Bedfordshire Hospitals NHS Foundation Trust

Quality Safety Governance Clinical Analytics & Data Assurance Manager

The closing date is 28 September 2025

Job summary

This is an innovative new post which reflects the Quality and Safety Governance team's direction to become data driven using intelligence from a variety of sources. The ideal candidate will be excited and enthused by the possibilities of the post, which requires someone with multifaceted experience, including corporate patient safety and Patient Safety Incident Response Framework (PSIRF) application, strong evidenced track record of patient safety analytics, experience of managing the CAS safety alerts process, management responsibility for a local risk management system and confident in using IT. This experience will be underpinned by forensic attention to detail, and evidence of professional curiosity, to draw on a variety of sources to triangulate quality and safety data using a safety surveillance and analytics approach to make a difference to patient safety.

Main duties of the job

The post holder will be responsible for developing and/or maintaining systems and processes which can provide assurance of high quality and safety governance information across Bedfordshire Hospitals NHS Foundation Trust, making sure that it is relevant, efficiently extracted, accurate, appropriate and complete, with a clear process of escalation and exception reporting where assurance is not available or evidenced.

The post holder will be responsible for a team that focuses on the delivery of the NHS England PSIRF and insights aligned to the NHS England Patient Safety Strategy, with its strategic aims of Insights, Involvement, and Improvement.

The post holder will be responsible for a team which focuses on the delivery of the NHS England PSIRF and insights aligned to the NHS England Patient Safety Strategy with its strategic aims of Insights, Involvement and Improvement.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Our values

We not only recruit based on qualifications and experience - we recruit individuals who demonstrate the behaviours which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity, and creating a culture that values differences.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job

Details

Date posted

15 September 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

418-CORP2130-EH

Job locations

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Job description

Job responsibilities

To be the Trusts subject matter expert on all aspects of Quality and Safety data quality and assurance.

To assure the quality and reliability of information stored on the Trusts electronic Local Risk Management System currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

To assure the quality and reliability of information stored on the Trusts electronic Local Risk Management System currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

Assisting the Deputy Director of Quality and Safety Governance with routine QSG team tasks, including:

a. Ensure that all relevant policies and procedures relating to QSG and meetings and Panels (i.e. Terms of Reference, situation reports etc.) are up to date and relevant.

b. Chairing the InPhase Working Group meeting, including oversight of preparation of agendas, and presenting often complex and sensitive information as required.

c. Lead on diagnostic of efficiencies in shared drive folders for QSG, and manage standardisation and improvements, implementing transitioning to other platforms where appropriate such as teams folders/channels, mindful of Information Governance risks.

d. Supporting the completion of Trust wide QSG Reports and effective outputs from incident review meetings and PSIRF related Panels and meetings.

e. Support the Deputy Director of Quality and Safety Governance with collation of inclusions in the annual Quality Account.

f. Chair on rotation the QSG internal team meeting, with other peer grades, including preparation of agenda and action notes.

g. Review/develop QSG information on the Trust intranet so it is relevant, current, enabling and interesting.

Job description

Job responsibilities

To be the Trusts subject matter expert on all aspects of Quality and Safety data quality and assurance.

To assure the quality and reliability of information stored on the Trusts electronic Local Risk Management System currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

To assure the quality and reliability of information stored on the Trusts electronic Local Risk Management System currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

Assisting the Deputy Director of Quality and Safety Governance with routine QSG team tasks, including:

a. Ensure that all relevant policies and procedures relating to QSG and meetings and Panels (i.e. Terms of Reference, situation reports etc.) are up to date and relevant.

b. Chairing the InPhase Working Group meeting, including oversight of preparation of agendas, and presenting often complex and sensitive information as required.

c. Lead on diagnostic of efficiencies in shared drive folders for QSG, and manage standardisation and improvements, implementing transitioning to other platforms where appropriate such as teams folders/channels, mindful of Information Governance risks.

d. Supporting the completion of Trust wide QSG Reports and effective outputs from incident review meetings and PSIRF related Panels and meetings.

e. Support the Deputy Director of Quality and Safety Governance with collation of inclusions in the annual Quality Account.

f. Chair on rotation the QSG internal team meeting, with other peer grades, including preparation of agenda and action notes.

g. Review/develop QSG information on the Trust intranet so it is relevant, current, enabling and interesting.

