Deputy Governance Manager

Job Title: Deputy Governance Manager

The Division of Medicine is seeking a highly motivated and experienced individual to support the leadership of the Divisional Governance Team in the role of Deputy Governance Manager.

The primary focus of this role is to oversee the operational delivery of the Divisional clinical governance agenda, maintain efficient delivery of governance outputs, and ensure the smooth running of the team.

This is a permanent, full-time role working a 37.5 hour week with hours being worked Monday-Friday and with a mix of office and home-based working.

The successful candidate will work closely with the Division's Medical, Nursing, and Operational management teams and in collaboration with Corporate Governance functions.

Main Duties:

• Possess sound knowledge of the relevant legislative and regulatory body requirements (CQC), relevant policy, and key recognised sources of evidence-based practice and guidelines.
• Be educated to Degree level or with equivalent experience, with a sound understanding of clinical governance and excellent communication, influencing, and analytical skills.
• Provide comprehensive leadership in all aspects of patient safety, incidents, complaints, risk, and governance issues, promoting a culture of embracing learning while ensuring there is robust methodology in place to monitor quality standards to demonstrate that learning is embedded.
• Support the Head of Governance in ensuring that systems and processes are implemented and monitored in order to achieve governance, assurance, and quality objectives within the Division of Medicine, dealing with highly complex complaints and data of a sensitive nature.

About Us:

Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas.

We are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity.

Job Responsibilities:

• Actively support the division in the implementation of defined national and organisational standards, demonstrating their effective application at all levels.
• Lead on the monitoring and implementation of effective processes to achieve relevant quality targets.
• Support the Head of Governance in providing expert advice and leadership on governance and assurance issues to the division and wider Trust.
• Support the implementation of the risk management strategy and policy in the division, including the effective maintenance and application of the risk register.
• Actively contribute to the development of policies and procedures relevant to the services provided by the division.
• To support the Head of Governance to ensure that there is local and organisational learning following all types of incidents, complaints, and claims, actively disseminating lessons learned throughout the Division.
• To support the management of the complaints process in division, identifying trends, ensuring learning from experience, and that action plans are followed through, acting as case manager for specific cases.
• Assist the directorate to develop, set, and implement action plans relating to their clinical governance agenda and support changes in working practices, in line with governance-related reviews, inquiries, or recommendations.
• Responsible for providing clinical governance information for the directorate management team, including incident, complaints, and claims information. Ensure that directorate plans take these into account and any action points are addressed, through the delivery of governance plans and their regular review.
• Responsible for collating statistics and information to produce succinct, coherent governance-related reports for the directorate and Trust-wide forums.
• Provide the directorate with timely and accurate reports and relevant progress updates for directorate and specialty governance action plans, audit programmes, and to assist in the management of risk.
• To ensure effective systems in place to support evidence collation of evidence to support compliance with the CQC Fundamental Standards.

Planning and Organisational Duties:

