Job summary
We are delighted to offer an exciting opportunity to join our team as a Quality and Clinical Governance Lead at Ty Hafan. This is a maternity cover position for an initial sixmonth period, with the potential for extension.
Reporting to the Director of Nursing and Clinical Services, the successful candidate will be responsible for leading on clinical governance, ensuring effective and sustainable quality assurance and governance systems are in place and embedded across Ty Hafans Care Services.
The postholder will be directly responsible for reviewing and analysing outputs from audit and risk assessments, and for the creation, oversight, and coordination of quality improvement plans. Working alongside the Care Senior Management team, they will also be responsible for monitoring clinical governance and compliance and provide assurance that statutory responsibilities are fulfilled.
This is a great opportunity for the right candidate to truly make a difference by driving improvements for the Children and families that access our services and helping ensure we continue to develop and deliver effective and safe services.
Main duties of the job
We are looking for an experienced healthcare leader who has the experience and drive to deliver high quality, safe, and patient centred care.
As the ideal candidate you will have experience managing clinical governance activity, patient safety and quality within health services, alongside proven capability in effective risk management. You'll be confident shaping and delivering projects, change initiatives and measurable service improvements, while ensuring compliance with statutory and regulatory requirements and working directly with regulatory bodies. You will also bring experience in clinical audits and using clinical systems such as care databases.
You will be highly proficient in IT, including the Microsoft 365 suite, and open to learning new technologies as our systems evolve. With excellent written and verbal communication skills, you'll communicate with clarity, diplomacy and sensitivity at all levels. You'll be an agile problemsolver, able to respond confidently to sudden or unexpected demands, and you'll bring strong organisational skills, a flexible approach and a positive, can-do attitude that helps you manage shifting and diverse priorities.
About us
Ty Hafan is a beautiful children's hospice located on the picturesque Vale of Glamorgan coastline. Covering South, East and West Wales, Ty Hafan offer a newly refurbished working environment set within idyllic grounds just a short distance from the metropolitan area of Cardiff.
Ty Hafan's ambition is that when a child's life will be short, no family should have to live it on their own. Sadly, we know that thousands of families across Wales face fear, exhaustion and uncertainty as they care for a child whose life will be short. We believe no-one should face this alone, and we are committed to walking alongside families through life, death and beyond.
We are experts in caring for children with life-shortening conditions. Our services support families in the hospice, in community settings, local hospitals and in the family home. We understand that every child and family is unique, and that caring for a child with complex needs can be incredibly demanding. Our aim is simple: to ensure no family faces their child's short life alone.
Our colleagues, volunteers and supporters play an essential part in delivering this mission. Every role contributes to the lifeline we provide.
Details
Date posted
16 February 2026
Pay scheme
Other
Salary
£44,398 to £50,807 a year pro-rata for FTC
Contract
Fixed term
Duration
6 months
Working pattern
Full-time
Reference number
B
Job locations
Ty Hafan
Hayes Road
Sully
Penarth
South Glamorgan
CF64 5XX
Job description
Job responsibilities
* Develop, deliver, and maintain a robust and integrated clinical governance, framework that embeds quality, safety, and risk into all aspects of current and future care services.
* Chair or support relevant governance meetings, to include attendance and input into the Clinical Governance Committee, Quality Improvement meeting, Clinical Risk Management Group, and Executive Governance and Risk Meetings. Ensuring timely comprehensive reporting on all Clinical Governance Activity.
* Facilitate investigation of all reported incidents and complaints, including the gathering of complex and sensitive information from those involved; writing reports and tracking associated actions; ensuring the appropriate learning and disciplinary actions are actioned.
* Escalate serious, or potentially serious incidents or complaints in a timely and transparent manner, advising on investigative procedures and HIW reporting responsibilities.
* Ensure robust monitoring and trend reporting of all incidents, accidents and near misses, ensuring learning is taken forward and embedded.
* Lead the development of an overall strategic framework for service user safety, to include the management of medical facilities and equipment, the prompt review and actioning of medical and catering alerts, and the timely review of allocated policies and procedures.
* Ensure robust mechanisms are in place to obtain and review service user feedback to inform outcome measures and improve service user experience, with clear priorities for action; liaising with colleagues to ensure these are embedded in the practice. Ensure a robust equipment maintenance
* Ensure robust mechanisms are in place to support accurate collation of data to inform KPIs. Striving to meet and report on critical KPI targets.
* Design and coordinate clinical audits, ensuring timely dissemination and implementation of findings.
