Barnsley Hospice

Director of Clinical Services & Governance

The closing date is 30 May 2025

Job summary

Are you a visionary leader passionate about excellence in patient care, governance and quality? We are seeking a highly skilled and dynamic individual to join our outstanding team as the Director of Clinical Services & Governance. This pivotal role offers a unique opportunity to make a significant impact on the delivery of hospice care services and the well-being of our patients. Reporting into the Chief Executive Officer this is an executive leadership position within the hospice working as part of a high performing team.

As the Director of Clinical Services & Governance, you will work in close partnership with the executive and senior leadership team. Together, you will form a cohesive team with accountability for workforce management, service delivery, clinical quality and safety, financial control, and the implementation of our strategic objectives.

We are committed to providing an inclusive and supportive work environment where your contributions are valued and recognised.

Informal visits are highly encouraged, please contact the current postholder to arrange:

Ross Fletcher -Ross.fletcher@barnsley-hospice.org

To apply please send an up-to-date curriculum vitae and covering letter explaining your reasons for applying and experience in relation to the role to:

humanresources@barnsley-hospice.org

Interview date: 17th June 2025

Main duties of the job

Reporting to the Chief Executive Officer (CEO) as a member of the Executive Leadership Team (ELT), the Director of Clinical Services and Governance will: provide professional leadership to the clinical, governance and quality workforce to ensure the provision of safe, personalised and high-quality care to people using our services; including our governance structures, systems and processes at and below board level enable proactive delivery of the quality and safety agenda. They will be responsible for the hospice Risk Management framework ensuring that the hospice complies with statutory, regulatory and contractual requirements driving the delivery of safe, harm-free care.

The purpose of this role is to provide dynamic, visible, compassionate and empowering leadership to ensure excellence in caring and that clinical services meet and exceed the needs of service users and all governance, risk and professional regulatory requirements are met. The post holder is the Executive Lead for Patient Safety and Safeguarding.

About us

Barnsley Hospice is a charity that provides specialist palliative and end of life care to hundreds of local people and those close to them each year. Our main priority is to achieve the best possible quality of life for people living with a life- limiting illness, whilst supporting those close to them during the period of illness and bereavement. As a specialist care provider, the range of skills we offer include, pain and symptom management, emotional support and end of life care. The hospice currently employs about 100 people and has a team of volunteers, based both at the hospice and within our Retail Hub.

We are committed to Equality, Diversity & Inclusion in all that we do and welcome applications from all sections of the community. We particularly welcome applications from Black, Asian and minority ethnic candidates, LGBTQIA+ candidates and candidates with disabilities because we are committed to increasing the representation of these groups at Barnsley Hospice.

Details

Date posted

09 May 2025

Pay scheme

Other

Salary

£80,000 to £85,000 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0048-25-0016

Job locations

104-106 Church Street

Gawber

Barnsley

S75 2RL


Job description

Job responsibilities

Main Duties & Responsibilities

Key Duties and responsibilities

Quality (includes safety/experience/effectiveness)

As the Registered Manager ensure the Hospice is correctly registered and develop, guide, implement and monitor all processes to satisfy legislative requirements of the Care Quality Commission -CQC.

Act as the Controlled Drugs Accountable Officer -CDAO and be responsible for all aspects of controlled drugs management, ensuring compliance with legislation and regulation as required.

As the Serious Information Risk Owner -SIRO work alongside the Caldicott Guardian -Medical Director to ensure all Clinical Services conform to information governance requirements and legislation.

Ensure compliance with regulatory bodies, including the Nursing and Midwifery Council -NMC and Health and Care Professions Council -HCPC and safeguarding adults and childrens practice.

Provide the Chief Executive, ELT and the Board of Trustees with information on clinical operational issues and any associated risks that affect service delivery.

Lead quality standards across all clinical services, establishing and maintaining information systems upon which evaluations can be made. Chair the Quality Improvement Tracker Group to ensure learning is translated into practice.

