Quality governance lead

Scarborough

York and Scarborough Teaching Hospitals NHS Foundation Trust

Posted: 18 June

The role

Job overview

The post holder will support the delivery of a robust and effective quality governance framework across the Trust, contributing to key areas including Clinical Audit, Regulatory Compliance, Documentation and Patient Information, and Patient Safety. Working closely with the Head of Compliance and Assurance, the role will support the coordination and oversight of compliance and assurance workstreams, including preparation for and response to Care Quality Commission (CQC) inspections, specialist regulatory requirements, and other external assurance activities.

The post holder will play a key role in identifying gaps in assurance relating to quality and ensuring that appropriate actions are taken to mitigate risk and strengthen compliance. They will work collaboratively with Senior Management teams and engage with external stakeholders and agencies as required to support the delivery of high-quality, safe care.

The role will include monitoring progress against the Trust’s CQC improvement plan and supporting the coordination of organisational responses to regulatory cases and enquiries. The post holder will also promote a culture of continuous learning and improvement, supporting the embedding of best practice and innovation across services.

In addition, the post holder will provide line management to the Clinical Effectiveness Team and will deputise for the Head of Compliance and Assurance as required, ensuring continuity of leadership and effective oversight of governance and assurance activities.

Main duties of the job

Quality Governance and Assurance

Support the coordination and delivery of a robust Trust-wide quality governance framework, encompassing Clinical Audit, Regulatory Compliance, Documentation and Patient Information, and Patient Safety.

Contribute to the development, implementation, and continuous improvement of governance systems and processes to ensure compliance with national standards and organisational policies.

Identify gaps in assurance in relation to quality, escalating risks as appropriate and supporting the development and delivery of actions to mitigate these.

Regulatory Compliance and External Assurance

Support the Head of Compliance and Assurance in the delivery and oversight of all compliance and assurance workstreams, including Care Quality Commission (CQC) requirements, specialist regulatory compliance, and other external assurance activity.

Coordinate and support Trust-wide responses to regulatory inspections, reviews, and enquiries, ensuring submissions are accurate, timely, and evidence-based.

Monitor and track progress against the Trust’s CQC improvement plan and wider regulatory requirements, providing regular updates and assurance reporting.

Stakeholder Engagement and Communication

Work closely with senior management teams, clinical leads, and corporate colleagues to support the delivery of governance and compliance priorities.

Liaise with external stakeholders, including regulators and partner agencies, as required to support assurance processes and organisational responses.

Promote clear and effective communication of governance, compliance, and quality improvement work across the organisation.

Quality Improvement and Organisational Learning

Promote and support a culture of continuous learning, improvement, and innovation, ensuring that learning from audits, incidents, and inspections is embedded into practice.

Support the development and implementation of quality improvement initiatives that enhance patient safety, experience, and outcomes.

Leadership and Management

Line manage the Clinical Effectiveness Team, providing leadership, support, and performance management to ensure delivery of key objectives.

Deputise for the Head of Compliance and Assurance as required, providing leadership and oversight of governance and assurance functions.

Working for our organisation

To find out more about what it is like to work for our Trust please visit the following link:

Our benefits

We offer a range of benefits to support our staff including:

· Access to the NHS Pension Scheme, providing generous benefits upon retirement, as well as a lump sum and pension for dependants

· 27 days holiday rising to 33 days (depending on NHS Trust service)

· A generous relocation package of up to 30% of salary (capped at £18k) to support with relocation expenses for hard to fill positions where relocation would be an expectation to undertake the role fully. If you would like to discuss a potential relocation package, please speak to the recruiting department/manager.

· A variety of different types of paid and unpaid leave covering emergency and planned leave

· Confidential advice and support on personal, work, family and relationship issues, 24/7, from our Employee Assistance Programme

· NHS Car Lease scheme and Cycle to Work scheme

· An extensive range of learning and development opportunities

· Discounts on restaurants, getaways, shopping, motoring, cinema and finance from a range of providers

For further information on the fantastic range of benefits we offer please visit the Trust's dedicated Staff Benefits pages.

Detailed job description and main responsibilities

A full description of the role is available in the attachment: job description and person specification.

Please note that if a high number of applications are received this advert may close early. You are advised to submit you application at the earliest opportunity.

Working for the Trust

Across our organisation, people are guided by values that were co-developed with staff: we are kind; we are open; and we pursue excellence.

Our values play into our ambition to develop a more diverse workforce, truly representative of our communities. We welcome applications from everyone, while working with our Staff Networks - including our Race Equality, LGBTQ+, Disability and Carers Networks - to increase the number of applications we receive from different backgrounds. If there is anything we can do to make our application process more accessible to you, please contact: .

As part of seeking to become more inclusive, we will consider requests for flexible working from the start of your employment. It may not be suitable for every role, but we will try and be supportive where we can. We would encourage you to speak to the recruiting manager named within this advert to discuss any requirements you may have.

Armed Forces Friendly Employer

We are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promote SaBRE - Supporting Britain’s Reservists and Employers. This means that we have made a statement of intent to support all Defence personnel, including with applications for employment.

Person specification

Education

Essential criteria

Degree level qualification in relevant subject.

•Evidence of continued professional development to support the delivery of a senior leadership role

Desirable criteria

Knowledge and experience of working in a quality assurance role e.g. overseeing delivery of or undertaking clinical audit or NICE baseline assessments

Document management experience.

Experience

Essential criteria

•Knowledge and experience of working in a quality assurance role e.g. overseeing delivery of or undertaking clinical audit or NICE baseline assessments.

•Document management experience.

•Experience in monitoring and assisting in the delivery of improvement actions ensuring that any gaps identified are addressed in a timely manner.

•Demonstrable record of achieving challenging targets.

•Experience of using incident management systems.

Desirable criteria

•Experience of supporting and advising upon CQC matters.

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