Governance Project Manager

Job Summary

Healthshare Group is a leading provider of clinical and diagnostic services to the NHS and private sectors. We are seeking a skilled Governance Project Manager to support the Governance Director and governance team in implementing a new Quality Management System.

Main Responsibilities

Collate material and support the generation of various documents from the Divisions under the direction of the Group Governance Director.
Provide broad administration support to the Group Governance Director.
Support the Director to develop the quality framework.
Support the Director to review, audit and assure the organisation with regard to governance and quality for the Division.
Assist with the project Management of the implementation of a new Quality Management System.

About Us

We are an independent healthcare provider with established roots in muscular-skeletal health and diagnostics. Our approach means that every aspect has been carefully considered to surpass expectations. We work with integrity, empathy, and passion to deliver high-quality care to our patients.

Benefits

25 days annual leave (plus Bank Holidays) and option to buy/sell
Private Healthcare (Benenden)
Company Pension Scheme
Life Assurance
Blue Light Card
Refer a Friend Scheme
CPD Opportunities
Wagestream
Reward Gateway
Cycle to Work Scheme
Smart Tech
EV Car Scheme

Key Working Relationships

Work with the Group Governance Director.
Work alongside the other members of the Governance HR Team and IT.
Work with other Directors, members of the Senior Management Teams and staff in the achievement of the organisation's quality, safety and governance
Work alongside the external stakeholders.

Duties and Responsibilities

Prepare, compile and sort documents as directed
Check source documents for accuracy
Support the team when the other Divisional Governance Administrator is absent
Extract data from various systems including the Incident reporting system, HR system for use within corporate and other reports.
Verify data and correct data where necessary, obtaining further details where necessary
Combine and rearrange data from source documents where required to produce Board and Divisional reports
Contribute to team meetings and discussions
Support the Director's periodic governance meetings across all Services in the organisation including preparing documents, recording actions and taking minutes where requested
Support the maintenance and development of a Quality Manual and Quality management process and policy in the Division.
Support the production of the annual Quality Statement.
Help maintain standard operating procedures for governance across the organisation and ensure these are delivered.
Help maintain and coordinate the development and implementation of effective information governance arrangements across the organisation.
Support and facilitate the production and implementation of the organisations responses to emergency planning and business continuity ensuring the organisation takes account of national guidance and best practice.
Help and assist in the development and maintenance of an effective clinical and corporate risk management strategy, ensuring this is regularly updated in the light of changes to legislation, regulatory requirements and the structure and business of the organisation.
Support that risk registers are fed into from a governance and quality perspective.
Support the Director to identify and analyse early warnings of failure and trends across the organisation and ensure appropriate plans to mitigate the risks are in place including a strategy for achieving improved patient safety indicators and enhanced patient experience ratings and ensure all clinical services develop systems to support sustainable and measurable quality improvements.
Support the Director to ensure that there are appropriate systems and processes, including audits, in place to cascade and respond to alerts from the National Patient Safety Alerting (NPSAS) service that are broadcast through the Central Alerting System (CAS).
Support the Director to lead, develop and ensure effective mechanisms are in place for learning from serious incidents, complaints, and to encourage a patient focused learning culture.
Support the Director to coordinate and support the production of robust clinical quality audit and outcome data ensuring all actions resulting from the audits are completed in a timely fashion.
Support the Director to establish and sustain a system of key performance measures for monitoring against the standards within the CQUIN framework, agreed KPIs and the agreed cost improvements plans.
Support the Director to maintain a continual process of updates, training and dissemination within the organisation within quality and governance as demanded from legal and regulatory bodies.
Regulatory Compliance: ensure alignment with all levels of healthcare laws and standards, from federal to local. Their role involves a detailed focus on current regulations to mitigate risks, allowing for smooth project progression without unforeseen complications.
Healthcare Informatics: integration and analysis of diverse data types, including clinical, financial, and administrative, enhancing patient care and operational efficiency. Through healthcare informatics, design, implement, and assist the implementation of the ne QMS project to meet the strategic objectives of Healthshare Group.
Risk Management: Proactively identify and address potential project challenges by developing strategies to mitigate these risks, ensuring that the project stays on course and within budget, safeguarding the project's integrity and success
Stakeholder Engagement: Collaborating and communicating effectively with a wide range of individuals, from clinicians to patients, is necessary for aligning project objectives with the organisation's mission. The ability to negotiate, manage expectations, and foster a unified team environment is crucial for the successful outcome of the project
Process Optimisation: Analysing and improving clinical and administrative workflows to improve patient care and enhance the operational effectiveness of the healthcare setting

Monitoring and Reporting

Report to the Group Governance Director on a day to day basis.
Help compile monthly reporting to Group Board as directed.
Support the Group Governance Director to attend monthly, bi-monthly and quarterly meeting meetings and minute as required.
Support the Group Governance Director to report to regulatory and professional bodies as required.
Deal with the Divisional administration concerning:
Quality KPI's and CQUIN's
Complaints and feedback reports
Service user feedback
Adverse event reports
Site compliance reports
Patient safety
Risk register (governance and quality portions thereof)

Key Competencies and Skills

Have an awareness (if not direct working knowledge) of clinical governance and quality governance.
Information collection and management
Planning and organizing
Attention to detail
Decision making skills with particular attention around confidentiality
Ability to work under pressure
Verbal and written communication skills
Excellent telephone skills
Information collection and management.
Planning, organising and ability to think ahead and anticipate issues.
Ability to work under pressure and be comfortable dealing with and changing priorities.
Customer service orientated.
Personal attributes including initiative, reliability.
The post holder will be expected to work flexibly and accept changes to areas of responsibility in line with the on-going system development and the needs of Healthshare Group.

Education and Knowledge

Essential

Range of GCSEs (or equivalent) including English and maths.
Have knowledge of governance and clinical environments.
Track record of delivering administration.
Proven project management skills.
Is numerate - can manipulate data in spreadsheets.

Desirable

Administration and/or project management qualification.
IT familiarity with at least one Patient Administration System (eg. System1, EMIS, Soliton), Microsoft Word, Excel and PowerPoint.

Experience

Essential

Previous experience of administration.
Experience of working to stretching objectives and associated KPIs.
Building relationships and strong interpersonal and communications skills and the ability to deal with a diverse range of people.
Ability to work flexibly, under pressure and to meet demanding and often competing deadlines.
Demonstrable experience of setting up and improving administration processes.

Desirable

Experience of working in healthcare and/or governance.
Experience of working with solicitors and insurers.
Experience of supporting the administration of matters that might affect staff (disciplinary issues).

Skills

Essential

Conducts oneself that aligns to a culture that improves quality and safety in service areas.
Ability to promote equality and value diversity.
Experience of supporting the writing of reports and in particular tables of contents and appendices management.
Excellent task and finish skills.
Experienced in critical document version control and data management.
Excellent IT software skills - internet based, databases, information systems and key MS office packages
Demonstrates a drive for improvement in administration and an openness to new ideas
Ability to communicate with people about difficult matters / in difficult situations across a diverse range of scenarios/situations
Experience of dealing with conflict and working with colleagues to agree remedial action as required
Experience of supporting a continuous improvement culture

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