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Medicine and Emergency Care Governance Facilitator

Chesterfield Royal Hospital NHS Foundation Trust
£35,392 to £42,618 a year pa
Closing date
31 May 2023

View more

Other Health Profession
Band 6
Contract Type
Part Time
Job summary

We have an exciting opportunity to join the Quality Governance team within the Medicine & Emergency Division as the Medicine and Emergency Care Governance Facilitator.

Please see the attached job description for a full overview of the role.

Main duties of the job

To support the Divisional Quality Governance Matron and Senior Matrons to meet the Division's Quality Governance agenda

To work closely with the Care Units and Division to provide support, facilitation and guidance.

To maintain the quality governance, risk management and complaint processes to assist in the delivery of well led services.

The post holder will support the Divisional Quality Governance Matron in coordinating complaint/incident investigations, facilitating serious investigation reports and supporting colleagues within the division to drive the quality governance agenda.

The post holder will have a key role in ensuring that actions arising from incident/complaint investigations are completed and that trend analysis of divisional intelligence and learning is shared.

To support the Division's Quality Governance Matron to create and monitor the actions from the Care Quality Commission's assessment framework and regulatory inspections for all relevant core services and monitor assurance that the teams are continuously aiming to meet the Fundamentals Standards of Care (Characteristics of Good and above).

About us

  • Inspire a shared sense of purpose - encouraging your team to take pride in what they do
  • Lead with care - showing colleagues compassion and care by listening and offering empathy to create a supportive workplace
  • Evaluate and use information - be alert to what is happening around you
  • Work with others to connect services - using the opportunity to link up with different colleagues, leaders and partner
  • Engage with your team - respecting every member of staff, valuing their diversity and making sure that every member of your team feels valued
  • Hold yourself and others to account - be clear about what's expected at work, giving honest feedback
  • Develop capability - take opportunities to develop your own skills and keep up-to-date with the essential training

Please visit our website to see all of our fantastic health and wellbeing offers for our employees

Job description

Job responsibilities

Quality Strategy:
  • To assist in the development of the Trusts Quality Strategy and co-ordinate its implementation for the Division ensuring that changes made are monitored to achieve the desired outcome.
  • To ensure the effective functioning of the Care Unit Quality Governance meeting through timely and appropriate support including the efficient provision of information.

Risk management:
  • To support an effective risk management process for the Division in accordance with the risk management policy including support for staff in identifying, describing and quantifying risks ensuring that the divisional risk register is up to date and actions tracked and monitored.

Personal and Professional Responsibilities:
  • Act as an effective role model providing expertise and advice for staff working within the Division
  • Sourcing or using clinical knowledge to underpin actions and ensure lessons are learnt from clinical incidents and complaint investigations.
  • To undertake all essential training in line with Trust policy.
  • Maintain professional portfolio in accordance with revalidation requirements as defined by professional body, if required to.
  • Knowledge of good governance policies and procedures and ensure compliance with regulations and report any
  • Knowledge of CQC
  • Knowledge of the Trust Strategy, Visions, Values and Quality
  • Knowledge of IT systems, including: Microsoft Office packages, including Word, Excel and PowerPoint.
  • Experience of working in partnership with clinical and managerial colleagues.
  • Experience of interpreting data in a variety of different formats.
  • Quality Intelligence experience.
  • Experience of report writing.
  • Working collaboratively as part of the Quality Governance Team to support planned and unplanned leave

General Responsibilities:
  • To maintain patient confidentiality at all times
  • To be familiar with relevant Operational, Personnel, Health and Safety Policies and procedures, including Fire, COSHH, No Smoking and Alcohol
  • It is the responsibility of every employee to actively help the Trust to prevent and control infection by washing their hands effectively, carrying out their duties in a way that minimises infection, attending appropriate training and maintaining up to date knowledge and skills in infection control and prevention as relevant to their post.

Person Specification



  • Educated to a degree level or equivalent level of experience in Quality Governance
  • GCSE maths and English / or equivalent


  • Teaching qualification
  • First level RGN or equivalent
  • NMC Registration



  • Experience in delivering one or more key component of quality governance (safety / complaints / patient experience / clinical audit)
  • Experience and understanding of nursing processes


  • Proficiency in the use of databases including Datix system.
  • Familiar with modern NHS and regulatory principles



  • Good decision making, planning and organisational skills
  • Problem solving ability
  • Excellent communication (verbal and written) and interpersonal skills
  • Ability to prioritise between competing demands and meet timescales
  • Ability to assimilate complex data received from a number of sources
  • Time management skills


  • Experience in participating in direct clinical care audits

Any attachments will be accessible after you click to apply.


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