Group Clinical Governance and Risk Lead

Job overview

This role is a critical senior professional management and leadership post within the Clinical Governance Directorate. The post holder will need to be an expert in the field of quality and clinical governance.

To role will provide effective leadership, co-ordination, and management of Group clinical governance functions, providing expert advice and support whilst maintaining a robust assurance seeking role.

The role will be responsible for supporting the Care Directorates with all aspects of quality and clinical governance management providing key support to the Care Directorate Leads and Clinical Governance leads on risk management, governance arrangements, and quality across the Group.

The role will provide support and guidance to clinicians and managers in all aspects of quality and clinical governance and ensure that commitment to managing risk in a coordinated, systematic, transparent, and focused way is achieved.

In conjunction with the Associate Director of Compliance, the role will be responsible for the day-to-day oversight and management of the clinical governance framework within the Care Directorates.

The role will consist of line management responsibilities for the Risk and Datix Team and will deputise for the Associate Director of Compliance as required.

Main duties of the job

Provide expert leadership and guidance to ensure an integrated clinical governance function is delivered, that can evidence high quality, in line with the CQC five key questions that determine quality.

Provide expertise in risk management, holding a suitable risk management qualification.

Ensure that the Group clinical governance framework is robust and that evidence of this is available.

Oversee and refine as necessary reporting and monitoring arrangements which ensure that clinical and quality governance are core to service delivery and professional practice.

Triangulate data and learning from all aspects of the Clinical Governance Directorate and ensure that there is a programme of learning in place across the Group.

Ensure the Group’s electronic system for managing risk, incidents and other clinical governance processes is effective.

Prepare, draft, and submit formal reports on all aspects of clinical governance to internal and external audiences.

Support and ensure active participation in the appointment and induction of Clinical Governance leads across the Group

With the support of the Associate Director of Compliance, be responsible for formulating the annual Quality Accounts across the Lincolnshire Community and Hospitals NHS Group.

Deputise for the Associate Director of Compliance as required.

Detailed job description and main responsibilities

Act as an expert source of advice in respect of maintaining an integrated clinical governance function ensuring that the Care Directorates can demonstrate that its services are Safe, Effective, Caring, Well led and Responsive.

Ensure that the Care Directorates have in place systems and processes which ensure that all aspects of clinical risk are managed appropriately at every level. The post-holder will require a risk management qualification.

Supporting the infrastructure and culture for clinical and quality governance across the Group ensuring that there is a climate which champions accountability, openness, transparency, learning from mistakes and adoption of best practice.

Ensuring quality improvement and clinical governance techniques and tools are embedded in Group decision making, planning and performance management processes.

Ensure that there is a robust clinical governance framework in operation across the Care Directorates of the Group including standard governance agendas, governance reports and that Clinical Governance Leads are aware of their responsibilities.

Overseeing existing reporting and monitoring arrangements which ensure that clinical and quality governance are core to service delivery and professional practice.

Support for the triangulation of data and learning from all aspects of the Clinical Governance Directorate and ensure that there is a programme of learning in place across the Group.

Supported by the Associate Director of Compliance, ensure that the Group has a robust Risk Management Framework and that there are effective systems in place for Group wide identification and management of risk.

Through the Risk and Datix Manager, ensure that the Group’s electronic system for managing risk, incidents and other clinical governance processes is effective.

Communicating quality and safety initiatives in a compelling, inspiring, and interesting way using case studies and patient stories.

Prepare, draft, and submit formal reports on all aspects of clinical governance summarising status on issues, appraising outcomes, and providing progress reports for Clinical Governance and senior managers as appropriate. Highlight exceptions and risks ensuring mitigating action can be taken to keep programmes and/or projects on track.

To identify quality improvement and governance training requirements, providing training across the Group to both small and large audiences as required.

Takes an active role in the appointment and induction of Clinical Governance leads across the Group providing support and guidance throughout the term of office in relation to the roles and responsibilities of the post.

Responsible for the development and delivery of programme/project plans with agreed milestones and outcome KPI measures, to achieve sustainable service improvement in line with the Patient Safety Incident Response framework and focussed patient safety work.  Organise and administer associated meetings, keeping up-to-date action logs.

Promote collaborative working with System partners in support of Patient Safety activities and co-ordinate stakeholder contributions to the programme/projects.

Manage the relationship between Business as Usual and improvement work in order to demonstrate achievement of the overall Improvement journey.  Responsible for transferring sustainable programmes/projects to business as usual with up-to-date policies, procedures and standard operating procedures in place were required.  Demonstrate delivery and sustainability through appropriate testing and monitoring, for example: surveys.

Maintain own personal and professional growth, keeping up to date with changes, new ways of working and future developments.

Supporting activities relating to the implementation of the National Patient Safety Strategy.

With the support of the Associate Director of Compliance, be responsible for formulating the annual Quality Accounts across the Lincolnshire Community and Hospitals NHS Group.

Deputise for the Associate Director of Compliance as required.

Like all other staff members, there is an expectation that the post holder adheres to the Lincolnshire Community and Hospitals NHS Group (LCHG) policies, procedures, and guidelines.

All staff are required to advocate, champion, and demonstrate the LCHG values.

LCHG requires all staff to safeguard children, young people and adults.