Divisional Head of Governance, Quality and Risk

2 weeks ago


Wigan, United Kingdom Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust Full time

Duties and Responsibilities To utilise high level communication skills to be able to work effectively and collaboratively with all staff groups, including medical staff, nursing staff, senior managers and other healthcare professionals to explore complex issues and to make complex decisions related to Governance and Quality To employ effective change management skills to empower staff to bring about service improvements. To attend and participate fully at meetings and to be able to present information, which is frequently highly contentious, complex and sensitive. This will be to a range of staff including Trust Board and audiences greater than 20 at times as required in order to fulfil the requirements of the role. To develop and maintain excellent working relationships with key Governance and Quality improvement staff i.e., work in partnership with other Divisional Governance Leads, the Corporate Governance team and Quality Improvement staff in order to assist the Division in achieving its Governance and Safety objectives.

This may require presenting highly complex, sensitive information to large groups in highly charged situations. The role involves a high degree of mental effort: able to concentrate, analysis of performance I governance data working in busy environment with interruptions; working to deadlines / immediate response. Frequently directly exposed to distressing, sensitive and confidential information and required to provide support to staff and patients in undertaking difficult conversations To identify, manage and reduce hazards in the Division and ensure that staff under his/her direction adhere to all safe systems of work applicable to the area of work and support the wider Division in promoting and monitoring safe systems of work. To undertake appropriate risk assessments and implement risk reducing measures.

To ensure there are appropriate arrangements for reviewing significant risks and highlight risks that cannot be addressed at a local level through appropriate structures Provide training and support to ensure that staff are competent to develop and manage risk assessments relevant to their role and be fully aware of the legal requirements for general and specific risk assessments. To establish and monitor systems to ensure staff in the Division are up to date with Trust policies, procedures and statutory training. To ensure appropriate actions are taken to minimise risks. Manage the Directorate risk register, leading the Divisional risk management agenda.

To lead on Trust critical/ serious incident reporting processes, ensuring that robust mechanisms are in place within the Division for compliance. To ensure the delivery of the Trust's governance agenda, both clinical and non-clinical participating in assessment and action planning. To ensure Directorate /Specialty governance structures are in place in line with and in support of Divisional and Corporate Governance structures Promote a culture that continually reviews performance using critical incident and complaints as tools for continuous improvement To ensure data relating to quality is accurate, complete and informs service planning. Risk Management To lead and co-ordinate Risk Management activities in the division and be responsible for the development and implementation of risk management strategy at a local level, taking the lead on developing appropriate policy documents.

To lead on managing the Divisional risk register and represent the Division at the Risk and Environmental Management Group (REMG) escalating risks for consideration onto the Corporate Risk Registers. To lead in the analysis,, action and evaluation of the service leading to minimisation of risk throughout the Division, with particular emphasis on the CQC/NHSLA standards and population and management of the Division, Directorate and Departmental Risk Registers. To ensure mechanisms are in place so that key lessons are learnt across the division from all internal and external governance projects and other organisational reviews. Research Participation and coordination of clinical audit activity across the Division on a variety of topics, undertaking audits on behalf of the division to gain information' on patient experience and improve quality and safety To prepare information to inform other research and audits throughout the Trust Application of evidence based practice within the care delivery Key results from the job holder To be an integral professional manager and Governance, quality and risk expert, as part of the Divisional Senior Management Team In conjunction with the Divisional Triumvirate the post holder will be responsible for providing leadership to develop, drive and co-ordinate Governance, Quality and Risk Management Strategies across the Division which are cohesive with the Trust Vision.

Responsible for implementing strategies by liaising with all members of the multidisciplinary team thereby-safeguarding the high standards of care and cr



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