Head of Maternity & Gynaecology Governance

Dartford and Gravesham NHS Trust
£60,983 to £70,536 a year pro rata
Closing date
28 Nov 2023

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Other Health Profession
Band 8B
Contract Type
Full Time
We are recruiting a key leadership role in our maternity governance team. Are you a highly experienced midwife who is committed to delivering outstanding care, continuous quality improvement and ready to lead a positive safety culture across DGT maternity and gynaecology services? This is a fantastic opportunity to progress in a governance leadership role working alongside a strong and experienced senior team.

The successful post holder will work directly with the Director of Midwifery, Head of Midwifery and divisional triumvirate with responsibility for obstetrics and gynaecology. As a key member of the Director of Midwifery office, will work in partnership with the senior management team to lead the midwifery services.

The key responsibilities include leadership and coordination of clinical governance and risk management processes for obstetrics and gynaecology with the post holder's primary focus in ensuring a safe high quality service and outstanding patient experience.

The post holder will be expected to support the maternity senior manager on call system.

Main duties of the job

The post holder will provide leadership, guidance and expertise within the wider multi-professional team both within and external to the Maternity Directorate. This will include putting in place strategies and framework that ensure the Maternity service meets the Trust and NHSLA standards for clinical governance.

They will lead on providing outstanding delivery of a robust clinical governance and quality strategy across the Maternity Directorate which includes interfaces with key interdependencies including gynaecology, anaesthetics and neonates.

The post holder is responsible for the co-ordination of clinical governance procedures and frameworks within Maternity and Gynaecology Services ensuring systems are in place to effectively manage clinical risk within the Women's directorate.

The post holder will provide leadership, guidance and expertise within the wider multi-professional team for Women's Services for clinical governance and risk management. This will include putting in place strategies and frameworks that ensure the Maternity service meets the Trust standards for clinical governance.

The overall focus of the post is the continuing development of a seamless clinical governance and risk management strategy which fosters multidisciplinary working across the directorate.

The post holder is directly accountable for ensuring that the objectives of the Care Quality Commission and other regulatory bodies in relation to nursing and midwifery are monitored and maintained.

About us

We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities.

If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. Due to the government regulations for mandatory vaccinations for COVID-19 for NHS employees, it has been necessary to take significant steps to protect the health and safety of our staff and our patients. In order to comply with our duty of care, we require all of our staff to be fully vaccinated against COVID-19. Your vaccination status will be a condition of your employment and evidence of vaccination will be obtained during the recruitment process, unless you are medically exempt.

Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues.

Job description

Job responsibilities

  • The primary aim of the role is to provide assurance that the maternity service has established guidelines, processes and procedures that facilitates ongoing plan for consistent compliance with all locally and nationally agreed quality standards based on clinical governance framework. These are in the domains of clinical audit, effectiveness, risk management, education, training and research.
  • Provide strong professional, clinical and managerial leadership and promote a proactive approach to compliance and QA activities related to MIS, CQC and national reviews.
  • Support the implementation, delivery and compliance of actions from national reviews, MIS and CQ C
  • Develop, implement and review Governance and Risk Management frameworks, initiatives and strategies
  • Co-ordinate and embed womens health governance structures within and according to the Patient Safety Incident Response Framework PSIRF
  • Ensure the development and management of compliance and QA plans as required.
  • Proactively manage the key quality risks and issues and ensure appropriate actions are taken to mitigate or reduce.
  • Respond to requirements for assurance, evidence submissions, general report for compliance by the LMNS and NHSE/I as required.
  • Grade clinical incidents and collaborate with directorate, divisional and trust leads to ensure their accuracy and identifying themes to address through QI where relevant.
  • Implement and maintain a system to monitor trends in relation to adverse incidents
  • Determine short, medium and long term quality improvement projects influenced and informed by incidents, themes and experiences achieving quality outcomes.
  • Assist Lead Midwives/Matrons/Managers in the management of complaints linked to any aspect of Clinical governance, providing advice and support as required.
  • Publish a regular Risk Management Newsletter/booklet, highlighting pertinent risk management issues to all staff
  • Assist the Legal Department in the management of litigation cases, providing advice, support and written reports as required.
  • Work with the Legal Services Team in the preparation of staff for inquests or Court witness services ensuring that all submissions are of the required standard and submitted in a timely way.
  • Work collaboratively with the Midwifery management and Consultant Obstetricians to identify appropriate audit programmes are initiated in response to clinical incident investigation/trend analysis, and ensure that improvements identified are implemented.
  • Assist with the Divisional Plan to fulfil its obligations in relation to CQC and other recognised regulators standards and the effective delivery of the Patient Care Improvement Plans.
  • Actively support the aggregation of a Divisional-level governance dashboard, demonstrating risks, incidents, complaints, claims and other quality measures.
  • Ensure there is a governance plan in place to monitor the completion of action plans associated with the CQC
  • Manage the Quality Improvement team and support the preparation and monitoring of the Maternity Clinical Audit programme.
  • Lead for CNST evidence gathering and co-ordinating process. Provide and present regular reports for the Board regarding progress. Responsible for ensuring all evidence available in plenty of time for Board sign-off
  • Support the maternity senior manager on call system.

Person Specification

Education and Training


  • Registered Midwife
  • Educated to degree level or equivalent experience
  • Evidence of further professional development


  • Relevant specialist course
  • Registered Nurse
  • Attended a clinical leadership program. Root Cause Analysis training.
  • Working knowledge of MS Excel and MS Publisher
  • Human Factors Training

Knowledge and Skills


  • Knowledge of the NHS and the current local and national political agenda
  • Understanding of national reviews
  • Up to date with ongoing reviews that require actions and implementation across maternity and neonatal systems at local, sector, regional and national level.
  • Excellent communication skills both written and verbal
  • Knowledge of current Clinical Governance/Risk Management issues
  • Managing staff
  • Ability to prioritise own workload and that of other staff.
  • Knowledge of procedures for safeguarding children, vulnerable adults and those with learning difficulties
  • Excellent interpersonal skills
  • Ability to analyse complex facts and situations and develop a range of options
  • Able to work to deadlines
  • IT literate



  • Experience in the specialist areas of governance, assurance and compliance
  • Previous experience of working at a Senior level

Personal Attributes


  • Strategic thinker
  • Resilient
  • Flexible
  • Self-motivated

Employer details

Employer name

Dartford and Gravesham NHS Trust


Darent Valley Hospital

Darenth Wood Road, Dartford, Kent DA2 8DA



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