Head of Governance

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Liverpool Women's delivers the highest standards of care for women, babies and their families. Each year we deliver over 8,300 babies, carry out over 10,000 gynaecological procedures, and care for over 1,000 poorly and preterm newborns, making us the specialist provider of health services for women, babies and their families in Europe.

We have some of the leading experts in their field, and, after featuring on One Born Every Minute, Miracle Babies and Special Baby Unit, our teams are famous across the world for their professionalism, skill and compassion.

Liverpool Women's Hospital clinical services are currently being reviewed by NHS Liverpool Clinical Commissioning Group, following work done by our clinicians in presenting a powerful case for change in the Future Generations Strategy.

A useful information booklet is available about the proposed changes which can be downloaded from the Healthy Liverpool website facebook.com/healthylvpool. This booklet clearly states that 'there is absolutely no threat to the services themselves - this is about making what we have even better and protecting services for the future'.

Liverpool Women's has an excellent reputation and is a centre of excellence. It is an exciting environment to work in and a great place to develop your career for many years to come.

We invite you to review why Liverpool Women's Hospital is a great place to work: https://vimeo.com/556197652

We reserve the right to close any vacancies from further applications when we have received sufficient applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.

Job overview

In collaboration with the Associate Director of Governance and hospital and divisional leadership teams the post holder will provide visible senior leadership and direction to ensure that there are effective governance mechanisms in place within the corporate areas and divisions.

Main duties of the job

The post holder will be expected to implement and sustain the Trust's quality governance programmes. This will include fulfilling the role of the Trusts Medical Devices Safety Officer (MDSO) and the co-ordination and leadership of the Trust's risk and incident management, litigation, patient safety and regulatory compliance functions within the divisions and corporate areas.

The post holder will work across multiple divisions and corporately, in close collaboration with senior managers and directors, to plan and implement a range of effective service developments managing colleagues within the Quality Governance department.

In line with the Patient Safety Incident Response Framework (PSIRF), the post-holder will have responsibility for investigation and the learning responses for the Trust's most serious incidents and the implementation of associated learning. They will be responsible for managing the long-term implementation of learning that emanates from safety alerts, audits and incidents by ensuring there are appropriate assurance mechanisms in place.

Working for our organisation

Liverpool Women's delivers the highest standards of care for women, babies and their families. It is an exciting environment to work in and a great place to develop your career.

We value the contribution of individual talent and are committed to having a workforce that is representative of the local community. We will consider requests for flexible working on hiring.

Our core value is to 'Be Kind' and we have an ambition to 'Be Brilliant' with the best people, giving the safest care, to provide outstanding experiences.

The Trust is constantly innovating and evolving it's services to provide the most cutting edge care possible. We have long-term aspirations for the future. https://www.liverpoolwomens.nhs.uk/about-us/our-future/planning-for-futu...

We are committed to creating a greener Liverpool Women's https://www.liverpoolwomens.nhs.uk/media/4095/our-green-plan.pdf

https://www.liverpoolwomens.nhs.uk/media/4121/recruitment-16pp-v5-curren...

Detailed job description and main responsibilities

Quality Governance and Safety

• Strategically lead and manage the Trust's clinical governance department, working collaboratively with divisional governance teams and have overall responsibility for quality assurance, risk management and service development in relation to the Trust's governance agenda across divisions.

• Lead the divisional governance teams in planning and implementing a range of effective service developments and working in close collaboration with managers and clinicians to improve clinical practice.
• Responsible for the formulation of plans for governance, quality improvement, clinical audit, and complaints across the divisions.
• Responsible for ensuring maintenance and monitoring of clinical standards, including the development and implementation of evidence-based practice, clinical effectiveness, clinical standards, and national performance (clinical) indicators.
• Management and development of trust wide digital risk and incident management systems
• Provide highly specialist advice, support and guidance to clinicians and senior leaders in relation to a range of issues including quality governance, risk, patient and public involvement, evidence-based practice and the development of guidelines for specific patient groups.
• Responsible for the robust investigation of the Trust's most serious incidents in line with PSIRF and never events including liaison with commissioners.
• Gain the co-operation of senior clinicians involved in any serious event/complaint offering support as required.
• Analyse and interpret quality information across divisions and produce recommendations to changes in practice.
• Responsible for the delivery of training on quality governance, clinical effectiveness, and risk management. Work closely with the central and divisional teams on the development of new courses related to quality governance and quality improvement.
• Liaise closely with leadership teams to ensure the implementation of quality governance arrangements.
• Ensuring alignment with the Be Brilliant Accreditation Scheme (BBAS), be responsible for ensuring the divisions and the trust are each compliant with the CQC's fundamental standards and for the development and implementation of the divisional assurance system.
• Responsible for planning and implementation of new reporting and feedback systems
• Fulfil the role of the Trusts Medical Devices Safety Officer (MDSO), working in conjunction with the Trust's providers, the Associate Medical Director and clinical leads to ensure provision of safe, clinically valid and effective medical and point of care testing devices within the Trust

Patient Safety
• To lead the Trusts development in relation to the NHS Patient Safety Strategy and its associate actions to support current and future initiatives.
• Active participation in the Cheshire and Merseyside Northwest of England Patient Safety Collaboratives
• To be the organisational lead for patient safety including developing and maintaining relationships with internal and external patient safety improvement work stream leads.
• Working with the Director/Deputy Director of Nursing and Midwifery, Associate Director of Quality & Governance and Clinical Leads to ensure that challenges and barriers to ensuring patient safety are identified and appropriate action is taken.
• To develop and implement a communications strategy for the Trust's patient safety programmes.
• To work with the Divisional Governance Colleagues to ensure that Duty of Candour processes are in place and undertake an annual audit of this.
• Management and analysis of the Trust's patient safety related information assets, e.g Ulysses.
• Lead on the on-going review and any updates in relation to the Patient Safety Incident Response Framework (PSIRF), including the Trusts Patient Safety Incident response Plan and Policy.