• To investigate and analyse issues arising from all types of Governance data including Dr Foster, incidents, corporate risk, audits, complaints, and claims and develop actions to address issues and trends in order to ensure divisional learning and planning.
• Utilise computer software to develop/produce reports and other relevant documents within required deadlines.
• Responsible for producing management reports as required by the Divisional Director of Nursing, Head of Governance, Divisional Medical Director, or Divisional Director of Operations & Performance.
• Monitor quality and safety standards through audit, observation, and analysis of trends and contribute to the implementation of effective performance management processes.
• Support Divisional Governance Meetings, ensuring the timely scheduling, efficient production of reports, and following up on agreed actions.
• Oversee the editing and review process for policies and procedures generated within the division ensuring the same are approved at the relevant level in the organisation.
• Support the response to the results of patient satisfaction surveys and other patient feedback, developing/implementing action plans to improve services in response to findings.
• To maintain the Divisional risk register and ensure that it is effectively populated, to analyse and identify trends and actions arising, and to monitor on a regular basis to ensure that risks are controlled.
• Be responsible for the co-ordination of the overall day-to-day delivery of the divisional governance agenda (including national guidance relating to Governance and Risk Management requirements), through the development and implementation of procedures, policies, and processes across the division.
• To review procedures and practice in relation to Governance plans, strategic developments, and Risk Management (including risk assessments and risk register maintenance) ensuring actions are developed and implemented, escalating issues as the needs arise.
• To be an active core member of key divisional committees, including Quality, Risk, Patient Experience, Patient Safety, and Health & Safety as a minimum.
• Provide specialist advice and actively support staff within the clinical environment to achieve evidence-based care and CQC compliance for patient safety and quality agenda.
• To support the collation of required documentary evidence is collated for CQC and other inspections and assessments and ongoing monitoring for compliance required at all levels.
• If deficiencies are identified through the monitoring of compliance to the standards the post holder will support the development of an action plan to address these deficiencies that actions are implemented and improvements occur to ensure the required standard is achieved.
• To support the management of the Divisional Risk Register, supporting individuals and teams in ensuring that risks are identified at all levels and action plans developed for the minimisation and management of those risks.
• To support the Divisional Head of Governance to ensure systems and processes in place to promote and embed learning as a result of complaints, concerns, and results of patient engagement projects.
• To ensure complaints are processed within the division in accordance with Trust policy.
• To support formulation of responses to complaints and actively participate in the Divisional Patient Experience process and meetings.
• To provide reports on trends analysis as a result of concerns and complaints received.
• To ensure that improvement plans as a result of concern or complaint are monitored and delivered with non-compliance escalated to the Divisional Leadership Team.
• To collate, accurately analyse, and present data to support and maintain a positive patient experience.

Communications and Key Working Relationships:

• Be responsible for communicating sometimes highly complex and sensitive information to patients, relatives, and staff in what can be highly charged situations particularly in relation to complaints, ensuring that difficult questions are handled effectively and with care.
• To build and maintain effective working relationships with all colleagues across the division and Trust, this also applies to patients when they are making a complaint which needs to be handled sensitively and with empathy.
• To work with the Trust Research & Development lead to advise and support colleagues in relation to the Trust Research Approvals Process and Research Governance Framework.
• Follow up on external inspections, develop action plans, and verify the completion of corrective actions as required.
• Support members of the divisional management team in the development and progress of specialty governance meetings.
• Promote the Trust's strategic direction across specialty teams with the appointed governance leads.
• To support clinical leads to develop and implement clinical guidance and policies in line with best practice nationally and locally.
• To provide help and support for staff in the development of guidelines/patient information and give assistance with the submission process.
• To support the Trust Patient Engagement Lead and Divisional Head of Governance to encourage patient engagement and evaluate the patient/service user experience to improve service delivery.
• To provide support to staff for incident monitoring/investigation where appropriate and support lead investigators for serious adverse incidents within the care group.
• Support the CIP process by conducting Risk Assessments linked to specific schemes when required.

Responsibility for Human Resources:

• Ensure they work within the parameters of all Trust policies and procedures.
• Manage the direct reports in line with all Trust Policies and procedures, set and monitor work programme in relation to governance.

Responsibility for NHSLA:

• To adhere to and demonstrate NHSLA standards and outcomes and CQC essential standards of quality and safety.
• Participate in the induction and subsequent training of new staff members or students.
• Participate in the development of governance educational programmes for use across the division.
• Ensure own credibility by maintaining own professional development and completion of mandatory training sessions.
• Demonstrable evidence of continuing professional development.
• Management/Leadership qualification.

Experience:

• Experience in a leadership or management level post or equivalent.
• Experience of providing training.
• Experience of managing multiple projects, deadlines, and fluctuating workloads.
• Use of governance management systems/databases.

Skills:

• Excellent report writing skills.
• Track record of successful policy, procedures, and guideline development.
• Able to use Microsoft Office software.
• Excellent organisational and planning skills.
• Ability to interpret highly complex and sensitive data and present to all levels of staff.

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