Clinical Governance Manager

Are you passionate about quality improvement and patient safety? St Luke's Hospice is looking for a dynamic and dedicated Clinical Governance Manager to join our team. In this pivotal role, you'll be at the heart of our mission to provide the best possible care, ensuring that our clinical governance practices are top-notch and always improving., Lead Best Practices: Ensure our clinical governance arrangements are in line with the best practices across all clinical areas.
Data Analysis: Dive into qualitative and quantitative data to drive improvements from our governance and clinical audit projects.
PSIRF Compliance: Help us meet the requirements of the Patient Safety Incident Response Framework (PSIRF).
Standards Implementation: Implement and audit compliance with national and local clinical standards and guidelines.
Quality Tools: Use Quality Improvement tools to show our ongoing learning and improvement.
Service Development: Develop new services and pathways through Quality Improvement work.
Leadership & Strategy
Be the Right Hand: Deputize for the Head of Clinical Governance in daily operations and strategy execution.
Develop KPIs: Assist in creating key performance indicators to drive our strategic goals.
Strategic Contribution: Contribute to our organizational strategy and develop effective systems and procedures.
Governance & Quality Assurance
Framework Development: Support the evolution of our Quality Governance Framework.
Audit Management: Oversee the delivery and actions from our clinical audit schedule.
CQC Compliance: Ensure we gather and document the necessary evidence for CQC compliance.
Audit & Risk Management
Design & Coordinate Audits: Lead the creation and execution of clinical audit programs, ensuring timely completion.
Compile Reports: Produce detailed reports for relevant committees.
Monitor Standards: Keep a close eye on audits related to patient care and nursing practices.
Incident & Complaint Management
Review & Analyse: Examine trends in clinical incidents and complaints, ensuring thorough investigations.
Just Culture: Apply a 'Just Culture' approach to incident reviews, focusing on learning and improvement.
Identify Training Needs: Spot training opportunities from incidents and complaints and ensure effective follow-through., Impactful Work: Make a real difference in the quality of care we provide.
Supportive Environment: Join a team that values your contributions and supports your growth.
Professional Development: Take advantage of ongoing education and training opportunities.
Collaborative Culture: Work alongside passionate and dedicated colleagues.
Find out more about our staff benefits: Work for us benefits | St Luke's Hospice Sheffield (stlukeshospice.org.uk)

Proven experience in Clinical Governance and organizational strategy.
Management experience and a track record in clinical audit.
Skilled in researching, evaluating, and implementing service changes.
Proficient in IT systems (Outlook, Teams, Word, Excel, PowerPoint).
Knowledge of quality assurance frameworks, risk management, and regulatory bodies.
Educated to postgraduate level or equivalent experience; Registered Nurse/AHP preferred.
Excellent interpersonal and communication skills (written and verbal).
Strong time management, organizational, and presentation skills.
Ability to manage work pressures, make sound judgments, and handle difficult conversations.
A proactive, inclusive team player who values continuous improvement and high service standards., Disability Confident
About Disability Confident
A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. It is important to note that in certain recruitment situations such as high-volume, seasonal and high-peak times, the employer may wish to limit the overall numbers of interviews offered to both disabled people and non-disabled people. For more details please go to Disability Confident.

St Luke's is an organisation that is dedicated to enhancing the wellbeing and quality of life of all those affected by a terminal illness in Sheffield. No patient or family is ever the same, and our journey with each individual is unique. Through the provision of high-quality care, support, compassion and respect, we aim to improve the lives of these people at some of the most challenging times of their lives.

At St. Luke's, we're dedicated to providing exceptional care and support to our patients and their families. We believe in compassion, dignity, inspiration, and innovation, and we're committed to making a positive impact in our community.