This job has expired

Clinical Governance Assistant Manager

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
£28,407 to £34,581 a year pa
Closing date
3 Dec 2023

View more

Other Health Profession
Band 5
Contract Type
Full Time
The NHS is the biggest employer in Europe. It's a world-renowned institution and an exciting place to work, full of challenges and opportunities.

The Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) is one of the leading specialist orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for innovation. We work together as a team of over 1,600 expert members of staff to make a difference for our patients and their families.

Our latest CQC Report was published in February 2019 and saw us rated as 'Good' overall and 'Outstanding' for care.

Who we're looking for...

Clinical Governance Assistant Manager - Band 5

Main duties of the job

The post holder will provide a wide range of high quality administrative and support duties to the Clinical Governance Manager, assisting them to provide levels of assurance both at Delivery Unit and Board Level.

The post holder will assist in the implementation of the Governance agenda within their respective Delivery Unit, including maintenance of robust administrative systems for managing a wide range of governance information and assist in the monitoring of specific projects / actions arising from Governance assessment/reviews. The post holder will develop themselves to meet the evolving needs of the service, ensuring efficient and effective use of all resources.

About us

Our aim is to aspire to deliver world class patient care, and we want talented, dedicated and passionate people to help us achieve this.

Our continued success is accomplished through the skills and expertise of our staff, which is underpinned by our values: Friendly, Caring, Excellence, Professional and Respect. If your values align to ours, and you would like to join us in aspiring to deliver world class patient care, we would love to hear from you.


Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.

Whether you're starting out in your career, or have a wealth of experience - we're always looking to recruit outstanding individuals in a range of clinical areas, as well as support and administrative roles.

We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to state-of-the-art facilities and outstanding professional development opportunities.

RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.

Shropshire is also one of the most attractive parts of the country, with a rich historic culture and excellent transport links. The hospital is located on a site outside Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.

Job description

Job responsibilities

To act as a support to the Clinical Governance Manger in the delivery of the breadth of the Trusts Quality and Safety Agenda, including the effective delivery and oversight of the following agendas: -
  • Patient Safety
  • Clinical Effectiveness (including audit, quality improvement and research)
  • Patient Experience
  • Risk Management
  • Compliance

The post holder is accountable to the Head of Clinical Governance & Quality, working with the Delivery Units triumvirate to support the Clinical Governance manager in the development and implementation of systems and processes to ensure the delivery of robust governance oversight for the Directorate.

Duties and Responsibilities

To ensure systems and processes are in place to promote patient safety and learning from incidents.

To be responsible for the circulation of Central Alerting System (CAS) alerts across the delivery unit and ensuring timely responses provided to the relevant area.

To utilise the Datix incident reporting system to ensure that incidents are reported and managed in line with the Trust Incident and Investigation policy.

To action/assist in the daily review of incidents raising trends, identifying, and resolving issues identified.

To support the Governance Manager in the analysis of complex clinical and non-clinical incident data and provide reports identifying trends for the respective delivery unit.

To ensure that any incidents requiring rapid review and escalation are identified and undertaken.

To participate in investigations, e.g., complaints, incidents, root cause analysis as required.

To ensure that action plans as a result of an incident, complaint, investigation or risk assessment are monitored and delivered with non-compliance escalated to the relevant governance meetings.

To be responsible for ensuring risk assessments are undertaken, recorded via Datix on relevant risk register and reviewed regularly.

To ensure systems and processes in place to promote effectiveness and embed learning as a result of service improvement projects.

To support the Clinical Audit Lead in relation to the implementation of NICE Guidance, TechnologyAppraisals, and clinical guidelines within designated clinical teams.

Responsible for collating reports for the delivery units, as directed by the Governance Manager or the Delivery Unit Triumvirate.

To assist the Governance Manager in the management of the complaints process, including monitoring of responses and completed action plans.

To encourage patient engagement and evaluate the patient/service user experience to improve service delivery.

To provide reports on trends analysis as a result of concerns and complaints received.

To collate, accurately analyse and present data to support and maintain a positive patient experience.

To actively participate in the review and development of policies/procedures and protocols relating to Clinical Governance

Person Specification



  • Degree or equivalent professional qualification or experience
  • Evidence of continuing professional development



  • Experience of working on our own and as a member of a team.
  • Experience within a governance related area (e.g., clinical risk management, incidents, complaints, clinical effectiveness quality and safety).
  • Working with sensitive/confidential information.


  • Experience of Audit / Research
  • Use of Datix Management Systems



  • Excellent verbal written and interpersonal communication skills.
  • Ability to maintain and improve standards of care.
  • Ability to interpret highly complex and sensitive data and present to all levels of staff.
  • Ability to prioritise workload effectively
  • Can meet deadlines within allotted timeframes.
  • Proficient computer skills.
  • Ability to use Microsoft Office software.
  • Works well within a team.
  • Able to manage own workload.


  • Clinical Audit / research methodology.
  • Medical terminology.
  • Sensible initiative taker



  • Up to date Governance theory and knowledge.
  • Knowledge of the Datix System
  • Knowledge of root cause analysis / other investigation methodology


  • Demonstrable project management skills and change management skills

Personal qualities


  • To exemplify the Trust Values: Friendly - patients, colleagues, public are always put at ease and made welcome. Excellence - ensure the care we deliver has great outcomes for patients. Caring - put the patient first and be considerate of their needs. Professional - apply high professional standards to your role. Respect - for patients and each other
  • Evidence of ability to work as part of a team in a challenging environment
  • Demonstrable ability to meet the Trust Values
  • Flexible and positive approach to work, showing enthusiasm.

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust


Robert Jones & Agnes Hunt Hospital


SY10 7AG

Any attachments will be accessible after you click to apply.


Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert