Job description

Job responsibilities

1. Governance:

Lead the Trust wide quality governance agenda including effective development and delivery of the wider quality governance arrangements in the organisation.

Be responsible for the strategic and operational management for the Trust clinical governance arrangements including risk management, health and safety, patient safety, complaints and clinical audit, ensuring that they are fit for purpose.

Lead the implementation of corporate governance plans and contribute to the development of other governance plans of the Trust.

Responsible for ensuring compliance with the Trusts License conditions in relation to regulatory compliance and assurance, including NHSE governance statements, taking appropriate actions to ensure compliance with the Code of Governance and any other Corporate Board assurances.

Ensure compliance with external standards. You will be responsible for the delivery of the Trust's governance agenda through implementation of national standards and regulations

Work with the Chief Medical Officer and Chief Nurse to develop the Trust's Quality and Clinical Governance strategies.

Keep Chief Medical Officer / CEO informed of emerging risks and concerns throughthe governance structure, risk register and 1:1 meetings

Monitor compliance with the Trusts requirements against NHSE Well-Led Assurance Framework.

Provide advice, support and training to executive, clinical and divisional directors in the development and maintenance of robust governance processes and systems.

Provide oversight, monitoring and challenge to the governance systems at all levels and in all departments in the Trust,

Be responsible for the Corporate Governance, Health & Safety, Patient Experience, Governance & Compliance and Legal Services teams and the services they provide.Maintain and monitor procedures to ensure that the Trust complies with the National Health Service Act 2006 and the subsequent provisions of the Health and Social Care Act 2012 and the 2022 update, the FT Licence and the Constitution and other regulatory/statutory requirements e.g. Freedom of Information Act 2000, Data Protection Act 1998, Human Tissue Authority, Health and Safety at Work Act 1974and related management regulations and codes of practice.

Establish and monitor procedures to ensure that the Trust complies with its regulatory requirements e.g. NHSE, CQC, Health & Safety Executive, and Information Commissioners Office.

2. Risk Management

In line with the Governance and Assurance Framework, be responsible for the identification and management of the range of risks which are evident in relation to the development of services within the Trust.

Ensure the provision of accurate and timely information to key governance meetings and stakeholders in order to inform appropriate decision making (incidents, trends, risks etc.)

Embed robust systems to monitor and investigate all incidents, serious incidents and Never Events in the Trust ensuring that lessons are learnt and shared across divisions & specialties and that concerns, trends and themes are escalated to the Board.

Develop, monitor and update Trust-wide patient safety, governance, risk & audit policies and protocols as required.

Be responsible for the development and management of the Board Assurance Framework and Trust Risk Register, seeking assurance from Risk & Governance Leads that registers are actively reviewed and risks managed, in order to provide thenecessary assurances to the Risk Management Committee.

Identify and manage the range of risks which are evident in relation to the development of services within the Trust

Ensure that there is an information governance framework which is signed off by the Trust and that it is reviewed and updated where necessary.

3. Information Governance

Act as the Board-level Senior Information Risk Owner (SIRO) for the Trust, with responsibility for:Leading and fostering a culture that values, protects and uses information for the success of the organisation and the benefit of its customers

Owning the organisations overall information risk policy and risk assessment processes and ensuring they are implemented consistently by Information Asset Owners (IAOs).

Advising the Chief Executive on the information risk aspects of the Annual Governance Statement.

Owning the organisations information incident management framework.Responsible Officer for the Trust under the Freedom of Information Act and Data Protection Act, ensuring the Trust complies with the requirements of the Acts, advising on specific cases as necessary and promoting Trust-wide awareness of the legislation.

4. Collective Executive Director Responsibilities

As a full member of the Board of Directors and the Trust Executive Management Team, contribute to the effective leadership of the TrustFulfil all statutory responsibilities as a member of the Board of Directors and an Executive Director of the Trust

At all times, comply with the standards of conduct for Executive Directors

Demonstrate participative leadership

Working collaboratively with the Chief Executive and Executive Director colleagues, take collective responsibility for the development and delivery of the Trusts strategic objectives and the financial, activity and workforce plans

Assist in promoting and developing the culture of a learning organisation, that is fully committed to providing excellence in both health and customer care, ad to providing continuous improvement

Participate in the Trusts Executive On-Call arrangement

Job responsibilities

1. Governance:

Lead the Trust wide quality governance agenda including effective development and delivery of the wider quality governance arrangements in the organisation.

