Band 7 - Governance Manager, Gynaecology

National health service; Maidwell; On-site; GBP 52,000 - 59,000; Full time

Job summary

The NHS West Hertfordshire Hospitals Trust is seeking an experienced Governance Manager to support quality governance, patient safety, risk management and quality improvement across the Division. You will work with clinical and operational leaders to embed robust governance systems, support learning, and drive improvements that enhance patient care and staff experience.

Core responsibilities include coordinating incident reporting, risk registers, audits, PSIRF implementation, and producing

Qualifications

• Educated to degree level in healthcare governance, quality, management or patient safety.
• Evidence of CPD in governance, patient safety or risk management.
• Formal training in incident investigation methodologies (PSIRF).
• Registered healthcare professional.

Responsibilities

• Coordinate governance processes across the Division under the Deputy Head of Governance.
• Lead incident management, risk registers, clinical audits and governance reporting.
• Support PSIRF implementation and lead investigations and learning reviews.
• Analyse governance data to identify themes, risks and opportunities for improvement.

Skills

Healthcare governance

Patient safety

Risk management

Quality improvement

Education

Bachelor's degree in relevant field

Job description

Job summary

Driving Quality, Safety and Continuous Improvement An exciting opportunity has arisen for an experienced and motivated Governance Manager to join our Divisional Governance Team. This is a key role supporting the delivery of high-quality governance, patient safety, risk management and quality improvement across the Division. Working closely with clinical and operational leaders, you will help ensure robust governance systems are embedded in practice, support organisational learning, and drive improvements that enhance patient care and staff experience. If you are passionate about patient safety, quality improvement and creating a culture of learning and continuous improvement, we would love to hear from you. This role offers a unique opportunity to: Influence quality and patient safety across a large clinical division. Work alongside senior clinical and operational leaders. Lead impactful governance and improvement initiatives. Develop expertise in patient safety, risk management and quality improvement. Make a tangible difference to patient outcomes and experience. Join us and help shape safer services, stronger governance and better outcomes for our patients and communities.

Main duties of the job

As Governance Manager, you will support the effective coordination and delivery of governance processes across the Division, working under the direction of the Deputy Head of Governance. Your responsibilities will include supporting the implementation of the Trust's Quality Governance Framework, leading and coordinating governance activities including risk management, incident reporting, patient safety, complaints and clinical audit, supporting the implementation of the Patient Safety Incident Response Framework (PSIRF) and leading assigned learning responses and investigations, ensuring divisional risks are effectively managed, maintained and escalated where appropriate, producing high-quality governance reports, performance dashboards and assurance information for governance meetings, supporting compliance with Care Quality Commission (CQC) standards and other regulatory requirements, analysing and triangulating data from incidents, complaints, audits and patient feedback to identify themes, risks and opportunities for improvement, coordinating divisional governance meetings, action plans and governance work programmes.

About us

With a new hospital planned for Watford, work underway to update theatres at St Albans City Hospital and plans for a neighbourhood healthcare centre in Hemel Hempstead, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking If you have a disability or long-term health condition and require support or guidance please ##### If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form. We reserve the right to close this advert early due to the volume of applicants. If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.

Details

Date posted 23 October 2026 Pay scheme Agenda for change Band Band 7 Salary 51,657 to 58,785 a year, Reference number 360-D-11743-C Job locations Watford General Hospital Watford WD18 0HB United Kingdom.

Job duties

The Governance Manager will support the delivery of effective governance, patient safety, risk management and quality improvement across the Division. Key responsibilities include coordinating incident management, complaints, risk registers, clinical audit programmes, governance reporting and regulatory compliance activities. The postholder will support the implementation of the Patient Safety Incident Response Framework (PSIRF), lead assigned investigations and learning reviews, monitor governance action plans, and provide expert advice to clinical and operational teams. Working closely with Divisional leaders, Medical Quality Leads, Matrons, Service Managers and the wider Governance Team, the postholder will identify themes and trends from governance data to drive continuous improvement and assurance. Core hours are 37.5 hours per week, Monday to Friday, with flexibility required to meet service needs and attend occasional meetings outside standard working hours.

Person Specification

Essential

• Educated to degree level or equivalent experience in a relevant field (e.g. healthcare governance, quality, management, or patient safety)
• Evidence of continuous professional development in governance, patient safety, or risk management
• Formal training in incident investigation methodologies for PSIRF
• Registered healthcare professional

Knowledge

• Detailed knowledge of NHS quality governance frameworks and systems
• Understanding of key regulatory requirements, including: o Care Quality Commission (CQC) standards o Patient Safety Incident Response Framework (PSIRF) o Clinical audit and effectiveness frameworks o Complaints and risk management processes
• Significant experience working in a healthcare governance, risk management or patient safety role
• Experience of supporting incident management systems, including coordination and tracking of investigations
• Significant experience working in a healthcare governance, risk management or patient safety role
• Experience of supporting incident management systems, including coordination and tracking of investigations

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see