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Clinical Governance Facilitator

Lewisham and Greenwich NHS Trust
£35,392 to £42,618 per annum plus HCA
Closing date
16 Jul 2024

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Other Health Profession
Band 6
Contract Type
Full Time
The post holder will work with the Clinical Governance Manager in meeting the requirements of the Trust Clinical Governance Agenda. In partnership with the Divisional Governance Manager/s working to ensure that patient safety, quality of care and patient experience are of the highest possible standard. The post holder will support the Governance Manager and Leads with the day-to-day management of divisional governance matters.

The post holder will contribute to the governance meetings throughout the Division, supporting agendas, collecting data and sharing information within the teams.

To be able to assess individual situations, some of which may be complex/ sensitive. Differentiate between issues that can be resolved contemporaneously and those that warrant further investigation.

Main duties of the job

  • Provide a resource to clinical teams and managers in the submission of investigation reports of Clinical Incidents.
  • Support the Divisional Clinical Governance Manager and Leads in patient safety investigations, complaint responses, sharing learning and collection of information for governance projects.
  • Support change and learning process through feedback and monitoring action plans to ensure the maximum benefit to patient care.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
  • Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  • Widening access (anchor institution) and employability
  • Improving the experience of staff with disability
  • Improving the EDI literacy and confidence of trust staff through training and development
  • Making equalities mainstream

  • Job description

    Job responsibilities

    • Collate information and draft responses to patient queries from the Patients Advice and Liaison Service and the patient complaints team.
    • Deputise as appropriate for the Clinical Governance Leads as required at internal meetings and events across the Trust.
    • Maintaining the Divisional Governance Trackers to meet Trust deadlines, escalating concerns within a timely manner.
    • Raise the profile of quality and governance across the Division.
    • Point of contact for members of the team, acting as a resource to support the delivery Trust and National standards.
    • Independently compile reports, data analysis and thematic reviews and audit of compliance as required within agreed parameters, with guidance of the Divisional Governance Manager and Leads when exceptional reporting requirements are identified.
    • Use the Trusts risk management system (Ulysses).
    • Management of a caseload of complaints, from initial contact from PALS/patient/carers, to liaising with and advising clinicians and senior managers. Support key staff to obtain statements, arrange interviews with key staff involved and coordinate the provision of investigation reports and complaints responses. This involves organising meetings and reviewing responses to ensure they cover all aspects of the original complaint, including statutory requirements.
    • To format the responses to complaints/concerns into a high-quality written response/letter to be signed off firstly by the Divisional Governance Lead and final sign off by the Divisional Director of Nursing and Governance
    • To maintain and update the Divisional Risk Register

    Work force
    • Will be expected to work autonomously using own initiative in dealing with complaints and responses, guided by Trust policies and procedures
    • Act as a subject expert and contact for the clinical teams to guide completion of complaint responses and ensure all relevant teams are included for response through interpretation of policies in relation to complaint subject matter and a clear understanding of areas of responsibility of all the teams under Lewisham Medicine and Community.
    • Support the Trust and Divisions Recruitment and Retention Strategy
    • To attend meetings relevant to the role and represent views of the Team

    To contribute to the education, training and development of staff across Division on Governance Agenda as guided by Clinical Governance Manager.

    To ensure annual personal development plan in place and review with line manager.

    To remain current with professional practice and complete all mandatory training requirements in a timely manner.

    To maintain accurate record keeping and confidentiality whilst performing all tasks and duties.

    Person Specification



    • oHigher level degree and/or professional qualification in patient safety, audit or risk management
    • oA clinical background and professional registration
    • oEvidence of professional development


    • oProject Management Qualification (e.g. PRINCE2)
    • oQualification in patient safety, clinical risk or quality improvement



    • oExperience working in a clinical governance, patient safety or quality improvement related area within a healthcare setting
    • oExperience of using tools and measures for reporting compliance activity
    • oExperience in managing or responding to incidents and using


    • oExperience of line Management

    Skills & Knowledge


    • oAble to write and present reports in a variety of formats
    • oCan demonstrate computer literacy in Windows Office Suite of programmes specifically, Excel, Word and Access.
    • oTrained in patient safety incident investigation (human factors) and quality improvement methodologies


    • oAwareness & understanding of the NHS Patient Safety Strategy

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust




    SE13 6LH

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