Governance Manager Clinical Quality & Safety

NHS; Fareham; Hybrid; GBP 50,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking an experienced Governance Manager to ensure compliance and high-quality patient care. This hybrid role involves leading clinical governance processes, collaborating with teams, and driving continuous improvement in safety and quality standards.

Qualifications

• Minimum 5 years experience as a registered clinical professional.
• Minimum 3 years in clinical governance or healthcare compliance.

Responsibilities

• Lead governance activities and promote a culture of safety.
• Manage incident reporting and risk assessments.
• Prepare quality and safety reports for leadership.

Skills

Leadership

Communication

Problem Solving

Education

Degree-level education

Tools

Microsoft Office

Job description

Job summary

PHL Groupis seeking an experienced and motivatedGovernance Managerto join our Clinical & Quality team. In this vital role, you will ensure our services remain safe, compliant, and of the highest quality for our patients. If youre passionate about clinical governance, quality improvement and patient safety, wed love to hear from you.

As Governance Manager, you will be responsible for leading clinical governance processes and promoting a culture of safety and continuous improvement across the organisation. Youll collaborate with service leaders and clinical teams to implement robust systems around incident reporting, risk management, complaints, and audit.

Youll play a central role in ensuring compliance with regulatory standards (CQC, NHS England, NICE), driving learning from incidents, and embedding best practice in patient care.

Location:Hybrid Must be flexible to travel to sites across England, particularly Hampshire, Midlands and Cambridgeshire

Main duties of the job

• Lead governance activities and drive a culture of safety and learning across services
• Manage incident reporting, risk assessments, and complaints processes
• Provide clinical governance support to operational and clinical teams
• Prepare quality and safety reports for senior leadership and governance committees
• Support compliance with national standards and guidance (CQC, NHS England, NICE)
• Oversee serious incident investigations in line with PSIRF and ensure lessons are embedded
• Chair governance sub-committees and support audit and quality improvement initiatives
• Ensure alignment with ISO 9001 quality management standards
• Line manage and support Quality & Governance Facilitators
• Work with the Patient Experience and Complaints teams to improve patient satisfaction

• A registered clinical professional (Nurse, Paramedic, Pharmacist or AHP) with minimum 5 years experience
• Minimum 3 years experience in a clinical governance or healthcare compliance role
• Strong understanding of regulatory frameworks and patient safety standards
• Experience in leading investigations, writing reports, and engaging stakeholders
• Excellent communication, leadership, and problem-solving skills
• Ability to manage multiple priorities and work independently
• Familiarity with risk registers, Datix, PSIRF, and quality audits
• Degree-level education (or equivalent experience)
• Chartered Governance Institute membership (desirable but not essential)

About us

PHL Group was founded in 2009 by a team of commercial partners and experienced General Practitioners with a clear vision of providing services that would contribute to and benefit the local healthcare economy. PHL (formerly known as Hampshire Doctors on Call) runs Integrated Urgent Care, which evolved from the former Out of Hours model, for localities in Hampshire and the Isle of Wight. All of the core services which look after patients with an urgent healthcare need are joined up together, and PHL work closely with system partners such as South Central Ambulance Service. The services we operate include call handling, telephone clinical assessment, out of hours home visiting services and some face-to-face Primary Care appointments services in Hampshire. In 2021 a newly formed Healthcare Division was created and incorporates PHLs Urgent Care, Primary Care and Youla Care Concierge Services. The new division combines PHL's healthcare operations into one team and utilises internal and external resources efficiently to achieve our organisations vision: to be an innovative healthcare enabler, known for providing a range of high-quality care.

PHL Group aims to assist candidates with their transition into a career in the thriving and fast-paced private healthcare industry. We are looking for talented individuals that want to join us on our journey to becoming the fastest growing, most trusted healthcare organisation.

Details Date posted

15 May 2025

Pay scheme

Other

Salary

£50,000 to £55,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

E0062-25-0027

Job locations

Warmafloor Gb Ltd

12 Little Park Farm Road

Fareham

Hampshire

PO15 5TD

12 The Great Bridge Centre

Charles Street

West Bromwich

West Midlands

B70 0BF

Job description Job responsibilities

As a Governance Manager you will be working as part of the Clinical & Quality team and your role is very important in providing assurance that our services are compliant, safe and delivering high quality care to our patients. You will lead and be responsible for clinical governance processes within PHL and as an experienced clinical leader ensuring your leadership style is always delivered in line with our values truly caring and team first approach.

You will work closely with the services leadership teams to ensure compliance with robust governance processes such as incident reporting, risk and complaints management that assures us of the responsiveness of our services. You will promote shared learning and quality initiatives, facilitate that these are embedded and sustained demonstrating a well led organisation. You will foster close working relationships to enable supporting a positive safety culture within the organisation, working collaboratively with our healthcare professionals and relevant external organisations to proactively manage governance, quality and safety. You will provide assistance, support and advice to our people, patients, and their families within our Governance framework in partnership with relevant operational and clinical managers.