Person Specification

Qualifications

Essential

  • oEducated to postgraduate degree level in a degree closely relevant to the post or significant experience working in Patient Safety Analytics role/s
  • oPatient Safety Syllabus 1 completed
  • oPatient Safety Syllabus 2 completed
  • oThematic analysis training delivered by HSIB or other recognised safety training provider completed
  • oCompletion of certified management skills course - internal or external
  • oCompletion of Quality Improvement training accredited methodology eg IHI / QSIR

Desirable

  • NHS England Making Data Count modules - completion of key modules

Experience

Essential

  • oProven track record of working within an NHS patient safety analytics environment demonstrating in depth specialist knowledge of how safety data is collated and used, including data preparation for enquiries such as CQC, FOIs.
  • oSubstantial in depth knowledge and application of the PSIRF process
  • oSignificant experience as lead manager of a Local Risk Management System such as InPhase, Datix, Ulysses, Radar in the NHS
  • oSignificant experience on LRMS and LFPSE system testing and problem solving
  • oExperience of successful change management pertaining to significant complex upgrades or acquisition and implementation of new LRMS system
  • Significant management experience of small team and development of team including adherence to HR policies, appriasals and PDP, sickness absence - including challenging situations, where perspectives differ
  • Experience of working across organsiations and with clinician and managers to articulate and effectively visualise their analytics needs
  • Experience of working with and motivating and influencing professional staff in the use of safety analytics information to improve their services
  • Computer literacy - extensive working knowledge of Microsoft Office applications i.e. Word, Advanced Excel, Powerpoint, Internet Explorer and Outlook and MS Teams
  • Extensive experience of the application of formulas for efficient management of trackers - with tracking and monitoring - to enable timely escalation as needed
  • Tracking and monitoring which may use Excel or within the LRMS

Desirable

  • Certified InPhase training courses
  • Previous work in IT, as background to understanding how LRMS interface with IT systems and processes
  • Experience of benchmarking safety data
  • Familiarity with SQL and its use

Knowledge/Skills

Essential

  • oProven ability to successfully extract data and analyse and interpret complex data and draw conclusions, supporting colleagues to articulate and visualise what they need, whether for a complex report or a visual dashboard
  • oExperience in use of SPC charts and understanding of common cause and special cause variation
  • oExcellent attention to detail, with a methodical and enquiring approach
  • oCommunication skills - written and verbal - able to identify key points from complex issues and explain them appropriately and with clarity and succinctness
  • oAbility to use information, persuasion, influencing and negotiation with individuals and groups including stakeholders in sensitive, controversial and stressful situations
  • oEffective decision maker regarding QSG data quality and LRMS management
  • oAbility to prioritise workload and multi task in order to meet tight deadlines in a pressured environment
  • oKnowledge of Information Governance, Data Protection Act and Caldecott and Safeguarding requirements, and how this interfaces with Quality and Safety Governance processes
  • oUnderstanding of the relationship between providers and commissioning organisations

Personal Skills

Essential

  • oDemonstrates a strong desire to improve data quality, performance and services and share that knowledge and enthusiasm with others - tailored for different audiences/ and levels of experience/knowledge
  • oAbility to work both as part of a team and on own initiative working unsupervised
  • oCreative, flexible, resourceful, resilient and committed to CPD for self and team
  • oCredibility and ability to embrace, lead and drive change in a complex environment to accomplish organisational goals and objectives
Person Specification

