Quality & Governance Lead

Thisis an exciting opportunity for you to join Willow Wood Hospice, working closelywith the Head of People.

Main duties of the job

The successful candidate will lead andcoordinate the Hospices quality governance, assurance and compliance activityensuring robust systems for audit delivery, regulatory and commissionerreadiness, policy/document control, risk and incident governance andperformance assurance reporting and plays a key role in supporting the Senior Management Team ongovernance and compliance matters.

About us

Willow Wood Hospice is an adult Hospice providing specialist palliativecare for patients with life limiting illnesses, both cancer andnon-cancer diagnosis. We provide care, free of charge, and patients,families and their carers are at the centre of everything we do.

Job responsibilities

Governance, assurance and regulatorycompliance

Lead day-to-daydelivery of quality governance systems, ensuring structured oversight ofcompliance requirements, evidence collation and reporting cycles acrossservices.

Maintain organisationalreadiness for external scrutiny by ensuring governance artefacts are current,complete, traceable and accessible.

Support the CEO& Senior Management Team (SMT) with assurance reporting, action trackingand governance development activity.

External inspection and accreditationreadiness

Coordinatepreparation and evidence portfolios for external inspection and accreditationactivity e.g. CQC and other relevant framework standards as applicable.

Maintaininspection readiness trackers, action logs and evidence sets, ensuring timelyclosure of action with clear audit trails.

Support CEO andSMT during visits/reviews including briefings, evidence retrieval and follow-upaction coordination.

Audit programme and quality improvement

Coordinate anddeliver the internal audit programme across the Hospice, ensuing audits arescoped, scheduled and completed to deadline using standardised tools/templates.

Ensure auditfindings translate into SMART actions, tracked to completion with evidencebased closure and measurable improvement.

Lead continuousimprovement by promoting learning, standardisation and effective governanceroutines across teams.

Risks, incident, complaints and learning

Lead effectiveincident, complaint and feedback governance, including logging oversight,investigation support, thematic reviews and tracking learning/actions toclosure.

Lead on the Riskmodule on Vantage

Contribute torisk management processes (risk registers, risk assessments), ensuringmitigation actions are tracked and evidenced.

Promote a justculture and leaning approach to safety and quality improvement.

Training, engagement and stakeholder working

Build effectiveworking relationships with the Senior Management Team, clinical leads,operational managers and wider staff groups to enable sustained compliance.

Represent theQuality & Governance functions at internal meetings and where appropriate,external stakeholder discussions.

Professional and organisationalresponsibilities

Maintainconfidentiality and comply with information governance requirements, GDPR andorganisational IG policies, ensuring secure handling and appropriate accesscontrols for governance evidence.

Maintain up todate knowledge of relevant quality, governance and assurance frameworksapplicable to the Hospice.

Takeresponsibility for the management, development and improvement of systemssupporting your role e.g. Vantage modules or other systems as required.

Undertake otherduties consistent with the post as required to support organisationalpriorities.

Become an activemember and participant in any Hospice UK quality initiatives / groups.

Network withsimilar post holders both regionally and nationally in order to supportbenchmarking for Willow Wood Hospice Services and also keep up to date withquality agenda in healthcare.

To adhere to allWillow Wood Hospice standards, policies and procedures.

To takeresponsibility for own personal learning and development, and to support thelearning and development of others and the organisation as a whole; acommitment to completing all training required and refreshing training asappropriate.

To conduct allwork in a manner reflective of the organisational values and behaviours.

AdditionalNotes

a) This document is a guideline to the generalscope of duties involved and will be reviewed at regular intervals. It is notintended as a rigid inflexible specification.

b) The employer shares with the employee the dualresponsibility for suggestions to alter thescope and content of this document in order to improve the workingsituation.

c) There is a duty to be aware and adhere to allprofessional governing body rules and any particular Acts or statutoryrequirements, which may vary from time to time.

d) Willow Wood Hospice operates a no smokingpolicy

e) This post requires a satisfactory enhanceddisclosure from the Disclosure Barring Service (DBS).

Person Specification Qualifications

• Degree or equivalent experience/qualification.
• Evidence of continued professional development.
• Clinical or Risk Management Qualification.
• Professional qualifications in management, quality, project management or governance.
• Root cause analysis/serious incident training / qualification.

Personal Attributes and qualities

• A naturally collaborative team player.
• High personal integrity and commitment.
• Empathy with the aims and values of the Hospice.
• An understanding of corporate responsibilities.
• Ability to work under pressure.
• Proven track record at managing resources effectively.
• Demonstration of strong assertiveness and interpersonal skills.
• Demonstrate flexibility both within the Hospice and across organisational boundaries with credibility and integrity.

Experience

• An understanding of the General Data Protection Regulation and the importance of confidentiality.
• An understanding of the meaning of and responsibility for Safeguarding.
• Experience working in a quality/compliance role.
• Proven track record of planning and facilitating service change in response to risk management issues.
• Ability to produce high quality comprehensive reports to senior management level.
• Ability to analyse and condense highly complex information to produce concise briefings and summaries.
• Ability to interpret and apply national and local policy.
• Excellent communication, negotiating, influencing, organisation and interpersonal analytical, interpretive and conflict management skills.
• Good presentation skills and the ability to present complex and sensitive information to senior managers where there may be barriers to acceptance.
• Practical experience of quality and governance principles, systems and processes.
• Detailed knowledge of risk management, clinical and corporate governance and its impact on the organisation.
• Knowledge of computer skills for use of power point presentations, reports statistical analysis e.g. PowerPoint, excel and work programmes.
• Management experience within a healthcare organisation.
• Knowledge and experience in clinical audit.
• Evidence of collaborative working across a wider health/social care economy.
• NHS Standards Framework.
• Vantage (Sentinel) risk management software (or equivalent e.g. Datix, Ulysses Safeguard).
• Evidence of carrying out complex investigations RCA, serious incidents, division reviews etc.
• Evidence of collaborative working across a wider health/social care economy.
• Good working knowledge of the national agenda around health reforms.
• Good understanding of the key national initiatives/Trust priorities around: -
• oNPSA, MHRA & CQC.
• oDuty of Candour.
• oSerious incident and complaints management.

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.