The ability to be flexible, responsive, motivated, and supportive whilst innovating a positive approach to managing issues.
- Ability to negotiate and influence across a range of internal and external stakeholders.
- Self-motivated and committed to improving the quality and safety of healthcare services within the Group.
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).
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).