Be responsible for the strategic and operational management for the Trust clinical governance arrangements including risk management, health and safety, patient safety, complaints and clinical audit, ensuring that they are fit for purpose.

Lead the implementation of corporate governance plans and contribute to the development of other governance plans of the Trust.

Responsible for ensuring compliance with the Trusts License conditions in relation to regulatory compliance and assurance, including NHSE governance statements, taking appropriate actions to ensure compliance with the Code of Governance and any other Corporate Board assurances.

Ensure compliance with external standards. You will be responsible for the delivery of the Trust's governance agenda through implementation of national standards and regulations

Work with the Chief Medical Officer and Chief Nurse to develop the Trust's Quality and Clinical Governance strategies.

Keep Chief Medical Officer / CEO informed of emerging risks and concerns throughthe governance structure, risk register and 1:1 meetings

Monitor compliance with the Trusts requirements against NHSE Well-Led Assurance Framework.

Provide advice, support and training to executive, clinical and divisional directors in the development and maintenance of robust governance processes and systems.

Provide oversight, monitoring and challenge to the governance systems at all levels and in all departments in the Trust,

Be responsible for the Corporate Governance, Health & Safety, Patient Experience, Governance & Compliance and Legal Services teams and the services they provide.Maintain and monitor procedures to ensure that the Trust complies with the National Health Service Act 2006 and the subsequent provisions of the Health and Social Care Act 2012 and the 2022 update, the FT Licence and the Constitution and other regulatory/statutory requirements e.g. Freedom of Information Act 2000, Data Protection Act 1998, Human Tissue Authority, Health and Safety at Work Act 1974and related management regulations and codes of practice.

Establish and monitor procedures to ensure that the Trust complies with its regulatory requirements e.g. NHSE, CQC, Health & Safety Executive, and Information Commissioners Office.

2. Risk Management

In line with the Governance and Assurance Framework, be responsible for the identification and management of the range of risks which are evident in relation to the development of services within the Trust.

Ensure the provision of accurate and timely information to key governance meetings and stakeholders in order to inform appropriate decision making (incidents, trends, risks etc.)

Embed robust systems to monitor and investigate all incidents, serious incidents and Never Events in the Trust ensuring that lessons are learnt and shared across divisions & specialties and that concerns, trends and themes are escalated to the Board.

Develop, monitor and update Trust-wide patient safety, governance, risk & audit policies and protocols as required.

Be responsible for the development and management of the Board Assurance Framework and Trust Risk Register, seeking assurance from Risk & Governance Leads that registers are actively reviewed and risks managed, in order to provide thenecessary assurances to the Risk Management Committee.

Identify and manage the range of risks which are evident in relation to the development of services within the Trust

Ensure that there is an information governance framework which is signed off by the Trust and that it is reviewed and updated where necessary.

3. Information Governance

Act as the Board-level Senior Information Risk Owner (SIRO) for the Trust, with responsibility for:Leading and fostering a culture that values, protects and uses information for the success of the organisation and the benefit of its customers

Owning the organisations overall information risk policy and risk assessment processes and ensuring they are implemented consistently by Information Asset Owners (IAOs).

Advising the Chief Executive on the information risk aspects of the Annual Governance Statement.

Owning the organisations information incident management framework.Responsible Officer for the Trust under the Freedom of Information Act and Data Protection Act, ensuring the Trust complies with the requirements of the Acts, advising on specific cases as necessary and promoting Trust-wide awareness of the legislation.

4. Collective Executive Director Responsibilities

As a full member of the Board of Directors and the Trust Executive Management Team, contribute to the effective leadership of the TrustFulfil all statutory responsibilities as a member of the Board of Directors and an Executive Director of the Trust

At all times, comply with the standards of conduct for Executive Directors

Demonstrate participative leadership

Working collaboratively with the Chief Executive and Executive Director colleagues, take collective responsibility for the development and delivery of the Trusts strategic objectives and the financial, activity and workforce plans

Assist in promoting and developing the culture of a learning organisation, that is fully committed to providing excellence in both health and customer care, ad to providing continuous improvement

Participate in the Trusts Executive On-Call arrangement

Person Specification

Qualifications

Essential

• Master's Degree (or equivalent) with relevant postgraduate qualifications
• Registered professional with relevant professional body (law / governance)
• Recognised Leadership Development Intervention (e.g. MBA, Aspirant Directors Programme, Nye Bevan, Ready Now)
• Evidence of continuous professional and leadership development

