Clinical Governance Facilitator - Stockton on Tees Stockton on Tees £29,000- £31,000

Clinical Governance Facilitator - Stockton on Tees

Location: Stockton on Tees |
Salary: £29,000- £31,000 |
Posted: 5 Dec 2018 |
Closes: 30 Jan 2019 |
Job Type: Permanent & Full-time |
Business Unit: Health Services |
Region / Division: UK & Ireland |
Reference: 7246

Role Responsibility:

Clinical Governance Facilitator

Stockton on Tees

£29,000 - £31,000

Full Time

This role will be exciting, challenging, fast paced and diverse - it is a newly created role within G4S Health Services Ltd Governance Team. The Clinical
Governance Facilitator will help to drive the G4S Health Services governance agenda through continuous quality improvement; compliance with national
guidelines, regulations, and contractual requirements; and robust risk management. The task will be to promote the clinical governance agenda within a
directorate of the business. Working closely with teams, professional leads and managers to ensure broad understanding and ownership. 
The Clinical Governance Facilitator will work with teams across the local, regional, and corporate levels, under the direction of the Head of Governance at
G4S Health services. The post holder will provide expert support in clinical audit, incident management, local risk management, learning lessons, and
clinical effectiveness. Ensuring that the best standards of practice are delivered maintained and continuously improved within the G4S’s clinical
governance framework.


  • To promote the clinical governance agenda within a directorate of the business. In particular to ensure a focus on quality improvement (QI) and learning throughout the directorate.
  • The post holder will provide expert support in clinical audit, incident management, local risk management, learning lessons, and clinical effectiveness. Ensuring that the best standards of practice are delivered maintained and continuously improved within the G4S’s clinical governance framework.
  • To lead on elements of G4S Health Services wide governance projects.
  • The post holder will be expected to travel to G4S Health Services sites regionally and nationally on regular basis.


  • Ensure that robust and integrated governance arrangements are in place, in line with best practice across the directorate.
  • Design and deliver governance and clinical audit projects using research methodology in conjunction with clinical and non-clinical colleagues to improve performance, quality and safety.
  • Analyse qualitative and quantitative data resulting from governance and clinical audit projects
  • Ensure compliance and regulatory actions are appropriately completed and monitored where identified.
  • Ensure recommendations from investigations are appropriately completed and monitored where identified.
  • Develop, implement, assure, monitor and report on action plans on a range of governance and clinical audit project, plans, programmes and initiatives at directorate and team level.
  • Ensure recommendations arising local and national clinical governance projects, clinical audits, serious untoward incidents, complaints and review by external bodies, including the CQC, are robust, monitored and implemented to demonstrate quality improvement.
  • Support investigations where required into serious untoward incidents and complaints including participation in clinical reviews. To support the relevant teams to disseminate the lessons learnt to all staff within the business.
  • Implement and audit compliance with national and local clinical standards and guidelines including NICE guidelines in conjunction with clinical and non-clinical colleagues.
  • Support the development and implementation of G4S Health Services policies, procedures and good practice guidelines based on a range of current evidence and good practice including results of clinical audit and clinical governance projects.
  • Work and liaise with other members of the Governance team to ensure best practice is shared and consistent support is provided.
  • Maintain, with high accuracy, G4S Health Services governance systems and databases. This includes information regarding incidents, risks, alerts, actions, clinical audit activity, NICE guidelines, patient’s questionnaires, service evaluations, compliance checklists and quality improvement projects.
  • Analyse and synthesise data from a variety of sources to prepare complex reports, papers, information and other documentary evidence for the business. This includes preparing reports for clinical governance related reviews and visits.
  • Facilitate and advise at directorate level and local clinical governance committee meetings as required including, improving their clinical governance processes and initiating and following up on action plans to be undertaken by others.
  • Complete admin duties as required, including organising meetings, preparing and distributing papers and reports and taking minutes. These may include formal minutes of the directorate and G4S clinical governance committee meetings, which need to be distributed widely and maybe included in external reviews.
  • Design and coordinate good practice events within the directorate and to support business wide good practice events as required.
  • Support the involvement of patients, carers and families/friends with clinical governance activities.
  • Work alongside Directors, Heads of Services and Clinical Leads to ensure all governance requirements are met.
  • Support and advise services on their risk registers, ensuring effective processes are in place to support and manage live risk registers.
  • To provide specific expertise to all staff groups in clinical audit including the delivery o clinical audit training workshops.
  • Design and coordinate clinical audit programmes, plans and strategies at a directorate level and ensure that they are carried out within agreed timescales. This will be in conjunction with managerial and/or clinical colleagues.
  • Data entry/collection relating to clinical audit may include prolonged concentration for long periods depending on size and workload.
  • Provide verbal and written progress reports regarding clinical audit projects as requested.
  • To take on lead role where identified by the Head of Governance in relation to business overall governance responsibilities.
  • Develop and provide overall project managements for business wide and directorate governance projects. This will include designing, carrying out, analysing, writing up, disseminating results and implementing recommendations.
  • Ensure local and national elements of clinical governance, including reviews and investigations are integrated at directorate level to reflect a whole system approach and focus on learning lessons.
  • Work within G4S Health Services Clinical Governance framework.
  • Promote clinical excellence and best evidence based practice
  • Maintain confidentiality of information regarding patients, families and friends at all times.
  • Ensure full and accurate records are maintained and confidentially policy adhered to.
  • Be conversant and comply with G4S Health and Safety Policy.

