Associate Director of Governance

Job Responsibilities Support the Director of Clinical Governance and lead the governance team on all aspects of clinical governance and audit including risk management, safeguarding and infection control. Support the Chief Operating Officer in ensuring compliance with areas of corporate governance including Health and Safety, Information Governance, Equality, and sustainability. Utilise advanced specialist knowledge covering a range of subjects underpinned by relevant broad-based knowledge, experience, and competence. Establish robust audit tools to demonstrate compliance and support quality improvement and compliance with statutory and mandatory requirements of a health care provider including, but not limited to, compliance with CQC regulations, Health and Safety at Work Act 2015, Equality Act 2010, and NHS Accessible Information Standards. Work with the governance team to develop and improve clinical governance strategies and support the development of governance planning throughout
the organisation. Ensure that effective arrangements are in place for the regular review, and continuous improvement of the corporate governance strategy. Undertake horizon scanning and review/analyse any new regulatory corporate governance-related developments, advising senior managers and the Operational Board as necessary on their implications/recommended course of action. Implement and lead on improvement projects focusing on areas of poor compliance of clinical and non-clinical standards, high risk areas and common trends. Support senior managers and clinicians in management of complex complaints and significant events including Root Cause Analysis. Management Duties and Responsibilities Ensure that a professional service and image is maintained at all times, thereby acting as a role model to all staff. Provide a leadership style which is underpinned by strongly held values around equality, diversity, and openness; effectively build and maintain relationships with direct report (s),
management team and other key individuals across the organisation. Deputise for and support the Director of Clinical Governance within your scope. Demonstrate clinical leadership, initiative, and creativity in developing a broad range of projects or plans and inspiring others to be positive in their contribution to continuous improvement and innovation, including adjusting plans where necessary. Clearly articulate the expected clinical standards of the service, monitor and identify where standards are not met and take action to address this, holding people to account where necessary. Demonstrate leadership and innovation in contexts which are unfamiliar, complex, and unpredictable that require solving problems involving many complex interacting factors. Delegate, organise and prioritise to ensure compliance with regulatory standards and best practise. Demonstrate effective communication skills and continually reflect on and evaluate outcomes of change management. By actively participating
or leading multi-discipline teams, the post holder will propose and develop quality improvement projects that reflect the strategic aims and priorities of the organisation. Demonstrate resilience when responding to challenge, change and complex or difficult situations. Provide managerial supervision, support, and professional leadership. Apply policies, standards, and guidance. Participate in recruitment and selection processes as required. Monitor records in line with protocol. Organisational responsibilities Work with Directors, operational managers and multidisciplinary teams to continually improve the quality-of-service delivery within the overall organisational governance frameworks, reflecting the corporate objectives. Implement, monitor, and maintain agreed standards of care using a range of evidence and data sources to identify where improvements are needed. Develop and implement policies and guidelines relevant to service area and ensure team members and wider organisation
are aware of policy requirements. Maintain oversight of clinical audit ensuring that action plans are implemented. Identify, manage, and minimise risks within the overall organisational risk management frameworks supporting other staff to contribute to the process. This includes understanding and applying knowledge of clinical roles in safeguarding and incident management. Assist with the gathering of statistics and information. Maintain accurate and complete documentation and records utilising electronic systems as appropriate and in accordance with Haxby Group protocol. Follow agreed protocols, referring to senior colleagues for guidance when required. Maintain the ethos and culture of Haxby Group. Positively promote Haxby Group. Ensure rationalisation of resources. To assist in enhanced and extended services to grow the professional offerings of the organisation. Attend in-house governance, educational and staff meetings as appropriate. Help plan, develop and support the
introduction of new working processes to optimise quality. Train staff to attain optimum performance. Build and maintain relationships with other healthcare professionals, including GPs, GP surgery personnel, care home personnel, ICB personnel etc. Always behave in a professional manner.