Desirable

• Programme Management qualification or relevant experience
• Quality & Service Improvement (e.g. LEAN, Six Sigma, QSIR)

Experience

Essential

• Proven experience of working and contributing at Board level or at near Board level in a large complex organisation
• Significant governance experience at a senior level, at least Associate Director, in a role which includes corporate, clinical and quality governance, assurance and risk management
• An understanding of Foundation Trust Code of Governance and NHS provider license requirements
• Experience of leading and evidencing delivery of statutory and regulatory standards in healthcare
• Experience of dealing with corporate governance and business conduct principles in a large organisation supported by sound clinical and corporate governance systems and processes
• Extensive knowledge of key portfolio areas of clinical quality, risk management, patient safety and assurance
• Demonstrable experience of working with Chair, Chief Executive, Executive and Non-Executive Directors and senior clinicians.
• Detailed knowledge of regulatory frameworks (i.e. CQC, GMC, NMC, HCPC, MHPS)

Desirable

• Experience of working in an organisation under public and political scrutiny
• Clear and articulate vision for Clinical & Corporate Governance across BTH

Skills & Ability

Essential

• Highly visible & inclusive leadership style, able to quickly build credibility and followship
• Passionate about people, partnership and inclusion with ability to inspire others
• Demonstrates that people are at the heart of everything they do
• Ability to lead strategic and tactical transformational programmes, deploying proven quality and service improvement methodology
• Ability to build effective relationship and allyships with stakeholders and regulators
• Able to demonstrate strong personal values of integrity, tenacity and compassion
• Proven ability to convert vision into reality, with outcomes embedded long-term
• Demonstrate ability to build, lead, develop and motivate effective team(s)
• Commitment to public service values

Desirable

• Quality & Service Improvement abilities
• Proven influencing skills, particularly across organisational boundaries and at regional / national level
• Ability to identify key priorities and achieve effective, timely solutions

Qualifications

Essential

• Master's Degree (or equivalent) with relevant postgraduate qualifications
• Registered professional with relevant professional body (law / governance)
• Recognised Leadership Development Intervention (e.g. MBA, Aspirant Directors Programme, Nye Bevan, Ready Now)
• Evidence of continuous professional and leadership development

Desirable

• Programme Management qualification or relevant experience
• Quality & Service Improvement (e.g. LEAN, Six Sigma, QSIR)

Experience

Essential

• Proven experience of working and contributing at Board level or at near Board level in a large complex organisation
• Significant governance experience at a senior level, at least Associate Director, in a role which includes corporate, clinical and quality governance, assurance and risk management
• An understanding of Foundation Trust Code of Governance and NHS provider license requirements
• Experience of leading and evidencing delivery of statutory and regulatory standards in healthcare
• Experience of dealing with corporate governance and business conduct principles in a large organisation supported by sound clinical and corporate governance systems and processes
• Extensive knowledge of key portfolio areas of clinical quality, risk management, patient safety and assurance
• Demonstrable experience of working with Chair, Chief Executive, Executive and Non-Executive Directors and senior clinicians.
• Detailed knowledge of regulatory frameworks (i.e. CQC, GMC, NMC, HCPC, MHPS)

Desirable

• Experience of working in an organisation under public and political scrutiny
• Clear and articulate vision for Clinical & Corporate Governance across BTH

Skills & Ability

Essential

• Highly visible & inclusive leadership style, able to quickly build credibility and followship
• Passionate about people, partnership and inclusion with ability to inspire others
• Demonstrates that people are at the heart of everything they do
• Ability to lead strategic and tactical transformational programmes, deploying proven quality and service improvement methodology
• Ability to build effective relationship and allyships with stakeholders and regulators
• Able to demonstrate strong personal values of integrity, tenacity and compassion
• Proven ability to convert vision into reality, with outcomes embedded long-term
• Demonstrate ability to build, lead, develop and motivate effective team(s)
• Commitment to public service values

Desirable

• Quality & Service Improvement abilities
• Proven influencing skills, particularly across organisational boundaries and at regional / national level
• Ability to identify key priorities and achieve effective, timely solutions

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Blackpool Teaching Hospitals NHS Foundation Trust

Address

Blackpool Teaching Hospitals

Whinney Heys Road

Blackpool

FY3 8NR

Employer's website

https://www.bfwh.nhs.uk/ (Opens in a new tab)