Job summary
An exciting opportunity has arisen within the Estates and Facilities Division for the post of Head of Governance, Risk and Quality. The postholder will be responsible for all aspects of Governance within the Division and provide a link to the Corporate Governance Team.
The post holder will have experience of working and negotiating with Local Authority Building control officer, Local Authority Fire Authorities, Approved inspectors, and other regulatory authorities, such as the HSE, CQC. The post holder will possess a high level of communication skills and be capable of communicating effectively with employees and managers at all levels within the organisation.
The postholder is a member of the Divisional Senior Management Team and will work closely with other senior team members to ensure that their teams and undertakings remain on the correct side of the legal process.
Main duties of the job
In particular, the postholder will be responsible for Non-clinical Statutory compliance, Health and safety within the Division, Fire Safety for the whole of the Trust, collating evidence and formulating the annual returns to NHSE. The postholder will also be responsible for the management of a robust audit programme to provide assurances to the Director of Estates and Facilities and the Trust Board for Divisional undertakings, such as the management of Asbestos, Legionella, Medical gas and various other fixed installations covered by national standards.
About us
Choose Well - Choose WWL
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
On-Call
Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.
Job description
Job responsibilities
- To utilise high level communication skills to be able to work effectively and collaboratively with all staff groups, including medical staff, nursing staff, senior managers and other healthcare professionals to explore complex issues and to make complex decisions related to Governance and
- To employ effective change management skills to empower staff to bring about service improvements.
- To attend and participate fully at meetings and to be able to present information, which is frequently highly contentious, complex and sensitive. This will be to a range of staff including Trust Board and audiences greater than 20 at times as required in order to fulfil the requirements of the
- To develop and maintain excellent working relationships with key Governance and Quality improvement staff i.e., work in partnership with other Divisional Governance Leads, the Corporate Governance team and Quality Improvement staff in order to assist the Division in achieving its Governance and Safety
- To utilise well developed analytical & problem solving skills with the ability to make decisions by determining key points from highly complex data comprising multiple information strands
- Required to concentrate continuously for long periods, and articulate the learning/actions from high level meetings to divisional level
- Act as the link between division and corporate requiring a high skill set and extensive knowledge base across a range of governance areas
- Act as a resource of expert professional knowledge for the division through application of theory in practice
- To frequently use IT skills g. systems, spreadsheets, databases, statistical packages to analyse data and produce reports in a useable form for the management team and corporate departments as required.
- To maintain up to date knowledge and interest with developing Quality & Safety practice in the Division with specific attention to key recognised sources of evidence based practice, including: HSE, NPSA, CQC, Monitor, AQuA and Royal
- To attend and represent the Division at the appropriate corporate forum as required. This may require presenting highly complex, sensitive information to large groups in highly charged situations.
- The role involves a high degree of mental effort: able to concentrate, analysis of performance I governance data working in busy environment with interruptions; working to deadlines / immediate
- Frequently directly exposed to distressing, sensitive and confidential information and required to provide support to staff and patients in undertaking difficult conversations
- To identify, manage and reduce hazards in the Division and ensure that staff under his/her direction adhere to all safe systems of work applicable to the area of work and support the wider Division in promoting and monitoring safe systems of work.
- To undertake appropriate risk assessments and implement risk reducing measures.
- To ensure there are appropriate arrangements for reviewing significant risks and highlight risks that cannot be addressed at a local level through appropriate structures
- Provide training and support to ensure that staff are competent to develop and manage risk assessments relevant to their role and be fully aware of the legal requirements for general and specific risk assessments.
- To establish and monitor systems to ensure staff in the Division are up to date with Trust policies, procedures and statutory training.
- To ensure appropriate actions are taken to minimise risks.
- Manage the Directorate risk register, leading the Divisional risk management agenda.
- To lead on Trust critical/ serious incident reporting processes, ensuring that robust mechanisms are in place within the Division for compliance.
- To ensure the delivery of the Trust's governance agenda, both clinical and non-clinical participating in assessment and action planning.
