Deputy Quality Governance & Audit Manager
Mcht
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Benefits offered by this job
Job summary
Mid Cheshire Hospitals NHS Foundation Trust is recruiting a permanent Deputy Quality Governance & Audit Manager to work within the CCICP Quality Team, reporting to the Quality Governance Manager. A clinical background is essential to support risk, incident review and learning across the division.
The post focuses on robust risk assessments, SOP development and assurance activities aligned with national standards and the Trust strategy. Flexible working and development opportunities are offered.
Qualifications
- HCPC / NMC registered as required for professional practice.
- Experience of undertaking audits and quality governance activities.
- Experience of risk management and incident investigation.
Responsibilities
- Lead on the Quality Governance agenda including risk management, quality surveillance, information governance and safety improvements.
- Coordinate investigations and reports on patient safety incidents and serious incidents with the Quality Governance team and statutory bodies.
- Support learning from incidents, horizon scanning and action planning to improve service delivery across the division.
- Ensure compliance with PSIRF, risk standards and national guidance within the division.
Skills
Job description
Main area Nurse or AHP Grade Band 6 Contract Permanent Hours Part time - 25 hours per week Job ref 412-COMM-8290781
Site Infinity House Town Crewe Salary £39,959 - £48,117 pa Salary period Yearly Closing 15/10/2026 23:59
Want to work somewhere you can really make a difference? Somewhere you’re encouraged to have ideas and empowered to create positive change?
Central Cheshire Integrated Care Partnership (CCICP) deliver NHS Community Services across Cheshire. With a wide range of clinical disciplines, we are a dynamic, future-facing organisation passionate about delivering the highest quality healthcare whilst collaborating with our community partners.
We foster a culture of continuous improvement, built on compassion.
Over 83% of staff would recommend CCICP as a place to work
90% of staff say the people they work with show appreciation to each other
88% staff say that patient care/service users are the organisations top priority
Over 70% of staff believe there are opportunities for them to develop their career
If a friend or relative needed treatment 81% of staff are happy with the standard of care provided
We are recognised nationally
With over 24 Queen’s Nurses (and growing) we have one of the highest percentages proportionate to the size of our team
Nursing Times Award winners in 2023 and finalists in 2024 for a Bladder and Bowl project. Our specialist Stoma service is currently shortlisted for a Nursing Times and British Journal of Nursing awards.
Two Specialist clinicians have recently had their work recognised by Wounds UK
Leighton Hospital Urgent Treatment Centre, run by CCICP, was reviewed by Care Quality Commission and awarded the highest score in the North West
We are delighted to be able to offer a permanent Deputy Quality Governance and Audit Manager position to work within the CCICP Quality Team, alongside the Quality Governance Manager. A clinical background is essential to better support the successful candidate within the role.
This post will work with and support the CCICP Head of Nursing, Divisional Quality Governance Manager, Community Operational Managers, Clinical Leads/Team leads to ensure that comprehensive Risk Assessments, Standard Operating Procedures are carried out across the Division, where there is a review or development of organisational and service plans.
Working in support of the CCICP Head of Nursing, Divisional Quality Governance Manager, Community Operational Managers, Clinical Leads/Team leads to ensure robust review/investigation of incidents, in accordance with PSIRF and support learning to take place from such events which further develops service delivery.
The post-holder will assist the CCICP Quality Governance Manager to maintain and develop an Integrated risk model to include incidents, complaints, accidents, and learn from internal and external sources to provide guidance to the Division to reduce and control all aspects of risk and promote quality improvement culture.
To assist the CCICP Quality Governance Manager to proactively lead on the Quality Governance agenda e.g. clinical/general Risk Management, Quality Surveillance, Quality Improvement, Information Governance, Health, Safety and Security for the Division. Acting as an additional source of expertise for risk management, national standards, and quality governance issues. Further ensuring all are integrated seamlessly within everyday practice, consistent with the Trust strategy, policies, procedures and guidelines.
Assist and support the CCICP Quality Governance Manager to co-ordinate, review/investigate and produce reports e.g. patient safety incidents, serious incidents and accidents in conjunction with the Quality Governance team and statutory bodies as appropriate, ensuring robust action plans are developed and in place; and that progress is reviewed.
Support the CCICP Head of Nursing and CCICP Quality Governance Manager to ensure that lessons are learnt from incidents reporting, risk identification and review, horizon scanning, and that issues identified are promptly and positively controlled and addressed and share learning and ideas with the wider Quality Governance Team.
To assist in ensuring that the Division complies with national guidance, Risk Management Standards, Health & Safety legislation, the Organisations Risk Management Strategy and Assurance Framework and the Quality & Safety Improvement Strategy.
