East Lancashire Hospitals NHS Trust

Associate Director of Quality Governance

The closing date is 18 November 2025

Job summary

We are seeking a dynamic and experienced leader to join our senior management team as Associate Director of Quality Governance, Safety and Clinical Effectiveness. This is a pivotal role, responsible for driving excellence in corporate and clinical governance, risk management, and regulatory compliance across the Trust.

You will work closely with the Executive Directors, Board Committees, and operational leaders to ensure robust governance frameworks are embedded throughout the organisation. Your leadership will be critical in supporting a culture of transparency, learning, and continuous improvement.

Main duties of the job

Key Responsibilities

  • Lead the development and implementation of the Trust's governance strategy.
  • Oversee risk management, incident reporting, and Trust wide assurance systems.
  • Ensure compliance with statutory and regulatory requirements (e.g. CQC, NHS England).
  • Provide expert advice to the Board and Executive Team on governance matters.
  • Lead on preparation for inspections, audits, and external reviews.
  • Manage a multidisciplinary governance team, fostering a high-performance culture.

About You

  • Proven senior leadership experience in governance within a complex healthcare setting.
  • In-depth knowledge of NHS regulatory frameworks and quality standards.
  • Strong strategic thinking, influencing, and communication skills.
  • Ability to lead change, manage complexity, and build effective partnerships.
  • Relevant professional qualification (e.g. governance, risk, law, healthcare management).

About us

This is an exciting opportunity to shape the future of governance at the Trust which is committed to delivering Safe, Personal and Effective care. You'll be part of a supportive leadership team, with opportunities to innovate and make a real impact.

Details

Date posted

04 November 2025

Pay scheme

Agenda for change

Band

Band 9

Salary

£109,179 to £125,637 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

435-C084-25

Job locations

Royal Blackburn Hospital

Blackburn

BB2 3HH


Job description

Job responsibilities

The post holder will:

Support the Medical Director and Chief Nurse to ensure that systems and processes are in place to enhance the quality of clinical services and the delivery of robust Governance structures.

Work closely with the Medical Director, and other Board members to provide strategy, direction and corporate policy making to ensure the delivery of the Trusts Quality and Governance objectives and to ensure that statutory duties and responsibilities are discharged.

Lead trust-wide strategic projects that support the delivery of the triple aim objectives (better care, better outcomes, delivered sustainably) and provide strategic and tactical support to design programmes of transformation.

Provide line management responsibility for the clinical governance teams.

Oversee the development, operation and monitoring of effective systems and processes to provide the Executive Team and Board of Directors with appropriate assurance on the quality and standards of services.

Ensure that processes are established to provide robust and effective governance and organisational focus on harm free care and patient safety and clinical effectiveness.

Lead on the development, implementation and review of systems and processes to monitor compliance with national, regional and local:

Clinical Effectiveness standards

Clinical Quality standards in line with professional Nursing/Medic/AHP frameworks

Risk Management standards

Inquest and clinical negligence processes

Health and Safety statutory responsibilities

Demonstrate the Trusts values and be a highly visible and credible clinical leader, motivating and empowering Divisions and directorates to ensure that the Trust maintains high standards of clinical quality and governance from floor to Board.

Be a core member of Trust Quality Committee (and wider sub committees of the Board where appropriate), Senior Nursing /Midwifery Leaders Forum. Clinical/Joint Clinical Leaders Forum.

Act as governance link into the Professional regulatory processes internally, participating in the Professional Standards Group and the Employee Relations Group in support of the maintenance of high professional standards and open fair process management.

Be responsible for keeping the Chief Nurse, Medical Director and Board appraised of the functional state and effectiveness of the structures and processes of Clinical Governance throughout the Trust.

Be responsible for developing, maintaining and monitoring of an effective corporate risk register and Board Assurance Framework.

Ensure that change projects initiated by the Quality Committee are implemented efficiently and effectively and will, in partnership with the Divisional Governance Leads, facilitate change projects initiated in Divisions in order that they are managed competently and completed effectively.

Actively maintain external networks to ensure the Trust is prepared and/or compliant with any new or emerging national, regional or local quality and governance standards.

In collaboration with the team managers, ensure best practice with regards to the management of services and effective liaison all key stakeholders, with HM Coroner, the NHS Resolution, Care Quality Commission and Parliamentary Health Service Ombudsman.

Support the development of a Quality structure to support the Integrated Care System/Board Governance agenda working closely with the Clinical Commissioning Group and the governance lead for the Integrated Care Board/Provider Collaborative Board.

Job description

Job responsibilities

The post holder will:

Support the Medical Director and Chief Nurse to ensure that systems and processes are in place to enhance the quality of clinical services and the delivery of robust Governance structures.