- To ensure Directorate /Specialty governance structures are in place in line with and in support of Divisional and Corporate Governance structures
- Promote a culture that continually reviews performance using critical incident and complaints as tools for continuous improvement
- To ensure data relating to quality is accurate, complete and informs service planning.
Job description
Job responsibilities
- To utilise high level communication skills to be able to work effectively and collaboratively with all staff groups, including medical staff, nursing staff, senior managers and other healthcare professionals to explore complex issues and to make complex decisions related to Governance and
- To employ effective change management skills to empower staff to bring about service improvements.
- To attend and participate fully at meetings and to be able to present information, which is frequently highly contentious, complex and sensitive. This will be to a range of staff including Trust Board and audiences greater than 20 at times as required in order to fulfil the requirements of the
- To develop and maintain excellent working relationships with key Governance and Quality improvement staff i.e., work in partnership with other Divisional Governance Leads, the Corporate Governance team and Quality Improvement staff in order to assist the Division in achieving its Governance and Safety
- To utilise well developed analytical & problem solving skills with the ability to make decisions by determining key points from highly complex data comprising multiple information strands
- Required to concentrate continuously for long periods, and articulate the learning/actions from high level meetings to divisional level
- Act as the link between division and corporate requiring a high skill set and extensive knowledge base across a range of governance areas
- Act as a resource of expert professional knowledge for the division through application of theory in practice
- To frequently use IT skills g. systems, spreadsheets, databases, statistical packages to analyse data and produce reports in a useable form for the management team and corporate departments as required.
- To maintain up to date knowledge and interest with developing Quality & Safety practice in the Division with specific attention to key recognised sources of evidence based practice, including: HSE, NPSA, CQC, Monitor, AQuA and Royal
- To attend and represent the Division at the appropriate corporate forum as required. This may require presenting highly complex, sensitive information to large groups in highly charged situations.
- The role involves a high degree of mental effort: able to concentrate, analysis of performance I governance data working in busy environment with interruptions; working to deadlines / immediate
- Frequently directly exposed to distressing, sensitive and confidential information and required to provide support to staff and patients in undertaking difficult conversations
- To identify, manage and reduce hazards in the Division and ensure that staff under his/her direction adhere to all safe systems of work applicable to the area of work and support the wider Division in promoting and monitoring safe systems of work.
- To undertake appropriate risk assessments and implement risk reducing measures.
- To ensure there are appropriate arrangements for reviewing significant risks and highlight risks that cannot be addressed at a local level through appropriate structures
- Provide training and support to ensure that staff are competent to develop and manage risk assessments relevant to their role and be fully aware of the legal requirements for general and specific risk assessments.
- To establish and monitor systems to ensure staff in the Division are up to date with Trust policies, procedures and statutory training.
- To ensure appropriate actions are taken to minimise risks.
- Manage the Directorate risk register, leading the Divisional risk management agenda.
- To lead on Trust critical/ serious incident reporting processes, ensuring that robust mechanisms are in place within the Division for compliance.
- To ensure the delivery of the Trust's governance agenda, both clinical and non-clinical participating in assessment and action planning.
- To ensure Directorate /Specialty governance structures are in place in line with and in support of Divisional and Corporate Governance structures
- Promote a culture that continually reviews performance using critical incident and complaints as tools for continuous improvement
- To ensure data relating to quality is accurate, complete and informs service planning.
Person Specification
Qualifications
Essential
- oEducated to Master's degree level or equivalent
- oManagement Qualification
- oEvidence of teaching/assessing
- oLeadership qualification
- oMember of the Institute of Fire Engineers, Institute of Fire Safety Management or IOSH
- oNEBOSH Diploma
- oAccredited HTM Fire Safety qualification
- oAccredited Fire Risk assessor
- oRecognised teaching qualification (CG730, or equivalent)
- oRecognised Audit qualification (British standard or equivalent)
Desirable
- oQualification in Risk Management
- oRoot Cause Analysis training
- oFormal training in project management
- oMember of a Nationally accredited Third-party Fire risk assessor register (IFE - IFSM)
Experience
Essential
- oMinimum of 5 years' experience at a senior level in Healthcare Governance and Risk Management
- oWorking knowledge of Governance, Risk Management and Complaints management
- oPrevious involvement in CQC assessment and accreditation processes
- oMinimum of five years experience of working with the capital team on fire safety matters as they relate to the construction of new builds and, or refurbishment of existing building.
