Job summary Ashford and St Peters Hospitals NHS Foundation Trust is looking for an experienced governance and risk professional work in our challenging but rewarding Corporate Quality and Regulation Service. Our aim is to provide a caring and professional service to ensure that all colleagues, stakeholders, and members of the public receive the best service. We seek to deliver the Trust's Strategy in a proactive and sensitive manner, giving service users the best possible service. We are looking for someone who has significant experience in driving forward corporate quality and regulation in a proactive and strategic way who can demonstrate service improvement through robust governance and risk management. You must have experience working in this kind of role the NHS, ideally in an acute Trust. You will have experience in the functions of corporate governance, clinical governance, risk, assurance, audit, safety, clinical effectiveness. You must be experienced generating and handling papers for high level Corporate Committees and be able to produce reports using excellent written style, grammar and with high quality technical content which is 'right first time'. You must have robust data and information analytic skills and be highly numerate and excellent at using IT systems. You must be excellent dealing with NHS service users, colleagues, and external organisations such as regulatory bodies or NHS partners. Having the right attitude to keep calm in this fast pace service is vital. Main duties of the job 1. Practically lead on delivery of core corporate quality & regulation functions, providing support to senior managers as required. 2. Deploy a transformational approach to ensuring Trust compliance with core areas of quality including CQC regulation, and the use of IT systems to drive this forward with divisional and corporate colleagues.3. Support clinical colleagues with practical advice and solutions to their quality challenges, so that these are collaboratively resolved in a multi-divisional way.4. Deliver assurance and improvement information - data, written material, reports, etc., ensuring the service is recognised as responsive with internal and external stakeholders including CCG, CQC, NHSI and others.5. Be the key person to prepare, co-ordinate and operationally mobilise for CQC core functions.6. Ensure timely, accurate and smooth functioning of key meetings, which includes all administrative functions including minute-taking.7. Ensure that seniors receive prompt and appropriate handling of all general quality information and communication requirements as arise from time to time.8. Generate written data and reports, policies (or similar), to a high standard of communication, adapted to the needs of the audience, without re-work from seniors. About us Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond. Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey. We also run many specialist clinics in the community and local community hospitals and other healthcare facilities. Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care. We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures. We can offer you the full range of NHS benefits/discounts and in addition: Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics Adverts may close early, so applicants are encouraged to submit an application as soon as possible. For more information about a career at ASPH please visit:www.asph-careers.org Date posted 04 November 2024 Pay scheme Agenda for change Band Band 7 Salary £48,270 to £54,931 a year pa, inc. HCAS Contract Permanent Working pattern Full-time Reference number 323-AC3219-SK-C Job locations St Peter's Hospital Guildford Road Chertsey KT160PZ Job description Job responsibilities Stakeholder engagement and assurance work with external representatives. Deploy a transformational, can-do, approach bringing corporate quality and regulation to the forefront of everything we do. Deliver, and be the expert advisor on, regulation and core corporate quality, and work with colleagues to convert this into practical delivery across the Trust. Keep current with, and contribute to, new developments in clinical quality governance and regulation. Collaborate with colleagues to implement a multi-professional approach. Effectively contribute to the Trust vision, strategic objectives and key work programmes. Triangulate intelligence from various sources, such as audits, reviews, claims, coroners, incidents, patient experience, dashboards, to support learning and improvement. Lead on the Trustwide Corporate materials as applicable to the role, such as Policies. Support areas to effectively implement these and monitor for effectiveness. Monitor and assure on compliance with reports issued by external agencies. Prepare and collate update reports to regulators including visit preparations, timetables, schedules, clinical performance update reports, ad-hoc requests, profile incident and complaint updates, and other regulatory submissions externally and internally. Develop and implement internal monitoring/assurance systems as may be in use, working with colleagues to ensure the systems provide timely, complete, accurate information and that this is used to drive clinical service improvement. Scope, implement, refresh, monitor, and report plans to improve key performance indicators (KPIs) for quality and regulation. Prepare information for regulatory visits such as Care Quality Commission. Work with colleagues to meet the needs of regulatory requirements. Work with other leads/managers of the service, to ensure aims and objectives are collectively delivered in a joined-up manner. Expertly handle timely, accurate and smooth functioning of high-level Committees. This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved. Be an expert minute taker, requiring no re-work of draft minutes. Quality assure on minutes taken by colleagues. Support information associated with external/internal bodies such as CCG, CQC, or other forums as applicable to the role. Support production of the Quality Account (annual report) to a high standard, meeting the requirements of national regulations. Liaise with contributors to submit work to tight timescales. Apply appropriate project management and quality improvement methodologies, to enable a project to be implemented, monitored, and effectively delivered. Support senior personnel to ensure the smooth handling of regulatory and clinical quality across the Trust. Implement robust systems of work to ensure that feedback is responded to promptly, effectively, and cohesively. Prepare verbal, written, and visual information timely and to a high standard of accuracy, reliability and readability, appropriate for a wide range of audiences. Support Senior Managers with cost improvement programmes, business planning, quality priority setting and consultation. Chair Committees as designated by your line manager ensuring that papers are produced, retained, and administered appropriately. Write business cases as required. Lead on Trust self-assessment against national quality and regulatory standards and sector best practice. Provide training as is required for the role. Effectively harness use of technology for the quality and regulation portfolio. Job description Job responsibilities Stakeholder engagement and assurance work with external representatives. Deploy a transformational, can-do, approach