Ensure regular audits of all clinical services are undertaken through an annual audit plan and improvements in practice are instigated as necessary, in line with findings and evidence based current best practice.

Providing strategic leadership to measure, prioritise and improve the quality -including safety/experience/effectiveness of clinical care and services.

Provide professional leadership and operational delivery of Infection Prevention & Control policy and practice, ensuring compliance with national policy and statue to ensure the highest standards of patient safety.

Lead on rigorous quality assessment throughout the hospice, ensuring assessments of care and services is comprehensive including; effectiveness measures, safety and experience.

Lead and manage Serious Incidents, Incidents, and Complaints.

Use robust systems to capture and triangulate data, developing meaningful and timely insight and information reports and identify improvement opportunities and drive improvement projects to deliver effective quality assurance.

Governance & Leadership

Working closely with the Chief Executive Officer to ensure that Barnsley Hospice has systems and processes in place to promote clinical and non-clinical risk management, patient safety and compliance with CQC and other relevant regulatory frameworks.

Ensure governance structures, systems and processes across the hospice to ensure we can demonstrate effective compliance and assurance is in place. This review will be repeated annually.

Develop and maintain relevant networks to ensure Barnsley Hospice is at the front of new ideas and innovation and is proactive in exchanging knowledge and best practice and identifying new perspectives/approaches to care and services.

Manage the hospice Board Assurance Framework ensuring systems are in place for this to be regularly updated and scrutinised by Trustees and Director colleagues.

Develop a working environment and culture that actively promotes psychological safety, staff wellbeing, health, safety and security.

Ensuring that our clinical resources are utilised to best effect and a culture of value for money is disseminated throughout the organisation so that risk is sensibly managed in pursuit of our objectives.

Ensure there is a systematic review and updating of all policies and procedures to ensure they are up to date, reflect best practice and these are understood and applied consistently in the work place.

Work in partnership with the Clinical and Medical Team and Estates Team to drive and develop the use of technology within clinical services to improve systems, processes, and communication.

Be accountable for the effective preparation and management of budget expenditure within clinical departments, ensuring liaison with other members of the ELT as appropriate and instigate action to address any major discrepancies.

Risk Management and Professional Standards

Regularly review the Risk Register to ensure up-to-date and reflect best practice. The risk register must accurately capture all risks, including new and emerging risks.

Developing a modern dynamic workplace and a working environment and culture that actively promotes psychological safety, staff wellbeing, health, safety, and security.

Enable people to exercise their rights and promote their equality and diversity.

Working closely with the CEO to ensure we have effective mechanisms for ensuring situational awareness and escalation.

Ensure there is a Ward to Board process in place for the identification and all serious risks which may have implications for the delivery of safe, effective and compassionate care.

Working closely with the HR and OD team to ensure that Barnsley Hospice has a competent, effective and efficient care giving team that is fit for purpose both now and able to meet future service development needs.

Working closely with the leadership teams to ensure information systems allow clear and comprehensive reports for staff, managers and Board members to support governance and continuous improvement.

Advise the Chief Executive, ELT and the Board of Trustees of necessary legislative, policy, or operational changes in regard to the delivery of workforce and clinical services and ensure effective implementation strategies are in place to maintain compliance and meet Hospice objectives and the needs of the population we serve.

Drive the development and review of the clinical workforce plan annually to meet the needs of service users and clinical e.g., Royal College of Nursing workforce standards.

Executive Leadership

Create effective relationships with your colleagues, collaborating and working jointly as part of a high-performing executive and senior leadership team that is focused on ensuring a sustainable future for Barnsley Hospice.

Provide a senior, credible clinical voice in a variety of settings, attending meetings, forums as required both internally and externally on behalf of the CEO.

Provide strategic direction and vision for Barnsley Hospice Clinical Services, lead the development of the Clinical Service Strategy in collaboration with the clinical team, ELT and in consultation with service users and all key stakeholders.