- oExtensive experience of working with Building control, local Authority agencies and Architects.
- oPrevious experience of liaising with enforcement agencies.
Desirable
- oLecturing and presentation experience
- oAbility to use Hospital Information Systems
- oDemonstratable experience of developing audit programs and undertaking audit.
- oExperience of undertaking PAM assessments.
Skills
Essential
- oWell-developed analytical and problem-solving skills with the ability to make decisions by determining key points from complex data and multiple information strands
- oEffective written and verbal communication skills together wi th influencing and negotiating expertise for interacting with individuals across the organisation
- oAbility to analyse complex problems and create solutions
- oEffective communicator at all levels of the organisation
- oNegotiation and conciliation skills with ability to manage conflict to successful resolution
- oExcellent interpersonal skills
- oEvidence of effective change management strategies
- oResilience and determination in the face of intractable problems
- oAbility to react and reprioritise quickly in unpredictable situations
- oComputer literate, able to use Word, PowerPoint, Excel, Access or other databases
Knowledge
Essential
- oGovernance I Risk management within the NHS
- oLegislation and guidance in relation to Complaints handling in the NHS
Additional
Essential
- oRequired to travel between Trust sites
- oFlexibility in relation to hours of duty if required
- oSpeak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation
Person Specification
Qualifications
Essential
- oEducated to Master's degree level or equivalent
- oManagement Qualification
- oEvidence of teaching/assessing
- oLeadership qualification
- oMember of the Institute of Fire Engineers, Institute of Fire Safety Management or IOSH
- oNEBOSH Diploma
- oAccredited HTM Fire Safety qualification
- oAccredited Fire Risk assessor
- oRecognised teaching qualification (CG730, or equivalent)
- oRecognised Audit qualification (British standard or equivalent)
Desirable
- oQualification in Risk Management
- oRoot Cause Analysis training
- oFormal training in project management
- oMember of a Nationally accredited Third-party Fire risk assessor register (IFE - IFSM)
Experience
Essential
- oMinimum of 5 years' experience at a senior level in Healthcare Governance and Risk Management
- oWorking knowledge of Governance, Risk Management and Complaints management
- oPrevious involvement in CQC assessment and accreditation processes
- oMinimum of five years experience of working with the capital team on fire safety matters as they relate to the construction of new builds and, or refurbishment of existing building.
- oExtensive experience of working with Building control, local Authority agencies and Architects.
- oPrevious experience of liaising with enforcement agencies.
Desirable
- oLecturing and presentation experience
- oAbility to use Hospital Information Systems
- oDemonstratable experience of developing audit programs and undertaking audit.
- oExperience of undertaking PAM assessments.
Skills
Essential
- oWell-developed analytical and problem-solving skills with the ability to make decisions by determining key points from complex data and multiple information strands
- oEffective written and verbal communication skills together wi th influencing and negotiating expertise for interacting with individuals across the organisation
- oAbility to analyse complex problems and create solutions
- oEffective communicator at all levels of the organisation
- oNegotiation and conciliation skills with ability to manage conflict to successful resolution
- oExcellent interpersonal skills
- oEvidence of effective change management strategies
- oResilience and determination in the face of intractable problems
- oAbility to react and reprioritise quickly in unpredictable situations
- oComputer literate, able to use Word, PowerPoint, Excel, Access or other databases
Knowledge
Essential
- oGovernance I Risk management within the NHS
- oLegislation and guidance in relation to Complaints handling in the NHS
Additional
Essential
- oRequired to travel between Trust sites
- oFlexibility in relation to hours of duty if required
- oSpeak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation
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).
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).
