Torbay and South Devon NHS Foundation Trust

Clinical Governance Co-ordinator

The closing date is 18 July 2025

Job summary

The Clinical Governance Co-ordinator (CGC) will provide expert advice and leadership on governance and assurance for the Care Group and/or Division they support.

You will at all times work to further the Trust's overall approach to Patient Safety and Quality.

This role is key to the development, implementation and sustainability of: the Trust's Integrated Governance, Assurance and Safety agenda; the Patient Safety Incident Response Framework; a Just and Learning Culture.

The CGC is a core member of the Divisional Governance team structure, supporting compliance with CQC, NHSLA and NHSE requirements, and delivering the Trust's Governance objectives.

You will coordinate the overall day-to-day delivery of the Governance agenda (including national guidance relating to Governance and Risk Management requirements), through the development and implementation of procedures, policies and processes across their Division's Governance programme/s.

Main duties of the job

Leading by personal example, to establish a high profile for effective Governance within the Division/s, working with others to ensure good practice, communicate lessons learnt and celebrate success.

Be the key point of contact, and expert within the Division/s, for any Governance queries or enquiries e.g. incidents, complaints, claims, risk management, audit, providing advice, guidance and direction as required.

Support the Divisional management team regarding Governance issues, agreeing priority areas for focus, risk management, evaluation, audit and improvement.

Review procedures and practice in relation to Governance plans, strategic developments and Risk Management (including responses to Central Alerting System (CAS) alerts, risk assessments and risk register maintenance) ensuring actions are developed and implemented, escalating issues as the need arises.

Investigate and analyse issues arising from all types of Governance data to develop actions to address issues and trends, to support planning and in order to share learning.

Assist in the development of corporate and/or clinical policies and lead on Divisional policies/ procedures related to Governance.

Participate in, and support, external reviews as required, such as CQC visits/inspections.

Assist with the development of Governance and Risk Management information materials and participate in education and training programmes as required.

About us

Why Work With Us

You will join the Trust's central Patient Safety and Quality team but willwork closely with the Associate Director of Nursing and Professional Practice for the Division/s they support and other Clinical Governance Coordinators, within the different Care Groups and/or Divisions.

The Patient Safety and Quality team are committed to achieving high quality work through their engagement with individuals and teams, patients and families, across the Trust, for the benefit of maintaining and improving safety for patients and staff.

Details

Date posted

04 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

388-7253536-MUEC

Job locations

Torbay Hospital

Lawes Bridge

Torquay

TQ27AA


Job description

Job responsibilities

Coordinate the overall day to day delivery and strategic development of the Governance agenda (including CQC and NHSE requirements, NHSLA Risk Management Standards and other national guidance relating to Governance) and advise and develop plans for change in practice, policies and procedures as necessary, this work includes the following duties to:

Work as a key member of the Divisions management team to ensure that robust Governance arrangements are in place and Governance is embedded

Responsible for providing specialist advice to the Division on the implementation of Governance policies and procedures that enable the Division to strategically develop its Governance management

Work with the Divisions management teams to ensure the delivery of integrated Governance

Ensure outcomes and learning from incidents, complaints, feedback and investigations are shared, identifying lessons learnt and practice/process changes required are monitored to closure

With the Associate Director of Nursing and Professional Practice (ADNPP), Clinical Leads and (Medical) Governance Leads, develop plans for Governance assurance, within each clinical area within the Division/s and agree monitoring arrangements that will ensure delivery, producing reports on progress and plans to address any shortfalls

Actively support the Trusts patient safety review processes, for example by regular attendance at, and participation in, the Incident Review Group

Be an active and participative member of the Trusts Governance related meetings

Analyse Governance information that comes from the central functions and advise the Division on implications and actions required

Lead on the identification of Governance projects required within the Division and the successful implementation and evaluation of the projects undertaken

Accountable for decisions affecting their sphere of responsibility

Work closely with the Patient Safety Specialist and the central Patient Safety and Quality Team to understand and promote the Trusts integrated Governance strategy and PSIRF

Please see full Job description for further details

Job description

Job responsibilities

Coordinate the overall day to day delivery and strategic development of the Governance agenda (including CQC and NHSE requirements, NHSLA Risk Management Standards and other national guidance relating to Governance) and advise and develop plans for change in practice, policies and procedures as necessary, this work includes the following duties to:

Work as a key member of the Divisions management team to ensure that robust Governance arrangements are in place and Governance is embedded

Responsible for providing specialist advice to the Division on the implementation of Governance policies and procedures that enable the Division to strategically develop its Governance management

Work with the Divisions management teams to ensure the delivery of integrated Governance

Ensure outcomes and learning from incidents, complaints, feedback and investigations are shared, identifying lessons learnt and practice/process changes required are monitored to closure

With the Associate Director of Nursing and Professional Practice (ADNPP), Clinical Leads and (Medical) Governance Leads, develop plans for Governance assurance, within each clinical area within the Division/s and agree monitoring arrangements that will ensure delivery, producing reports on progress and plans to address any shortfalls

Actively support the Trusts patient safety review processes, for example by regular attendance at, and participation in, the Incident Review Group

Be an active and participative member of the Trusts Governance related meetings

Analyse Governance information that comes from the central functions and advise the Division on implications and actions required

Lead on the identification of Governance projects required within the Division and the successful implementation and evaluation of the projects undertaken

Accountable for decisions affecting their sphere of responsibility

Work closely with the Patient Safety Specialist and the central Patient Safety and Quality Team to understand and promote the Trusts integrated Governance strategy and PSIRF

Please see full Job description for further details

Person Specification

shortlisting

Essential

  • oEducated to first level degree or equivalent level qualification or experience

Desirable

  • oClinical qualification or equivalent healthcare experience oPost graduate study at MSc level or equivalent experience

essential

Essential

  • Band 7 with experience

essential and desirable

Essential

  • oEducated to first level degree or equivalent level qualification or experience

Desirable

  • oClinical qualification or equivalent healthcare experience oPost graduate study at MSc level or equivalent experience
Person Specification

shortlisting

Essential

  • oEducated to first level degree or equivalent level qualification or experience

Desirable

  • oClinical qualification or equivalent healthcare experience oPost graduate study at MSc level or equivalent experience

essential

Essential

  • Band 7 with experience

essential and desirable

Essential

  • oEducated to first level degree or equivalent level qualification or experience

Desirable

  • oClinical qualification or equivalent healthcare experience oPost graduate study at MSc level or equivalent experience

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

Torbay and South Devon NHS Foundation Trust

Address

Torbay Hospital

Lawes Bridge

Torquay

TQ27AA


Employer's website

https://www.torbayandsouthdevon.nhs.uk (Opens in a new tab)

Employer details

Employer name

Torbay and South Devon NHS Foundation Trust

Address

Torbay Hospital

Lawes Bridge

Torquay

TQ27AA


Employer's website

https://www.torbayandsouthdevon.nhs.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

ADNPP for Urgent and Emergency Care

Lisa Houlihan

lisa.houlihan@nhs.net

07881610130

Details

Date posted

04 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

388-7253536-MUEC

Job locations

Torbay Hospital

Lawes Bridge

Torquay

TQ27AA


Supporting documents

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