Clinical Governance, Compliance and Assurance

Ensure up to date knowledge is maintained for all areas of the clinical governance framework, including key legislative, regulatory and professional frameworks.

Assist the Director of Nursing and Quality in reviewing and monitoring the key strategic objectives and risk profile related to quality and safety, which are aligned to PHL priorities for quality improvement.

Ensure any safety alerts and national guidance is implemented in a timely and appropriate way, ie CQC standards, NHS England policies, CAS alerts and NICE guidelines.

Provide patient safety and governance reports for each service, relevant committees and forums, collating key quality indicators to support assurance mechanisms to demonstrate compliance with key standards and to escalate and action where improvements need to be made.

Working with the Patient Safety Specialist, service managers, clinical managers & leads, support with investigations into patient safety incidents and potential litigation claims, ensuring they are appropriately investigated and responded to in accordance with PHL policy, learning is cascaded and embedded.

Support delivery of local and national patient safety frameworks by ensuring that staff involved in incidents are supported, debriefed and offered individual feedback.

Support service managers, clinical managers and clinical leads when meeting with patients and their families and any external agencies affected by adverse incidents.

Actively support and promote a transparent learning culture just culture.

Provide feedback to staff, through various methods; newsletters, presentations and one to ones.

Working with the Service Managers and Senior Management Team ensure that the Risk Management Strategy is effectively conveyed to all staff and is translated into operational practice.

Support Senior Leadership Team and Services leaders to ensure the maintaining of the risk register accurately reflects risks and is up to date.

Provide leadership and expert advice regarding clinical risk management within PHL.

Develop appropriate action plans to minimise risks, including identifying resource implications, changes in clinical practice and administrative procedures required.

Support the Audit and Compliance team in ensuring that the programme of clinical audit reflects key areas of safety and quality identified from patient safety investigations, incident trends, NICE guidance and recommendations from compliance inspections.

Support the Patient Safety Specialist in the implementation and monitoring of key safety and quality initiatives such as Safety Thermometer, safety huddles etc.

Coordinate within PHL systems for receiving, monitoring and preparing responses for compliance with national guidance and policy received from for example: NHS England, the National Institute for Clinical Excellence, HSSIB and the CQC (not an exhaustive list).

Provide advice to clinicians and managers within PHL to ensure that compliance with key legislation and other regulations affecting healthcare are understood and embedded.

Support the complaints team and services leadership team to ensure that complaints are appropriately investigated, responded to and that learning is embedded using datix for recording and monitoring

Ensure that there is aggregate analysis undertaken of patient safety, effectiveness and patient experience data e.g. incidents, complaints, clinical audit, to ensure sharing of best practice and that issues are escalated for improvement appropriately.

Work closely with the Patient Experience team to ensure continuous improvement and learning from all forms of patient feedback including direct feedback, survey feedback and friends and family offering clinical oversight

Job description Job responsibilities

As a Governance Manager you will be working as part of the Clinical & Quality team and your role is very important in providing assurance that our services are compliant, safe and delivering high quality care to our patients. You will lead and be responsible for clinical governance processes within PHL and as an experienced clinical leader ensuring your leadership style is always delivered in line with our values truly caring and team first approach.

You will work closely with the services leadership teams to ensure compliance with robust governance processes such as incident reporting, risk and complaints management that assures us of the responsiveness of our services. You will promote shared learning and quality initiatives, facilitate that these are embedded and sustained demonstrating a well led organisation. You will foster close working relationships to enable supporting a positive safety culture within the organisation, working collaboratively with our healthcare professionals and relevant external organisations to proactively manage governance, quality and safety. You will provide assistance, support and advice to our people, patients, and their families within our Governance framework in partnership with relevant operational and clinical managers.

Clinical Governance, Compliance and Assurance

Ensure up to date knowledge is maintained for all areas of the clinical governance framework, including key legislative, regulatory and professional frameworks.

Assist the Director of Nursing and Quality in reviewing and monitoring the key strategic objectives and risk profile related to quality and safety, which are aligned to PHL priorities for quality improvement.

Ensure any safety alerts and national guidance is implemented in a timely and appropriate way, ie CQC standards, NHS England policies, CAS alerts and NICE guidelines.

Provide patient safety and governance reports for each service, relevant committees and forums, collating key quality indicators to support assurance mechanisms to demonstrate compliance with key standards and to escalate and action where improvements need to be made.

Working with the Patient Safety Specialist, service managers, clinical managers & leads, support with investigations into patient safety incidents and potential litigation claims, ensuring they are appropriately investigated and responded to in accordance with PHL policy, learning is cascaded and embedded.