Work closely with the Medical Director, and other Board members to provide strategy, direction and corporate policy making to ensure the delivery of the Trusts Quality and Governance objectives and to ensure that statutory duties and responsibilities are discharged.

Lead trust-wide strategic projects that support the delivery of the triple aim objectives (better care, better outcomes, delivered sustainably) and provide strategic and tactical support to design programmes of transformation.

Provide line management responsibility for the clinical governance teams.

Oversee the development, operation and monitoring of effective systems and processes to provide the Executive Team and Board of Directors with appropriate assurance on the quality and standards of services.

Ensure that processes are established to provide robust and effective governance and organisational focus on harm free care and patient safety and clinical effectiveness.

Lead on the development, implementation and review of systems and processes to monitor compliance with national, regional and local:

Clinical Effectiveness standards

Clinical Quality standards in line with professional Nursing/Medic/AHP frameworks

Risk Management standards

Inquest and clinical negligence processes

Health and Safety statutory responsibilities

Demonstrate the Trusts values and be a highly visible and credible clinical leader, motivating and empowering Divisions and directorates to ensure that the Trust maintains high standards of clinical quality and governance from floor to Board.

Be a core member of Trust Quality Committee (and wider sub committees of the Board where appropriate), Senior Nursing /Midwifery Leaders Forum. Clinical/Joint Clinical Leaders Forum.

Act as governance link into the Professional regulatory processes internally, participating in the Professional Standards Group and the Employee Relations Group in support of the maintenance of high professional standards and open fair process management.

Be responsible for keeping the Chief Nurse, Medical Director and Board appraised of the functional state and effectiveness of the structures and processes of Clinical Governance throughout the Trust.

Be responsible for developing, maintaining and monitoring of an effective corporate risk register and Board Assurance Framework.

Ensure that change projects initiated by the Quality Committee are implemented efficiently and effectively and will, in partnership with the Divisional Governance Leads, facilitate change projects initiated in Divisions in order that they are managed competently and completed effectively.

Actively maintain external networks to ensure the Trust is prepared and/or compliant with any new or emerging national, regional or local quality and governance standards.

In collaboration with the team managers, ensure best practice with regards to the management of services and effective liaison all key stakeholders, with HM Coroner, the NHS Resolution, Care Quality Commission and Parliamentary Health Service Ombudsman.

Support the development of a Quality structure to support the Integrated Care System/Board Governance agenda working closely with the Clinical Commissioning Group and the governance lead for the Integrated Care Board/Provider Collaborative Board.

Person Specification

Experience

Essential

  • Management Qualification
  • Higher Degree or equivalent qualification

Desirable

  • Current registration with Nursing and Midwifery Council (NMC) - Mental Health (RMN) / Learning Disabilities (RNLD) and/or Health Care Professionals Council.

Knowledge and Experience

Essential

  • Relevant experience in senior governance position, usually around 5 years
  • Expert knowledge of the CQC Mental Health standards/registration requirements and requirements of the Mental health Act and Mental Capacity Act
  • Excellent skills in presentation, change management and project management
  • An excellent understanding of Clinical Governance and assurance as they key underpinning principle of clinical care delivery.
  • Knowledge of CQC standards.

Change Management

Essential

  • Track record of successful change management Track record of successful change management. .
  • IT and Microsoft office applications familiarity
Person Specification

Experience

Essential

  • Management Qualification
  • Higher Degree or equivalent qualification

Desirable

  • Current registration with Nursing and Midwifery Council (NMC) - Mental Health (RMN) / Learning Disabilities (RNLD) and/or Health Care Professionals Council.

Knowledge and Experience

Essential

  • Relevant experience in senior governance position, usually around 5 years
  • Expert knowledge of the CQC Mental Health standards/registration requirements and requirements of the Mental health Act and Mental Capacity Act
  • Excellent skills in presentation, change management and project management
  • An excellent understanding of Clinical Governance and assurance as they key underpinning principle of clinical care delivery.
  • Knowledge of CQC standards.

Change Management

Essential

  • Track record of successful change management Track record of successful change management. .
  • IT and Microsoft office applications familiarity

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

Royal Blackburn Hospital

Blackburn

BB2 3HH


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

Royal Blackburn Hospital

Blackburn

BB2 3HH


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Chief Nurse

Peter Murphy (Chief Nurse)

peter.murphy@elht.nhs.uk

01254732510

Details

Date posted

04 November 2025

Pay scheme

Agenda for change

Band

Band 9

Salary

£109,179 to £125,637 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

435-C084-25

Job locations

Royal Blackburn Hospital

Blackburn

BB2 3HH


Supporting documents

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