Job summary
The Improvement and safety manager provides expert advice and support into different clinical governance functions across CSH Surrey including incident management and investigation, clinical audit and quality improvement, clinical effectiveness, complaints and risk management to ensure safe and effective services for patients.
The Improvement and safety manager is also responsible for leading a programme which promotes a culture of openness and shared learning from both excellence and untoward events.
Band 6 Salary: starting from £40,617 to £48,778 per annum pro rata, and inclusive of the 5% HCAS (based on the 2025/26 pay scale).*
*Please note that depending on your start date, your pay may reflect the 2024/25 pay scale initially: starting from £39,205 to £47,084 per annum pro rata, and inclusive of the 5% HCAS. Once the new pay scale is in effect, your backdated pay will be processed.
Main duties of the job
The post holder will work across all aspects of clinical governance, quality improvement mechanisms for shared learning as well as providing support with specific responsibilities in relation to:
- Assuring that incidents are reported and investigated and that the learning from all types of incident investigation is shared across directorates and results in sustained change and improvement to patient care.
- Providing advice and guidance to all services across CSH Surrey and Integrated Local Services on external accreditation requirements, the update and review of clinical guidelines, standard operating procedures and NICE guidance, and the quality alert process.
- Managing systems for the communication of Quality Improvement and Patient Safety Incident information across the directorate in line with CSH Surrey PSIF prioritise and response frameworks.
- Developing and managing systems for the tracking of incident investigations, Duty of Candour cases, guidelines, SOPs, NICE guidelines and improvement projects, and produce exception reports for Quality and Clinical Governance Group Meetings.
The post holder is required to have excellent communication and analytical skills to deal with the day-to-day challenges of maintaining an efficient and effective patient safety role.
About us
CSH Surrey are part of the NHS and are Surreys largest and longest
established NHS community services provider, so our 1500+ employees get
NHS pay and pensions, and also receive the Fringe High-Cost Allowance of
5%.
Our staff enjoy excellent training and development opportunities, including the
care certificate, apprenticeships, numeracy and literacy courses, access to
the Nursing Associate programme, and a wide variety of management and
leadership courses and programmes.
We CARE about our staff though through our values of Compassion,
Accountability, Respect and Excellence. Our active employee council called
The Voice, elect employee representatives to ensure colleagues' voices are
heard at Board level.
CSH is a diverse organisation, if you are a passionate, person-focused
individual then apply to join CSH Surrey today!
We welcome candidates from
all backgrounds who meet the essential criteria of the job you are applying for
and if you require any reasonable adjustments, please contact the named
individual for this advert, or our recruitment team.
This job advert may close early if sufficient applicants are received.
Job description
Job responsibilities
Please refer to the full Job Description and Person Specification for further details about this role.
Job description
Job responsibilities
Please refer to the full Job Description and Person Specification for further details about this role.
Person Specification
Qualifications
Essential
- Degree level of education and/or relevant professional qualification.
- Further qualification in statistical analysis, quality improvement, risk management or another relevant field.
- Evidence of continuous personal, professional and academic development.
Desirable
Knowledge and skills
Essential
- Understanding of the NHSE Patient Safety Incident Response Framework.
- Understanding of risk, investigation and mitigation in the context of clinical governance.
- Understanding of the principles and practice of quality improvement, clinical governance, audit systems, and incident management, required outputs and their use to improve clinical practice.
- Understanding of, and commitment to, using comparative information to stimulate clinical quality improvement.
- Well-developed interpersonal skills with ability to network, work with and motivate a wide range of professionals;
- fostering collaboration and a participatory approach; strong communication skills including report writing and presentation of information.
- Excellent oral and written communication skills.
- Data analysis and interpretation skills.
- Knowledge of Data Protection Act, Freedom of Information Act, and Caldicott Principles.
- Knowledge and understanding of Duty of Candour.
- Facilitation skills
- Advanced IT skills in common software packages including Word, and Excel.
Desirable
- Understanding of the NHS Quality Improvement and Safety agenda, CQC regulation and assurance.
Experience
Essential
- Experience of working in a clinical governance, patient safety or quality improvement related area within a Healthcare setting.
- Experience of designing tools and measures for reporting compliance activity process mapping and project management experience to recognised standards.
- Professional experience and knowledge of managing incidents.
- Experience of developing surveys or questionnaires.
- Understanding of and working experience of process mapping and other quality improvement tools.
- A track record of producing reports, delivering presentations and developing and delivering training sessions.
- Experience of translating policy and analysis into action.
- Experience of policy and procedure development.
- Experience of evaluating and being involved in service improvement (clinical audit and/or quality improvement).
- Development and use of information systems to support change.
- Handling data to produce information in various reporting formats.
- Experience of incident management systems.
- Experience of working in an environment with conflicting pressures and changing workload.
- Experience of working within a team and of developing good working relationships with internal and external colleagues at all levels.
Desirable
- Experience of working in the National Health Service.
- Experience of using Datix.
Person Specification
Qualifications
Essential
- Degree level of education and/or relevant professional qualification.
- Further qualification in statistical analysis, quality improvement, risk management or another relevant field.
- Evidence of continuous personal, professional and academic development.
Desirable
Knowledge and skills
Essential
- Understanding of the NHSE Patient Safety Incident Response Framework.
- Understanding of risk, investigation and mitigation in the context of clinical governance.
- Understanding of the principles and practice of quality improvement, clinical governance, audit systems, and incident management, required outputs and their use to improve clinical practice.
- Understanding of, and commitment to, using comparative information to stimulate clinical quality improvement.
- Well-developed interpersonal skills with ability to network, work with and motivate a wide range of professionals;
- fostering collaboration and a participatory approach; strong communication skills including report writing and presentation of information.
- Excellent oral and written communication skills.
- Data analysis and interpretation skills.
- Knowledge of Data Protection Act, Freedom of Information Act, and Caldicott Principles.
- Knowledge and understanding of Duty of Candour.
- Facilitation skills
- Advanced IT skills in common software packages including Word, and Excel.
Desirable
- Understanding of the NHS Quality Improvement and Safety agenda, CQC regulation and assurance.
Experience
Essential
- Experience of working in a clinical governance, patient safety or quality improvement related area within a Healthcare setting.
- Experience of designing tools and measures for reporting compliance activity process mapping and project management experience to recognised standards.
- Professional experience and knowledge of managing incidents.
- Experience of developing surveys or questionnaires.
- Understanding of and working experience of process mapping and other quality improvement tools.
- A track record of producing reports, delivering presentations and developing and delivering training sessions.
- Experience of translating policy and analysis into action.
- Experience of policy and procedure development.
- Experience of evaluating and being involved in service improvement (clinical audit and/or quality improvement).
- Development and use of information systems to support change.
- Handling data to produce information in various reporting formats.
- Experience of incident management systems.
- Experience of working in an environment with conflicting pressures and changing workload.
- Experience of working within a team and of developing good working relationships with internal and external colleagues at all levels.
Desirable
- Experience of working in the National Health Service.
- Experience of using Datix.
