Job summary
The Governance Team provides assurance of high-quality care to the Board and supports clinical services to achieve that assurance by leading a culture of clinical excellence to enable delivery of safe, high-quality care to patients that is evidenced by good outcomes and patient feedback, listening to the people's voice to continuously learn and improve.
You will line manage the Governance Manager and Governance Administration Assistant. The Governance Team is responsible and accountable for continually improving the quality of our services and safeguarding high standards of care by creating an environment in which excellence in clinical care can flourish and thrive.
Main duties of the job
As Associate Director of Governance, you will be responsible for all aspects of governance, providing support for both clinical governance and corporate governance agendas. You will assist the Director of Clinical Governance and the Chief Operating Officer by providing leadership, contributing to strategy development, embedding a quality improvement framework, contributing to risk management and auditing systems of work and processes across all establishments. You will work with, and provide management to, the governance team to improve governance strategies and support the development of governance planning throughout the organisation. You will identify, implement, and lead on improvement projects focusing on areas of poor compliance of both clinical and non-clinical standards, high-risk areas and common trends.
As a member of the senior management team, you will provide advice on all relevant operational issues, identifying priorities and recommending appropriate solutions in keeping with the organisational strategy. You will ensure that services and resources across the organisation are of the highest quality and offer maximum effectiveness in meeting the needs and expectations of our patients, people, and the organisation. You will provide leadership and support to the General Management team on both strategic and operational initiatives.
You must work at all times within your own competence and use your own judgement, knowledge and common sense.
About us
Haxby Group is a high-quality, community-based healthcare organisation, with general practice at its heart. We deliver exceptional care from across York, Scarborough, and Hull, serving more than 92,000 patients. Haxby Group has been rated outstanding by the Care Quality Commission (CQC) in York and Hull. It has been rated as Good in Scarborough.
We are dedicated to improving the health of the communities we serve and have an innovative approach to ensuring we provide outstanding care. We are actively involved in research projects with the aim of improving patient care, and our digital-first ethos has contributed to reducing waiting times for access to services.
Our large and diverse team of Doctors, Nurses and Advanced Practitioners have decades of expertise, providing a range of care in a safe, friendly environment, with support from highly experienced Health Care Assistants, Clinical Pharmacists, and other non-GP clinicians. Supporting the patients and our clinical team are the large front of house and back-office teams ranging from Patient Services, Care Navigators, Clinical Administration Support and more.
Job description
Job responsibilities
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 practice.
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 the 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.
Person Specification
Competencies/ Qualities/ Attributes
Essential
* Highly developed leadership skills with the ability to work strategically whilst maintaining strong operational delivery in a complex environment.
* Ability to work autonomously within the scope of the role including co-ordinating and leading multiple competing projects across different groups of staff.
* Ability to prioritise, delegate and work to tight deadlines in a fast-paced environment, including being able to prioritise team workload demands for others.
Desirable
* Ability to lead and work effectively as part of a team, to network and build relationships.
* Ability to identify and exploit opportunities to enhance service delivery, including through audit.
* Negotiation and conflict resolution skills.
* Proven problem solving and analytical skills.
* Ability to develop, implement and embed policy and procedure.
* Ability to motivate and train staff.
* Reflect and critically appraise own performance and continual professional development.
* Reliable, flexible, motivated and enthusiastic.
* Effective time management.
Other
Essential
* Current UK/EU driving licence and access to car to enable travel to all sites.
Knowledge/ Qualifications/ Skills
Essential
* Educated to master's degree level or equivalent professional experience as a healthcare professional.
* Management and Leadership qualification or at least three years experience in a management and leadership role working in an environment governed by legislation on quality standards.
* Highly developed and effective communication skills, including experience of producing and presenting reports at Board or similar level.
Desirable
* Experience of successfully developing and implementing quality improvement projects/change management across multidisciplinary teams and across multiple sites.
* Experience of staff management and support.
* Project Management or Quality Improvement qualification.
* Detailed knowledge of information governance requirements and implementing data protection legislation.
* Knowledge and experience of innovation and introducing new technologies, digitally literate with strong IT skills.
* Experience working in Primary Care (especially General Practice).
* Developing collaborative working across different teams and sites.
* Experience of delivering compliance with Care Quality Commission standards.
* Experience of conducting root cause analysis.
* Relevant health and safety experience.
Physical Requirements
Essential
* Able to undertake the requirements of the post.
Desirable
* Excellent attendance record.
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
Employer details
Employer name
Haxby Group
Address
Gale Farm Surgery
Front Street
Acomb
York
YO24 3BU
Employer's website #J-18808-Ljbffr