bringing corporate quality and regulation to the forefront of everything we do. Deliver, and be the expert advisor on, regulation and core corporate quality, and work with colleagues to convert this into practical delivery across the Trust. Keep current with, and contribute to, new developments in clinical quality governance and regulation. Collaborate with colleagues to implement a multi-professional approach. Effectively contribute to the Trust vision, strategic objectives and key work programmes. Triangulate intelligence from various sources, such as audits, reviews, claims, coroners, incidents, patient experience, dashboards, to support learning and improvement. Lead on the Trustwide Corporate materials as applicable to the role, such as Policies. Support areas to effectively implement these and monitor for effectiveness. Monitor and assure on compliance with reports issued by external agencies. Prepare and collate update reports to regulators including visit preparations, timetables, schedules, clinical performance update reports, ad-hoc requests, profile incident and complaint updates, and other regulatory submissions externally and internally. Develop and implement internal monitoring/assurance systems as may be in use, working with colleagues to ensure the systems provide timely, complete, accurate information and that this is used to drive clinical service improvement. Scope, implement, refresh, monitor, and report plans to improve key performance indicators (KPIs) for quality and regulation. Prepare information for regulatory visits such as Care Quality Commission. Work with colleagues to meet the needs of regulatory requirements. Work with other leads/managers of the service, to ensure aims and objectives are collectively delivered in a joined-up manner. Expertly handle timely, accurate and smooth functioning of high-level Committees. This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved. Be an expert minute taker, requiring no re-work of draft minutes. Quality assure on minutes taken by colleagues. Support information associated with external/internal bodies such as CCG, CQC, or other forums as applicable to the role. Support production of the Quality Account (annual report) to a high standard, meeting the requirements of national regulations. Liaise with contributors to submit work to tight timescales. Apply appropriate project management and quality improvement methodologies, to enable a project to be implemented, monitored, and effectively delivered. Support senior personnel to ensure the smooth handling of regulatory and clinical quality across the Trust. Implement robust systems of work to ensure that feedback is responded to promptly, effectively, and cohesively. Prepare verbal, written, and visual information timely and to a high standard of accuracy, reliability and readability, appropriate for a wide range of audiences. Support Senior Managers with cost improvement programmes, business planning, quality priority setting and consultation. Chair Committees as designated by your line manager ensuring that papers are produced, retained, and administered appropriately. Write business cases as required. Lead on Trust self-assessment against national quality and regulatory standards and sector best practice. Provide training as is required for the role. Effectively harness use of technology for the quality and regulation portfolio. Person Specification Qualifications Essential Educated to postgraduate level or equivalent (or significant in-depth practical experience of regulation and corporate quality including service and process re-design. English Language GCSE or equivalent Clinical experience Desirable Recent training in an acute Trust in the NHS which demonstrates alignment with this role. Quality improvement methodology training Clinical professional qualification Experience Essential Implementation of regulatory requirements and or change management. Report writing to a high standard. Experience of corporate governance processes (could include agendas, scheduling papers, preparing meeting/Committee papers, and administering meetings). Able to develop project workplans, deliver, and monitor these. Desirable NHS acute Trust experience in regulation and corporate quality. Experience in the use of reporting systems such as Datix or Radar. Experience with data management. Knowledge Essential Knowledgeable in IT applications Knowledge of Care Quality Commission standards and implementation of these in practice Knowledge of data protection issues and patient confidentiality. Desirable Advanced knowledge of IT applications Knowledge of improvement methodologies and how to apply these to Quality and Regulation Knowledge of medical terminology Skills Essential Excellent writing skills. Able to synthesise and interpret information and translate this into a readable report, adapted to the audience as required. Has excellent attention to detail. Able to work both autonomously and as part of a wider Trust Team. Ability to keep good records and follow relevant procedures. Desirable Able to present high quality visual communications material in presentations, brochures, reports using media and other technologies. Clinical audit and improvement skills ideally obtained in health setting. Person Specification Qualifications Essential Educated to postgraduate level or equivalent (or significant in-depth practical experience of regulation and corporate quality including service and process re-design. English Language GCSE or equivalent Clinical experience Desirable Recent training in an acute Trust in the NHS which demonstrates alignment with this role. Quality improvement methodology training Clinical professional qualification Experience Essential Implementation of regulatory requirements and or change management. Report writing to a high standard. Experience of corporate governance processes (could include agendas, scheduling papers, preparing meeting/Committee papers, and administering meetings). Able to develop project workplans, deliver, and monitor these. Desirable NHS acute Trust experience in regulation and corporate quality. Experience in the use of reporting systems such as Datix or Radar. Experience with data management. Knowledge Essential Knowledgeable in IT applications Knowledge of Care Quality Commission standards and implementation of these in practice Knowledge of data protection issues and patient confidentiality. Desirable Advanced knowledge of IT applications Knowledge of improvement methodologies and how to apply these to Quality and Regulation Knowledge of medical terminology Skills Essential Excellent writing skills. Able to synthesise and interpret information and translate this into a readable report, adapted to the audience as required. Has excellent attention to detail. Able to work both autonomously and as part of a wider Trust Team. Ability to keep good records and follow relevant procedures. Desirable Able to present high quality visual communications material in presentations, brochures, reports using media and other technologies. Clinical audit and improvement skills ideally obtained in health setting. 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. Employer details Employer name Ashford & St. Peter's Hospitals NHS Foundation Trust Address St Peter's Hospital Guildford Road Chertsey KT160PZ Employer's website https://www.ashfordstpeters.nhs.uk/ (Opens in a new tab)