Divisional Clinical Governance Manager

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Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

A great opportunity for an experienced Clinical Governance Manager - an integral senior professional management and leadership post within the Division of Surgery is available You will be an expert in the field of quality and clinical governance. The post holder will be responsible for supporting the Divisional Management Team with all aspects of quality and clinical governance management and will provide key support to the Divisional Directors of Nursing/Midwifery/Professions on the divisional risk management, governance arrangements, patient safety and quality improvement across the Division.

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

The post holder will be responsible for the day to day management of the divisional governance framework within the Division and their Directorates and will be responsible for the co-ordination and facilitation of the administration of the Divisional Governance Meetings.

The Divisional Governance Lead will also be responsible and accountable for ensuring safety of services and delivery of high standards of patient care.

Interview date: TBC

To discuss the post further please contact Mrs Maxine Beckett-Smythe, Divisional Director of Nursing and Governance for Surgery 07811959559

Main duties of the job

You will provide support and guidance to clinicians and managers in all aspects of quality, patient safety and governance, being responsible for the day-to-day management of the Divisional Governance Framework and ensuring commitment to managing risk in a coordinated and systematic way, contributing to delivering the Divisional and Trust wide governance agenda.

Experience of working collaboratively with senior clinicians and managers with a proven ability to deliver on non-negotiable deadlines is essential. You will be a positive influencer with a strong commitment to teamwork, shared learning and high performance.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Detailed job description and main responsibilities

Clinical Governance and Quality Improvement

Act as an expert source of advice for the divisional leadership team in respect of maintaining an integrated governance function ensuring that the division can demonstrate that its services are Safe, Effective, Caring, Well led and Responsive.

Ensure divisional staff have a good understanding of the key governance issues for their service and are managing the challenges appropriately and provide training where required.

Ensure that the Division has in place systems and processes which ensure that all aspects of clinical risk within the Division are managed appropriately at every level, including incident and accident reporting and root cause analysis of any clinical incidents.

Ensure that incidents, risks and complaints investigations are undertaken in a timely manner, that a root cause analysis is undertaken, and internal or external reports are prepared to a high standard.

Divisional lead for the collation of evidence of compliance with the CQC outcomes (and other quality related regulatory authority standards).

To improve performance and provide regular feedback on compliance against statutory and local requirements to enable the division to increase compliance proactively.

Person specification

Qualifications

Essential criteria

• Educated to Master's Degree level or equivalent experience/qualification
• Evidence of continuous professional development
• Degree in relevant discipline

Desirable criteria

• Clinical/professional qualification (non-midwives)

Experience

Essential criteria

• At least 3 years' experience in an acute NHS healthcare setting
• Evidence of undertaking senior/lead roles dealing with risk management, quality of care or patient safety issues
• Experience of undertaking audits/surveys and change management
• Evidence of leadership skills
• Experience of working collaboratively with multi-disciplinary teams

Desirable criteria

• Practical experience of leading Clinical Audit

Knowledge

Essential criteria

• Specialist knowledge of all stages of the governance cycle and quality improvement methodology.
• In depth specialist knowledge of NHS quality and governance strategy, policy and current issues
• Knowledge of quality improvement methods and techniques
• Able to organise and facilitate meetings effectively

Desirable criteria

• PRINCE 2
• QSIR Qualifications

Personal Qualities

Essential criteria

• Self-motivated and committed with excellent interpersonal skills, influencing and persuasion skills
• Organised with good time management skills and able to work to tight deadlines and cope under pressure
• Able to work with staff at all levels across the Trusts
• Flexible
• Self-confident, assertive and pro-active

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.

Employer certification / accreditation badges

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• JD (PDF, 808.6KB)
• Working at LGT (PDF, 4.2MB)