Clinical Governance Manager

Are you determined and passionate about improving patient care, outcomes, and experience? Does the thought of governance fill you with interest and energy?

The Division of Families and Clinical Support Services is looking to recruit an experienced Head of Governance. We are a unique Division which includes the Directorates of Maternity, Neonates, Paediatrics, Women's Health, Pathology, Radiology, Therapies, and Psychological Services.

This is a busy and demanding senior role, requiring excellent organisational skills, the ability to work under pressure, and to meet tight and changing deadlines. A pivotal skill is the ability to balance the regular compliance requirements with sometimes urgent requests and needs for data and support from colleagues.

Improving patient safety is the primary purpose of this role; you must have experience and knowledge of the challenges of working in a clinical setting. Your communication skills must be fine-tuned, along with the ability to be comfortable working alongside both clinical and non-clinical staff at all levels across the Division and the Trust.

You must have excellent Excel and IT skills, extensive experience of leadership and line management, along with knowledge and experience of working within patient safety frameworks.

Main duties of the job

The post holder will provide direct support to the Clinical Specialities and Clinical Specialty triumvirates, delivering on all aspects of clinical governance. Lead on the co-ordination, implementation, and delivery of the Clinical Specialty Clinical Governance agendas and ensure risks and assurances link into the Divisional Governance agenda. In addition, the post holder will support the delivery of the quality assurance agendas in and across all Clinical Service Units of the Division.

Main responsibilities of the role:

• Leadership and line management of the Divisional Governance Team
• Review and follow up on all patient safety and risk issues for the Division
• Production of reports and presentations both on a monthly and ad hoc basis
• Analysis and presentation of data and information
• Triangulation of patient safety data to ensure divisional focus is appropriate to risk
• Management and update of the risk register, national alerts, and incidents
• Representation and presentation at Directorate, Divisional, and Trust meetings
• Facilitation of Divisional meetings and investigations

About us

We are an acute trust caring for over half a million people in Wakefield and Kirklees. Our 10,000 staff work in patients' homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritise our people and values so we can deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work.

We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns so we can increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ+ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust.

If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day.

Job responsibilities

The post holder, in conjunction with the Divisional Clinical Director and Clinical Specialty triumvirates will:

Ensure that robust and comprehensive governance arrangements exist within Specialties and effectively report risks and assurances to the Division.

Manage an effective complaints investigation and response system, ensuring compliance with nationally and locally determined response targets and supporting teams in proactive resolution where possible.

Manage an effective serious incident and significant event investigation system including the oversight and completion of action plans.

Work with the Divisional Governance Meeting Chair to support all colleagues to lead on improvements in patient safety.

Provide leadership and expert advice on Clinical Governance and coordinate all aspects of Governance across the Division, ensuring integration of Trust strategic priorities with that of the Division.

Facilitate the design, production, and prioritisation of Divisional Governance activities, action plans, and work programmes to ensure improved clinical quality within the Division, incorporating the Trust strategic priorities.

Co-ordinate the delivery and implementation of the fundamental standards of quality and safety, and of the MYHT Clinical Governance and Risk Management strategies, policies, and work programmes.

Support Maternity Services in the achievement of CNST Maternity Incentive Scheme.

Monitor and triangulate sources of patient safety and experience data to inform Divisional and Specialty improvement plans and shared learning.

Please see attached job description for the full list of duties.

Person Specification

Experience

• Extensive experience of successful clinical management and achievement in a complex organisation
• Preparing and implementing governance plans
• Demonstrates ability to develop and utilise effective professional networks
• Leadership and the ability to influence change
• Ability to lead, manage and implement change to improve services to patients
• Ability to manage and minimise risk
• Demonstrates evidence of innovation and improvement in the provision of services

Skills and Abilities

• Excellent oral and written communication skills
• Ability to communicate at all levels
• Strong leadership and team building skills
• Strong management and organisational ability.
• Problem-solving approach
• Innovative and creative, able to think laterally
• Possess natural authority and able to gain respect from others
• Highly developed interpersonal skills
• Ability to negotiate and influence
• Ability to lead, manage and promote change
• Ability to think strategically
• Experience in managing and delivering projects across a wide range of services

Qualifications

• Educated to degree level or equivalent professional qualification
• Governance or risk management qualifications

Knowledge and Awareness

• Knowledge and application of key governance policies and procedures, Health and Safety, National Service Frameworks, and Infection Control
• Knowledge and understanding of CQC
• Fundamental standards of quality and safety
• Knowledge of organisational performance management principles and practice

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.