Effectively lead and manage staff, ensuring appraisals are undertaken, personal development plans completed and manage your team sickness and absence.

Be committed to the work of Barnsley Hospice and work in accordance with our policies and procedures.

Be an ambassador for the organisation both internally and externally by living and promoting our values.

The post holder will participate in the On-Call Rota for the hospice.

Willing and able to undertake work outside of normal office hours and to travel as required.

General

To provide dynamic, visible, compassionate and empowering leadership to ensure excellence in caring and that clinical services meet and exceed the needs of service users and all system and professional regulatory requirements are met.

The post holder is the Executive Lead for Patient Safety and Safeguarding.

Other Responsibilities

1.To undertake any other duties, commensurate with the role as required by the Hospice.

2.To act as an ambassador of the Hospice, maintaining honesty, integrity and trustworthiness at all times.

3.The post holder will be expected to maintain strict confidentiality at all times.

4.The post holder will ensure that they are aware of and apply health and safety and fire precautions.

5.The post holder will ensure that clinical risk management and safeguarding procedures and relevant good practice guidelines are followed at all times.

6.The post holder is to ensure data protection is maintained at all times.

7.The post holder will be flexible in terms of working hours in order to meet service needs.

8.The post holder will support the Hospice as required, across the range of duties as appropriate within the grading of this post. In the context of rapid and ongoing change within the Hospice, the above responsibilities represent the current priorities and requirements for the post. These priorities will develop and evolve over time. Any significant changes will be the subject of full communication and consultation with the post holder.

This job description is not an exhaustive list but it shows many of the aspects to this role.

Job description

Job responsibilities

Main Duties & Responsibilities

Key Duties and responsibilities

Quality (includes safety/experience/effectiveness)

As the Registered Manager ensure the Hospice is correctly registered and develop, guide, implement and monitor all processes to satisfy legislative requirements of the Care Quality Commission -CQC.

Act as the Controlled Drugs Accountable Officer -CDAO and be responsible for all aspects of controlled drugs management, ensuring compliance with legislation and regulation as required.

As the Serious Information Risk Owner -SIRO work alongside the Caldicott Guardian -Medical Director to ensure all Clinical Services conform to information governance requirements and legislation.

Ensure compliance with regulatory bodies, including the Nursing and Midwifery Council -NMC and Health and Care Professions Council -HCPC and safeguarding adults and childrens practice.

Provide the Chief Executive, ELT and the Board of Trustees with information on clinical operational issues and any associated risks that affect service delivery.

Lead quality standards across all clinical services, establishing and maintaining information systems upon which evaluations can be made. Chair the Quality Improvement Tracker Group to ensure learning is translated into practice.

Ensure regular audits of all clinical services are undertaken through an annual audit plan and improvements in practice are instigated as necessary, in line with findings and evidence based current best practice.

Providing strategic leadership to measure, prioritise and improve the quality -including safety/experience/effectiveness of clinical care and services.

Provide professional leadership and operational delivery of Infection Prevention & Control policy and practice, ensuring compliance with national policy and statue to ensure the highest standards of patient safety.

Lead on rigorous quality assessment throughout the hospice, ensuring assessments of care and services is comprehensive including; effectiveness measures, safety and experience.

Lead and manage Serious Incidents, Incidents, and Complaints.

Use robust systems to capture and triangulate data, developing meaningful and timely insight and information reports and identify improvement opportunities and drive improvement projects to deliver effective quality assurance.

Governance & Leadership

Working closely with the Chief Executive Officer to ensure that Barnsley Hospice has systems and processes in place to promote clinical and non-clinical risk management, patient safety and compliance with CQC and other relevant regulatory frameworks.

Ensure governance structures, systems and processes across the hospice to ensure we can demonstrate effective compliance and assurance is in place. This review will be repeated annually.

