This job has expired

Senior Quality Improvement & Patient Safety Manager

Guy's and St Thomas' NHS Foundation Trust
£58,698 to £65,095 a year pa inc HCA
Closing date
24 Sep 2023

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Other Health Profession
Band 8A
Contract Type
Full Time
Cardiovascular Patient Safety Manger

8a Senior Quality Improvement & Patient Safety Manager

Are you committed to improving the safety and quality of patient care?

An exciting opportunity has arisen for a dynamic, self-motivated professional to join the Cardiovascular directorate as our Senior Clinical Governance Facilitator. Help us build on our clinical excellence through effective quality improvement and patient safety programmes, working in close partnership with staff across the Trust responsible for Quality and Assurance and within the Hear and Lung Critical Care Clinical group.

Main duties of the job

The role will require you to provide information, practical day-to-day advisory and monitoring services for clinical governance and audit activity in the clinical setting. You will also oversee, investigate and take actions to improve quality and safety by pro-actively identifying and systematically addressing gaps in patient safety and to proactively manage incidents related to this. You will have line management responsibilities and be comfortable and experienced in working with senior staff and clinicians as well as the multidisciplinary clinical staff in delivering the directorate and organisational goals and objectives.

The role requires a high level of expertise in patient safety and for the successful applicant to be a point of contact and advice for staff at all levels and to provide training and coaching. The successful candidate will have experience in oversight and management of patient safety and quality improvement activities in a complex directorate.

The post holder will be passionate about the subject area, have a keen desire to be at the forefront of patient safety and able to support the development of the service in line with the developing national agenda.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Job description

Job responsibilities

The following describes the range of duties within the role. The balance of duties will vary annually depending on agreed annual work programmes the deliverables agreed at a strategic level, and the most effective use of quality improvement and patient safety.
  • Line management responsibility for junior members within the QIPS team.
  • Provide and maintain effective working relationships with staff within the directorate and across the Trust responsible for Quality and Assurance.
  • Monitor and review local clinical & National policy as necessary.
  • Ensure that staff are trained, supervised and appraised appropriately to equip them to carry out their work effectively and efficiently.
  • Actively foster open communication with quality improvement and patient safety and clinical governance staff.

Supporting structures to deliver Clinical Governance outcomes
  • Work in close partnership with the Central Clinical Governance Team, Directorate governance lead and Audit Leads to develop and deliver clinical governance programmes to maintain and improve the quality of patient care.
  • Provide expertise in planning quality improvement projects, appropriate use of clinical governance methodologies, analysis and report writing.
  • Provide patient safety and quality improvement management for specified directorates, including providing support expert advice, leadership and the review of root cause analysis reports.
  • Actively participate the Trust Risk and Assurance Committee (TRAC) and other Senior Trust-wide committees and working groups as appropriate, ensuring effective dissemination of information from these groups.
  • Prepare and present regular progress reports to the above groups on quality improvement and practice as required.
  • Ensure there is robust regular monitoring reports on Directorate Clinical Governance activity for inclusion in Performance review meetings and other reports requested by the Directorate or Trust.
  • Ensure that the Clinical Governance Support Unit processes medical records requests for the purposes of clinical governance in line with Departmental standards
  • Support staff in applying the principles of successful change management when devising and implementing action plans which arise from quality and improvement Projects.

Training and evaluation of impact
  • Ensure that staff are responsible for quality improvement and patient safety, provide skills knowledge, expertise and administrative and practical support to Directorate work programmes.
  • Provide information which is organised and presented in such a way that it facilitates and encourages reflection, enables problem solving and drives quality improvements.
    • Design and deliver training to meet the needs of clinical and non-clinical staff in delivering national standards and targets relating to the patient journey and experience in the Trust.

Knowledge Management
  • Ensure that lessons are learnt from management of risk issues, the achievement or shortfall in standards, auditing of practice and research. That this learning is translated into practice improvements/examples of good practice by Directorate team members.
  • Ensure that data, processes and monitoring/audit outcomes are maintained such that their retrieval and availability can inform future practice and act as an audit rail for quality improvement.
  • Ensure clinical governance activity complies with current guidance on Data Protection and confidentiality.

Advising on local policy developments
  • Guide and support Directorate teams and Data managers in the effective management of the clinical governance process across thematic lines to meet the requirements of relevant national standards.

Analysing intelligence data

Promote the active involvement of carers and patients in clinical governance activity.
  • Oversight of Directorate research and monitoring findings and action plans from Trust wide and local audits to promote patient safety and quality improvement, sharing learning at internal and external events.
  • Use data indicators (incidents, complaints and risks) to signal the need for reviews/audits of practice.

Person Specification



  • Graduate level of education and/or relevant professional qualification


  • Further qualification in statistical analysis or clinical background

Previous Experience


  • A proven track record of successfully implementing change
  • Experience of managing and mentoring staff
  • Experience of Clinical governance and audit research methodology
  • Experience of devising, introducing, implementing, developing and reviewing clinical governance practice
  • Proven track record of delivering clinical governance objectives in line with organisational strategy


  • Project management experience
  • Experience of working in the NHS or Health care setting



  • Thorough understanding of the principles and practice of clinical governance systems, and their use to improve clinical practice.
  • Proven ability to analyse complex problems, develop and successfully implement practical and workable solutions.
  • Demonstrable evidence of priroritising work programme
  • A strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority
  • Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working
  • A good understanding of the changing NHS environment
  • Well-developed leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams, and have them understand the Trust's and your performance expectations.
  • Experience of managing conflict and difficult situations and knowledge of a wide range of problem solving techniques.
  • Sound political judgement and astuteness in understanding and working with complex policy, and diverse interest groups, and common sense in knowing when to brief up the line.
  • demonstrable evidence of improving services through an ability to sustain a clear performance focus on achieving demanding goals
  • Excellent inter-personal and communication skills, both written and verbal, with good listening skills and an ability to work with a wide range of professions and patients
  • Write and action a Root Cause Analysis report to a high standard

Additional Information


  • Demonstrate Trust values and putting our patients first

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust


St Thomas' Hospital

Westminister Bridge Road



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