Clinical Governance and Quality Improvement Manager

Biomed Eng & Imaging Sci School Office

London, St. Thomas' Campus


  • Posted on: 12th Nov 2021
  • Salary: Grade 7, £46,934 - £55,299 per annum, including London Weighting Allowance
  • REF: 036846
  • Closes: 28th November 2021
  • Contract Type: Permanent
  • Hours: Full Time

Job description

The School of Biomedical Engineering & Imaging Sciences is seeking a highly organised and experienced individual to support the clinical governance and quality improvement team agenda for the clinical imaging services delivered by the School at Guy’s and St Thomas’ NHS Foundation Trust (GSTT). In partnership with GSTT’s Clinical Imaging & Medical Physics (CLIMP) Directorate these King’s College London services have recently been re-accredited in accordance with the Quality Standard for Imaging (QSI) 2019 to deliver services to approximately 13,000 patients a year, including:

• the adult cardiac MRI service

• perinatal (neonatal and fetal) MRI services and

• PET scanning service.

This post requires an individual with previous experience of working in a clinical governance role in a busy acute hospital, with a proven track record of successfully implementing change.

The post holder will work closely with a wide range of stakeholders, including the School Director of Clinical & Research Imaging Operations, clinical leads, the service managers, superintendent radiographers and medical physics leads to provide support to implement comprehensively the principles and practice of clinical governance. This covers the systems and processes for monitoring and improving services, through to the outcomes of complaints, incidents and patient experience including user and public involvement. The post holder will support risk and incident management, patient complaints and feedback, audit, and clinical effectiveness programmes, and will be responsible for reviewing and monitoring staff education and training, and compliance with document quality and control processes and use of information. They will have a key role in monitoring and implementing the quality management systems used by the School’s imaging services to support their QSI accreditation and compliance with GSTT and School standards.

The post holder will work in partnership with the CLIMP Clinical Governance Manager and wider clinical governance and service improvement team. They will be expected to work effectively with other GSTT Directorates and Governance teams, risk management, complaints and litigation, patient advice and liaison service (PALS) and quality assurance colleagues, and external agencies, as required. They will also engage with the School’s wider research governance and patient and public involvement, engagement and participation teams.

The role is based in School space at St Thomas’ Hospital. On-site attendance will be required.

This post will be offered on a full-time, indefinite contract.

Key responsibilities

The post holder is a member of the School’s professional services team, providing high quality expert support to the School and its clinical imaging services. The post holder’s key responsibilities will be to:

  • Lead and act as a subject expert for clinical governance and quality improvement, representing this area of expertise at university and external meetings
  • Support the School’s services compliance with QSI, School/King’s and NHS Trust requirements, ensuring service leads and clinical staff maintain records in line with the School’s document control policy.
  • Work closely with service leads and clinical staff to implement the clinical governance and quality improvement programme across the School to optimise the clinical care and patient experience, responding to a changing context and aligning objectives with QSI, School and NHS Trust decisions.
  • Provide advanced expertise and management of diverse teams and resources, supporting service areas to set the School standards and put in place procedures that meet the QSI standards, based on a thorough understanding of the principles and developments in the field.
  • Engage in continuing professional development and training initiatives to maintain and develop skills and knowledge.
  • Work independently based on an agreed work plan, setting own priorities and standards and those of the service teams, working cooperatively to achieve the service objectives linked to clinical governance and quality improvement.
  • Take decisions both independently and collaboratively that last for over a year with potentially long-lasting implications.
  • Research and analyse quantitative and qualitative information from multiple sources to direct service improvement and inform procedures and interventions, conveying the detail and rationale in a clear way.
  • Represent the School’s imaging services at local and national forums, including with the NHS, community and other partners, promoting achievements in care and regularly deputise for line manager(s), working with colleagues and networking within and beyond King’s.
  • Forge relationships with colleagues within King’s, GSTT and externally, to disseminate and get information, coordinate and deliver the required service, involving the pubic and users to assess service quality and improvements.
  • Liaise with multi-disciplinary services teams and patient groups to support them in the refinement of the service.
  • Provide highly specialist advice and training on clinical governance and quality improvement.
  • Communicate clearly and effectively, orally and in writing, and use well-developed listening and influencing skills to work effectively across teams.
  • Assist the School’s service leads to compile and present regular reports at School and CLIMP meetings.
  • Contribute to the development of the strategic and operational objectives of the School and its services, supporting clinical and service leads in implementing improvements and delivering targets
  • Collaborate with the School’s service leads to develop, revise and enact the incident response plan, risk registers and business continuity plans for their services, advising on clinical audits and service evaluations recording service improvements on the Clinical Audit Database, and putting in place a resilient and effective complaints procedure and database.
  • Use critical evaluation and problem-solving skills to respond to changing priorities to make improvements to services and protocols.
  • Lead and encourage innovation in the quality improvement and clinical governance and their use in the School’s services.
  • Identify, plan and support changes in clinical practice resulting from local and cross-Directorate clinical governance work plans in collaboration with the clinical multidisciplinary teams.
  • Provide highly specialist advice and training on clinical governance and quality improvement, supporting service leads to monitor staff training and development needs to ensure full compliance with GSTT and King’s training requirements.
  • Facilitate an inclusive culture and ethos when working with patients, relatives/carers and visitors along with colleagues in and external to King’s.

    The above list of responsibilities may not be exhaustive, and the post holder will be required to undertake such tasks and responsibilities as may reasonably be expected within the scope and grading of the post.

Skills, knowledge and experience

Essential criteria

1. Minimum level 6 qualification in a relevant subject, such as an undergraduate degree, plus substantial work experience in relevant clinical governance posts OR Extensive work experience in increasingly demanding posts relating to clinical governance with a managerial experience/ or qualification.

2. Evidence of an active commitment to professional development.

3. Authoritative knowledge and practical experience of deploying the principles and practice of clinical governance and relevant systems, delivering the required outputs and their use to improve clinical practice.

4. Excellent spoken and written communication skills, with advanced computer use and strong interpersonal and influencing/behavioural skills to build a strong network to support the delivery of a service(s).

5. Solutions-focused self-starter, with excellent analytical, planning and organisational skills, able to manage staff, projects, and facilities, setting performance standards and establishing protocols to deliver these.

6. Good understanding based on direct work experience of the NHS and how it is changing.

7. Ability to be flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships.

8. Ability to use initiative to work independently and prioritise own schedule without supervision.

9. A strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority.

10. Ability to show attention to detail and high standards of accuracy in all aspects of work.

11. Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working.

Desirable criteria

1. Masters Degree in a relevant subject

2. Prior experience of working within a clinical imaging department

3. Experience of managing conflict and difficult situations and knowledge of a wide range of problem-solving techniques

This post is subject to Disclosure and Barring Service and Occupational Health clearance.

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