Develop and maintain relevant networks to ensure Barnsley Hospice is at the front of new ideas and innovation and is proactive in exchanging knowledge and best practice and identifying new perspectives/approaches to care and services.

Manage the hospice Board Assurance Framework ensuring systems are in place for this to be regularly updated and scrutinised by Trustees and Director colleagues.

Develop a working environment and culture that actively promotes psychological safety, staff wellbeing, health, safety and security.

Ensuring that our clinical resources are utilised to best effect and a culture of value for money is disseminated throughout the organisation so that risk is sensibly managed in pursuit of our objectives.

Ensure there is a systematic review and updating of all policies and procedures to ensure they are up to date, reflect best practice and these are understood and applied consistently in the work place.

Work in partnership with the Clinical and Medical Team and Estates Team to drive and develop the use of technology within clinical services to improve systems, processes, and communication.

Be accountable for the effective preparation and management of budget expenditure within clinical departments, ensuring liaison with other members of the ELT as appropriate and instigate action to address any major discrepancies.

Risk Management and Professional Standards

Regularly review the Risk Register to ensure up-to-date and reflect best practice. The risk register must accurately capture all risks, including new and emerging risks.

Developing a modern dynamic workplace and a working environment and culture that actively promotes psychological safety, staff wellbeing, health, safety, and security.

Enable people to exercise their rights and promote their equality and diversity.

Working closely with the CEO to ensure we have effective mechanisms for ensuring situational awareness and escalation.

Ensure there is a Ward to Board process in place for the identification and all serious risks which may have implications for the delivery of safe, effective and compassionate care.

Working closely with the HR and OD team to ensure that Barnsley Hospice has a competent, effective and efficient care giving team that is fit for purpose both now and able to meet future service development needs.

Working closely with the leadership teams to ensure information systems allow clear and comprehensive reports for staff, managers and Board members to support governance and continuous improvement.

Advise the Chief Executive, ELT and the Board of Trustees of necessary legislative, policy, or operational changes in regard to the delivery of workforce and clinical services and ensure effective implementation strategies are in place to maintain compliance and meet Hospice objectives and the needs of the population we serve.

Drive the development and review of the clinical workforce plan annually to meet the needs of service users and clinical e.g., Royal College of Nursing workforce standards.

Executive Leadership

Create effective relationships with your colleagues, collaborating and working jointly as part of a high-performing executive and senior leadership team that is focused on ensuring a sustainable future for Barnsley Hospice.

Provide a senior, credible clinical voice in a variety of settings, attending meetings, forums as required both internally and externally on behalf of the CEO.

Provide strategic direction and vision for Barnsley Hospice Clinical Services, lead the development of the Clinical Service Strategy in collaboration with the clinical team, ELT and in consultation with service users and all key stakeholders.

Effectively lead and manage staff, ensuring appraisals are undertaken, personal development plans completed and manage your team sickness and absence.

Be committed to the work of Barnsley Hospice and work in accordance with our policies and procedures.

Be an ambassador for the organisation both internally and externally by living and promoting our values.

The post holder will participate in the On-Call Rota for the hospice.

Willing and able to undertake work outside of normal office hours and to travel as required.

General

To provide dynamic, visible, compassionate and empowering leadership to ensure excellence in caring and that clinical services meet and exceed the needs of service users and all system and professional regulatory requirements are met.

The post holder is the Executive Lead for Patient Safety and Safeguarding.

Other Responsibilities

1.To undertake any other duties, commensurate with the role as required by the Hospice.

2.To act as an ambassador of the Hospice, maintaining honesty, integrity and trustworthiness at all times.

3.The post holder will be expected to maintain strict confidentiality at all times.

4.The post holder will ensure that they are aware of and apply health and safety and fire precautions.

5.The post holder will ensure that clinical risk management and safeguarding procedures and relevant good practice guidelines are followed at all times.

6.The post holder is to ensure data protection is maintained at all times.

7.The post holder will be flexible in terms of working hours in order to meet service needs.

