Governance Manager

Job description

Job responsibilities

The following are the core responsibilities of the Governance Manager.

Support the Partners, Management, and staff to understand performance and implement changes to policy and practices.

To develop systems to understand performance within the organisation.

To support the practice team in utilising systems to understand how the team and-or practice is performing.

In-depth understanding of CQC and the implications on the practice.

Signpost staff to guidance and advice on policies and CQC standards.

Create and ensure the most up to date unified policies and associated documents are accessible and used appropriately.

Promote and share best practice with the team.

To support the production of performance and quality reports as required.

Ensure best practice is followed in maintaining both professional and clinical standards.

Undertake compliance audits across the whole practice.

Oversee a programme of audits and surveys that support, and evidence measures of improvement (e.g. complaints, significant events, patient surveys)

Co-ordinate an annual audit and quality assurance visit schedule in collaboration with management team (e.g. Infection control, CQC preparedness, safeguarding)

Undertake pre-audit research and collate data to prepare for audits and identify areas of interest.

Undertake Quality and Compliance Audits in line with regulatory, contractual, and organisational requirements (e.g. mock CQC)

Record, analyse and report findings from audits and quality reviews to the partnership and management team.

Produce SMART action plans in line with audit and review findings, supporting practice continuous improvement.

To raise any non compliance issues and risk issues to the Business Manager.

Source appropriate training providers and evaluate their performance to ensure they meet the learning and development needs of staff.

Ensure learning opportunities meet the requirements of CQC standards.

Provide support to the practice team to ensure regulatory compliance across the practice.

Support preparation for CQC and any other external inspections including audit completion.

Lead change and continuous improvement initiatives. Successfully ensure implementation and continuous monitoring in place.

Coordinate the review and updating of all practice policies and procedures working closely with the wider management team.

Support Business Manager with the compilation of practice reports and the practice development plan.

Support the practice with the development, implementation and embedding an efficient business continuity plan.

Keep abreast of governance changes and bring back any actions required.

Keep abreast of CQC changes and feedback to the management team.

Review CQC KLOEs and provide overview and feedback to the management team.

Attend and contribute to all relevant meetings both internally and externally.

Arrange agendas, minutes, and action notes for the practice meetings.

Liaising at external meetings as required

Always ensure compliance with the relevant legislative acts.

Ensure Data Controllers and Data Processors carry out their respective tasks in accordance with extant legislation.

Provide guidance and ensure all breaches are managed appropriately, reported as per extant guidance and lessons learnt identified.

Support in SEA annual review process for the practice.

Supporting and coordinating of projects within the practice.

Lead the annual audit programme for the practice holding staff to account for actions required raising any concerns.

Support the Business Manager and Building manager with Health and safety requirements ensuring practice compliance.

Manage the practice alerts system, keeping a clear and concise record that is accessible to the management team at any time.

Overview of safeguarding and GSF processes ensuring that practice is meeting requirements.

Work closely with the IT manager and wider practice team to always ensure compliance with Information Governance, GDPR systems.

Person Specification

Qualifications

Essential

• Good standard of education with excellent literacy and numeracy skills

Desirable

• Educated to degree level in healthcare or business
• Leadership and / or Management Qualification
• AMSPAR Qualification

Experience

Essential

• Experience of working with the general public
• Experience of working in a health care setting
• Experience of successfully developing and implementing projects

Desirable

• Experience of workforce planning, forecasting and development
• NHS / Primary Care General Practice experience
• Relevant health and safety experience
• Experience of chairing meetings, producing agendas and minutes

Knowledge & Skills

Essential

• Ability to exploit and negotiate opportunities to enhance service delivery
• Excellent communication skills (written, oral and presenting)
• Strong IT skills (generic)
• Excellent leadership skills
• Strategic thinker and negotiator
• Ability to prioritise, delegate and work to tight deadlines in a fast-paced environment
• Effective time management (Planning & Organising)
• Ability to network and build relationships
• Proven problem solving & analytical skills
• Ability to develop, implement and embed policy and procedure
• Ability to motivate and train staff

Desirable

• EMIS user skills

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.

Employer details

Employer name

Millcroft Medical Centre

Address

Eagle Bridge Health&Wellbeing Centre

Dunwoody Way

Crewe

Cheshire

CW1 3AW

Employer's website

http://www.millcroftmedicalcentre.nhs.uk/ (Opens in a new tab)