Leadership and Management of Staff
• As and when required, represent / deputise for the Associate Director of Quality & Governance. This is in addition to internal and external meetings in relation to the quality governance agenda.
• Deliver effective transformational leadership, ensuring staff within areas of responsibility are led, managed, and supported.
• Responsible for dealing with any disciplinary and capability concerns, including acting in a professional advisory capacity for Trust-wide disciplinary/capability hearings/investigations.
• Provide coaching and mentoring support to the wider Governance Team to support their personal and professional development.
• Engagement of staff in the promotion of staff wellbeing.
• Ensure recruitment and retention of staff with the required competencies to meet the service requirements.
• Lead on working parties and groups within the Hospital to develop and improve on service delivery, protocols, and guidelines.
• To advise, encourage and share knowledge utilising the latest research and practice development, through literature and peer reviews.
• Ensure staff development and training takes place.
• To promote and disseminate relevant research finding and reports to support clinical practice and education within the department.
• To manage the performance and contribution of direct reports.
• Provide highly visible leadership across the divisions.
• Promote effective staff engagement and demonstrate appropriate role modelling as a senior leader.
• To ensure high standards of people management, including the delivery of appraisals, supervision and personal and professional development supporting the values of the Trust.

Financial Responsibilities
• Manage the budgets for the Quality Governance Department with Trust Financial Standing Instructions.

Other Duties
• Carry out any other reasonable duties within the overall function, commensurate with the grading and level of responsibility of the post.
• There may be a requirement to part of the Trust first on-call operational rot

Person specification

Qualifications

Essential criteria

• Educated to masters level or equivalent relevant discipline or relevant experience
• Evidence of continuing professional development to support the delivery of a senior role in quality governance

Experience

Essential criteria

• Significant experience in quality governance in a health care setting
• Significant experience of the successful delivery of a Risk Management Strategy and associated trust wide training
• Significant experience of effectively delivering a full range of quality governance functions across multiple services
• Significant Experience in successfully managing and the delivery of organisational wide activity to meet CQC / regulatory requirements across multiple services
• Able to demonstrate / provide significant evidence of effective leadership ability and experience of successfully managing staff and performance across multiple teams
• Significant experience of effective partnership working with multiple external agencies and stakeholders
• Significant experience of writing and presenting reports at senior management and board level summarising the work of multiple teams
• Significant experience of effective negotiation and influencing skills including senior leadership and executive teams to drive change and performance
• Significant experience of managing multiple teams and multiple budgets
• Significant experience of management and development of trust wide digital risk and incident management systems

Knowledge

Essential criteria

• Knowledge and experience of national regulatory frameworks, national quality agenda and current emerging issues
• Expert level knowledge of the critical factors in delivering improvement in governance standards

Liverpool Women's NHS Foundation Trust has a responsibility and is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and for ensuring that they are protected from harm. Every employee of the Trust has a responsibility and is duty bound always to act in the best interest of a child or adult about whom we may have concerns.

Trust policy requires the cost of DBS applications be recovered via salary. The amount of £21.50(standard) or £41.50(enhanced) can be deducted from salary, in manageable monthly instalments for up to 3 months following commencement in post.

The Trust is committed to creating a well-managed,flexible working environment that supports staff & promotes welfare & development. We are committed to promoting equality and diversity;we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community.We operate Zero Tolerance to aggression, violence, bullying and harassment.We will make reasonable adjustments to ensure our recruitment & selection process is accessible to all.Flexible Working applications will be considered.

If you are disabled and have special support needs in applying for a job, attending for an interview or in undertaking any tests as part of a selection process, please contact the Trust's recruitment team on 0151 7064666 and someone from that team will ensure that the recruiting manager is aware of your particular needs.

Please Note:new entrants to the NHS will normally commence on the first paypoint of the relevant band.

LWH has a responsibility & is committed to safeguarding & promoting the welfare of children, young people & vulnerable adults & for ensuring that they are protected from harm. Every employee of the Trust has a responsibility & is duty bound always to act in the best interest of a child or adult about whom we may have concerns.

Liverpool Women's Hospital is committed to having a workforce that is representative of the communities we serve. To this end, we particularly welcome applicants from racially minoritised backgrounds, who have a disability, or are members of the Armed Forces, Reservists or Veterans.

For agenda for change banded roles; salary payments will reflect the 2023/24 pay scales. The 2024/25 pay scales will be paid in October 2024 including any backpay due. Therefore should the successful applicant start in post prior to October, the salary will initially reflect the 2023/24 pay scales.

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

• HoG LWH JD (PDF, 360.6KB)
• RD (PDF, 996.8KB)
• Recruitment Pack (PDF, 9.7MB)