* Ensure effective risk management processes are in place and monitored to ensure risks are properly identified, reported and effectively mitigated.
* Work closely with the Director for Nursing and Clinical Services in their capacity as Registered Manager with Healthcare Inspectorate Wales (HIW) to ensure compliance requirements are well understood and appropriately actioned.
* Agree and implement a programme of compliance monitoring to provide assurance and a position of preparedness for regulatory inspection.
* Collaborate with the Governance and Risk Manager, Designated Safeguarding Leads and Registered Manager to ensure clarity and compliance with regulatory reporting, and compliance with national safeguarding requirements.
* Build and maintain appropriate relationships with third party regulators and statutory partners, driving improvements arising from regulatory meetings or inspections.
Quality Improvement:
* Develop and implement the hospices Quality Strategy in alignment with national standards and best practice.
* Chair the quality improvement meeting, promoting engagement from key stakeholders.
* Lead on the monitoring of clinical quality indicators and KPIs, ensuring negotiation with external stakeholders e.g hospice UK and Welsh Government in relation to data submission that supports funding.
* Adopt an agile, end-to-end approach to delivering service improvements and change projects across care; deliver regular service reviews and devise effective project management plans for any necessary evolution to ensure delivery of the best possible outcomes.
Job description
Job responsibilities
* Develop, deliver, and maintain a robust and integrated clinical governance, framework that embeds quality, safety, and risk into all aspects of current and future care services.
* Chair or support relevant governance meetings, to include attendance and input into the Clinical Governance Committee, Quality Improvement meeting, Clinical Risk Management Group, and Executive Governance and Risk Meetings. Ensuring timely comprehensive reporting on all Clinical Governance Activity.
* Facilitate investigation of all reported incidents and complaints, including the gathering of complex and sensitive information from those involved; writing reports and tracking associated actions; ensuring the appropriate learning and disciplinary actions are actioned.
* Escalate serious, or potentially serious incidents or complaints in a timely and transparent manner, advising on investigative procedures and HIW reporting responsibilities.
* Ensure robust monitoring and trend reporting of all incidents, accidents and near misses, ensuring learning is taken forward and embedded.
* Lead the development of an overall strategic framework for service user safety, to include the management of medical facilities and equipment, the prompt review and actioning of medical and catering alerts, and the timely review of allocated policies and procedures.
* Ensure robust mechanisms are in place to obtain and review service user feedback to inform outcome measures and improve service user experience, with clear priorities for action; liaising with colleagues to ensure these are embedded in the practice. Ensure a robust equipment maintenance
* Ensure robust mechanisms are in place to support accurate collation of data to inform KPIs. Striving to meet and report on critical KPI targets.
* Design and coordinate clinical audits, ensuring timely dissemination and implementation of findings.
* Ensure effective risk management processes are in place and monitored to ensure risks are properly identified, reported and effectively mitigated.
* Work closely with the Director for Nursing and Clinical Services in their capacity as Registered Manager with Healthcare Inspectorate Wales (HIW) to ensure compliance requirements are well understood and appropriately actioned.
* Agree and implement a programme of compliance monitoring to provide assurance and a position of preparedness for regulatory inspection.
* Collaborate with the Governance and Risk Manager, Designated Safeguarding Leads and Registered Manager to ensure clarity and compliance with regulatory reporting, and compliance with national safeguarding requirements.
* Build and maintain appropriate relationships with third party regulators and statutory partners, driving improvements arising from regulatory meetings or inspections.
Quality Improvement:
* Develop and implement the hospices Quality Strategy in alignment with national standards and best practice.
* Chair the quality improvement meeting, promoting engagement from key stakeholders.
* Lead on the monitoring of clinical quality indicators and KPIs, ensuring negotiation with external stakeholders e.g hospice UK and Welsh Government in relation to data submission that supports funding.
* Adopt an agile, end-to-end approach to delivering service improvements and change projects across care; deliver regular service reviews and devise effective project management plans for any necessary evolution to ensure delivery of the best possible outcomes.
Person Specification
Key Attributes
Essential
* Our values demonstrating compassion, providing excellent service, working together and taking ownership
* A positive team player with a can-do attitude, a strategic thinker who can see the bigger picture and actively contribute to wider team goals.
* A high degree of integrity, working calmly under pressure, with the ability to proactively maintain professional standards.
* Detail orientated, innovative and resourceful.
* Resilient, flexible and adaptable, and able to respond to changing and diverse work priorities.
