Pathology Governance & Compliance Manager
An exciting opportunity for an experienced professional to join our Pathology Directorate as Pathology Governance & Compliance Manager. This senior leadership role shapes, strengthens and assures governance, quality and regulatory compliance across a large and complex Pathology diagnostic service.
The postholder will support the development and implementation of a coherent, data‑driven governance framework that provides assurance on quality, safety and regulatory compliance while fostering a culture of openness, learning and continuous improvement. Working closely with clinical, scientific and operational leaders across multiple specialties, you will ensure governance systems are robust, consistent and aligned with regulatory standards including UKAS, CQC, MHRA and HTA. You will translate complex governance data into actionable insight, enabling informed decision‑making and supporting high quality patient care. The role reports to the Deputy Divisional Director of Nursing & Integrated Professions and will work across Derriford Hospital and other sites where required.
Responsibilities
The Pathology Governance & Compliance Manager supports the Directorate triumvirate in the coordination, oversight and continuous improvement of governance, quality and assurance within the Pathology Directorate. The post holder will:
* Support the development and implementation of a coherent, data‑driven governance framework that provides assurance on quality, safety and regulatory compliance.
* Enable the directorate triumvirate to maintain robust oversight of risk, incidents, audit and improvement activity.
* Promote a consistent and equitable approach to governance across all pathology services and sites.
Governance & Assurance Framework
* Support the development and implementation and continuous improvement of governance systems and processes across the Pathology Directorate.
* Ensure governance arrangements align with regulatory and accreditation requirements (e.g. UKAS, CQC, MHRA, HTA).
* Support the directorate in maintaining a robust Quality Management System (QMS), ensuring consistency across services.
Person Specification
Knowledge & Experience
* Significant demonstrable experience of clinical governance, quality management or patient safety within an NHS or similarly complex organisation.
* Demonstrable experience of managing incidents, risks and governance processes.
* Demonstrable experience of analysing complex data and translating into actionable insight.
* Demonstrable experience of leading or supporting quality improvement initiatives.
* Proven knowledge of NHS governance frameworks, standards and regulatory requirements.
* Experience influencing and working with multidisciplinary teams, including senior clinical staff; knowledge of governance systems such as DATIX and/or Q‑Pulse.
* Experience managing staff and leading teams in a complex environment.
* Experience managing budgets and financial resources.
* Experience within pathology or diagnostic services.
* Experience working in a multi‑site or networked service.
* Experience of preparing reports for senior committees or boards.
* Proven evidence of innovative problem solving and service improvement.
Qualifications
* Relevant first degree or equivalent demonstrable experience in healthcare, science, or governance‑related field.
* Proven evidence of continuing professional development in governance, quality or patient safety.
* Professional registration with a recognised body (e.g. Health and Care Professions Council, Nursing and Midwifery Council or equivalent).
* Postgraduate qualification in quality management, clinical governance or patient safety.
* Laboratory Medicine Quality Management qualification or equivalent.
* Project or improvement qualification (e.g. PRINCE2, Lean, Quality Improvement methodologies).
Aptitude & Abilities
* Ability to interpret complex governance and quality data to inform decision‑making.
* Strong analytical and problem‑solving skills.
* Excellent communication and interpersonal skills, with ability to influence at all levels.
* Ability to deliver presentations and training to a range of audiences.
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 to check for any previous criminal convictions.
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