Job summary The Childrens Trust exists to support children and their families with acquired brain injuries and neurodisabilities. We are a complex organisation that constantly thrives to deliver the best outcomes for the children and young people we serve. The Clinical Governance and Clinical Audit Lead at The Children's Trust plays a pivotal role in enhancing the quality and safety of clinical services provided to children and their families. Reporting to the Head of Safety, Clinical Governance, Risk, and Quality within the Nursing and Care Directorate. The post holder will be responsible for developing, implementing, and overseeing the clinical governance framework and clinical audit processes across all clinical areas. This role is essential in ensuring compliance with national standards, promoting evidence-based practice, and fostering a culture of continuous improvement across the organisation. Staff benefits include London weighting, shuttle bus, and more Read more below Main duties of the job Role Requirements Clinical Governance Framework Development Lead the development and implementation of the clinical governance framework to ensure high standards of care are delivered consistently. Collaborate with multidisciplinary teams to establish policies and procedures that align with national and local governance standards. Clinical Audit Management Design, implement, and manage a comprehensive clinical audit program that assesses the quality of care and identifies areas for improvement. Ensure that audits are conducted in line with national guidelines and local priorities, facilitating the collection and analysis of relevant data. Interview Date: To be confirmed About us About Us The Childrens Trust is the UKs leading charity for children with acquired brain injury, providing expert rehabilitation, education, therapy, and care at our national specialist centre in Tadworth, and to children and their families across the UK, via our Brain Injury Community Service. Boasting a beautiful 24-acre site in Surrey, we are located just outside of London, close to the M25 (accessible via Junction 8, A217 to Tadworth) and easily accessible via National Rail, by way of: Clapham Junction, Sutton, and Epsom. Staff Benefits The work we do is highly rewarding, and in addition to an attractive salary, we offer a valuable range of benefits, including, adoption pay, time off for fertility treatment, enhanced paternity leave, paid carers leave, time out days for those experiencing menopause symptoms, time off for gender reassignment. We also offer additional annual leave days for those with long service, with entitlements ranging from 35 to 41 days (including bank holidays) depending on your length of service. Other benefits include free on-site parking; a staff shuttle service from Epsom and Sutton train stations to Tadworth Court, subsidised cafeteria, on-site staff accommodation (subject to availability), the ability to retain your NHS pension (where applicable) or the opportunity to join an alternative scheme, and the opportunity to develop your career in a supportive and collaborative environment. Date posted 24 February 2025 Pay scheme Other Salary Depending on experience £59,490 - £66,239 pa (dependent on experience and incl of OLW) Contract Permanent Working pattern Full-time Reference number B0474-25-0047 Job locations The Childrens Trust Tadworth Court Tadworth Surrey KT20 5RU Job description Job responsibilities Clinical Governance Framework Development Lead the development and implementation of the clinical governance framework to ensure high standards of care are delivered consistently. Collaborate with multidisciplinary teams to establish policies and procedures that align with national and local governance standards. Clinical Audit Management Design, implement, and manage a comprehensive clinical audit program that assesses the quality of care and identifies areas for improvement. Ensure that audits are conducted in line with national guidelines and local priorities, facilitating the collection and analysis of relevant data. Data Analysis and Reporting Analyse audit findings and clinical data to identify trends, outcomes, and areas for improvement. Prepare detailed reports for the Clinical Directors and senior management, highlighting key findings, recommendations, and action plans. Quality Improvement Initiatives Facilitate the development and implementation of quality improvement initiatives based on audit outcomes and feedback from stakeholders. Work closely with clinical teams to ensure that changes in practice are evidence-based and sustainable. Training and Support Provide training and support to staff on clinical governance, audit methodologies, and quality improvement processes. Develop educational materials and resources to enhance staff understanding and engagement in clinical governance activities. Stakeholder Engagement Engage with internal and external stakeholders, including patients, families, and regulatory bodies, to gather feedback and improve services. Represent The Children's Trust at relevant meetings, forums, and conferences to share best practices in clinical governance and audit. Regulatory Compliance Ensure compliance with relevant legislation, regulations, and guidelines, including those set forth by the Care Quality Commission (CQC), OFSTED and other governing bodies. Monitor changes in national standards and integrate them into clinical governance practices as appropriate. Risk Management Identify and assess risks related to clinical governance and audit activities, implementing strategies to mitigate identified risks. Collaborate with the Risk and Quality teams to ensure a coordinated approach to managing clinical risks. Continuous Professional Development Maintain a current understanding of clinical governance and audit best practices, attending relevant training and professional development opportunities. Contribute to a culture of learning and improvement within the organization by sharing knowledge and expertise with colleagues. Leadership and Management Provide leadership and direction for the organisation in relation to clinical governance, fostering a supportive and collaborative environment. Participate in the senior site manager rota. Governance Maintain accurate records. Professionalism Takes action and raises concerns. Adhere to the policies and procedures of The Childrens Trust. Maintain professional boundaries and professionalism at all times. Committed to demonstrating the organisations values and behaviours at all times. Health and Safey Adheres to all Health and Safety guidelines, principles, and regulations to perform your role and comply with The Childrens Trust policies and procedures. Provide evidence of all vaccinations (or medical exemption) required for the post. Adhere to manual handling procedures and complete mandatory manual handling training. Promotes the health and safety of others. Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed. Responsible for identifying and mitigating risk within the work environment. Wellbeing and Emotional Resilience Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems. Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary. Treats challenges and problems as a learning experience. Remains organised and focused when under pressure. Responds appropriately and effectively to all constructive feedback. Motivates self and other. Whilst undertaking the duties of the substantively employed role, this post is required to participate in a senior rota cover on site and respond to clinical escalations only in addition to their role. Job description Job responsibilities Clinical Governance Framework Development Lead the development and implementation of the clinical governance framework to ensure high standards of care are delivered consistently. Collaborate with multidisciplinary teams to establish policies and procedures that align with national and local governance standards. Clinical Audit Management Design, implement, and manage a comprehensive clinical audit program that assesses the quality of care and identifies areas for improvement. Ensure that audits are conducted in line with national guidelines and local priorities, facilitating the collection and analysis of relevant data. Data Analysis and Reporting Analyse audit findings and clinical data to identify trends, outcomes, and areas for improvement. Prepare detailed reports for the Clinical Directors and senior management, highlighting key findings, recommendations, and action plans. Quality Improvement Initiatives Facilitate the development and implementation of quality improvement initiatives based on audit outcomes and feedback from stakeholders. Work closely with clinical teams to ensure that changes in practice are evidence-based and sustainable. Training and Support Provide training and support to staff on clinical governance, audit methodologies, and quality improvement processes. Develop educational materials and resources to enhance staff understanding and engagement in clinical governance activities. Stakeholder Engagement Engage with internal and external stakeholders, including patients, families, and regulatory bodies, to gather feedback and improve services. Represent The Children's Trust at relevant meetings, forums, and conferences to share best practices in clinical governance and audit. Regulatory Compliance Ensure compliance with relevant legislation, regulations, and guidelines, including those set forth by the Care Quality Commission (CQC), OFSTED and other governing bodies. Monitor changes in national standards and integrate them into clinical governance practices as appropriate. Risk Management Identify and assess risks related to clinical governance and audit activities, implementing strategies to mitigate identified risks. Collaborate with the Risk and Quality teams to ensure a coordinated approach to managing clinical risks. Continuous Professional Development Maintain a current understanding of clinical governance and audit best practices, attending relevant training and professional development opportunities. Contribute to a culture of learning and improvement within the organization by sharing knowledge and expertise with colleagues. Leadership and Management Provide leadership and direction for the organisation in relation to clinical governance, fostering a supportive and collaborative environment. Participate in the senior site manager rota. Governance Maintain accurate records. Professionalism Takes action and raises concerns. Adhere to the policies and procedures of The Childrens Trust. Maintain professional boundaries and professionalism at all times. Committed to demonstrating the organisations values and behaviours at all times. Health and Safey Adheres to all Health and Safety guidelines, principles, and regulations to perform your role and comply with The Childrens Trust policies and procedures. Provide evidence of all vaccinations (or medical exemption) required for the post. Adhere to manual handling procedures and complete mandatory manual handling training. Promotes the health and safety of others. Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed. Responsible for identifying and mitigating risk within the work environment. Wellbeing and Emotional Resilience Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems. Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary. Treats challenges and problems as a learning experience. Remains organised and focused when under pressure. Responds appropriately and effectively to all constructive feedback. Motivates self and other. Whilst undertaking the duties of the substantively employed role, this post is required to participate in a senior rota cover on site and respond to clinical escalations only in addition to their role. Person Specification Qualifications Essential Current nursing registration with NMC Desirable Masters level qualification (relevant to role) Experience Essential Proven experience in healthcare quality assurance, quality improvement and risk management processes for at least two years at a Band 7 or above. Strong analytical skills with the ability to interpret complex data and make informed decisions. Experience in leading quality improvement initiatives and facilitating change within clinical settings. Strong management skills. Working under pressure in complex and demanding environments, and to specific timeframes. Ability to build strong relationships with clients. Experience of working with databases, updating tracking spreadsheets and information systems. Experience and practical application of CQC, Ofsted Care and Ofsted Education regulations. Skills, Abilities & Knowledge Essential Excellent communication and interpersonal skills, with the ability to engage and influence a range of stakeholders. Excellent communication and presentation skills (both written and verbal). Highly organised, strong attention to detail and aptitude for working methodically. Ability to embrace change and new challenges and learn new skills with a positive attitude. Remain calm under pressure, with the ability to multi-task. Ability to work collaboratively and as part of a team, whilst taking personal responsibility. Strong interpersonal skills, with the ability to display discretion when dealing with confidential and sensitive information. Personal Qualities Essential Commitment to the vision and values of The Childrens Trust. Flexible and can do attitude to competing commitments in workload. Highly motivated and reliable. Ability to cope working in a demanding environment. Commitment to maintaining personal wellbeing and the wellbeing of colleagues. Person Specification Qualifications Essential Current nursing registration with NMC Desirable Masters level qualification (relevant to role) Experience Essential Proven experience in healthcare quality assurance, quality improvement and risk management processes for at least two years at a Band 7 or above. Strong analytical skills with the ability to interpret complex data and make informed decisions. Experience in leading quality improvement initiatives and facilitating change within clinical settings. Strong management skills. Working under pressure in complex and demanding environments, and to specific timeframes. Ability to build strong relationships with clients. Experience of working with databases, updating tracking spreadsheets and information systems. Experience and practical application of CQC, Ofsted Care and Ofsted Education regulations. Skills, Abilities & Knowledge Essential Excellent communication and interpersonal skills, with the ability to engage and influence a range of stakeholders. Excellent communication and presentation skills (both written and verbal). Highly organised, strong attention to detail and aptitude for working methodically. Ability to embrace change and new challenges and learn new skills with a positive attitude. Remain calm under pressure, with the ability to multi-task. Ability to work collaboratively and as part of a team, whilst taking personal responsibility. Strong interpersonal skills, with the ability to display discretion when dealing with confidential and sensitive information. Personal Qualities Essential Commitment to the vision and values of The Childrens Trust. Flexible and can do attitude to competing commitments in workload. Highly motivated and reliable. Ability to cope working in a demanding environment. Commitment to maintaining personal wellbeing and the wellbeing of colleagues. 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 NHS Careers website (opens in a new window). Additional information 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 NHS Careers website (opens in a new window). Employer details Employer name The Children's Trust Address The Childrens Trust Tadworth Court Tadworth Surrey KT20 5RU Employer's website https://www.thechildrenstrust.org.uk/jobs (Opens in a new tab)