Clinical Governance Lead - Advance Practice Physiotherapist in Nottingham

Main Responsibilities

• Clinical Practice
  • Conduct advanced clinical assessments within a virtual care setting, considering physiological, psychological and social factors affecting health and wellbeing.
  • Formulate and implement evidence-based management plans for patients presenting with acute and chronic MSK conditions.
  • Request and interpret appropriate diagnostic investigations, including MRI and X-ray imaging, understanding the limitations and clinical relevance of findings.
  • Utilise advanced clinical reasoning to identify red flags, serious pathology and patients requiring escalation or onward referral.
  • Manage the interface between virtual and face-to-face services, identifying when physical assessment or specialist review is clinically indicated.
  • Maintain a small virtual caseload to ensure ongoing clinical credibility, expertise and understanding of service delivery.
• Clinical Governance, Quality and Patient Safety
  • Act as the Clinical Governance Lead within the MSK Clinical Operations Team.
  • Serve as the primary clinical contact for complaints, incidents, concerns and investigations relating to the MSK service.
  • Lead and coordinate the clinical review of complaints and investigations, ensuring timely, robust and evidence-based responses.
  • Undertake Duty of Candour discussions with patients and families, as required, following clinical incidents, investigations or identified patient safety concerns.
  • Provide expert clinical input into complaint responses, incident reviews and governance reports.
  • Work closely with the Risk and Compliance Team to support the investigation and management of clinical risks, incidents and concerns.
  • Collaborate with the Clinical Excellence Team to ensure learning from audits, complaints and investigations is embedded into clinical practice.
  • Lead or support Root Cause Analysis investigations and ensure lessons learned are disseminated and actioned appropriately.
  • Identify trends and emerging risks through the analysis of incidents, complaints, patient feedback and performance data.
  • Escalate significant clinical risks and patient safety concerns to the MSK Clinical Services Manager and Operational Manager.
  • Support the development, implementation and monitoring of governance action plans.
  • Contribute to policy, pathway and procedural reviews to ensure alignment with evidence-based practice and organisational requirements.
  • Promote a culture of learning, continuous improvement, transparency and patient safety.
  • Ensure governance investigations, complaints, audits and patient safety reviews are conducted in accordance with Information Governance and Data Protection requirements.
  • Ensure the appropriate management of confidential patient information when handling complaints, incidents, audits and clinical investigations.
  • Serve as the designated Data Protection Champion for MSK Clinical Operations, acting as a local point of contact for data protection matters and supporting the implementation of good information governance practices.
  • Work with the Data Protection Team to promote awareness, support privacy by design and default, cascade guidance and updates, and help ensure compliance with data protection policies and procedures.
  • Support activities including Data Protection Impact Assessments (DPIAs), Records of Processing Activities (ROPAs), Subject Access Requests (SARs) and the identification and escalation of actual or suspected data protection incidents.
• Audit and Quality Improvement
  • Act as the key clinical point of contact for audit activity across the MSK service.
  • Coordinate the planning, delivery and reporting of clinical audits.
  • Ensure audit findings are reviewed, shared and translated into measurable improvements.
  • Monitor the completion and effectiveness of actions arising from audit activity.
  • Analyse audit outcomes and quality indicators to identify opportunities for improvement.
  • Produce and present audit and governance reports to support service assurance and operational decision-making.
  • Support quality improvement initiatives that enhance patient outcomes, experience and service performance.
• Relationship and Stakeholder Management
  • Develop effective working relationships with the Risk and Compliance Team, Clinical Excellence Team, Data Protection Team and wider organisational stakeholders.
  • Act as a bridge between Clinical Operations and governance functions to ensure a coordinated approach to quality, patient safety and information governance.
  • Work collaboratively with operational, clinical and support teams to deliver governance objectives and service improvements.
  • Provide governance advice and support to clinicians and colleagues across the service.
  • Develop relationships with external providers to ensure adherence to agreed pathways, NICE guidance and evidence-based care standards.
  • Support and guide members of the remote clinical team to ensure safe and effective patient management.
  • Promote awareness of data protection responsibilities and encourage good practice across the service.