Support delivery of local and national patient safety frameworks by ensuring that staff involved in incidents are supported, debriefed and offered individual feedback.

Support service managers, clinical managers and clinical leads when meeting with patients and their families and any external agencies affected by adverse incidents.

Actively support and promote a transparent learning culture just culture.

Provide feedback to staff, through various methods; newsletters, presentations and one to ones.

Working with the Service Managers and Senior Management Team ensure that the Risk Management Strategy is effectively conveyed to all staff and is translated into operational practice.

Support Senior Leadership Team and Services leaders to ensure the maintaining of the risk register accurately reflects risks and is up to date.

Provide leadership and expert advice regarding clinical risk management within PHL.

Develop appropriate action plans to minimise risks, including identifying resource implications, changes in clinical practice and administrative procedures required.

Support the Audit and Compliance team in ensuring that the programme of clinical audit reflects key areas of safety and quality identified from patient safety investigations, incident trends, NICE guidance and recommendations from compliance inspections.

Support the Patient Safety Specialist in the implementation and monitoring of key safety and quality initiatives such as Safety Thermometer, safety huddles etc.

Coordinate within PHL systems for receiving, monitoring and preparing responses for compliance with national guidance and policy received from for example: NHS England, the National Institute for Clinical Excellence, HSSIB and the CQC (not an exhaustive list).

Provide advice to clinicians and managers within PHL to ensure that compliance with key legislation and other regulations affecting healthcare are understood and embedded.

Support the complaints team and services leadership team to ensure that complaints are appropriately investigated, responded to and that learning is embedded using datix for recording and monitoring

Ensure that there is aggregate analysis undertaken of patient safety, effectiveness and patient experience data e.g. incidents, complaints, clinical audit, to ensure sharing of best practice and that issues are escalated for improvement appropriately.

Work closely with the Patient Experience team to ensure continuous improvement and learning from all forms of patient feedback including direct feedback, survey feedback and friends and family offering clinical oversight

Person Specification Qualifications Essential

• Experience of working within clinical governance and compliance role in healthcare (ideally 3 years experience)
• Experience of developing and implementing effective governance procedures and policies.

Desirable

• An experienced (minimum 5 years) Nurse, Paramedic, Pharmacist or Allied Health Professional with current professional registration
• Educated to degree level or equivalent experience.

Experience Essential

• Identifies the impact of contextual factors on communication and manages peoples expectations and adapts communication to take account of the intended audience to include colleagues and external stakeholders.
• Ability to prepare and produce concise yet insightful communications and reports for dissemination to stakeholders and colleagues as required.
• Ability to actively participate in and lead working groups across the priority areas that is responsible for.
• Keyboard and Microsoft office skills
• Demonstrates motivational skills to encourage collaborative working to improve services and performance where there maybe resistance to change.
• Works autonomously and delivers expected outcomes as guided by the clinical and quality annual delivery plan
• Excellent and highly developed time management skills with the ability to recognise and respond to conflicting priorities or sudden unexpected demands and adjust work as required.
• Is a role model for teams in terms of quality assurance and performance and instils a culture of high performance within the team
• Willingness to undertake additional responsibilities to support the organisation as required

Person Specification Qualifications Essential

• Experience of working within clinical governance and compliance role in healthcare (ideally 3 years experience)
• Experience of developing and implementing effective governance procedures and policies.

Desirable

• An experienced (minimum 5 years) Nurse, Paramedic, Pharmacist or Allied Health Professional with current professional registration
• Educated to degree level or equivalent experience.

Experience Essential

• Identifies the impact of contextual factors on communication and manages peoples expectations and adapts communication to take account of the intended audience to include colleagues and external stakeholders.
• Ability to prepare and produce concise yet insightful communications and reports for dissemination to stakeholders and colleagues as required.
• Ability to actively participate in and lead working groups across the priority areas that is responsible for.
• Keyboard and Microsoft office skills
• Demonstrates motivational skills to encourage collaborative working to improve services and performance where there maybe resistance to change.
• Works autonomously and delivers expected outcomes as guided by the clinical and quality annual delivery plan
• Excellent and highly developed time management skills with the ability to recognise and respond to conflicting priorities or sudden unexpected demands and adjust work as required.
• Is a role model for teams in terms of quality assurance and performance and instils a culture of high performance within the team
• Willingness to undertake additional responsibilities to support the organisation as required

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information 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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details Employer name

Partnering Health Ltd

Address

Warmafloor Gb Ltd

12 Little Park Farm Road

Fareham

Hampshire

PO15 5TD

Employer's website

https://www.phlgroup.co.uk/ (Opens in a new tab)

Employer details Employer name

Partnering Health Ltd

Address

Warmafloor Gb Ltd

12 Little Park Farm Road

Fareham

Hampshire

PO15 5TD

Employer's website

https://www.phlgroup.co.uk/ (Opens in a new tab)