Join Central Cheshire Integrated Care Partnership, a thriving NHS Community Services Provider
Central Cheshire Integrated Care Partnership (CCICP) delivers high-quality NHS community services across Cheshire. We are a forward-thinking, dynamic organisation dedicated to continuous improvement and outstanding patient care. Collaboration is at the heart of what we do, working closely with our community partners to shape the future of healthcare.
We are ambitious in our vision to become an ‘Outstanding’ provider of community services, and we are committed to supporting our colleagues’ professional development.
Our organisation is growing rapidly—over the past eight years, our workforce has expanded from 350 to over 1,000 staff, and our services have increased from 25 to 49, with our contract value doubling in the process.
As part ofMid Cheshire Hospitals NHS Foundation Trust, CCICP offers the benefits of both a supportive local team and the wider opportunities of a leading NHS provider.
Now is an exciting time to join us. With plans underway for the new Leighton Hospital in Crewe, we are at the forefront of innovation in healthcare. This cutting-edge hospital will be the most digitally advanced in the country, shaping the future of patient care and driving transformation across the region as part of the Healthier Futures programme.
Join us and be part of a forward-looking, compassionate, and ambitious organisation where your career can thrive.
This post will work with and support the CCICP Head of Nursing, Divisional Quality Governance Manager, Community Operational Managers, Clinical Leads/Team leads to ensure that comprehensive Risk Assessments, Standard Operating Procedures are carried out across the Division, where there is a review or development of organisational and service plans.
The role will require you to assist in the analysis and development of robust action plans to act on information to proactively manage and maintain National Health Service, organisational and divisional targets/trajectories.
Working in support of the CCICP Head of Nursing, Divisional Quality Governance Manager, Community Operational Managers, Clinical Leads/Team leads to ensure robust review/investigation of incidents, in accordance with PSIRF and support learning to take place from such events which further develops service delivery.
The post-holder will assist the CCICP Quality Governance Manager to maintain and develop an Integrated risk model to include incidents, complaints, accidents, and learn from internal and external sources to provide guidance to the Division to reduce and control all aspects of risk and promote quality improvement culture.
The post-holder will support the dissemination and implementation of clinical audits throughout CCICP, ensuring that clinical audit activity is effectively recorded and monitored.
The role will support work needed to ensure that the organisation meets external requirements related to clinical audit e.g. national clinical audit requirements including Liaising with national audit providers and local national audit leads to ensure that national audit requirements are met.
To assist the CCICP Quality Governance Manager to proactively lead on the Quality Governance agenda e.g. clinical/general Risk Management, Quality Surveillance, Quality Improvement, Information Governance, Health, Safety and Security for the Division. Acting as an additional source of expertise for risk management, national standards, and quality governance issues. Further ensuring all are integrated seamlessly within everyday practice, consistent with the Trust strategy, policies, procedures and guidelines.
Assist and support the CCICP Quality Governance Manager to co-ordinate, review/investigate and produce reports e.g. patient safety incidents, serious incidents and accidents in conjunction with the Quality Governance team and statutory bodies in the terms as appropriate, ensuring robust action plans are developed and in place; and that progress is reviewed.
Assist in the development and maintenance of systems and processes to establish and maintain effective communication with staff groups etc. and maintain confidentiality of information.
Assist in the development and maintenance of systems and processes to continually monitor standards, e.g. identifying risks, learning from incidents, PSIRF, benchmarking, audit, preparing and implementing action plans to improve the quality of services.
Support the CCICP Head of Nursing and CCICP Quality Governance Manager to ensure that lessons are learnt from incidents reporting, risk identification and review, horizon scanning, and that issues identified are promptly and positively controlled and addressed and share learning and ideas with the wider Quality Governance Team
Assist in the development and implementation of polices, standard operating procedures, guidelines and safe systems of work related to the maintenance and development of the quality agenda which further supports service delivery within the Division.
Ensure compliance with Trust policies, procedures and guidelines for self and others, by taking action/alerting senior management following if practice appears contravenes within policy, or def content? (Original text unchanged)
To assist in ensuring that the Division complies with national guidance, Risk Management Standards, Health & Safety legislation, the Organisations Risk Management Strategy and Assurance Framework and the Quality & Safety Improvement Strategy.
Act as a positive role model by demonstrating leadership and expertise, and by maintaining credibility within the Division, wider organisation and the wider local healthcare economy and ensuring a positive image of the Trust is maintained.
Deputise for the Divisional Quality Governance Manager when indicated.
The Deputy Quality Manager will be allocated both primary and secondary roles and responsibilities commensurate with the post in support of divisional and corporate Patient Safety & Quality Governance agenda.
Support the Division by the effective use of resources, e.g. premises, equipment, supplies and materials.
Assist in the development and maintenance of systems and processes to promote, monitor and maintain a healthy, safe and secure working environment, ensuring compliance with legal and regulatory requirements, maintaining accurate documentation and reporting any concerns.
