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Endoscopy Clinical Quality Governance Manager (Nurse)

Oxford University Hospitals NHS Foundation Trust

Oxford, OX3 9DU

Salary

£49,387 to £56,515

Contract

Permanent

Hours

Not specified

Closing date

2 September 2026

2 days left

Job description

The Endoscopy Clinical Quality & Governance Manager is responsible for the leadership, development and oversight of the Endoscopy clinical governance,...

  • Lead the Endoscopy clinical governance, patient safety and quality assurance agenda, ensuring effective systems are in place to monitor and improve clinical standards.
  • Act as the lead for JAG accreditation, clinical audit, quality improvement programmes and regulatory compliance.
  • Lead the investigation and review of incidents, risks, complaints and patient feedback, ensuring learning is embedded into sustainable improvements in practice.
  • Provide expert professional leadership and assurance on clinical standards, governance, risk management and patient safety.
  • Lead the development, implementation and review of policies, guidelines and standard operating procedures in line with Trust and national standards.
  • Provide strategic oversight of workforce competency, education and professional development programmes, working closely with Band 6 Clinical Educators.
  • Analyse governance, quality and performance data to identify trends, risks and opportunities for service improvement.
  • Work collaboratively with the Clinical Operations Manager, Deputy Matron, Matron and multidisciplinary teams to support service development and continuous improvement.

The Endoscopy Clinical Quality & Governance Manager is responsible for providing leadership and oversight of the Endoscopy clinical governance, quality assurance and patient safety framework, ensuring the delivery of safe, effective and high-quality care in accordance with Trust, national and JAG standards.

The post holder will

  • Lead the development, implementation and evaluation of governance systems, policies, guidelines and standard operating procedures to ensure compliance with regulatory requirements and best practice.
  • Lead the Endoscopy quality assurance programme, including JAG accreditation, clinical audit, service evaluation, quality improvement initiatives and monitoring of clinical standards.
  • Lead the investigation and review of incidents, complaints, risks and patient safety concerns, ensuring learning is embedded into sustainable improvements in practice and service delivery.
  • Analyse complex governance, quality and performance data to identify themes, emerging risks and opportunities for improvement, providing assurance and recommendations to the Endoscopy leadership team.
  • Provide expert professional leadership and advice to nursing, medical and multidisciplinary teams regarding clinical governance, patient safety, quality standards and evidence-based practice.
  • Provide strategic oversight of workforce competency, education and professional development programmes, working in partnership with Band 6 Clinical Educators, Divisional Education Leads and Practice Development teams.
  • Lead and influence quality improvement, service development and transformation initiatives, ensuring governance, patient safety and regulatory standards are embedded throughout service changes.
  • Work collaboratively with the Clinical Operations Manager, Deputy Matron and Matron to provide effective leadership, maintain high clinical standards and support the ongoing development of the Endoscopy service.

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.

We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.

These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.

In 2023NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles

Oxford University Hospitals promotes a safe, respectful hiring environment.

If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.

Essential

Essential

  • Registered Nurse with current NMC registration relevant to the clinical specialty
  • Significant post-registration experience within Endoscopy or a relevant clinical specialty, including experience of clinical governance, quality improvement and patient safety
  • Demonstrable experience of leading governance systems, clinical audit, risk management, incident review and implementing improvements in clinical practice.
  • Experience of leading quality improvement programmes, service development and implementation of evidence-based standards.
  • Knowledge and experience of JAG standards, regulatory requirements and clinical governance frameworks relevant to Endoscopy
  • Experience of developing, implementing and reviewing policies, guidelines and standard operating procedures.
  • Ability to analyse complex quality, governance and performance information and translate findings into service improvements
  • Experience of workforce development, competency frameworks, education oversight and maintaining professional standards.
  • Excellent communication, leadership and organisational skills with the ability to exercise professional judgement and work autonomously.

Desirable

  • Master's degree in Nursing, Healthcare Leadership, Quality Improvement or a relevant subject, or working towards
  • Leadership qualification or formal training in quality improvement, clinical audit or patient safety
  • Experience of supporting external accreditation or regulatory inspections (e.g. JAG)
  • Existing technical clinical skills relevant to Endoscopy.

How to apply

Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.

Provenance

Source

NHS Jobs

First seen

19 August 2026

Last checked

21 August 2026

Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.

About the employer

OUH
Oxford University Hospitals NHS Foundation Trust

NHS organisation

This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.

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