Job Purpose: To work closely with the Divisional Governance Team and Divisional Management Team to support, facilitate and guide compliance and assurance with the division's quality priorities and clinical governance agenda. To facilitate and encourage staff and clinician engagement in the divisional and trustwide clinical governance agenda. To develop and maintain relationships inter-divisionally and with the central clinical governance teams to ensure that all clinical governance activity is in accordance with both Trust policy and the corporate strategy. To act as an advocate for good clinical governance, leading by example and exhibiting professionalism at every opportunity. Key Duties: To support and facilitate the implementation of the divisional quality governance programme linked to the Trusts strategic objectives. To be the governance link person for specific specialties (e.g. Cardiology, Gastroenterology, Respiratory, Elderly Medicine), attending directorate meetings and presenting governance reports, drawing attention to areas where improvement or action is required. To champion and be the governance link person for specific subject areas such as falls prevention, clinical effectiveness, tissue viability and care of patients with Dementia and Learning Disabilities. To analyse and assemble qualitative and quantitative information into assurance reports for Directorate, Divisional and Trustwide scrutiny. To represent the division and present assurance reports at Trustwide meetings, feeding back to the division key information and actions via Divisional Governance Group meetings. To monitor compliance with key performance indicators (KPIs) via a range of informatics sources, using them to support staff/teams in reflecting on and improving service delivery and clinical practice. To assist with the compilation of ad hoc assurance reports and information at short notice as required, for example in response to regulatory visits/inspections. To support with incident monitoring and management via Datix, ensuring incidents of concern are escalated appropriately. To support the response to incidents or incident themes of concern within the Division in accordance with Trust policy and the Patient Safety Incident Response Framework, co-ordinating rapid reviews and round table meetings as required. To support with monitoring the teams Medicine Governance central mailbox, taking responsibility for saving and/or sharing incoming items, and providing responses where appropriate. To be a contact and source of support for staff across the division in relation to Datix administration for the purposes of incident, complaints and risk mangagement. To attend and actively participate in weekly Divisional Governance Meetings. To deputise for the Quality Governance Lead as necessary, including leading Divisional Governance Meetings on occasion. To cross-cover with the other Quality Governance Manager in the team, and cover essential duties for other team members ad hoc as required. To lead by example, keeping up-to-date with mandatory and essential-to-role training, ensuring punctuality and professionalism at meetings and events, and exhibiting the Trusts values and behaviours at every opportunity. General Duties: Assist with the maintenance of Divisional and directorate risk registers by drawing attention to risks requiring review, and advising when new risks may need to be considered. Monitor and support compliance with action plans and timescales for investigations, complaints and claims. Proactively identify clinical governance/quality/health & safety issues within the Division and assist with their escalation and the registering of risk assessments. Strengthen Datix utilisation, encouraging the reporting of incidents and near misses for ongoing learning and improvement. Deliver/arrange education and training as appropriate to role/expertise in relation to quality governance topics/areas. Assist with audits. Participate in the Trusts ward accreditation initative, supporting Quality Assurance Visits and Care Excllence Accreditation as required. Identify training needs within the Division relating to clinical governance and work with clinicians, specialist nurses and Professional Development teams to ensure that these are met. Be aware of CQC regulation and compliance, and the impact of any adverse findings of quality measurement from internal/external reviews, supporting the Division and its clinical areas as needed in preparation for such visits. Escalate/report any issue or identified trend that might affect the provision of patient care/safety. Support and signpost staff and patients involved in incidents causing significant harm or worse, ensuring that the principles of Being Open and Duty of Candour regulation are met. Be professionally accountable and comply with professional body and local Trust policies, procedures, guidance and pathways. Ensure that external and internal inspections are followed up with appropriate action plans and that corrective actions are monitored to the point of completion as required. Capture themes generated from the feedback of patients, service users and their carers. Work effectively and professionally in collaboration with corporate and other divisional governance teams and colleagues.