Education and Training

  • Maintain a working knowledge of all local and national policies relating to clinical
  • governance, risk management and quality improvement.
  • To have a proactive approach to self-development
  • Show commitment to lifelong learning and a learning environment through personal example and dissemination of skills, attitude and knowledge to others
  • Comply with the G4S appraisal system and participate in appraisal annually
  • Participate in and deliver regular governance and quality improvement training
  • Organise, promote and deliver regular governance and quality improvement training workshops (e.g. clinical audit, risk managements, alerts, NICE compliance, incidents management, QI, Investigations and Learning Lessons) taking into account directorate progress, national requirements and local audit recommendations. Training may be delivered via team meetings and away days when requested and on a one to one basis with clinical and non-clinical staff.
  • Deliver training in relation to governance to reflect local need within the directorate and wider business.
  • Promote awareness of clinical governance throughout the business including teaching briefing sessions, leaflets, newsletters, webinars, blog, social media, videos etc.
  • Responsible for providing governance advice and support across a directorate with support from the wider governance team.
  • Ensure updated mandatory training requirements are met and equipment training records are maintained
  • Support G4S Health Services Quality Strategy, ensuring a focus on patient outcomes and quality ethos.
  • Ensure staff are engaged effectively and efficiently in governance processes
  • Support the general principles of a systems approach to quality improvement ensuring that efforts is focused on effective outcomes, and that duplication is reduced.
  • Demonstrate a continual approach to improvement in all activities ensuring that effective monitoring is undertaken to achieve required outcomes both in systems supported in the wider directorate, but also those supported within the governance team.
  • To ensure effective systems are in place for systematic learning as a result of governance and QI activities (e.g. audit, NICE and risk management activities).


  • Ensure that identified lines of communication are maintained with patients, colleagues and external agencies to demonstrate politeness and courtesy and sensitivity promoting the corporate image of G4S
  • Communicate and liaise with all healthcare staff and line managers
  • Demonstrate the ability to be able to motivate and persuade others through advanced communication skills
  • Actively participate and contribute towards governance team meetings and discussions, including via Google Hangouts video and Hangouts chat.
  • Performance Assessment
  • Participate fully in an annual appraisal process and agree a personal development plan that will ensure that the objectives of the individual, the team are achieved

Health and Safety

As an employee of G4S, the post holder has a duty under the Health and Safety at Work Act 1974, to:-

  • Take reasonable care of the health and safety of themselves and all other persons who may be affected by their acts or omissions at work
  • Co-operate with their employer to ensure compliance with Health and Safety legislation and the Health and Safety policies and procedures of the treatment centre, not intentionally or recklessly interfere with, or misuse, anything provided in the interests of health, safety, or welfare, in pursuance of any of the relevant statutory provisions

The Ideal Candidate:

Key Competencies 

  • Plan for Tomorrow
  • Follow instincts if something isn’t right
  • Use facts and data to find answers
  • Reach reasonable rational conclusions
  • Make good judgement calls
  • Make connections – understand both the local and wider situation
  • Keep an open mind
  • Deliver Today
  • Rise to the challenges faced
  • Make the most of limited resources
  • Work with enthusiasm and commitment
  • Keep at it, sorting out problems along the way
  • Take personal responsibility for achieving results
  • Adapt quickly when things change
  • Be prepared to challenge existing ways of working
  • Always look for better ways of working
  • Build Relationships
  • Be honest and professional – say what you think and feel
  • Be able to explain why
  • Communicate clearly
  • Check for understanding
  • Ensure others are engaged in the discussions
  • Support people who are making changes

Essential Skills

  • Degree or equivalent non/clinical qualification or two years relevant clinical governance / clinical audit / quality improvement experience.
  • Understanding of clinical governance or other quality improvement and quality assurance approaches.
  • 12 months minimum experience in NHS/Healthcare governance.
  • NHS/Healthcare audit experience
  • Evidence of professional development
  • Experience of designing and delivering training in governance / improvement science / quality improvement.
  • Computer literacy inc. competent use of all
  • Microsoft office packages and ability to manipulate databases
  • Excellent negotiation and influencing skills to support good governance and quality improvement
  • Ability to motivate staff to participate in governance and QI activities
  • Skilled and experienced in the analysis and synthesis of complex information
  • Attention to detail
  • Report writing skills
  • Presentation skills
  • Organisational skills
  • Skills and experience in either quantitative or qualitative research.
  • Work as a team member
  • Effective communication both verbal and non-verbal
  • Able to demonstrate a high level of literacy and numeracy
  • Able to provide examples of diversity in practice
  • Able to work within challenging and complex situations
  • Evidence of ability to develop and maintain effective working relationships at all levels
  • Ability to work on own initiative
  • Ability to travel between different sites both regionally and nationally.


  • Excellent knowledge and understanding of theory of wide range Improvement science / Quality improvement methods.
  • Experience of using Ulysses Safeguard / Datix within a governance function.
  • Experience of working in secure settings
  • Experience of involvement in innovation or change
  • Evidence of working within a ‘value for money’ service
  • Experience in descriptive and variance statistical analysis and testing such as correlations, run and control charting.​

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