Take responsibility for own learning and development by recognising and taking advantage of all opportunities to learn, including full participation in the appraisal process, clinical supervision, action learning and by maintaining a professional/personal portfolio of learning.
In conjunction with the Divisional Quality Governance Manager, develop and maintain systems and processes to ensure that learning needs are clearly identified and met, and that all learning is planned, implemented, evaluated and shared in order to change and improve services according to changing health care needs and the organisations ten out of ten quality framework.
- HCPC / NMC Registered
- Experience of undertaking audit
- Demonstrate good understanding of PSIRF
- Evidence of quality improvement
- Evidence of significant clinical experience
- Experience of being involved in clinical audit
We offer enviable benefits* which include:
- Recognition: monthly ‘Because You Matter’ awards, with an annual awards celebration. CCICP Star of the Month acknowledgements
- Flexible working, tailored to the service, role and individual
- Training and development opportunities
- Mentoring and coaching
- Generous holiday allowance of 28 days plus bank holidays. Increasing with length of service. Option to buy / sell annual leave.
- Fast track physiotherapy access
- Enhanced maternity / paternity / adoption leave pay
- Sick pay
- Access to free counselling service 24/7
- Carers leave
- Free Flu and Covid Vaccinations
- Discounted complimentary therapies
- Access to hundreds of staff discounts nationally and locally
- Cycle to work scheme
- Long service awards for all NHS service
KEY MESSAGES
Over 83% of staff would recommend CCICP as a place to work
90% of staff say the people they work with show appreciation to each other
88% staff say that patient care/service users are the organisations top priority
Over 70% of staff believe there are opportunities for them to develop their career
If a friend or relative needed treatment 81% of staff are happy with the standard of care provided
All correspondence will be sent via the email address you have registered as your TRAC account.
Selection is based on the Trust's values, and the criteria outlined in the Job Description for the role.
Employers have a legal responsibility to ensure that their employees have a “right to work” in the UK. Mid Cheshire Hospitals NHS Foundation Trust hold a Sponsor Licence, which means that we MAY be able to sponsor you IF the role meets the UK Government requirements for sponsorship. Not all NHS roles are eligible for sponsorship. To be eligible for sponsorship, the role must be in an eligible occupation code and must meet the skill level and the minimum salary threshold (usually £38,700 per year for Skilled Worker or £23,200 for Health Care Worker Visa). You can find more information on the Government website .
Staff recruited from outside the NHS will usually be appointed at the entry point (bottom) of the pay band.
Appointments are subject to a 6-month probationary period. LED Doctors are subject to a 3-month probationary period.
Please provide a contact email address for referees when you submit your application. We will not request any references until after you have been made a formal job offer.
You will be required to pay for your DBS disclosure (where the post requires one). This will be done via 3 monthly instalments from your pay. We encourage applicants to join and remain registered with the DBS update service.
We do not reimburse travel to interview expenses.
Secondments will be considered for fixed term positions when both parties agree. Candidates should seek approval from their current line manager before application
Key Messages
We are a forces-friendly employers.
Candidates should ensure that all submissions and interactions reflect the candidate’s own skills, experience, and understanding. Any use of AI that compromises the integrity, fairness, or authenticity of the recruitment process may result in disqualification from consideration, withdrawal of offer, or dismissal if this these circumstances come to light post hire.
Candidates that require sponsorship to work in the UK are strongly advised to check the Government website for up-to-date information about whether the role they are applying for (incl. offered salary) is eligible.
Please let us know if you require an adjustment to our recruitment process and we'll be happy to discuss this with you.
We actively promote flexible working so please discuss any requirements you may have with us.
Secondments will be considered for fixed term positions when both parties agree. Candidates should seek approval from their current line manager before application.
All correspondence will be sent via the email address you have registered as your TRAC account.Selection is based on the Trust's values, and the criteria outlined in the Job Description for the role.
Appointments are subject to a 6-month probationary period. LED Doctors are subject to a 3-month probationary period.
You are required to pay for a DBS disclosure where the post requires one, and we encourage applicants to join and remain registered with the DBS update service.
We do not reimburse travel to interview expenses.
You must have appropriate UK professional registration.
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
We expect to receive a very high level of applications for this vacancy, and due to this a limit has been set on the number of applications we are able to receive. Once this limit is reached the vacancy will close. We would urge interested candidates who meet the specification to apply as soon as possible to avoid disappointment.
Name Sarah Ayliffe Job title Quality Governance Manager Email address sarah.ayliffe@mcht.nhs.uk Telephone number 01270 826390
Address Leighton Hospital
Middlewich Road
Crewe
Cheshire
CW1 4QJ
Telephone jennifer.burkquest@mcht.nhs.uk
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