Job description

Job responsibilities

Clinical Governance Framework Development

• Lead the development and implementation of the clinical governance framework to ensure high standards of care are delivered consistently.
• Collaborate with multidisciplinary teams to establish policies and procedures that align with national and local governance standards.

Clinical Audit Management

• Design, implement, and manage a comprehensive clinical audit program that assesses the quality of care and identifies areas for improvement.
• Ensure that audits are conducted in line with national guidelines and local priorities, facilitating the collection and analysis of relevant data.

Data Analysis and Reporting

• Analyse audit findings and clinical data to identify trends, outcomes, and areas for improvement.
• Prepare detailed reports for the Clinical Directors and senior management, highlighting key findings, recommendations, and action plans.

Quality Improvement Initiatives

• Facilitate the development and implementation of quality improvement initiatives based on audit outcomes and feedback from stakeholders.
• Work closely with clinical teams to ensure that changes in practice are evidence-based and sustainable.

Training and Support

• Provide training and support to staff on clinical governance, audit methodologies, and quality improvement processes.
• Develop educational materials and resources to enhance staff understanding and engagement in clinical governance activities.

Stakeholder Engagement

• Engage with internal and external stakeholders, including patients, families, and regulatory bodies, to gather feedback and improve services.
• Represent The Children's Trust at relevant meetings, forums, and conferences to share best practices in clinical governance and audit.

Regulatory Compliance

• Ensure compliance with relevant legislation, regulations, and guidelines, including those set forth by the Care Quality Commission (CQC), OFSTED and other governing bodies.
• Monitor changes in national standards and integrate them into clinical governance practices as appropriate.

Risk Management

• Identify and assess risks related to clinical governance and audit activities, implementing strategies to mitigate identified risks.
• Collaborate with the Risk and Quality teams to ensure a coordinated approach to managing clinical risks.

Continuous Professional Development

• Maintain a current understanding of clinical governance and audit best practices, attending relevant training and professional development opportunities.
• Contribute to a culture of learning and improvement within the organization by sharing knowledge and expertise with colleagues.

Leadership and Management

• Provide leadership and direction for the organisation in relation to clinical governance, fostering a supportive and collaborative environment.
• Participate in the senior site manager rota.

Governance

Maintain accurate records.

Professionalism

Takes action and raises concerns.

Adhere to the policies and procedures of The Childrens Trust.

Maintain professional boundaries and professionalism at all times.

Committed to demonstrating the organisations values and behaviours at all times.

Health and Safey

Adheres to all Health and Safety guidelines, principles, and regulations to perform your role and comply with The Childrens Trust policies and procedures.

Provide evidence of all vaccinations (or medical exemption) required for the post.

Adhere to manual handling procedures and complete mandatory manual handling training.

Promotes the health and safety of others.

Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed.

Responsible for identifying and mitigating risk within the work environment.

Wellbeing and Emotional Resilience

Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems.

Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary.

Treats challenges and problems as a learning experience.

Remains organised and focused when under pressure.

Responds appropriately and effectively to all constructive feedback.

Motivates self and other.

Whilst undertaking the duties of the substantively employed role, this post is required to participate in a senior rota cover on site and respond to clinical escalations only in addition to their role.

Job responsibilities

Clinical Governance Framework Development

• Lead the development and implementation of the clinical governance framework to ensure high standards of care are delivered consistently.
• Collaborate with multidisciplinary teams to establish policies and procedures that align with national and local governance standards.

Clinical Audit Management

• Design, implement, and manage a comprehensive clinical audit program that assesses the quality of care and identifies areas for improvement.
• Ensure that audits are conducted in line with national guidelines and local priorities, facilitating the collection and analysis of relevant data.

Data Analysis and Reporting

• Analyse audit findings and clinical data to identify trends, outcomes, and areas for improvement.
• Prepare detailed reports for the Clinical Directors and senior management, highlighting key findings, recommendations, and action plans.

Quality Improvement Initiatives

• Facilitate the development and implementation of quality improvement initiatives based on audit outcomes and feedback from stakeholders.
• Work closely with clinical teams to ensure that changes in practice are evidence-based and sustainable.

Training and Support

• Provide training and support to staff on clinical governance, audit methodologies, and quality improvement processes.
• Develop educational materials and resources to enhance staff understanding and engagement in clinical governance activities.

Stakeholder Engagement

• Engage with internal and external stakeholders, including patients, families, and regulatory bodies, to gather feedback and improve services.
• Represent The Children's Trust at relevant meetings, forums, and conferences to share best practices in clinical governance and audit.

Regulatory Compliance

• Ensure compliance with relevant legislation, regulations, and guidelines, including those set forth by the Care Quality Commission (CQC), OFSTED and other governing bodies.
• Monitor changes in national standards and integrate them into clinical governance practices as appropriate.

