Quality & Governance Administrator

Job description

Job responsibilities

KEY PERFORMANCE AREAS

Collate evidence of compliance in line with the CQC key questions.

Assist in the preparation and formatting of reports.

Provide clerical support for audits and compliance assurance processes, ensuring that all audits are completed within their specified timeframes.

Collate, and prepare data for relevant reports and governance related subcommittees/forums.

Support with the management of incident reporting and risk assessment processes across the Hospice.

Collate and submit clinical data on behalf of the Clinical Services Director.

Carry out all administrative tasks to support any events relating to Quality and Governance, Safeguarding & Information Governance.

Support the Head of Quality & Governance with the management of polices/procedures and guidelines across the Hospice, ensuring they are kept up to date and shared with the wider team as needed.

Coordinate the collection of patient feedback and facilitating the sharing of feedback. Obtain real time patient/customer feedback for sharing with the teams, as be an advocate for patient and customer experience throughout the Hospice.

PROFESSIONAL RESPONSIBILITIES

Minimum of 3 years experience in a healthcare (governance) administration related role.

Maintain appropriate and respectful professional relationships with colleagues and other staff.

Exercise good personal time management, punctuality, appearance and consistent reliable attendance

Ensure that personal actions and conduct apply with hospice policies and procedures.

Ensure effective use of Hospice resources.

Act as an ambassador for the East Lancashire Hospice always promoting our vision which is to help everyone who encounters the Hospice make the most of life. We do this by committing to our values: to care, listen, respect and work together to support people to live well until they die and support those affected by death.

Knowledge of the relevant legislative requirements and governing body reporting responsibilities of the hospice.

Knowledge of regulatory compliance, NICE, audit, clinical effectiveness, Health & safety.

Experience of incident and risk management reporting systems i.e Vantage/Datix.

Experience in analysing clinical information and supporting the creation of written reports.

Able to work to timescales and deadlines.

Able to manage multiple tasks and priorities

Quality &Governance Administrator / LL/ May 2025 / Final

PERSONAL DEVELOPMENT

Access mandatory training appropriate to the role.

Participate in the Hospice appraisal system and access training opportunities to improve own knowledge and skills.

Participate in the education and training of others as appropriate to the role.

MANAGING SERVICES

Ensure a safe environment by ensuring the reporting of hazards and incidents, completion of relevant risk assessments, investigation of incidents and implementation of risk reduction measures.

MANAGING PEOPLE

Contribute with supporting and inducting new staff and volunteers in accordance with Hospice policy and procedures to ensure they have the appropriate information and training to carry out their role.

STATUTORY DUTIES

Ensure the security of information accessed in the course of your duties ensuring compliance with the Data Protection Act, Caldicott principles and information governance best practice guidance.

Report any hazards or incidents in accordance with the Health Safety and Risk Management Policy and procedures.

Comply with the East Lancashire Hospice no smoking policy in all Hospice premises and grounds.

Be responsible for maintaining own vaccinations including Hepatitis B immunity (as applicable).

Ensure that infection control measures are followed in relation to your role.

Work at all times to safeguard the rights of individuals promoting their wellbeing and protecting those at risk from harm, acting on any concerns related to safeguarding children and adults at risk in line with policy and local guidance.

Work at all times to respect peoples individuality, rights and diversity to ensure equality.

WORKING HOURS

The post holder will work their hours flexibly. These will be worked according to any 3 days of a 5-day working week.

NOTES

This job description reflects how the post currently meets the needs of the service. Since the Hospice is constantly developing and changing its services to ensure it meets the needs of the community it serves, the role and responsibilities of the post holder may change accordingly.

This job description will be reviewed annually at the annual PDR and may change as is deemed necessary.

Equality and Diversity

We support an inclusive and holistic working environment and aim to empower our people to bring their authentic self to work. We are committed to this and so encourage applications from all individuals with the required skills for the role inclusive of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, colour, caste, nationality, ethnic or national origin, religion or belief, socio-economic background, trade union membership status, marriage, and civil partnerships. East Lancashire Hospice is committed to equality of opportunity for all staff and volunteers.

Person Specification

Qualifications

Essential

• 5 GCSEs (A-C) or equivalent/Good general education.

Desirable

• Evidence of ongoing professional development.
• Administration qualification.

Personal Attributes

Essential

• Demonstrate a good work ethic that includes punctuality, integrity, respect of others and a commitment to professional practice.
• Flexible, reliable, positive and proactive approach to work.
• Friendly, approachable, trustworthy.

Desirable

• Capable of working independently or as part of a team.
• Maintain a calm and professional demeanour, especially in challenging situations.

Skills

Essential

• Excellent attention to detail.
• Good time management.
• Ability to meet deadlines.
• Accuracy in data entry.
• Ability to work with a variety of people at all levels.
• Professional phone and email etiquette.
• Possession of a valid drivers licence and access toa vehicle for work purposes.
• Good organisational skills.

Desirable

• Prioritise tasks efficiently.
• Ability to proofread documents.

Knowledge

Essential

• Knowledge of the relevant legislative requirements and governing body reporting responsibilities of the hospice.

Desirable

• Knowledge of Risk Management.
• Knowledge of Patient Safety framework.

Experience

Essential

• Minimum of 3 years experience in a healthcare (governance) administration related role.
• Experience of incident and risk management reporting systems.
• Experience with handling sensitive and confidential information.
• Proficient in Microsoft Office Suite (Teams, Word, Excel, Outlook, PowerPoint).

Desirable

• Experience in analysing clinical information and supporting the creation of written reports.
• Good Customer Service skills and ability to speak with patients and customer in regard their experiences.

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

East Lancashire Hospice

Address

Park Lee Road

Blackburn

BB2 3NY

Employer's website

https://eastlancshospice.org.uk (Opens in a new tab)