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Assistant Director of Integrated Governance

Tameside and Glossop Integrated Care NHS Foundation Trust
£70,417 to £81,138 per annum
Closing date
29 May 2024

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Other Health Profession
Band 8C
Contract Type
Full Time
Assistant Director of Integrated Governance Band 8C Full Time, 37.5 hours per week

We are offering this exciting opportunity for this senior role which supports the delivery of the Trust's safety governance and role objectives.

You will have significant experience working in a senior position with a comprehensive understanding of Health Service Governance, Safety and Regulating requirements.

Working with the Deputy Chief Nurse, Division, and members of the Executive Team you will have the ability to develop corporate policy, strategy and to prepare board level reports.

We are looking for an inspirational leader who will lead with compassion, developing a skilled, knowledgeable and capable team who work together to support delivery of the Trust's aims.

Main duties of the job

The post holder will lead the integrated governance and patient safety agenda across the Trust driving accountability, improvement and innovation. The post holder will provide compassionate and collaborative senior leadership, visibility and expert support to integrated governance and the patient safety work within the organisation.

This role leads the development of a patient safety culture and safety systems and requires sufficient seniority to engage directly with the Executive team, Divisional Directors, Clinical Directors and other senior leaders across the organisation.

This role will have accountability for implementing the most effective approaches to improving patient safety understanding, involvement and improvement activity and ensuring that systems thinking, human factors understanding and just culture principles are embedded in allprocesses. This includes ensuring that the Trust has effective processes in place that link effectively to national safety systems. This role includes supporting the organisation to ensure that the patient is at the centre of all patient safety activity.

About us

Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children.Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.

We have a clear set of values & behaviours which we expect all of our staff to demonstrate:
  • Safety
  • Care
  • Respect
  • Communication
  • Learning

We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.

We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.

Benefits include flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.

Job description

Job responsibilities


Knowledge and Skills:

Highly developed communicate skills ensuring effective relationships with clinical teams and managers (corporate and operational directorates). This includes communicating highly complex and sensitive information that can be of a contentious nature.

Lead and manage projects and produce management and assurance reports for committees

Communicate effectively and influence people with opposing views, and respond appropriately to the unpredictable and unacceptable, explain proposals to clinical teams and managers in an honest and transparent way

Communicate effectively in writing, producing clear, concise policy and guidance

Ability to communicate with staff groups at all levels of the organisation, and be able to deal effectively with emotionally charged subject matter and demonstrate resilience, impartiality and not be afraid to challenge and question appropriately

Ability to present to both small and large groups, presenting at conferences to share good practice, tailoring presentations to the audience in terms of complexity and delivering key messages.

Ensures any communication is appropriate to level of understanding, culture and background of individual patients, carers, visitors or staff

Demonstrate empathy when communicating, particularly with staff, patients and families as part of serious incident investigations.

Ability to interpret changes to national guidance and regulations relating to quality and patient safety and communicate this to the organisation

Ability to plan a broad range of complex activities and work programmes relating to quality improvement, working with clinical and corporate teams

Ability to engage with patients, families and service users directly on sensitive issues that arise through patient safety incident investigations

Ability to communicate effectively in writing, producing clear, concise policy and guidance

Ability to communicate with staff groups at all levels of the organisation, and be able to deal effectively with emotionally charged subject matter and demonstrate resilience, impartiality and not be afraid to challenge and question appropriately.

Training and Experience

Educated to Masters level or able to demonstrate equivalent extensive experience resulting in specialist knowledge, particularly in project management, quality improvement or workforce re-design.

Knowledge of national policy, legislation and requirements with regard to clinical effectiveness, quality improvement, assurance and regulation with particular

Knowledge of national policy, legislation and requirements with regard to patient safety, quality improvement, assurance and regulation with particular

In-depth knowledge of the NHS Patient Safety Strategy and Patient Safety Incident Response Framework, with the ability to translate such national documents into local trust action

Knowledge and significant experience of Quality Improvement methodologies

Project management qualification or relevant experience

Significant experience of leading change i.e. leading on change management project/programmes

Experienced in undertaking patient safety incident investigations, including knowledge of different methodologies

Specialist knowledge of Human Factors

Experience of working in the NHS at a senior level involving patient safety, quality and improvement

Experience of multidisciplinary and partnership working

Experience of working with partner organisations

Patient Safety

Will be the Trust Patient Safety Specialist. Support the continual development of an open and honest safety culture encourage staff to actively report incidents, recognise and acknowledge process and systems failures, recognise human factors and review, reflect and engage in multidisciplinary learning.

