Pathology is at the forefront of delivering 21st century healthcare and has a profound impact on an organisations ability to provide high quality, efficient and effective patient care. Changing demographics, rising demand, technological innovation, and continual drives for efficient and effective services are key drivers to improving the quality of service provision, whilst streamlining the way in which services are delivered.
An exciting opportunity has arisen to appoint an Associate Director Quality Governance, we are looking for an experienced, enthusiastic and self-motivated person who has experience in providing governance support to enable corporate and divisional compliance with national requirements and standards set by the Commissioners, Care Quality Commission, NHS England/ Improvement and other regulators
You will work as a member of the Senior Management Team, contribute to the strategic development of Pathology services with a lead role in Quality & Governance.
Main duties of the job
We are looking for someone who demonstrates our values and behaviours and has an unwavering commitment to improving patient safety and developing quality within a supportive and systematic framework.You will be able to demonstrate sound knowledge of NHS Governance and regulatory requirements and be able to demonstrate how the integration of governance across an organisation can contribute to better patient care and improved safety.
It will be your role to Create, implement and monitor Quality & Governance policies. You will also be Accountable for risk & incident management within the service, business continuity processes for the service, and for compliance with required standards (UKAS, MHRA, HTA, HSE)
Four provider organisations in L&SC have committed to form a network and collaborate on pathology services, including Blackpool Teaching Hospital NHS Foundation Trust, East Lancashire Hospitals NHS Trust, Lancashire Teaching Hospitals NHS Trust, and University Hospitals of Morecambe Bay NHS Foundation Trust. The intention is to form one pathology entity which is hosted by one of the existing provider organisations. Alongside, an Associate Operational Director, and Associate Director of Transformation and Strategy, the successful Associate Quality and Governance Director post will be expected to contribute to managing the Lancashire and South Cumbria Pathology ServiceL&SC Pathology Network intends to become an organisation that offers excellence in clinical science for the population of the Lancashire and South Cumbria region. Working in collaboration with NHS organisations and commercial partners our intention is to be recognised as a leading provider of pathology services.
Strategic Leadership: Develops and maintain strategic relationships with internal and external stakeholders including NHSI, UKAS, MHRA.
Provide strategic leadership to ensure the service is compliant with all required governance and quality standards.
Ensure a culture of best practice to meet the standards set out by regulatory bodies.
Accountable for the achievement of objectives and priorities, including key performance indicators and quality improvement targets.
Quality Accountable for a system wide Quality Management System.
Accountable for Quality and Governance Framework.
Responsible for provision of relevant reports to SMT.
Accountable for the L&SC Pathology service audit plan, according to local, regional and national recommendations eg NICE.
Monitor compliance with regulatory and statutory requirements.
Accountable for a continuous quality improvement strategy.
Participate in quality elements of contracts and service specifications.
Governance Accountable for process of incident reporting across all organisations
Liaise with host organisation on Information Governance, GDPR and Data Protection. (Caldicott)
Produce relevant reports on trends, issues, and concerns to be addressed.
Ensure lessons learned are shared with appropriate stakeholders to reduce incidents.
Accountable for responding to comments, complaints and compliments from service users according to policy, and monitoring trends.
Provide links to partner trusts Governance and IG teams.
Liaise with Pathology and Trust Comms teams to ensure patient information meets are required standards.
Risk Accountable for the services risk assessment program, ensuring high level risks are brought to the immediate attention of the Managing Director and Clinical Director.
Accountable for creation and maintenance of the services risk register for the whole Pathology Service.
Accountable for Health and Safety policy.
Work within the wider Pathology management team to ensure the safety of staff, patients, volunteers and visitors at all times.
Provide links to partner trusts risk and H&S teams.
The post holders will need to demonstrate a track record of strong interpersonal skills and be able to influence and motivate others with the ability to successfully guide people through complex change. Being able to think innovatively and to communicate effectively with a wide range of staff across departments is essential.
Knowledge & Experience
oRecent experience in a Quality and Governance role in a large organisation
oUnderstanding and experience of Quality management systems, methodology and approach
oUnderstanding of service improvement tools and techniques
oKnowledge of Corporate Governance policy and process
oExperience of managing service delivery at a senior level
oEffective implementation of strategic plans
oLeading within multi-agency systems developing services across organisational boundaries
oProven ability to develop a culture that improves quality
oAbility to resolve complex problems through win/win approach
oEvidence of listening to and acting upon the view of service users/carers and the wider community
oProven ability to lead in Governance during large scale complex transformational change
oSeizing technological solutions to develop services
oExperience of meeting tight deadlines and delivering within pressurised work environment
oRecent experience as a Senior Manager in an NHS Pathology department
oRecent experience in either NHS or commercial environment
oUp to date knowledge of modern service delivery and national plans for health and social care
oUnderstanding of regulations and legislation that govern health and social care delivery
Qualifications & Education
oQualifications at Masters Level or equivalent
oDemonstrable evidence of continuous professional development
oPost graduate management/leadership qualification or relevant experience
oAdvanced Certificate in Health Service Governance
oHCPC registered Biomedical Scientist/Clinical Scientist