Job summary
Head of Governance and Risk
Are you looking for a new interesting and challenging role which utilises your diverse skill set in governance and risk?
We are looking for a Head of Governance and Risk to lead our hospice governance and risk management functions in our CQC rated Outstanding organisation.
A thorough understanding of corporate governance in the health or care environment is essential, along with experience in advising Boards of Trustees and Executive Leaders on governance matters.
You will also bring expertise in risk management and assurance, including the development and oversight of risk management frameworks, supporting processes and procedures, and handling internal audit reviews.
You will have a high level of personal integrity and an ability to maintain a high degree of confidentiality with a can-do attitude.
If you want to work in a CQC rated Outstanding, highly supportive and caring organisation please contact Ross Fletcher, Director of Clinical Services & Governance/Deputy CEO on 01226 244244 ext. 222 or ross.fletcher@barnsley-hospice.org today.
Main duties of the job
The role is responsible for contributing to all aspects of governance effectiveness and compliance within the hospice, ensuring governance adheres to good practice and meets all statutory and regulatory requirements.
About us
Barnsley Hospice is a charity that provides specialist palliative and end of life care to hundreds of local people and those close to them each year. Our main priority is to achieve the best possible quality of life for people living with a life-limiting illness, whilst supporting those close to them during the period of illness and bereavement. As a specialist care provider, the range of skills we offer include, pain and symptom management, emotional support and end of life care. The hospice currently employs about 100 people and has a team of volunteers, based both at the hospice and within our Retail Hub.
We are committed to Equality, Diversity & Inclusion in all that we do and welcome applications from all sections of the community. We particularly welcome applications from Black, Asian and minority ethnic candidates, LGBTQIA+ candidates and candidates with disabilities because we are committed to increasing the representation of these groups at Barnsley Hospice.
Job description
Job responsibilities
Main Duties & Responsibilities:
Governance and Risk
1. Lead and manage the hospices Integrated risk register, Board Assurance Framework (BAF), policies and systems taking into account organisational strategy and objectives, key risks, external scrutiny and regulatory requirements.
2. Actively promote the benefits of effective governance and implement strategies to increase the knowledge of hospice staff of governance and risk processes and regulatory requirements.
3. Ensure we have effective systems in place to monitor, audit and continuously improve and, that any shortfalls are identified, understood and mitigated and escalated appropriately.
4. Provide a leadership role to support good information governance and support compliance with GDPR, and DPST, and meeting the requirements of NHS Digital and the Information Commissioners Office.
5. Work with the Head of Clinical Services/Quality Matron to review and analyse clinical risk and quality data and ensure that there are effective data collection systems and evidence of compliance to national policy in all areas of the hospice in order to safeguard high standards of care and service.
6. Oversee the systems which ensure all incidents and complaints are recorded and closed in accordance to policy timeframes.
7. Ensure incidents are trended and lessons learned are shared across the hospice using a robust process to embed learning and driving a lesson learned culture of continuous learning and patient safety.
8. Working closely with the Executive Leadership Team to ensure information systems allow clear and comprehensive reports for staff, managers and Board members to support governance and continuous improvement.
9. Provide a focal point for the escalation, resolution and/or discussion of all risk issues with the aim to reduce risks, minimise mistakes and reduce avoidable harm.
10. Co-ordinate investigations following serious incidents, near misses and accidents, and lead where indicated, and ensure these are reviewed at the appropriate governance/committee meetings, and shared externally when required, within agreed timescales.
Compliance
1. To take a proactive approach to minimising risk and in conjunction with the Head of Clinical Services/Quality Matron prepare the hospice for system regulatory inspections and ensure that the appropriate evidence is in place to meet the inspection requirements.
2. In response to any external inspection findings, co-ordinate the formulation of action plans and ensure implementation of these through the appropriate individuals/committees.
3. Review and analyse information from a range of external bodies (e.g., NICE, national confidential enquiries, CQC, PHSO) and provide briefings/reports as required to support safe, high-quality care.
4. Ensure that improvement plans from investigations/ assessments/ audits are SMART, and that outstanding actions are monitored through the relevant governance group.
5. Ensure there is a robust process for the review, development and archiving of policies, guidelines, protocols and patient information for services within the hospice.
Assurance
1. Promote a culture of active benchmarking and seeking to achieve best practice in all aspects of our business and facilitate the provision of trend data.
2. Ensure ongoing improvement and active review of outcome data and compliance to hospice policy.
3. Facilitate a seamless process for informing patients/ families whose care is subject to an internal investigation, and for sharing the investigation report, ensuring that the hospices Duty of Candour responsibilities are maintained.
4. Review patient/service-user feedback through complaints and patient satisfaction surveys and develop quality improvement action plans with the Head of Clinical Services/Quality Matron.
5. Provide support to hospice managers and staff in the implementation of improvement action plans and creating an environment in which excellence will flourish.
6. Support both clinical and non-clinical audits to drive improvements in the quality of care and services.
Finance
1. Promote efficiency, demonstrate cost-effectiveness and embed a culture of value-for-money and return on investment.
Leadership/Management
1. Promote and facilitate strong, effective leadership engagement in relation to governance and risk across the hospice.
2. The post holder will provide education and training for staff within the hospice, related to quality governance and risk management issues, and ensure learning from clinical incidents, complaints and investigations are cascaded to all relevant staff groups.
3. The post holder will be the named person for compiling the Annual Quality Account with the support of the Director of Clinical Services and Governance or deputy.
4. Deputise for the Director of Clinical Services and Governance as required.
5. Participate in the senior manager on call rota.
6. Proactively line manage the Corporate Administration and Information Governance Manager, Governance and Quality Officer and Data Analyst and Systems Support Officer.
Person Specification
Experience
Essential
* The post holder must have significant recent experience of working in a complex health or social care environment and have:
* Experience of leading effective programmes of audit
* Experience of managing Risk Management and quality governance functions/committees
* Experience of Systems Administration
* Experience of managing risk registers and developing effective risk monitoring systems
* Experience of Complaints Management
Skills
Essential
* Strong organisational and forward planning skills
* Excellent communication and relationship skills
* The ability to effectively challenge existing processes and promote change.
* Ability to lead and work within a team as well as on own initiative
* Proficient in risk management and quality governance practices.
* Knowledge of Information Governance
* Ability to analyse and interpret data and create useful/relevant reports
* Proficient in Microsoft Word, PowerPoint, Excel
* Effective presentation skills, both verbal and written.
Qualifications
Essential
* Educated to degree level or significant experience in relevant discipline.
* Evidence of continuing professional development in relevant discipline.
Desirable
* Qualification in Risk Management is desirable
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
Barnsley Hospice
Address
104-106 Church Street
Gawber
Barnsley
S75 2RL
Employer's website #J-18808-Ljbffr