Divisional Quality Manager- Unplanned Care

Job overview

We are recruiting for a Divisional Quality Manager who shares our vision to be trusted to provide consistently outstanding care and exemplary service to our patients.

The post holder will support the Quality Governance Lead to oversee all aspects of quality governance, within the Unplanned Division. They will directly support the Quality Governance Lead, Divisional Leadership team and Care Group Governance Leads. The post holder will be a fundamental part of the Quality Governance Team for the Division, ensuring that services meet the required level of quality assurance standards within the Trust.

The post holder will be responsible for monitoring, implementing and enhancing quality governance policies and procedures ensuring adherence to national and internal legislation and guidance, which will include reporting and effective management of clinical and non-clinical incidents.

The post holder will be expected to be appraised of best practice in quality assurance and governance nationally and locally including external bodies.

Our Values are Include, Respect and Improve. It is important that you understand and refer to our values during your recruitment process and beyond

Main duties of the job

To support the Quality Governance Lead in promoting clinical incident reporting and ensuring that all Patient Safety Incident reports are accurately recorded, investigated and actioned in line with ENHT Policy.

To provide managerial support to the Quality Governance Lead and in their absence to Care group Lead/Senior Nurse in managing and developing Care group arrangements for clinical governance and specifically clinical risk management and patient safety.

To provide support, advice and guidance to all levels of staff across the Unplanned care to ensure that there are processes in place to systematically assess and prioritise clinical risks with corrective action programmes in place.

To provide general awareness training on Clinical Governance, patient safety and quality to various staff groups at all levels across the Unplanned care Division in response to identified need following patient safety incident investigations, external assurance monitoring mechanisms and training needs analysis.

Working for our organisation

At East and North Hertfordshire NHS Trust, we are proud of the range of general and specialist services we provide and our 6,000 or so dedicated staff ensure our patients get the best care. Our ability to be flexible and innovative in the way in which we work and deliver our services to our catchment has never been more important than it is now.

We run the following hospitals:

• The Lister Hospital, Stevenage
• New Queen Elizabeth II (New QEII), Welwyn Garden City
• Hertford County, Hertford
• Mount Vernon Cancer Centre (MVCC), Northwood

We have ambitious plans to become an outstanding, patient-led Trust where dedicated staff provide high-quality, compassionate care to our patients. We continue to undergo significant transformation and our staff and patients are at the heart of delivering this ambitious agenda.

We are committed to a positive work life balance for our employees. This means that any employee is entitled to seek to work flexible working patterns and we are committed to listen and consider all requests. Such requests, of course, have to be made and considered formally, and will need to be balanced against service needs, but our starting point will always be to find ways to support making them happen.

Detailed job description and main responsibilities

Please see the attached Job Description and Person Specification applicant pack for further detailed information regarding this role.

Person specificationQualificationsEssential criteria

• Graduate level of education and/or relevant professional qualification, or significant governance experience within the NHS.
• Evidence of continued learning or professional development.
• Teaching qualification or appropriate level of teaching/presentation experience

Desirable criteria

• Masters level qualification (or working towards same)
• Certificate in leadership and Team skills (or working towards)
• Active registration as a healthcare professional.

Previous ExperienceEssential criteria

• Previous experience within an associated specialty within clinical governance.
• Relevant experience in clinical governance within a medium to large NHS organisation.
• Experience of the clinical governance function within healthcare.
• Experience of involvement in clinical audit
• Experience of working closely with clinicians of varying seniority.
• Experience of analysing problems and identifying solutions.
• Experience of using Windows based software.
• A track record in delivering presentations and developing and delivering training.
• Development and use of information systems to support change.

Desirable criteria

• Experience of using clinical outcomes systems.
• Ability to concentrate for long periods of time while analysing data and producing reports /trackers
• Supervisory Management Role.
• Proven track record of delivering clinical governance objectives in line with organisational strategy.
• Understanding of and working experience of process mapping.

Skills / Knowledge KEssential criteria

• Knowledge of all aspects of clinical governance.
• Knowledge of using healthcare databases, healthcare systems and procedures.
• Understanding of NHS structure and processes including commissioning, regulation and evolving governmental approaches.
• Understanding of processes of standard setting, assessment and assurance within the NHS.
• Understanding of the principles and practice of the legal framework relevant to risk management, investigation and mitigation in the context of governance in the NHS
• Understanding the use of comparative statistical information to stimulate clinical quality improvement.
• Excellent oral and written communication skills.
• Excellent interpersonal skills.
• Ability to present information concisely and clearly with excellent attention to detail.
• Ability to format and write a report with complex data presentation/analysis to inform and influence the quality governance agenda.
• Ability to lead meetings and discussions with teams across the local health community.
• Ability to communicate complex information with clinical staff (including through use of presentations).
• Ability to deal with disagreement and conflict.
• Organised and systematic in approach to work and prioritisation, including the ability to work to tight deadlines.
• Ability to be assertive, tactful and diplomatic.
• Ability to make reasoned decisions rapidly.
• Ability to understand, manage and communicate data.
• Demonstrable political judgement and an astute approach to handling diverse interests and complex relationships - clear about referring upwards where necessary.
• Demonstrable credibility in working with and influencing senior staff.
• Ability to devise and implement a rigorous and analytical approach to information collection and presentation.
• Ability to devise project plans and work programmes, working independently and as part of a team.
• Knowledge of Data Protection Act and freedom of information Act, and Caldicott Principles.
• Enhanced IT skills in common software packages including Microsoft Office.

Desirable criteria

• Research methodology
• Experience in clinical effectiveness, change management and development

Our values

We want our staff to believe in, demonstrate and live our values in everything we do.

Include
We value the diversity and experience of our community colleagues and partners, creating relationships and climates that provide an opportunity to share, collaborate and grow together.

Respect
We create a safe environment where we are curious of the lived experience of others, seek out best practice and are open to listening and hearing new ideas.

Improve
We are committed to consistently delivering excellent services and continuously looking to improve through a creative workforce that feels empowered to act in service of our shared purpose.

Committed to our Community

East and North Hertfordshire NHS Trust is committed to equality, diversity and inclusion for all job applicants, staff, patients and the wider community. We want to create a workforce which represents the communities we serve. We are on a journey to become a more inclusive organisation and we welcome applications from everyone regardless of their background. In particular we encourage applications from candidates with disabilities, and candidates from Black, Asian and Minority ethnic (BAME) backgrounds who are currently under-represented in various parts of our workforce .

We understand the importance of balancing work and home life. We are committed to support flexible working for our staff wherever possible and all our employees are given the opportunity to discuss potential for flexible working.

We are proud to be a Disability Confident employer and achieved our status in 2019.

We will remove barriers that prospective candidates might face at any stage of our recruitment process. If you have a disability and would like the advert in an alternative format, or would like to talk about how we can adjust the interview process to best support you, please contact us by emailing

We are also proud to support our UK armed forces by supporting Reservists, Cadet Instructors, Veterans and military spouses/partners into employment and offering supportive policies that value their contribution to the community and to our Trust.

We are committed to being a carer-friendly environment, addressing the complex needs of families with caring responsibilities. In partnership with Carers in Hertfordshire, all our working carers have access to support from recruitment. We are also a member of Carers UK, providing resources to make balancing work and caring easier. Our approach is inclusive, recognizing diverse challenges and creating a supportive environment where carers feel valued.

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