8.The post holder will support the Hospice as required, across the range of duties as appropriate within the grading of this post. In the context of rapid and ongoing change within the Hospice, the above responsibilities represent the current priorities and requirements for the post. These priorities will develop and evolve over time. Any significant changes will be the subject of full communication and consultation with the post holder.

This job description is not an exhaustive list but it shows many of the aspects to this role.

Person Specification

Essential Skills and Abilities

Essential

  • 1.Sound knowledge of CQC requirements and other regulatory requirements applying to hospices for example, governance, quality measures and safeguarding.
  • 2.Leadership and people-management ability that inspires and motivates others.
  • 3.Evidence of the ability to carry out accurate/comprehensive analysis of relevant data and make effective operational/strategic judgments involving highly complex facts and situations.
  • 4.Able to work collaboratively and strategically internally and externally.
  • 5.Effective negotiating and influencing skills.
  • 6.Highly developed verbal and report writing skills.

Qualifications

Essential

  • 1.Registered Healthcare Professional with current and relevant registration on a professional register.
  • 2.Masters level education
  • 3.Evidence of CPD in line with professional regulatory guidance.
  • 4.Evidence of attendance on a leadership development programme.

Desirable

  • 5.Knowledge of the legislation governing Charities in the UK is desirable.

Experience

Essential

  • 1.Substantial clinical and operational management experience, leading professional care services (relevant to this post) - a minimum of 2 years - with a track record of achievement of objectives.
  • 2.Experience of providing strategic professional advice to ensure the consistent delivery of safe, high-quality and person-centred care/services.
  • 3.Experience of driving improvements and implementing quality assurance metrics.
  • 4.Expert knowledge of patient safety risks, management, and systems
  • 5.Experience of working across organisational boundaries and developing effective partnerships.
Person Specification

Essential Skills and Abilities

Essential

  • 1.Sound knowledge of CQC requirements and other regulatory requirements applying to hospices for example, governance, quality measures and safeguarding.
  • 2.Leadership and people-management ability that inspires and motivates others.
  • 3.Evidence of the ability to carry out accurate/comprehensive analysis of relevant data and make effective operational/strategic judgments involving highly complex facts and situations.
  • 4.Able to work collaboratively and strategically internally and externally.
  • 5.Effective negotiating and influencing skills.
  • 6.Highly developed verbal and report writing skills.

Qualifications

Essential

  • 1.Registered Healthcare Professional with current and relevant registration on a professional register.
  • 2.Masters level education
  • 3.Evidence of CPD in line with professional regulatory guidance.
  • 4.Evidence of attendance on a leadership development programme.

Desirable

  • 5.Knowledge of the legislation governing Charities in the UK is desirable.

Experience

Essential

  • 1.Substantial clinical and operational management experience, leading professional care services (relevant to this post) - a minimum of 2 years - with a track record of achievement of objectives.
  • 2.Experience of providing strategic professional advice to ensure the consistent delivery of safe, high-quality and person-centred care/services.
  • 3.Experience of driving improvements and implementing quality assurance metrics.
  • 4.Expert knowledge of patient safety risks, management, and systems
  • 5.Experience of working across organisational boundaries and developing effective partnerships.

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).

Additional information

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

Barnsley Hospice

Address

104-106 Church Street

Gawber

Barnsley

S75 2RL


Employer's website

https://www.barnsleyhospice.org/ (Opens in a new tab)


Employer details

Employer name

Barnsley Hospice

Address

104-106 Church Street

Gawber

Barnsley

S75 2RL


Employer's website

https://www.barnsleyhospice.org/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Deputy CEO

Ross Fletcher

humanresources@barnsley-hospice.org

012262442244

Details

Date posted

09 May 2025

Pay scheme

Other

Salary

£80,000 to £85,000 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0048-25-0016

Job locations

104-106 Church Street

Gawber

Barnsley

S75 2RL


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