1.    Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.

2.    Support the Patient Safety Specialist and deputise when required.
3.    Manage and develop the Trust’s programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.
4.    Support clinical service managers and leaders through peer reviews and CQC self-assessment ensuring services are CQC ready.
5.    Work closely with the Trust’s Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews and complaints are translated into learning and sustained improvement across all clinical areas in the service and Trust.
6.    Work as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks. Share these through relevant service directorate meetings and escalate concerns in a timely manner.
7.    Prepare data and write reports for identified committees and the Trust Board.
8.    Oversee and support services in the assessment and management of clinical policy and clinical risk compliance
9.    Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.
10.    Develop and use the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy, leading on specific projects that enable implementation of this programme.
11.    Collaborate with the Trust’s Patient Safety Specialists to meet the requirements for NHS England’s Patient Safety Specialist as per the Trust’s Patient Safety Incident Response Policy. 
12.    Manage, including interpretation of, the Trust’s local patient safety incident response  plan that is identified annually to support local services to make the required changes. 
13.    Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.
14.    Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver ‘outstanding’ care to patients and service users.
15.    Lead relevant programmes of improvement activity based on identifying excellence in clinical quality enabling practice to be shared across services. Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.
16.    Lead/Chair the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.
17.    Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.
18.    Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.
19.    Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.
20.    Identify risks associated with the provision of the services and the delivery of high- quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.
21.    Be an active member of the Trust’s clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.
22.    Generate and analyse data from projects to measure outcomes and inform decision making. This may include review of patient records or data related to these.
23.    Undertake where required, and support others to undertake, thematic reviews, detailed PSIRF reviews and PSII’s.
24.    Actively address failure in systems or processes underpinning the delivery of safe clinical practice.
25.    Support in project management and implementation of the Trust-wide Safer Staffing project. 
26.    Support the Chief Nurse and AHP Officer or Deputy Director of Nursing and Quality in any other aspects of Clinical Quality and Professional Practice as required.
27.    Support the collation of evidence and development of the annual Quality Account
28.    Prepare data and write reports for identified committees and the Trust Board. 
29.    Responsible for proposing and implementing departmental and Trust policies after interpretating national guidance and other sources. 
30.    Support and participate in the Trust’s Clinical Effectiveness & Audit Team and Research Team in research and development activities. 
31.    Support the on-going work programme of the Non-Medical Prescribing (NMP) / Medicines in Practice Networking Group together with the Pharmcy and Professional Education teams.

Budgetary Responsibility
1.    This role will be responsible for financial management of the staff members of the Clinical Governance team
2.    This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.