Quality and governance framework: Accountabilities and Deliverables: Lead and advise all areas of the organisation on the understanding and application of all relevant healthcare governance and compliance, including, but not limited to the CQC, Health and Social Care Act 2008, Clinical and general governance. Lead the Governance team to drive and ensure strict adherence to all such compliance and governance standards. Assess, mitigate, monitor, measure, and report on risks impacting the business Analyse and coordinate the management of potential risks arising from changes in legislation, regulation, or business practice. Lead the process to raise risk awareness among employees. Lead and be responsible for the Governance team. Monitor the implementation and effectiveness of associated company policies and procedures. Report to the Board through the chief nurse and Medical Director and SMT on all aspects of risk, compliance and governance. Responsibility to conduct risk assessments of new business proposals in line with healthcare requirements. Responsibility to ensure quality impact assessments are conducted for any changes within the business Manage specific risk and compliance projects. Seeking out external best practice and applying to the business where appropriate. Own the implementation of the Quality Strategy To ensure there is a framework of policies and standard operational procedures in place and they are applied consistently to ensure services are safe and effective. Maintain the organisations Risk Register, specifically ensuring clinical/operational risks are recorded and actions are taken within services to mitigate these risks. Interpret statutory legislation and guidance for the development and monitoring of Governance policies, procedures, protocols and safe systems of work and support managers in the implementation of these. Exercise expert judgement involving highly complex facts, statistical data and multifaceted situations that require the analysis, interpretation and comparison of a range of options, which support improved risk management, embed governance and improved patient services across the Service. Maintain and monitor services Work with senior operational and clinical staff to ensure standard operating procedures and other guidelines or protocols are communicated, reflect best practice and ensure we have safe systems of work. Under the leadership of the Chief Nurse and Medical Director ensure clinical practice and clinic standards are up to date by cascading updates, safety alerts and notices to staff and ensuring they are actioned (e.g. CAS, health and safety, NICE guidance etc) Provide a framework for auditing services, and ensure a programme of audits are undertaken by operational services, and actions taken in response hose audits Provide the quality visit framework, ensure the service lead undertakes safety audits, and follow up actions are completed. To manage and lead the organisations PSIRF and Electronic Risk and event management system, undertaking, monitoring and coordinating internal and external investigations and ensuring improvement actions are identified and taken including reporting of significant events. Own the complaints and concerns process, ensuing all complaints and concerns are handled in a timely and considerate manner in line with policy and process, and support the management of any legal claims. Reporting Produce high quality, monthly, quarterly, and annual reports for both internal and external requirements that highlight successes and opportunities for improvement and development, this includes leading on the creation of the annual quality account, supporting quality priorities and operational delivery and achievement of agreed quality targets. Maintain complete and timely records of actions to support governance and quality. Undertake regular thematic analyse of all key Quality Metric such as, patient safety events, patient feedback, reporting on trends and highlighting risks or issues. In partnership with the Medical Director, ensure that Independent Health Group adheres to all relevant aspects of the Medical Practitioners Assurance Framework. Management and leadership As a senior member of the Senior management team, ensure that IHG meets its business objectives and operates to the highest standards of corporate and clinical governance. Responsible for ensuring that the culture of incident reporting is embedded across the organisation. This includes management of the incident reporting system, identifying trends and providing assurance and learning from incidents to the Integrated Governance and Business committee / clinical & non-clinical teams. Hold direct line management responsibilities for the Quality and Governance Assistant and new team members as the organisation grows - To undertake all direct line management functions including Recruitment, Appraisals / Performance reviews, Sickness reviews, ensuring all mandatory, statutory and competency training is undertaken and staff who report to you comply with relevant HR policies.