Quality Assurance Manager

We are an award winning organisation providing care at two main hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—and a number of community-based services across London, such as sexual health and HIV clinics.

With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.

Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice—a place where people want to start their career and to grow with us through continued education, professional development and support.

Main area Governance Grade NHS AfC: Band 8a Contract Permanent Hours Full time – 37.5 hours per week (cross-site) Job ref 289-CR-1700

Site Chelsea and Westminster NHS Foundation Trust Town London Salary £61,927 – £68,676 per annum (including HCAS) Salary period Yearly Closing 30/03/2025 23:59 Interview date 09/04/2025

Job overview

Clinical governance is one of the quality domains contributing to the delivery of safe, effective and efficient services to our patients. This is an exciting position for a dynamic, inspirational, and highly experienced individual to manage the Trust’s patient safety, clinical effectiveness, risk and safety learning system’s strategy.

Working in collaboration with both the Head of Clinical Governance and the Head of Risk and Assurance, the post holder will be responsible for developing, updating and implementing the digital systems required to ensure the Trust’s quality governance objective, to have an effective organisational learning response management system in place, is delivered.

Main duties of the job

The post-holder is expected to have experience of working in a senior management position in a complex healthcare organisation. The post-holder will possess a comprehensive understanding of learning response management systems, the requirements of our regulators, and the NHS national agenda. The post holder will need to be a dynamic project manager with experience of developing, preparing and presenting Board level quality assurance reports.

The role requires collaborative working with both local networks and other peer healthcare organisations to ensure continual development and evolution of the Trust’s safety learning system, and as part of the wider Integrated Care System in North West London.

The role requires expert analysis and interpretation of complex data, both quantitative and qualitative, in contribution to the production of governance reports, learning system projects and improvement initiatives as required to support delivery of safety culture in the Trust.

Working for our organisation

Chelsea and Westminster Hospital NHS Foundation Trust is one of England’s top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us ‘Good’ in safety, effectiveness, care, and responsiveness, and ‘Outstanding’ in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed.

If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Detailed job description and main responsibilities

The post holder will be the Trust expert for the Local Risk Management System (Datix) and any other risk, safety or governance systems operated by the Trust’s Quality Governance department. The role includes first line accountability for the effective implementation of new systems within the department; overseeing a schedule of routine upgrades; and the provision of support for divisional management teams to ensure staff understand and use the learning response systems effectively.

The post-holder will undertake significant data analysis using Datix and other governance system outputs to identify trends, clusters and risk / compliance issues, as well as playing a key role in establishing and maintaining systems for monitoring processes and improving data quality.

The role will include the project management of a range of key work streams that will help support the quality governance strategy within the Trust. This will include but is not limited to:

• Incident / investigation training
• Data quality assurance, including data accuracy, timeliness and security
• Maintenance of external datasets (including LFPSE)
• Enabling routine and one-off system upgrades
• Engaging with external partner organisations to benchmark and define best practice
• Management of module support for patient experience, claims and audit
• Development of the mortality surveillance system and learning outputs
• Partnership working with external system providers and delivery of contractual requirements

Person specification

Operational leadership, development and maintenance of the Local Risk Management System

• Educated to degree level in statistical analysis or equivalent professional / specialist knowledge in risk, health, IT systems management
• Datix Certified Professional
• Comprehensive knowledge of Microsoft Office (PowerPoint/Excel/Teams) to support the analysis of data, present information and develop training programmes
• Collating / Evaluating evidence against predefined standards and maintaining effective monitoring systems to assess compliance
• Auditing customer / user feedback to develop and implement service improvements
• Demonstrable understanding of NHS regulatory and compliance frameworks
• Patient Safety Specialist training
• Delivering training / presentations to support risk & quality governance functions

Important

• The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
• Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
• If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
• In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
• During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
• Employment at the Trust is offered subject to successful completion of a six month probationary period.

Employer certification / accreditation badges

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

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