Job summary
POST SUMMARY
The post holder will serve as the Governance and Risk Manager for Wood Green CDC. They will work closely with the WG CDC management team and the Quality and Accreditation Manager to develop, implement, and monitor an effective and reliable governance framework aligned with national best practice.
They will oversee all activities related to patient safety, risk, compliance, and audit, acting as the lead and central point of contact for all CDC governance functions. The post holder will also represent the service and report to the ACW ICSUs, ensuring that Wood Green CDC operates within a comprehensive governance framework that continuously monitors and enhances the quality of care across the following key areas:
Imaging (X-ray, CT and MRI)
Ophthalmology services
Pathology (Phlebotomy)
Main duties of the job
MAIN DUTIES
3. Governance and Quality
3.1. Lead the WG CDC Monthly Quality Governance meeting and follow up on actions and escalations to achieve the required resolution and compliance.
3.2. To support completion of the performance indicator dashboard and individual quality and accreditation reports for WG CDC to the ACW ICSU quality and safety group.
3.3. To link with the WG CDC Governance meeting and ICSU quality and safety meetings ensuring that information and learning is shared across the various disciplines e.g. Health & Safety, PALS, Complaints as well as Audit and Clinical Effectiveness
3.4. To support the WG CDC Leadership in the ICSU Quality & Safety group meeting to review and analyse internal patient safety data and intelligence identifying themes and trends as directed that produce change and learning reducing clinical risk.
3.5. Support the Accreditation and Quality manager in the maintains of quality management system (Q-Pulse) for compliance standard
3.6. In conjunction with the Accreditation and Quality Manager, develop and produce comprehensive reports for WG CDC on incident safety and audit management. This includes collecting and managing incident reports within the Q-Pulse system, conducting ongoing compliance audits, and analysing incident trends to support continuous improvement.
About us
Whittington Health is one of London's leading integrated care organisations - helping local people to live longer, healthier lives. We provide hospital and community care services to over half a million people living in Islington and Haringey as well as those living in Barnet, Enfield, Camden andHackney.
We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients and doing more to prevent illness in our community than ever before. We are dedicated to improving services to deliver the best for our patients and service users whether we see them in our hospital, out in our sites across North London or in their own homes.
Job description
Job responsibilities
MAIN DUTIES
1. Incident management and Serious Incident investigations
1.1 Support the WG CDC Management and Leadership team to ensure that all WG CDC adverse incident investigations are appropriately investigated and acted upon to improve patient/staff safety.
1.2 Chair the WG CDC monthly Quality Governance meeting and ensure timely follow-up on actions and escalations to drive resolution and maintain compliance.
1.3 Design and deliver training, in collaboration with the Quality and Safety Group, on incident and risk management for dissemination across the CDC and ACW ICSU.
1.4 Support the WG CDC leadership in developing a no-blame culture that promotes learning and continuous improvement.
1.5 In collaboration with the WG CDC leadership team, develop, review, and update Standard Operating Procedures (SOPs) in line with Trust governance processes and requirements.
1.6 Support quality, risk and service lead within the CDC and ICSU in the investigation of serious incidents via Root Cause Analysis (RCA).
1.7 Work with the Imaging Governance and ACW quality and safety Leads to ensure action plans arising from serious incidents are completed within agreed timescales and that evidence is submitted to the relevant committees.
1.8 Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met.
1.9 In collaboration with the Quality and Safety group, promote a culture where staff are confident in reporting adverse incidents and investigating them using root cause analysis.
1.10 Ensure delivery of the rolling programme of governance activities in line with trust, division and CDC service requirements.
1.11 Liaise with the ACW ICSU Quality and Safety Group and Patient Experience Team to agree and achieve deliverables, as appropriate
1.12 Manage, monitor, and review patient and staff surveys, producing a monthly report to inform service improvement.
Job description
Job responsibilities
MAIN DUTIES
1. Incident management and Serious Incident investigations
1.1 Support the WG CDC Management and Leadership team to ensure that all WG CDC adverse incident investigations are appropriately investigated and acted upon to improve patient/staff safety.
1.2 Chair the WG CDC monthly Quality Governance meeting and ensure timely follow-up on actions and escalations to drive resolution and maintain compliance.
1.3 Design and deliver training, in collaboration with the Quality and Safety Group, on incident and risk management for dissemination across the CDC and ACW ICSU.
1.4 Support the WG CDC leadership in developing a no-blame culture that promotes learning and continuous improvement.
1.5 In collaboration with the WG CDC leadership team, develop, review, and update Standard Operating Procedures (SOPs) in line with Trust governance processes and requirements.
1.6 Support quality, risk and service lead within the CDC and ICSU in the investigation of serious incidents via Root Cause Analysis (RCA).
1.7 Work with the Imaging Governance and ACW quality and safety Leads to ensure action plans arising from serious incidents are completed within agreed timescales and that evidence is submitted to the relevant committees.
1.8 Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met.
1.9 In collaboration with the Quality and Safety group, promote a culture where staff are confident in reporting adverse incidents and investigating them using root cause analysis.
1.10 Ensure delivery of the rolling programme of governance activities in line with trust, division and CDC service requirements.
1.11 Liaise with the ACW ICSU Quality and Safety Group and Patient Experience Team to agree and achieve deliverables, as appropriate
1.12 Manage, monitor, and review patient and staff surveys, producing a monthly report to inform service improvement.
Person Specification
Excellent written and verbal communication
Essential
- Excellent written and verbal communication skills enabling complex aspects of governance
- Demonstrate Excellent written and verbal communication skills in application
- Experience of working as a member of a multi-disciplinary clinical team
Inetview
Essential
- Ability to work autonomously
Meet the critaria from application/interview
Essential
- Degree or equivalent qualification
- Working knowledge of Clinical Governance
- Computer literate and knowledge of databases
Achieve grade and NHS experience
Essential
- Demonstrate at least 2 years NHS experience
- Ability to implement policy
- Fit into the trust Values
Person Specification
Excellent written and verbal communication
Essential
- Excellent written and verbal communication skills enabling complex aspects of governance
- Demonstrate Excellent written and verbal communication skills in application
- Experience of working as a member of a multi-disciplinary clinical team
Inetview
Essential
- Ability to work autonomously
Meet the critaria from application/interview
Essential
- Degree or equivalent qualification
- Working knowledge of Clinical Governance
- Computer literate and knowledge of databases
Achieve grade and NHS experience
Essential
- Demonstrate at least 2 years NHS experience
- Ability to implement policy
- Fit into the trust Values
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
Whittington Hospital NHS Trust
Address
Wood Green Community Diagnostic Centre (Hybrid working)
Wood Green NHS Community Diagnostic Centre Unit 51-53, The Mall 159 High Road
Wood Green London
N22 6YQ
Employer's website
https://www.whittington.nhs.uk/ (Opens in a new tab)
