Head of Clinical Governance

TheHead of Clinical Governance will lead and enhance the organisations commitmentto delivering high-quality, safe care for children. This role is pivotal inoverseeing clinical governance frameworks, ensuring compliance with regulatorystandards, managing clinical risks, and implementing quality improvementinitiatives. The postholder will work collaboratively across teams to promote aculture of safety and continuous improvement, aligning with The ChildrensTrusts strategic objectives. Whilst the post directly reports to the Directorof Nursing and Quality, the remit of the role spans the whole organisation andworks across all clinical directorates.Main duties of the jobClinical GovernanceQualityImprovementRegulatoryComplianceClinicalAuditProfessionalStandardsPoliciesand ProceduresMedicalRecordsComplaintsand Patient ExperienceAbout usAbout UsThe Childrens Trust isthe UKs leading charity for children with acquired brain injury, providingexpert rehabilitation, education, therapy, and care at our national specialistcentre in Tadworth, and to children and their families across the UK, via ourBrain Injury Community Service.Boasting a beautiful 24-acre site in Surrey, weare located just outside of London, close to the M25 (accessible via Junction8, A217 to Tadworth) and easily accessible via National Rail, by way of:Clapham Junction, Sutton, and Epsom.The work we do ishighly rewarding, and in addition to an attractive salary, we offer a valuablerange of benefits, including, adoption pay, time off for fertility treatment,enhanced paternity leave, paid carers leave, time out days for thoseexperiencing menopause symptoms, time off for gender reassignment.We also offeradditional annual leave days for those with long service, with entitlementsranging from 35 to 41 days (including bank holidays) depending on your lengthof service.Other benefits includefree on-site parking; a staff shuttle service from Epsom and Sutton trainstations to Tadworth Court, subsidised cafeteria, on-site staff accommodation(subject to availability), the ability to retain your NHS pension (whereapplicable) or the opportunity to join an alternative scheme, and theopportunity to develop your career in a supportive and collaborativeenvironment.Job responsibilitiesClinical GovernanceDevelopand maintain an effective clinical governance framework that supports safe andhigh-quality care.Facilitate regular clinical governance meetings todiscuss performance, incidents, and quality improvement initiatives.Ensurethat clinical pathways and practices are aligned with best practice guidelinesand evidence-based standards.Leadinitiatives to enhance patient safety across all services, promoting a cultureof transparency and reporting.Implementand maintain the Patient Safety Incident Response Framework (PSIRF), ensuringthat learning from incidents is captured and shared.Monitorand report on patient safety metrics, identifying areas for improvement andensuring appropriate action plans are developed.Identify,assess, and manage clinical risks within the organisation, ensuring effectiverisk mitigation strategies are in place.Conductregular reviews of incident reports and risk assessments to inform organisationallearning and development.Overseethe management of serious incidents, ensuring thorough investigations andappropriate follow-up actions are completed.QualityImprovementDevelopand implement quality improvement initiatives aimed at enhancing patientoutcomes and experiences.Leadquality impact assessments for new initiatives or changes in practice,evaluating potential risks and benefits and manage the organisationalgovernance in relation to these.Collaboratewith multidisciplinary teams to promote a culture of continuous qualityimprovement.RegulatoryComplianceEnsurecompliance with relevant legislation, standards, and guidelines, including CQCregulations and national safety frameworks.Maintaina up-to-date understanding of regulatory changes and ensure organisationalpolicies and practices reflect these updates.Coordinateand draft the annual organisation quality account.ClinicalAuditDesignand implement a comprehensive clinical audit program that evaluates the qualityof care and compliance with clinical standards.Analyseaudit findings to identify trends and areas for improvement, facilitating thedevelopment of action plans.Overseethe incident management process, ensuring that incidents are reported,investigated, and learned from effectively.Developstrategies to communicate learning from incidents across the organisation topromote a culture of safety.ProfessionalStandardsPromote adherence to professionalstandards and best practices among clinical staff, ensuring high levels of accountability and professionalism.Monitor compliance with organisationalpolicies and procedures, implementing corrective actions as needed.Policiesand ProceduresDevelop, review, and updateclinical policies and procedures to ensure they align with current bestpractices and regulatory requirements.Ensure all staff are trained andknowledgeable about relevant policies and procedures.MedicalRecordsEnsure that medical records aremaintained accurately and confidentially, supporting patient safety and carecontinuity.Line manage the lead pharmacistand wider pharmacy teamOversee medicines managementprocesses, ensuring compliance with best practices and safe medicationadministration.Complaintsand Patient ExperienceManage the complaints process,ensuring that concerns are addressed promptly and appropriately, and lessonslearned are disseminated.Work to enhance patientexperience through feedback mechanisms, ensuring that patient voices are heardand acted upon.GeneralUndertake other or additionalduties that are within your skills and abilities, as the organisation may reasonably require from time to time.Act as a critical member of theNursing and Care senior leadership team.Health and SafetyAdhere to all Healthand Safety guidelines, principles and regulations required to perform your roleand comply with The Childrens Trust policies and procedures.Wellbeing and Emotional ResilienceMaintainsa positive approach and outlook when dealing with change and overcomingchallenges and problems.Recognisesown limitations, develops realistic goals, and uses support network resourcewhen or if necessary.Treatschallenges and problems as a learning experience.Remainsorganised and focused when under pressure.Respondsappropriately and effectively to all constructive feedback.Motivatesself and other.Person SpecificationKnowledgeStrong understanding of:*Health care educational framework and of developing training strategies*Clinical and operational audit data and analysis/presentation methodology*Multidisciplinary team working*Care of children with learning disabilities*Safeguarding*Quality improvement programmes and methodologiesQualificationsActive NMC membershipEducated to Masters degree level in a relevant area (or relevant experience), and / or with relevant post graduate teaching or leadership qualifications.Personal QualitiesCommitment to the vision and values of The Childrens Trust.Flexible and can do attitude to competing commitments in workload.Highly motivated and reliable.Ability to cope working in a demanding environment.Commitment to maintaining personal wellbeing and the wellbeing of colleagues.Skills and AbilitiesDynamic, passionate, open, participative, and supportive leadership styleAbility to develop and deliver innovative training programmesClinically credible in own area of practiceAble to deliver a multi-faceted service balancing the capacity of each area to meet service needs and priorities.ExperienceEvidence of significant operational leadership experience at AfC band 8a equivalent or aboveExperience working with children with learning disabilityExperience of working within quality and clinical governance dedicated rolesExperience within training/education/practice-based education and presenting effectively to a variety of audiencesExperience managing significant budgetsExperience writing business cases for service proposalsExperience of effective partnership working with internal and external stakeholdersManagement of changeDisclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.£55,690 to £62,682 a yearPlus £5941 Outer London Weighting #J-18808-Ljbffr