This job has expired

Deputy Governance Co-ordinator

Sheffield Teaching Hospitals NHS Foundation Trust
£35,392 to £42,618 a year pa/pro rata for part time staff
Closing date
20 Sep 2023

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Other Health Profession
Band 6
Full Time
An exciting and excellent development opportunity has arisen for a 12-month secondment position as a deputy governance coordinator. It provides a great development to work and gain skills in the patient and staff safety around governance. You'll work with in a small friendly team across the care grouping to provide by creating an environment that is safe, caring, responsive, effective, and well led, in which high quality care is delivered.

We are seeking an enthusiastic person to join our progressive OSCCA governance team for 12 months. The successful candidate will be part of the expanded OSCCA governance team and will be supported through a development to become an autonomous within the integrated multi-professional team. Successful applicants will be motivated, flexible, have excellent organisational and communication skills and will be committed to this complex and varied work.

The post holder will be expected to work across both campuses and will be assigned workstreams within the governance agenda and act as the liaison point between operational, clinical management teams and the OSCCA governance team.

Main duties of the job

To ensure OSCCA services comply and meet their corporate and statutory requirements

To contribute to the development of OSCCA Care Group Risk Management Strategy and Operational Policies

To provide and co-ordinate relevant training within OSCCA Care Group

To deputise for the Governance Manager in their absence

To investigate clinical and non-clinical incidents and ensure learning is shared and ensure actions are taken and learning is shared.

To investigate claims of litigation against OSCCA Care Group and ensure shared learning.

About us

You will be working for an organisation which values and respects all of its staff and the community it serves. The Trust is a leader in the NHS and research sectors and provides excellent benefits for its staff. This includes commitments to professional development but also many policies to support employees in balancing their personal and professional lives.

Job description

Job responsibilities

Work closely with the Deputy Nurse Director and designated Medical Governance Leads, Governance Manager, Governance Facilitator, Governance Secretary to co-ordinate the management of all clinical/non clinical risk

Ensure investigation of all clinical and non clinical accidents/incidents/untoward occurrences in the Care Group following national guidance principles for safety investigations.

Work closely with the Governance Manager, Matrons and Department Leads to ensure that serious clinical incidents are reported, investigated and escalated within timescales and in accordance with Duty of Candour requirements.

Facilitate the investigation and response of serious incidents and assist in developing and reviewing action plans following safety design processes.

Assist with investigation using the Systems Engineering Initiative for Patient Safety (SEIPS) tool

In the event of a cross-group incident liaise with the Governance Co-ordinator and other relevant departments as required.

Participate in open and honest communications with staff who have been involved in incidents.

Apply Risk Management and Health and Safety Legislation throughout the Care Group

Maintain and update all COSHH risk assessments within the Care Group and maintain up to date records

Ensure the information regarding clinical/non-clinical risk originating within and outside the Care Group is disseminated to ensure lessons are learned and risks reduced

Maintain the Risk Register for the Care Group. Assist in the development and implementation of action plans to ensure that risks are reduced.

Liaise with the Trusts Fire Officer, Infection Control team, Central Patient and Healthcare Governance team and other designated patient safety leads and contribute to the corporate agenda

To work closely with the grouping clinical educators and to be instrumental in the delivery of mandatory and job specific training around patient and staff safety.

Provide expert advice and training to the care group about governance issues e.g. Duty of Candour, SUI reporting

Develop and implement relevant policies and procedures to reduce or address all risks, ensuring associated training needs are met.

Ensure the appropriate dissemination of new policies, procedures and national guidelines.

Deputise in the role of the Business Continuity Lead for the group. Ensure the appropriate dissemination of new policies, procedures and national guidelines.

Co-ordinate and prepare the monthly governance reports, and any other ad hoc reports undertaking data analysis to inform these reports.

Contribute to gathering and documentation of information for the Care Quality Commission inspection process.

Maintain effective communication channels with key stakeholders.

Undertake audit in relation to governance e.g. Safer Procedure Checklist and help to interpret results and initiate actions

Monitor the patient information process and liaise with Patient Information Leads to ensure patient information is up to date. Assist with the development of new patient information.

Attend relevant Trust wide meetings, providing care group updates and disseminating information to staff and/or initiating action within the care group as required.

Ensure that the care group complies with national legislation.

Provide specialist training on issues relating to governance to the wider multi professional team

Contribute to projects within the group aimed at addressing governance issues which are raised by directorate staff.

Deputise in the absence of the Governance Manager

Communicate effectively with all members of the multidisciplinary team.

Attend relevant meetings on behalf of the care group and ensure systems are in place for feedback across professional groupings e.g. Safety Risk Forum.

Maintain effective links with the Clinical Effectiveness Department to ensure that there is sharing of lessons from clinical audit projects within the Trust.

Support ad-hoc nursing or trust wide patient safety audit projects as appropriate.

Provide training as required for the Datix online incident reporting system and maintain the system within the allocated time frames.

Facilitate the implementation and feedback initiatives.

Develop and maintain a close working relationship with the Patient Services Team.

Oversee the administration, data collection and analysis of patient feedback and surveys.

Ensure appropriate dissemination and action planning, in conjunction with Matrons, of feedback from complainants, surveys or other channels.

Develop links and mechanisms to enable patients and their representatives to be involved with the planning of new services.

Work clinically where required to promote safe and effective nursing care and contribute to the learning and development of the nursing team through clinical practice.

Person Specification



  • Registered Health Care Professional Or First degree or equivalent or working towards in healthcare related subject
  • Recognised teaching qualification or equivalent experience
  • Evidence of post graduate level study or equivalent gained through short courses and experience


  • Accredited qualification in Health and Safety, Risk Management, or associated topic, or be working towards such qualification
  • Masters Level Qualification
  • Trained in patient safety or human factors or HSIB patient safety investigation level 2



  • Trained in occupational health and safety
  • Knowledge of the audit process



  • Experience in an acute health care setting
  • Experience with the Datix system.
  • Evidence of report writing
  • Experience of working with patients and their carers to resolve concerns
  • Experience of using root cause analysis tools to investigate incidents complaints
  • Experience in the emergency planning
  • Experience in risk assessment process and producing written assessments.


  • Experience in critical care or operating theatre environment
  • Evidence of change management
  • Experience of project management
  • Experience of working in Clinical Governance role
  • Experience with reporting for RIDDOR or MHRA etc
  • Experience of report writing
  • Experience / knowledge of Audit or Quality Assurance
  • Experience / knowing the Datix system
  • Knowledge of human factors

Special Skills/Aptitudes


  • Able to analyse and interpret data from incidents and complaints
  • Understand the medical devices procurement process and incident reporting process.
  • Self-motivated and able to work under own initiative
  • Skilled team player, able to influence and motivate other staff.
  • Effective communicator at all levels.
  • General computer literacy skills and ability to use Microsoft office applications.
  • Excellent organisation and planning skills.
  • Willingness to work flexible hours


  • Use of Excel
  • Presentation skills with the use of PowerPoint

Other Factors


  • Evidence of the PROUD values in daily working life
  • Flexible to meet the needs of the service

Employer details

Employer name

Sheffield Teaching Hospitals NHS Foundation Trust


Sheffield Teaching Hospitals

Herries Road


S6 7AU

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