Risk Management

• Identify and assess risks related to clinical governance and audit activities, implementing strategies to mitigate identified risks.
• Collaborate with the Risk and Quality teams to ensure a coordinated approach to managing clinical risks.

Continuous Professional Development

• Maintain a current understanding of clinical governance and audit best practices, attending relevant training and professional development opportunities.
• Contribute to a culture of learning and improvement within the organization by sharing knowledge and expertise with colleagues.

Leadership and Management

• Provide leadership and direction for the organisation in relation to clinical governance, fostering a supportive and collaborative environment.
• Participate in the senior site manager rota.

Governance

Maintain accurate records.

Professionalism

Takes action and raises concerns.

Adhere to the policies and procedures of The Childrens Trust.

Maintain professional boundaries and professionalism at all times.

Committed to demonstrating the organisations values and behaviours at all times.

Health and Safey

Adheres to all Health and Safety guidelines, principles, and regulations to perform your role and comply with The Childrens Trust policies and procedures.

Provide evidence of all vaccinations (or medical exemption) required for the post.

Adhere to manual handling procedures and complete mandatory manual handling training.

Promotes the health and safety of others.

Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed.

Responsible for identifying and mitigating risk within the work environment.

Wellbeing and Emotional Resilience

Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems.

Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary.

Treats challenges and problems as a learning experience.

Remains organised and focused when under pressure.

Responds appropriately and effectively to all constructive feedback.

Motivates self and other.

Whilst undertaking the duties of the substantively employed role, this post is required to participate in a senior rota cover on site and respond to clinical escalations only in addition to their role.

Person Specification

Qualifications

Essential

• Current nursing registration with NMC

Desirable

• Masters level qualification (relevant to role)

Experience

Essential

• Proven experience in healthcare quality assurance, quality improvement and risk management processes for at least two years at a Band 7 or above.
• Strong analytical skills with the ability to interpret complex data and make informed decisions.
• Experience in leading quality improvement initiatives and facilitating change within clinical settings.
• Strong management skills.
• Working under pressure in complex and demanding environments, and to specific timeframes.
• Ability to build strong relationships with clients.
• Experience of working with databases, updating tracking spreadsheets and information systems.
• Experience and practical application of CQC, Ofsted Care and Ofsted Education regulations.

Skills, Abilities & Knowledge

Essential

• Excellent communication and interpersonal skills, with the ability to engage and influence a range of stakeholders.
• Excellent communication and presentation skills (both written and verbal).
• Highly organised, strong attention to detail and aptitude for working methodically.
• Ability to embrace change and new challenges and learn new skills with a positive attitude.
• Remain calm under pressure, with the ability to multi-task.
• Ability to work collaboratively and as part of a team, whilst taking personal responsibility.
• Strong interpersonal skills, with the ability to display discretion when dealing with confidential and sensitive information.

Personal Qualities

Essential

• Commitment to the vision and values of The Childrens Trust.
• Flexible and can do attitude to competing commitments in workload.
• Highly motivated and reliable.
• Ability to cope working in a demanding environment.
• Commitment to maintaining personal wellbeing and the wellbeing of colleagues.

Qualifications

Essential

• Current nursing registration with NMC

Desirable

• Masters level qualification (relevant to role)

Experience

Essential

• Proven experience in healthcare quality assurance, quality improvement and risk management processes for at least two years at a Band 7 or above.
• Strong analytical skills with the ability to interpret complex data and make informed decisions.
• Experience in leading quality improvement initiatives and facilitating change within clinical settings.
• Strong management skills.
• Working under pressure in complex and demanding environments, and to specific timeframes.
• Ability to build strong relationships with clients.
• Experience of working with databases, updating tracking spreadsheets and information systems.
• Experience and practical application of CQC, Ofsted Care and Ofsted Education regulations.

Skills, Abilities & Knowledge

Essential

• Excellent communication and interpersonal skills, with the ability to engage and influence a range of stakeholders.
• Excellent communication and presentation skills (both written and verbal).
• Highly organised, strong attention to detail and aptitude for working methodically.
• Ability to embrace change and new challenges and learn new skills with a positive attitude.
• Remain calm under pressure, with the ability to multi-task.
• Ability to work collaboratively and as part of a team, whilst taking personal responsibility.
• Strong interpersonal skills, with the ability to display discretion when dealing with confidential and sensitive information.

Personal Qualities

Essential

• Commitment to the vision and values of The Childrens Trust.
• Flexible and can do attitude to competing commitments in workload.
• Highly motivated and reliable.
• Ability to cope working in a demanding environment.
• Commitment to maintaining personal wellbeing and the wellbeing of colleagues.

Disclosure and Barring Service Check

This 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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Disclosure and Barring Service Check

This 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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

The Children's Trust

Address

The Childrens Trust

Tadworth Court

Tadworth

Surrey

KT20 5RU

Employer's website

https://www.thechildrenstrust.org.uk/jobs (Opens in a new tab)