Specific Responsibilities Directorate Governance Guide and advise managers and Associate Directors within the department on the requirements for measuring and implementing tools to measure performance and compliance. Responsible for ensuring each service area reviews, updates and implements policies, procedures and risk assessments relevant to the service and in line with departmental standards/legislative requirements. Ensure that strategies, operating policies and procedures comply with legal requirements, NHS protocols/codes of practice and Trust corporate policies (HTM, HBN etc). Work at a system level with the ICS/B and other Trusts to develop and devise system wide governance and management tools, to deliver a standard level of transparency to NHSe/i on compliance. Lead on the monitoring, development and delivery of policies as appropriate to ensure the Trust has full coverage and develop new policies as required. Work with service leads to identify gaps in governance and manage plans to ensure continuous improvement is in place to conclude outstanding items. Devise reporting mechanisms to ensure all areas of the department can accurate report on both compliances and non-compliances. These mechanisms should be digitalised where possible. Lead in the Care Quality Commission assurance process for the outcomes that relate to the department and to provide evidence in relation to the outcome standards. Maintain the departmental risk register, ensuring it is truly reflective of departmental risks. Undertake investigations of adverse events, and carryout root causes analysis with relevant managers and making recommendations to prevent future incidents, Responsible for driving change within the department to ensure the service is fully compliant with regulation, legislation and guidance by implementing systems and process to monitor and measure compliance and performance. Identify, with the service lead, what regulations and guidance each service should be compliant with, then agree the methodology for recording compliance with and devise the reporting thereof. Implement a timetable for reporting throughout the department, to ensure reports are issued in a timely fashion. Oversee the timely delivery of data that has to be submitted to external bodies such as ERIC, PAM etc, co-ordinating personnel within the department to deliver accurately and on time. Please see attached job description for further information.