Divisional Clinical Governance Manager - WAC Division

Job description

We are proud to provide 'Outstanding' care and be a great place to work.

East Sussex Healthcare NHS Trust provides safe, compassionate and high quality hospital and community care to the half a million people living in East Sussex and those who visit our local area.

We are one of the largest organisations in East Sussex with an annual income of £700 million and we are the only integrated provider of acute and community care in Sussex.

Our extensive health services are provided by over 8,000+ dedicated members of staff working from two acute hospitals in Hastings and Eastbourne, three community hospitals in Bexhill, Rye and Uckfield, over 100 community sites across East Sussex, and in people's own homes.

The Care Quality Commission (CQC) rated us as 'Good' overall, and 'Outstanding' for being Caring and Effective. The Conquest Hospital in Hastings and our Community Services were rated 'Outstanding' and Eastbourne DGH was rated 'Good' Our two acute hospitals have Emergency Departments and provide 24 hour a day care, offering a comprehensive range of surgical, medical, outpatient and maternity services, supported by a full range of diagnostic and therapy services.

Job overview

The Divisional Clinical Governance Manager is a key role in the divisional leadership team and provides strategic and operational leadership for all aspects of clinical governance across the Division, ensuring safe, effective, and person-centred care. The Divisional Clinical Governance Manager line manages the Divisional Clinical Governance Team.

The Divisional Clinical Governance Manager will promote the vision and values of East Sussex Healthcare NHS Trust, leading by example and ensuring that they demonstrate those values in their leadership behaviours and how we support our teams and deliver our services.

The Divisional Clinical Governance Manager will lead the governance framework (patient safety, risk management, quality improvement, audit, NICE compliance, mortality review, patient experience, complaints and claims learning, and regulatory readiness).

The Divisional Clinical Governance Manager supports and challenges Divisional leadership to assure quality and reduce harm, providing high-quality analysis, insight, and improvement methodology.

The Divisional Clinical Governance Manager ensures the Trust clinical governance processes are effectively implemented within the Division, including, incident management, duty of candour compliance, inquests, management of risk registers, CQC preparedness, clinical audit and effectiveness, patient experience and feedback, policy management, and timely implementation and closure of all related action.

Main duties of the job

• Lead and develop governance, quality, safety, and risk management processes across all of Women and Children's Services, ensuring compliance with national guidance, regulatory standards, and best practice.
• Provide strategic leadership for the Governance Team, fostering a just culture and continuous quality improvement.
• Ensure services are inspection-ready and compliant with requirements from CQC, CNST, NHSE, NICE, MBRRACE-UK, RCOG, HSE and other regulatory bodies.
• Lead patient safety, risk management, incident investigation, and learning activities, including PSIRF processes, AARs, MDT reviews, PSIIs, and Perinatal Mortality Reviews.
• Monitor all governance performance using qualitative and quantitative data, manage risk registers, oversee action plans, and present assurance reports to Directorate, Trust, and external committees.
• Provide expert advice on governance, patient safety, clinical effectiveness, quality improvement, and risk management.
• Work collaboratively with clinical leaders, PMAs, PNAs, patient advocacy groups and multidisciplinary teams to improve patient experience and outcomes.
• Support litigation management, complaints, investigations, and Duty of Candour requirements
• Ensure governance-related learning, training, and quality improvement initiatives are identified, implemented, and evaluated.
• Manage and develop staff through recruitment, appraisal, performance management, attendance monitoring, and professional development

Working for our organisation

A wide range of staff benefits are available to our staff including staff development, enrolment in the NHS pension scheme, auto-enrolment to our Temporary Workforce Service, access to onsite nurseries. staff restaurants and accommodation.

In addition to an internal Occupational Health department, all staff also have access to free psychological support through our confidential Employee Assistance Programme. Onsite parking is available from only £50 a year.

There has never been a better time to join East Sussex Healthcare NHS Trust, submit your application today.

Statement on the Use of AI

We value the individuality that each candidate brings to the application process. While we understand that AI tools are widely available, we strongly discourage applicants from using AI-generated content when applying for jobs with us. We believe that your application should reflect your true skills, experiences, and motivations, which are best conveyed through your own words and unique perspective.

Using AI for your application may not accurately represent your knowledge, skills, and experience and may result in a disconnect between your qualifications and our assessment of your application.

We encourage applicants to take the time to thoughtfully complete their applications; by doing so, you allow us to better understand your true potential and ensure a fair and transparent evaluation of your application. Over reliance on AI-generated content may diminish your chance of success.

Detailed job description and main responsibilities

Please refer to the job description attached.

If you have any questions about this position please do not hesitate to contact us.

Person specification

Qualifications

Essential criteria

• Professional Registration and Masters level qualification or relevant experience
• Postgraduate qualification in healthcare governance/quality/risk or commitment to complete or Evidence of continuous professional development
• Incident investigation Training (PSIRF/HF methods)

Desirable criteria

• Leadership/management qualification
• Project management qualification/QI certification
• Clinical Education training/certification (NMC/HCPC/GMC)

Experience

Essential criteria

• Significant experience in clinical governance within acute settings
• Leading incident/serious incident processes and risk registers
• Delivering CQC readiness
• Leading clinical audit / NICE projects / programmes
• Producing assurance reports for senior committees
• Line Management

Desirable criteria

• Working with external regulators e.g. CQC
• Managing claims/inquests learning

Knowledge

Essential criteria

• NHS regulatory framework (CQC Fundamental Standards, PSIRF, Duty of Candour)
• Clinical audit cycle, NICE guidance processes
• Risk management principles
• nformation governance basics

Desirable criteria

• Human factors/ergonomics
• SPC tools / QI charts
• Safety-II
• Equality Impact Assessments

Skills & Abilities

Essential criteria

• Facilitation and investigation skills Influencing and negotiation Coaching and training skills
• Skilled in the use of governance systems e.g. Datix, InPhase, Evotix, etc.
• Excellent verbal and written communication skills, including the ability to address complex and sensitive issues in an appropriate and confident manner.
• Analytical, data and dashboard interpretation and report writing skills for succinct governance reports from ward to Board
• Ability to triangulate data & develop themes for divisional and cross organisational learning

Desirable criteria

• SPC tools (e.g., QI charts) Budget management skills

Other

Essential criteria

• Flexible working to meet service needs
• Ability to travel to any one of the Trust sites or multiple sites in a timely and efficient manner

Patients come first at East Sussex Healthcare NHS Trust.

Our vision is to be:

• The healthcare provider of first choice for the people of East Sussex.

Our mission is to:

• Deliver better health outcomes and an excellent experience for everyone we provide with healthcare services.

Our strategic objectives are to:

• Improve quality and clinical outcomes by ensuring that safe patient care is our highest priority.
• Play a leading role in local partnerships to meet the needs of our local population and improve and enhance patients' experiences.
• Use our resources efficiently and effectively for the benefit of our patients and their care to ensure our services are clinically, operationally and financially sustainable.

Our aims are that all services delivered by the Trust are:

• Safe
• Effective
• Caring
• Responsive and
• Well led

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