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Quality Safety Governance Clinical Analytics & Data Assurance Manager

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Detailed job description and main responsibilities

To be the Trust's subject matter expert on all aspects of Quality and Safety data quality and assurance.

To assure the quality and reliability of information stored on the Trust's electronic Local Risk Management System - currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

To assure the quality and reliability of information stored on the Trust's electronic Local Risk Management System - currently InPhase with merged historical data from Datix as a key resource in the management and improvement of patient care. Managing the delivery of the Quality and Safety Governance insights service cross site.

Assisting the Deputy Director of Quality and Safety Governance with routine QSG team tasks, including:

a. Ensure that all relevant policies and procedures relating to QSG and meetings and Panels (i.e. Terms of Reference, situation reports etc.) are up to date and relevant.

b. Chairing the InPhase Working Group meeting, including oversight of preparation of agendas, and presenting often complex and sensitive information as required.

c. Lead on diagnostic of efficiencies in shared drive folders for QSG, and manage standardisation and improvements, implementing transitioning to other platforms where appropriate such as team's folders/channels, mindful of Information Governance risks.

d. Supporting the completion of Trust wide QSG Reports and effective outputs from incident review meetings and PSIRF related Panels and meetings.

e. Support the Deputy Director of Quality and Safety Governance with collation of inclusions in the annual Quality Account.

f. Chair on rotation the QSG internal team meeting, with other peer grades, including preparation of agenda and action notes.

g. Review/develop QSG information on the Trust intranet so it is relevant, current, enabling and interesting.

Person specification

Qualifications

Essential criteria

  • Educated to postgraduate degree level in a degree closely relevant to the post or significant experience working in Patient Safety Analytics role/s
  • Patient Safety Syllabus 1 completed
  • Patient Safety Syllabus 2 completed
  • Thematic analysis training delivered by HSIB or other recognised safety training provider completed
  • Completion of certified management skills course - internal or external
  • Completion of Quality Improvement training accredited methodology eg IHI / QSIR

Desirable criteria

  • NHS England Making Data Count modules - completion of key modules

Experience

Essential criteria

  • Proven track record of working within an NHS patient safety analytics environment demonstrating in depth specialist knowledge of how safety data is collated and used, including data preparation for enquiries such as CQC, FOIs.
  • Substantial in depth knowledge and application of the PSIRF process
  • Significant experience as lead manager of a Local Risk Management System such as InPhase, Datix, Ulysses, Radar in the NHS
  • Significant experience on LRMS and LFPSE system testing and problem solving
  • Experience of successful change management pertaining to significant complex upgrades or acquisition and implementation of new LRMS system
  • Significant management experience of small team and development of team including adherence to HR policies, appriasals and PDP, sickness absence - including challenging situations, where perspectives differ
  • Experience of working across organsiations and with clinician and managers to articulate and effectively visualise their analytics needs
  • Experience of working with and motivating and influencing professional staff in the use of safety analytics information to improve their services
  • Computer literacy - extensive working knowledge of Microsoft Office applications i.e. Word, Advanced Excel, Powerpoint, Internet Explorer and Outlook and MS Teams
  • Extensive experience of the application of formulas for efficient management of trackers - with tracking and monitoring - to enable timely escalation as needed
  • Tracking and monitoring which may use Excel or within the LRMS

Desirable criteria

  • Certified InPhase training courses
  • Previous work in IT, as background to understanding how LRMS interface with IT systems and processes
  • Experience of benchmarking safety data
  • Familiarity with SQL and its use

Knowledge/Skills

Essential criteria

  • Proven ability to successfully extract data and analyse and interpret complex data and draw conclusions, supporting colleagues to articulate and visualise what they need, whether for a complex report or a visual dashboard
  • Experience in use of SPC charts and understanding of common cause and special cause variation
  • Excellent attention to detail, with a methodical and enquiring approach
  • Communication skills - written and verbal - able to identify key points from complex issues and explain them appropriately and with clarity and succinctness
  • Ability to use information, persuasion, influencing and negotiation with individuals and groups including stakeholders in sensitive, controversial and stressful situations
  • Effective decision maker regarding QSG data quality and LRMS management
  • Ability to prioritise workload and multi task in order to meet tight deadlines in a pressured environment
  • Knowledge of Information Governance, Data Protection Act and Caldecott and Safeguarding requirements, and how this interfaces with Quality and Safety Governance processes
  • Understanding of the relationship between providers and commissioning organisations

Personal Skills

Essential criteria

  • Demonstrates a strong desire to improve data quality, performance and services and share that knowledge and enthusiasm with others - tailored for different audiences/ and levels of experience/knowledge
  • Ability to work both as part of a team and on own initiative working unsupervised
  • Creative, flexible, resourceful, resilient and committed to CPD for self and team
  • Credibility and ability to embrace, lead and drive change in a complex environment to accomplish organisational goals and objectives

It is an exciting time to join the newly formed Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

All new staff will be subject to a probationary period covering their first six months in post.

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 QSG Clinical Analytics and Data Assurance Manager (PDF, 248.4KB)
  • QSG Clinical Analytics and Data Assurance Manager (PDF, 216.4KB)
  • Functional Requirements (PDF, 144.4KB)
  • L&D Hospital site map (PDF, 96.8KB)
  • Disclosure & Barring Information and Recruitment of Ex-Offenders (PDF, 78.5KB)
  • Staff Diversity Network (PDF, 140.3KB)
  • Information for Disabled Applicants (PDF, 98.7KB)
  • Bedford Hospital Site map (PDF, 2.6MB)
  • Staff Benefits (PNG, 1.6MB)

Quality Safety Governance Clinical Analytics & Data Assurance Manager

Bedfordshire Hospitals NHS Foundation Trust
Luton, UK
Full-Time

Published on 16/09/2025

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