Head of Quality and Governance

8 months ago


Blackburn, United Kingdom East Lancashire Hospice Full time

Job Purpose As the Head of Quality and Governance, you will champion a culture of excellence and collaboration throughout the organisation, particularly with the Clinical Service Director. Your primary focus will be to spearhead the advancement of governance and quality initiatives within the Hospice, ensuring meticulous implementation and monitoring of systems and processes to uphold the highest standards. This pivotal role entails driving compliance with regulatory requirements, fostering continuous quality improvement, and safeguarding the welfare of our patients and their families. Key Performance Areas Quality Develop and oversee robust systems to fulfil statutory obligations across all facets of quality and governance.

Maintain systems ensuring ongoing compliance with Care Quality Commission (CQC) standards, utilising effective monitoring and self-assessment methodologies. Facilitate the collection of evidence for pre
- and post-CQC assessments, collaborating with departmental leaders to ensure comprehensive documentation. Lead, motivate, and support staff to achieve optimal quality outcomes, emphasising adherence to best practices and regulatory standards. Direct the organisational audit program, providing guidance to drive sustained quality enhancement and ensuring meticulous documentation and reporting of findings.

Governance and Compliance Act as the Safeguarding Lead, overseeing policy development, staff training, and coordination with external agencies to ensure the safety and well-being of all individuals under our care. Provide integral support to governance assurances, actively contributing to the organisation's risk management framework. Propel the quality improvement agenda by overseeing audit processes, thereby validating service quality and identifying avenues for enhancement. Collaborate with stakeholders to integrate risk and governance practices seamlessly into Hospice operations.

Manage the risk assessment process, maintaining an up-to-date organisational risk register, analysing trends, and implementing mitigation strategies. Champion a culture of learning and accountability, ensuring critical incidents and near misses are thoroughly investigated, with lessons learned informing continuous improvement efforts. Cultivate a deep understanding of the governance framework among the leadership team, fostering compliance with regulatory standards and promoting a safety-centric environment. Uphold information governance policies and procedures to ensure adherence to regulatory requirements, providing guidance and support across the organisation.

Actively engage in collaborative endeavours with external agencies and partners to advance shared objectives. Professional Responsibilities Collaborate closely with key stakeholders to ensure compliance with regulatory requirements and the delivery of high-quality services aligned with strategic objectives. Serve as the Information Governance Lead, ensuring adherence to legislative and best practice standards regarding patient information management. Demonstrate professionalism and uphold respectful relationships with colleagues while adhering to organisational policies and procedures.

Manage time effectively, maintain punctuality and attendance, and utilise hospice resources responsibly. Serve as an ambassador for the East Lancashire Hospice, embodying its vision and values in all interactions. Personal Development Engage in mandatory training pertinent to the role and seize opportunities for personal growth through participation in the hospice appraisal system and relevant training initiatives. Contribute to the education and training of others as appropriate.

Managing Services Prioritise safety by promptly addressing hazards, conducting risk assessments, investigating incidents, and implementing risk mitigation measures. Ensure efficient resource utilisation within allocated budgets. Managing People Participate in recruitment and induction processes in accordance with hospice policies. Contribute to staff development initiatives to enhance service delivery and monitor staff engagement with the performance review process.


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