Head of Governance in London

Job Mission

You’ll be responsible for overseeing and leading on Governance across the organisation.

You will be an expert resource for the wider team and a key member of the senior leadership team.

You will be building on the solid foundations we’ve already created and ensuring that Asterix Health becomes the Gold Standard for excellent patient care and compliance.

In the first few months, you’ll

• Review existing governance documentation and framework to identify any gaps before working with the wider Clinical Team to understand and rapidly close them.
• Become the trusted point of contact for governance queries and concerns — resolving issues directly rather than passing them around.
• Ensure that patient quality always remains at the forefront of everything we do.

As you find your feet, you’ll

• Build a systematic feedback loop with GP partners — capturing what's working, what isn't, and making sure it shapes how we operate
• Iterate our SOPs and audit processes based on real practice feedback to ensure meaningful quality improvement activities become second nature.
• Spot patterns across partnerships and flag them early — to the clinical team, to product, and to leadership

Key details

• Reports to: Chief Executive Officer (with professional accountability to Medical Director)
• Accountable to: Chief Executive Officer
• Location: Full-time in Office (Shoreditch, London)
• Salary: £70k - £80k + equity.
• Job Purpose

The Head of Governance is a senior leadership role who will be responsible for providing strategic leadership for clinical governance, patient safety and organisational compliance across Asterix Health.

The post holder will implement an integrated governance framework which promotes high-quality patient care, and ensure compliance with all statutory and regulatory requirements.

Working closely with the Executive Team, Clinical Leads and Operational Leaders, the Head of Governance will foster a culture of continuous learning, openness and improvement.

Key Responsibilities

• 1. Strategic Leadership
• Lead the organisation’s governance strategy and annual governance work programme.
• Develop an integrated governance framework that aligns safety and performance.
• Provide expert advice to the Executive Team and Board on governance matters.
• Support the development of organisational strategy through robust assurance systems.
• Promote a culture of transparency, accountability and continuous improvement.
• 2. Clinical Governance

Lead all aspects of clinical governance including

• Clinical effectiveness
• Patient safety
• Quality improvement
• Clinical audit
• NICE implementation
• Learning from incidents and near misses
• Mortality reviews where applicable
• Patient experience
• Safeguarding assurance

Ensure governance arrangements support consistently high standards of clinical care across all services.

• 3. Patient Safety
• Overseeing implementation of the Patient Safety Incident Response Framework (PSIRF).
• Ensuring effective incident reporting, investigation and organisational learning.
• Monitoring trends in incidents and near misses.
• Supporting Duty of Candour compliance.
• Producing regular patient safety reports for the Executive Team and Board.
• Embedding a no blame culture throughout the organisation.
• 4. Quality Assurance

Develop systems that provide assurance regarding

• CQC Fundamental Standards
• Quality Outcomes
• National Guidance
• Local Contract Requirements
• Clinical Standards
• Workforce Compliance

Lead organisational readiness for inspections and external reviews.

• 5. Risk Management
• Corporate Risk Register
• Clinical Risk Register
• Hazard Log
• Risk appetite
• Risk escalation
• Assurance reporting
• Business continuity governance

Ensure risks are proactively identified, mitigated and monitored.

• 6. Regulatory Compliance
• Care Quality Commission requirements
• NHS England guidance
• Information Governance requirements
• Health and Safety legislation
• Safeguarding legislation
• Infection Prevention and Control standards
• Medicines management requirements

Lead organisational responses to regulatory inspections.

• 7. Complaints and Patient Experience
• Complaints management
• Patient feedback
• Friends and Family Test
• Patient engagement
• Learning from complaints
• Patient participation

Ensure patient feedback directly informs service improvement.

• 8. Quality Improvement
• Promoting continuous improvement methodologies.
• Supporting clinical teams to undertake improvement projects.
• Monitoring delivery of Quality Improvement Plans.
• Measuring improvement outcomes.
• Sharing organisational learning.
• 9. Information Governance
• NHS Clinical Risk Management Standards (DCB0129, DCB0160)
• NHS Secure Email Standard (DCB1596)
• UK GDPR
• Data Protection Act
• Information Security standards
• Confidentiality requirements
• Records management
• 10. Leadership
• Line Management of audit pharmacists.
• Developing governance capability.
• Coaching managers and clinical leaders.
• Promoting collaborative working.
• Leading organisational change.
• Building strong relationships across clinical and operational teams.

Who you are

Requirements

• Extensive experience in a similar role within General Practice or Secondary Care.
• In depth knowledge of UK regulatory standards such as clinical safety, CQC and digital health.
• Significant experience of leading on creation of Policies and SOPs.
• A passion for technology, innovation and delivering change in healthcare.
• Excellent communication and collaboration skills - comfortable working with clinicians, engineers, operations and commercial teams.
• Strong organisational skills and a process-driven mindset.
• Excited to travel to customer sites and represent our brand externally.
• Strong working knowledge of clinical systems (EMIS, Systm One).
• Nice to haves
• Formal qualification in related field
• Familiarity with latest technology and AI
• Previous experience in healthtech sector
• Certified CSO
• Why join us
• Purpose & Pace: This is a once-in-a-generation shot to solve the biggest problem in healthcare.

We are the only company in the country approved to do this.

We’re going to take it by moving fast, working with intensity and executing without compromise.

We don’t want to look back and think we could’ve pushed harder.

• Top-of-Market Reward: Base Salary and meaningful equity with the chance to do career-defining work.
• No Friction: We cover whatever tools or resources you need to move fast.
• A Tight-Knit

Team: We don’t just offer lip service to team ethics.

We work hard because we care, but we also laugh a lot, eat together, and back each other completely.

Everyone here is here because they want to build something meaningful, with people they genuinely like.

You’ll be a great fit for this role if

You care

You care about yourself and those around you, about your work, the user and the mission. You should get up in the morning and be excited about the day ahead.

You want to work hard

We have ambitious plans and are looking for people with the pace and endurance to get us there.

This is a once-in-a-lifetime opportunity to make a dent in something that impacts everyone, and we are not watching from the sidelines.

It’s not a 9-5 job.

You’re high agency

We want to work with people that take ownership over complex problems and come up with creative solutions to solve them.

You’re a team player

We’ll be spending a lot of time together and want to have fun doing so! We host regular team socials and invest in the team.

You’re hacky

You have bent reality to achieve something. We want to hear about your latest side project and how you have broken the status quo.

We care about you, not your credentials. We believe what you’ve worked on and achieved is more important and look forward to hearing from you!

Our culture: The Asterix way

Humble — We assume we're wrong until the data or a clinician proves otherwise. Curiosity over ego, always.

High-intensity, founder mentality — You don't wait for permission.

You push problems to resolution.

You act like an owner of the mission, the systems, and the culture.

Solving one of society's biggest problems won't happen in a 9-to-5.

We work hard, with purpose.

Joyful energy — We take the work seriously — not ourselves. We celebrate progress, support each other, and keep the energy high.

In-person by design — We work shoulder-to-shoulder in London. It makes us faster, tighter, and better.

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