Qualifications
Essential
* Educated to A-level equivalent or above
* Leadership and Management qualification/training e.g. ILM level 4.
Desirable
* Project Management qualification
Other Requirements
Essential
* Maintains confidentiality of personal and sensitive information
* Ability to work flexibly
* Able to work across organisational and professional boundaries
Desirable
* Welsh Speaking
Knowledge and Skills
Essential
* Strong understanding and working knowledge of clinical governance, risk management and incident management.
* Proven problem-solving skills, able to anticipate and solve complex problems and anticipate and effectively respond to sudden unexpected demands.
* Able to successfully prioritise a high workload with competing demands, adjusting priorities based on changing needs.
* Excellent written and verbal communication skills, with the ability to communicate effectively with a wide range of internal and external stakeholders.
* Maintains high standards of accuracy, implements quality assurance processes, and ensures team adherence to detail orientated practices.
* Advanced proficiency in IT including Microsoft 365 suite and the ability to implement new and develop IT systems.
* Able to develop and manage function projects, coordinate team activities, and ensure project milestones are met.
* Understanding of the requirements and regulations of Childrens hospices.
* Strong analytical and data interpretation skills with the ability to report on key performance indicators.
Experience
Essential
* Proven experience providing strategic leadership within a healthcare setting with evidence of successfully managing teams and services to deliver high quality, safe, and patient centred care.
* Proven background in managing clinical governance, patient safety, risk and quality within health services.
* A track record of success in shaping and delivering projects, change initiatives and demonstrable service improvements.
* Experience of ensuring compliance to statutory and regulatory requirements and building effective relationships with regulatory bodies.
* Experience of devising and implementing clinical audits and using clinical systems such as care databases.
Desirable
* Experience of working in a management role in a childrens hospice or palliative care setting.
* Experience of working with Regulatory bodies and supporting services through care service inspections.
Person Specification
Key Attributes
Essential
* Our values demonstrating compassion, providing excellent service, working together and taking ownership
* A positive team player with a can-do attitude, a strategic thinker who can see the bigger picture and actively contribute to wider team goals.
* A high degree of integrity, working calmly under pressure, with the ability to proactively maintain professional standards.
* Detail orientated, innovative and resourceful.
* Resilient, flexible and adaptable, and able to respond to changing and diverse work priorities.
Qualifications
Essential
* Educated to A-level equivalent or above
* Leadership and Management qualification/training e.g. ILM level 4.
Desirable
* Project Management qualification
Other Requirements
Essential
* Maintains confidentiality of personal and sensitive information
* Ability to work flexibly
* Able to work across organisational and professional boundaries
Desirable
* Welsh Speaking
Knowledge and Skills
Essential
* Strong understanding and working knowledge of clinical governance, risk management and incident management.
* Proven problem-solving skills, able to anticipate and solve complex problems and anticipate and effectively respond to sudden unexpected demands.
* Able to successfully prioritise a high workload with competing demands, adjusting priorities based on changing needs.
* Excellent written and verbal communication skills, with the ability to communicate effectively with a wide range of internal and external stakeholders.
* Maintains high standards of accuracy, implements quality assurance processes, and ensures team adherence to detail orientated practices.
* Advanced proficiency in IT including Microsoft 365 suite and the ability to implement new and develop IT systems.
* Able to develop and manage function projects, coordinate team activities, and ensure project milestones are met.
* Understanding of the requirements and regulations of Childrens hospices.
* Strong analytical and data interpretation skills with the ability to report on key performance indicators.
Experience
Essential
* Proven experience providing strategic leadership within a healthcare setting with evidence of successfully managing teams and services to deliver high quality, safe, and patient centred care.
* Proven background in managing clinical governance, patient safety, risk and quality within health services.
* A track record of success in shaping and delivering projects, change initiatives and demonstrable service improvements.
* Experience of ensuring compliance to statutory and regulatory requirements and building effective relationships with regulatory bodies.
* Experience of devising and implementing clinical audits and using clinical systems such as care databases.
Desirable
* Experience of working in a management role in a childrens hospice or palliative care setting.
* Experience of working with Regulatory bodies and supporting services through care service inspections.
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
Ty Hafan
Address
Ty Hafan
Hayes Road
Sully
Penarth
South Glamorgan
CF64 5XX
Employer's website
(Opens in a new tab)
Employer details
Employer name
Ty Hafan
Address
Ty Hafan
Hayes Road
Sully
Penarth
South Glamorgan
CF64 5XX
Employer's website
(Opens in a new tab)