Quality and Governance Lead

Go back Drs Alalade & Klemenz – The University SurgeryQuality and Governance LeadPlease make sure you read the following details carefully before making any applications.The closing date is 30 November 2025Maintain and update practice policies and protocols, ensuring timely reviews in line with national guidance and local procedures.Ensure staff are informed of new or revised protocols and maintain documentation of acknowledgement or training completion.Support CQC compliance and readiness by maintaining accurate, accessible records and contributing to inspection preparationAct as the first point of contact for logging patient complaints in accordance with practice policy.Acknowledge, track, and coordinate responses to complaints, ensuring timeframes and governance standards are met.Support investigation of complaints and work with clinical and admin staff to gather information and draft responses.Log significant events (SEAs) and incidents using the practices incident reporting system.Coordinate SEA meetings, including minute-taking, action tracking, and assisting with follow-up audits or reviews.Support a learning culture by helping disseminate learning points from SEAs and complaints to the wider team.Manage maintenance schedules and planned preventative maintenance (PPM) for premises and equipment.Monitor and record statutory compliance checks (e.g. Legionella testing, fire alarm servicing, PAT testing, waste disposal).Coordinate with contractors and external providers for repairs, compliance servicing, and emergency work.Maintain an up-to-date asset register and ensure documentation (certificates, maintenance reports) is accurately logged.Main duties of the jobQuality and Governance supportComplaints and Significant eventsEstates and facilities administrationHealth & Safety & Infection Control PreventionAdministration and communication dutiesAbout usAbout usThe Unicity Medical Centre is the first point of contact for patients within the healthcare system. It typically includes GPs, practice nurses, healthcare assistants, social prescribers, administrative staff, and allied health professionals.The team works collaboratively to provide accessible, person-centred care, focusing on prevention, early intervention, and continuity of care.The strength of a primary care team lies in its multidisciplinary approach different skills and expertise come together to address the broad spectrum of patients health and social needsAtmosphere and Work EthicThe atmosphere in our organisation is built around:Teamwork and collaboration Everyone plays a vital role, and strong communication ensures patient needs are met seamlessly.Patient-centred ethos Decisions and care plans are made with the patients best interests at heart, balancing clinical needs with personal circumstances.Supportive environment Staff are encouraged to share knowledge, support one another, and maintain mutual respect across roles.Adaptability and resilience Primary care is fast-paced and varied, requiring flexibility and problem-solving on a daily basis.Commitment to continuous learning Training, peer support, and reflective practice are part of the culture to ensure the best quality of careA strong sense of belonging and teamwork fosters both professional satisfaction and personal wellbeing.Variety in daily workJob responsibilitiesQuality and Governance LeadTo support the delivery of high-quality, compliant, and safe services within the general practice environment. This includes responsibility for estates administration, quality assurance processes, complaint coordination, significant event logging, and the regular updating of policies and protocols. The role is key in supporting compliance with CQC standards and maintaining a well-functioning clinical environment.Key Responsibilities:1. Quality & Governance Support:Maintain and update practice policies and protocols, ensuring timely reviews in line with national guidance and local procedures.Ensure staff are informed of new or revised protocols and maintain documentation of acknowledgement or training completion.Support CQC compliance and readiness by maintaining accurate, accessible records and contributing to inspection preparation.2. Complaints & Significant Events:Act as the first point of contact for logging patient complaints in accordance with practice policy.Acknowledge, track, and coordinate responses to complaints, ensuring timeframes and governance standards are met.Support investigation of complaints and work with clinical and admin staff to gather information and draft responses.Log significant events (SEAs) and incidents using the practices incident reporting system.Coordinate SEA meetings, including minute-taking, action tracking, and assisting with follow-up audits or reviews.Support a learning culture by helping disseminate learning points from SEAs and complaints to the wider team.Manage maintenance schedules and planned preventative maintenance (PPM) for premises and equipment.Monitor and record statutory compliance checks (e.g. Legionella testing, fire alarm servicing, PAT testing, waste disposal).Coordinate with contractors and external providers for repairs, compliance servicing, and emergency work.Maintain an up-to-date asset register and ensure documentation (certificates, maintenance reports) is accurately logged4. Health, Safety & Infection Prevention:Support implementation and maintenance of health and safety procedures, including fire safety and first aid arrangements.Maintain COSHH documentation and support infection prevention and control audits and records.Assist in organising mandatory staff training, fire drills, and health and safety briefings.5. Administrative & Communication Duties:Provide administrative support for meetings, including agendas, note-taking, and action tracking.Maintain shared mailboxes (e.g. quality, estates, complaints) and direct messages appropriately.Ensure documents and registers (e.g. risk register, training log, complaints log) are kept accurate and up to date.Support the Practice Manager in preparing reports for internal meetings, governance reviews, and external inspections. xpwpeyx Person SpecificationQualificationsGCSEs or equivalent including English and MathsNVQ Level 2 or 3 in Business Administration, Health/Social Care, or Facilities (desirable)SH Working Safely or other H&S certification (desirable)Training in complaints handling or SEA processes (advantageous but not essential)Experience in a GP practice or healthcare settingKnowledge of CQC standards, complaints handling, and incident reportingFamiliarity with practice systems (SystmOne)Awareness of GDPR and information governance requirementsUnderstanding of estates and compliance-related issues in healthcare settingsExperienceStrong administrative and document management skillsExperience handling sensitive and confidential informationAttention to detail and good record-keepingAbility to prioritize, multitask, and meet deadlinesProficiency in Microsoft Office (especially Word, Excel, Outlook)Experience in a GP practice or healthcare settingKnowledge of CQC standards, complaints handling, and incident reportingFamiliarity with practice systems (SystmOne)Awareness of GDPR and information governance requirementsUnderstanding of estates and compliance-related issues in healthcare settingsDisclosure 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.Employer nameDrs Alalade & Klemenz – The University Surgery#J-18808-Ljbffr