Implement robust systems and processes that will reduce clinical risk, reduce levels of harm and reduce hospital mortality. Ensure that all incidents are reported, investigated appropriately and reviewed in accordance with regulatory requirements and that resultant actions and lessons learned are acted upon. Develop divisional and departmental key performance indicators (KPIs) and associated dashboards, to ensure the timely delivery of duty of candour, the timely investigation of serious incidents and the continuous improvement of quality of investigations and investigation reports. Provide support to the relevant Executive Directors and Divisions who have a designated lead responsibility for ensuring the Trust meets required standards. Monitor and review progress against the agreed action plans in support of the CQC Fundamental standards. Provide regular patient safety reports to the appropriate assurance committees and sub committees of the Board of Directors. Monitor and review all safety / risk policies, procedures and guidelines on a regular basis ensuring that the trust complies with statutory and local obligations.

Develop appropriate education and training opportunities for Trust staff in conjunction with Executive Directors and Senior Managers. Ensure the continual integration between the components of safety including complaints, litigation, clinical incidents/adverse events, health and safety and clinical effectiveness. Monitor compliance with the Trusts Incident Reporting Procedures including Serious Incidents. Assist in the investigation and reporting of Serious Incidents and other high risk / significant incidents. Ensure best practice with regards to adverse event reporting, monitoring, trend analysis, action plans and changes in practice Risk Management. Support the continual development of a culture of learning.


Lead and motivate the patient safety teams, driving a culture of continuous development and learning across the organisation. To develop proactive relationships with team and services to foster sharing of best practice and corporate learning. To ensure that a strong patient focused culture is developed / maintained across the Trust and that poor practice is challenged and best practice is shared and championed. Lead on ensuring that the Trust has a sufficient cohort of staff trained in incident investigation, Being Open/Duty of Candour, statement taking and Root Cause Analysis by delivering training as required ensuring that actions are taken and lessons learnt are embedded into practice.

Risk Management

Support the continual development of a culture where Risk Management is integral to all of the Trusts processes. Co-ordinate the continued development of the trusts risk register ensuring relevant governance committees and Directors are informed of, and where necessary consulted on, all significant risks and associated risk action plans. Assist Divisional senior management teams and Governance Managers and heads of departments to identify and implement risk registers and risk control action plans within their areas. Provide a supervisory coaching function for senior staff within the organisation covering all aspects of risk management. Coordinate all risk management external reviews. Ensure that there are structured and systematic processes for the assessment, analysis, control, prioritisation of clinical risks. Develop appropriate policies and procedures where any deficit may exist. Complete a risk register report for Board and in linking it to the Board Assurance Framework (BAF).

Health and Safety

Support the Director of Nursing and Integrated Governance in coordinating and contributing to the authorship of the Trusts annual Quality Account and contribute to the Trusts Annual Report. Implement the Trusts Health and Safety Strategy and associated policies and procedures related to health and safety matters in consultation with the health and safety committee. Prepare for regulatory enquiries and visits, for example: CQC enquiries / inspections, NHSE/I enquiries and implementation of guidance. Provide support to the Corporate Governance in relation to responding to Coroners enquiries and any actions required and following receipt of any Regulation 28 Report.

Inquest and Legal Services

Provide leadership, operational responsibility and professional advice to the Legal Services team which includes management of the Trust Litigation Services, including clinical negligence claims, coroners inquests and employee liability claims.

Management & Leadership

Provide leadership and line management to the Head of Assurance & Compliance, Head of Patient Safety and Head of Learning, Investigations and Audit and the wider Integrated Governance Team, ensuring annual appraisal and personal development plans are in place. Line management responsibilities may change / expand, depending on how the integrated governance function evolves. Attend and maintain mandatory training requirements and adhere to relevant professional codes of conduct. Provide and receive highly complex sensitive or contentious information ensuring confidentiality at all times. Implement HR Policy & Procedures, as and when required.

Complaints and PALS

Ensure that the Trust has a complaints strategy and policy, has a performance management and quality assurance process in place to produce quality and timely formal complaints responses. Ensure learning from complaints is identified, shared and monitored within the NCA shared learning framework. Ensure there is appropriate complaints and customer care training in place within the Trust.

In conjunction with the Director of Nursing ensure there are local and restorative, solution focused strategies in place within the Trust e.g. an effective process to raise informal concerns through PALS, service leads etc.

Person Specification



  • Masters in relevant subject (e.g. health studies, management, quality improvement, leadership, patient safety) and/or equivalent work experience
  • Professional Current Clinical Nursing Registration
  • Evidence of frequent and continuing professional/leadership development
  • Project Management qualification or detailed working knowledge



  • Considerable experience of leadership in a senior at a senior level in a large, complex healthcare Organisation including evidence of strategic development
  • Proven track record of leadership, managing redesign and organisational change within and across a large and complex
  • Proven record of leading large scale change / improvement projects.
  • Proven experience of managing staff from a range of professional backgrounds within an Acute NHS environment and in developing clinical teams.
  • Experience of working in, developing and implementing systems to monitor and measure safety,
    Any attachments will be accessible after you click to apply.


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