Qualifications

Essential

  • oEducated to postgraduate degree level in a degree closely relevant to the post or significant experience working in Patient Safety Analytics role/s
  • oPatient Safety Syllabus 1 completed
  • oPatient Safety Syllabus 2 completed
  • oThematic analysis training delivered by HSIB or other recognised safety training provider completed
  • oCompletion of certified management skills course - internal or external
  • oCompletion of Quality Improvement training accredited methodology eg IHI / QSIR

Desirable

  • NHS England Making Data Count modules - completion of key modules

Experience

Essential

  • oProven track record of working within an NHS patient safety analytics environment demonstrating in depth specialist knowledge of how safety data is collated and used, including data preparation for enquiries such as CQC, FOIs.
  • oSubstantial in depth knowledge and application of the PSIRF process
  • oSignificant experience as lead manager of a Local Risk Management System such as InPhase, Datix, Ulysses, Radar in the NHS
  • oSignificant experience on LRMS and LFPSE system testing and problem solving
  • oExperience of successful change management pertaining to significant complex upgrades or acquisition and implementation of new LRMS system
  • Significant management experience of small team and development of team including adherence to HR policies, appriasals and PDP, sickness absence - including challenging situations, where perspectives differ
  • Experience of working across organsiations and with clinician and managers to articulate and effectively visualise their analytics needs
  • Experience of working with and motivating and influencing professional staff in the use of safety analytics information to improve their services
  • Computer literacy - extensive working knowledge of Microsoft Office applications i.e. Word, Advanced Excel, Powerpoint, Internet Explorer and Outlook and MS Teams
  • Extensive experience of the application of formulas for efficient management of trackers - with tracking and monitoring - to enable timely escalation as needed
  • Tracking and monitoring which may use Excel or within the LRMS

Desirable

  • Certified InPhase training courses
  • Previous work in IT, as background to understanding how LRMS interface with IT systems and processes
  • Experience of benchmarking safety data
  • Familiarity with SQL and its use

Knowledge/Skills

Essential

  • oProven ability to successfully extract data and analyse and interpret complex data and draw conclusions, supporting colleagues to articulate and visualise what they need, whether for a complex report or a visual dashboard
  • oExperience in use of SPC charts and understanding of common cause and special cause variation
  • oExcellent attention to detail, with a methodical and enquiring approach
  • oCommunication skills - written and verbal - able to identify key points from complex issues and explain them appropriately and with clarity and succinctness
  • oAbility to use information, persuasion, influencing and negotiation with individuals and groups including stakeholders in sensitive, controversial and stressful situations
  • oEffective decision maker regarding QSG data quality and LRMS management
  • oAbility to prioritise workload and multi task in order to meet tight deadlines in a pressured environment
  • oKnowledge of Information Governance, Data Protection Act and Caldecott and Safeguarding requirements, and how this interfaces with Quality and Safety Governance processes
  • oUnderstanding of the relationship between providers and commissioning organisations

Personal Skills

Essential

  • oDemonstrates a strong desire to improve data quality, performance and services and share that knowledge and enthusiasm with others - tailored for different audiences/ and levels of experience/knowledge
  • oAbility to work both as part of a team and on own initiative working unsupervised
  • oCreative, flexible, resourceful, resilient and committed to CPD for self and team
  • oCredibility and ability to embrace, lead and drive change in a complex environment to accomplish organisational goals and objectives

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Bedfordshire Hospitals NHS Foundation Trust

Address

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Employer's website

https://www.bedfordshirehospitals.nhs.uk/working-here/ (Opens in a new tab)


Employer details

Employer name

Bedfordshire Hospitals NHS Foundation Trust

Address

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Employer's website

https://www.bedfordshirehospitals.nhs.uk/working-here/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Deputy Director of Quality and Safety Governance

Karen Sobey Hudson

Karen.Sobey-Hudson@bedsft.nhs.uk

07974840038

Details

Date posted

15 September 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

418-CORP2130-EH

Job locations

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Supporting documents

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