Head of Governance and Compliance

3 days ago

Reading, Reading, United Kingdom Royal Berkshire NHS Foundation Trust Full time
About the Role

We are seeking a highly skilled and experienced professional to join our team as a Head of Governance and Compliance. This is a key role within the Trust, responsible for ensuring that we operate within the laws, regulations, and codes of good practice that apply to NHS Foundation Trusts.

Key Responsibilities
  • Establish and monitor procedures to ensure compliance with all relevant legal, constitutional, and regulatory requirements.
  • Monitor the corporate governance and compliance implications of all papers submitted to the Trust Board, the Council of Governors, the Executive, and all their subgroups.
  • Ensure that the Trust has in place sound governance policies, procedures, and structures to promote and ensure probity in the conduct of business and compliance with policies.
  • Establish arrangements to monitor compliance with Standing Orders and other internal Trust policies.
  • Keep up to date on developments in corporate governance in the UK and elsewhere through regular research, reading, and attending relevant events.
  • Provide specialist knowledge of Foundation Trusts best practice, organisational policies, and procedures, and governance to the Chief Executive, Executive Directors, their direct reports, external organisations, Trust staff, Governors, Trust Members, and the general public when required.
  • Maintain the Trust Seal and ensure all legal documents are properly signed, sealed, witnessed, and Trust Seal usage reported to the Board.
  • Maintain the Trust's Register of Interests for Board Directors, all Trust staff, and the Council of Governors, undertaking annual review that is formally reported to the Board and assessed by the Trust's Counter-Fraud, Internal, and External Audit services.
  • Ensure the application of the Trust's Hospitality Policy and maintain the Hospitality Register, reporting declarations at appropriate intervals.
  • Maintain an effective internal control framework, ensuring that all organisational risk registers and the Board Assurance Framework (BAF) are monitored, reviewed, and actions followed up.
  • Plan and prepare the Annual Report, incorporating the Annual Governance Statement (AGS).
  • Ensure the Trust's suite of corporate governance documentation is developed and maintained up to date.
  • Develop briefings for the Board members ensuring there is an understanding of the changes in governance and the NHS landscape are understood and internal plans to address changes are in place.
  • Develop and update terms of reference for all groups within the Trust governance framework and ensuring they are reviewed at appropriate intervals.
  • Arrange induction and ongoing training and development for Board and Council members.
  • Develop and maintain a Directors Handbook incorporating standing orders, relevant policies, and procedures and the Governors Resource Pack.
  • Develop and oversee the operation of a membership database ensuring that data is accurate, secure, compliant with all relevant legislation, and reflects the Trust's Constitution.
  • Be a point of contact for the Council of Governors, members, and anyone enquiring about becoming a member of the Foundation Trust.
  • Promote the Trust positively to members and work with the Communications Team to encourage membership through local and national media organisations.
Document Control
  • Manage and maintain the administration and timely reviews of all non-clinical policies and procedures and ensuring there are systems in place for all policies and procedures to be reviewed, updated, and approved in conjunction with the Executive Chief Nursing Officer and Chief Medical Officers office.
  • Develop and manage the corporate register of policies.
  • Provide advice and assistance to sponsors etc in developing or replacing policies and procedures, ensuring all Trust policies and procedures comply with statutory, legal, and NHS requirements.
  • Maintain consistent standards across the entire Trust for the preparation, production, presentation, and approval of policies, including consistency of style, format, and process according to controlled document policy framework.
  • Support non-clinical teams to renew their policies and procedures to align with the Trust-wide transformation programme to reduce and improve the quality of policy and procedures.
  • Ensure Connect and the Trust website is up to date with current policies and procedures and is accessible to all staff across all sites that the Trust operates from.
  • Ensure documents are retained in accordance with the NHS codes of practice on records management.
  • Manage the policy and database for responding to external agency reports, in accordance with the relevant trust policy.
Freedom of Information
  • Act as Trust Deputy Data Protection Officer and lead specialist for issues relating to Freedom of Information, including managing the process for Freedom of Information requests ensuring that responses are issued within the appropriate timeline of 20 days and applying the appropriate use of exemptions where required.
  • Provide leadership and line management for the Freedom of Information and Policy Officer, conducting appraisals, setting objectives, and supporting continuous development.
  • Report on compliance against FOIs, including Information Commissioners Office (ICO) cases, internal reviews, and any identified trends in requests. Report regularly to the Risk Committee.
  • Ensure all ICO cases are reported through to the Risk Committee.
  • Produce the Freedom of Information policy and ensure it is reviewed and updated regularly.
Information Governance
  • Ensure the Trust complies with all information governance legislation and standards and has effective systems in place to sustain compliance.
  • Develop, implement, and enforce information governance policies for the Trust to ensure compliance with relevant legislation.
  • Ensure that suspected and actual breaches of information governance policies are investigated.
  • Maintain the Trust information governance risk register.
  • Develop and implement an annual plan to promote and raise the profile of information governance standards in the Trust.

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