Head of Quality & Governance inSt Albans inSt Albans PUBLISHED 14 DEC 2023

• Provide leadership, vision and direction to the directorate, ensuring all staff understand and work towards RGP Quality & Governance objectives.
• Lead and manage a team of direct reports, carrying out individual performance reviews and supporting their ongoing personal development through coaching and training.
• Review developments in the clinical field and requirements of all regulatory bodies, inputting to the clinical operational strategy set by the COO.
• With support from the Quality and Assurance Manager, ensure CQC evidence is gathered, documented and accessible.
• Monitor the frameworks and approach for reporting of notifications to CQC.
• Monitor the audit function to ensure the regulatory requirements of the organisation are met and support RGP as a learning organisation.
• Coordinate and agree the quality and clinical audit schedule, working closely with all leads and monitor delivery against the agreed schedule.
• Review trends of incidents ensuring investigations and analysis are completed, and change implemented when required to improve quality, safety and patient / user experience.
• Monitor all complaints, ensuring timely and appropriate investigation is undertaken and outcomes are actioned to improve services across RGP.
• Proactively participate in research, disseminating relevant information, support training to staff and adopting innovations in practice.
• Facilitate, monitor and participate in the clinical supervision for designated clinical staff and volunteers.

The purpose of this role is to:

• Support the Director of Quality, Governance & Impact to deliver high-quality services across Rennie Grove Peace Hospice Care (RGP) in line with the organisation's strategic objectives ensuring systems and processes are in place to demonstrate quality outcomes.
• Provide independent assurance on organisation wide regulatory and legal requirements.
• Developing and monitoring audits of RGP clinical and non-clinical practice through a robust and effective governance framework.
• Lead the development and implementation of quality improvement initiatives within the governance framework to ensure services meet national standards and are compliant with CQC, Charity Commission and other regulatory bodies.
• Provide expert professional leadership and advice on the delivery of high-quality care and good governance to all RGP service areas.
• Manage the Quality & Governance team, taking responsibility for ensuring all areas of the service are delivered and effective, while addressing concerns and taking immediate actions when required.
• Deputise for the Director of Quality, Governance & Impact when required.

• Working closely with all senior leads across the organisation to ensure effective achievement of high-quality services in both clinical and non-clinical areas.
• Ensure all leads comply with the governance functions of RGP, addressing any concerns as they arise and supporting leads to rectify areas of concern.
• Working closely with the Chief Clinical Officer (CCO) & Senior Clinical Team (SCT) to embed all aspects of clinical governance & quality.
• Contributing to the development of organisation policies and ensuring procedures and guidelines are complete, current, evidence based and catalogued.
• Developing the clinical and non-clinical audit programme, ensuring robust systems are in place, analysing the results and ensuring recommendations to develop services and practice are implemented.
• Working with senior managers and statutory leads ensuring standards and legislative requirements are met and accurate records kept.
• Ensuring strategies are in place to deliver measurable and sustainable improvement in quality and safety across all RGP services, in line with best local and national practice.
• Working with the CCO & CLT agree standards of care and training needs to achieve improved quality outcomes, demonstrate impact, linking with the clinical audit and care quality commission requirements.
• Ensuring the Clinical Governance Committee, Risk & Audit Committee and associated groups are well informed and operate effectively within the organisation's governance model.