Band 7 - Governance Manager, Gynaecology

West Herts Hospitals; Watford; Hybrid; GBP 52,000 - 59,000; Full time

Job summary

West Hertfordshire Teaching Hospitals NHS Trust is seeking an experienced Governance Manager to join the Divisional Governance Team at Watford General Hospital. The role focuses on robust governance, patient safety, risk management and quality improvement across the division, in partnership with clinical and operational leaders.

You will drive improvement initiatives, support incident investigations, and ensure regulatory compliance while contributing to staff learning and a culture of

Qualifications

• Educated to degree level or equivalent 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

Responsibilities

• Coordinate incident management, complaints, risk registers, clinical audit programmes and governance reporting
• Lead PSIRF-related investigations and learning reviews; monitor action plans
• Provide expert advice to clinical and operational teams on governance and safety
• Identify themes and trends from governance data to drive continuous improvement
• Produce governance reports and assurance information for governance meetings
• Ensure compliance with CQC standards and regulatory requirements
• Collaborate with divisional leaders to drive improvements and staff engagement

Skills

Healthcare governance

Patient safety

Risk management

PSIRF

Education

Degree in healthcare governance/management

CPD in governance/patient safety/risk management

PSIRF incident investigation training

Registered healthcare professional

Job description

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Band 7 - Governance Manager, Gynaecology

Band 7

Department name West Herts - General Staffing Site Watford General Hospital Town Watford Salary £51,657 - £58,785 pa inc. HCA Salary period Yearly Closing 05/11/2026 23:59

Job overview

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.

Working for our organisation

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.

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.

Detailed job description and main responsibilities

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

Education

• 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: Care Quality Commission (CQC) standards Patient Safety Incident Response Framework (PSIRF) Clinical audit and effectiveness frameworks Complaints and risk management processes

Experience

• 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

West Hertfordshire Teaching Hospitals NHS Trust provides acute healthcare services to a core catchment population of approximately half a million people living in west Hertfordshire and the surrounding area. The Trust also provides a range of more specialist services to a wider population, serving residents of North London, Bedfordshire, Buckinghamshire and East Hertfordshire.

As an employer of nearly 6,000 people the Trust is one of the biggest employers in the area and sees nearly a million patients each year.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.