Job summary
Employer heading
Clinical Governance Lead
NHS AfC: Band 8a
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
You will provide support and guidance to clinicians and managers in all aspects of quality, patient safety and governance, being responsible for the day-to-day management of the Divisional Governance Framework and ensuring commitment to managing risk in a coordinated and systematic way, contributing to delivering the Divisional and Trust wide governance agenda.
Experience of working collaboratively with senior clinicians and managers with a proven ability to deliver on non-negotiable deadlines is essential. You will be a positive influencer with a strong commitment to teamwork, shared learning and high performance.
Main duties of the job
Act as an expert source of advice for the divisional leadership team in respect of
maintaining an integrated governance function ensuring that the division can demonstrate that its services are Safe, Effective, Caring, Well led and Responsive.
Ensure divisional staff have a good understanding of the key governance issues for their service and are managing the challenges appropriately and provide training where required.
Ensure that the Division has in place systems and processes which ensure that all aspects of clinical risk within the Division are managed appropriately at every level, including incident and accident reporting and root cause analysis of any clinical incidents.
Ensure that incidents, risks and complaints investigations are undertaken in a timely manner, that a root cause analysis is undertaken and internal or external reports are prepared to a high standard
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
Divisional lead for the collation of evidence of compliance with the CQC outcomes (and other quality related regulatory authority standards).
To improve performance and provide regular feedback on compliance against statutory and local requirements to enable the division to increase compliance proactively.
To be the focal contact person for the division for CQC, HSE, MHRA, UKAS etc. and other relevant external regulators. Co-ordinate submission of information as required.
Assess evidence collated by leads and advise on areas of improvement through a robust quality assurance process. Lead on the identification of areas requiring improvement to reach an acceptable compliance level
Lead on the preparation for any external quality assessments.
Act as a liaison point for the Corporate Governance Teams on key governance issues including Incidents, risks, alerts, litigation, inquests etc.
Take the lead in agenda setting and organisation of Divisional Governance Meetings
Agrees an annual work plan with the Division / Specialty teams to ensure that improvement activity is aligned to the wider picture with regards to safety, quality and experience, some being potentially time limited and focused on achieving specific outcomes or goals
Works with colleagues to drive and support local ownership of clinical risks, governance and patient safety, helping to align and embed effective processes.
• Co-ordinate and oversee the work of the divisional clinical governance agenda; risk
management, complaints, inquests, claims and litigation, reduction of patient harm,
overseeing compliance with policies and procedures.
Ensure that the Division operates in a way which ensures that the division is taking on board and acting on national, professional, regional and local guidelines and initiatives in relation to quality and patient safety e.g. National Patient Safety Agency, NICE.
Person specification
Qualifications and Training
Essential criteria
- Degree in relevant discipline
- Educated to Master’s Degree level or equivalent experience/qualification
- Evidence of continuous professional development
- midwives – Current registration to practice
Desirable criteria
- Clinical/professional qualification (nonmidwives)
Experience
Essential criteria
- at least 3 years’ experience in an acute NHS healthcare setting
- Evidence of undertaking senior/lead roles dealing with risk management, quality of care or patient safety issues
- experience of undertaking audits/surveys and change management
- xperience of working collaboratively with multidisciplinary teams
Desirable criteria
- practical experience of leading Clinical Audit
Knowledge and Skills
Essential criteria
- specialist knowledge of all stages of the governance cycle and quality improvement methodology. In depth specialist knowledge of NHS quality and governance strategy, policy and current issues
- knowledge of quality improvement methods and techniques
- able to organise and facilitate meetings effectively
Desirable criteria
- PRINCE 2 QSIR Qualifications
Applicant requirements
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to download
Further details / informal visits contact
- Name
- Julie Glyn-Jones
- Job title
- Divisional Director of Nursing and Governance
- Email address
- [email protected]
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