Senior Governance Officer

• Lead on embedding MMP Clinical Governance Framework including defining quality standards for services; supporting operations to deliver safe effective, person-centred and well led GP services.
• Work with Medical Directors to support the continuing development of a quality improvement culture across the board using evidence based interventions.
• Ensure all governance policies and procedures are legally compliant with key changes identified and amended as and when required across the organisation.
• Lead on all aspects of GDPR, including ensuring all departments are compliant and adhering to policy around the correct storage and usage of sensitive data.
• Be responsible for ensuring Health and Safety is up to date for all areas of the organisation.
• To comply with the Health and Safety at Work Act 1974 and ensure all staff are fully trained and conversant with fire regulations and Health and Safety and understand what to do in an emergency.
• Work across the organisation to ensure regular risk assessments are conducted appropriately in line with MMP Policy and all actions are recorded and completed in a timely manner.
• Ensure the CQC regulated activities are delivered to a consistently high standard.
• Provide statistical data and evidence via monthly/quarterly reports to the quality committee and the medical directors on all areas of CQC compliance.
• Lead the development and review clinical policies, procedures and best practice guidelines.
• Maintain a patient centred approach when delivering governance work streams.
• Lead on dealing with patient complaints in line with MMP procedures and NHS Complaints Procedure alongside providing monthly reports/analysis to prevent future re-occurrence. Oversee annual complaints return.
• Monitor the Significant Event Procedure across the organisation in line with clinical governance providing statistical analysis, delivering learning outcomes and ensuring the procedure is adhered to by all staff.
• If required, lead the development approval, management and review process of Patient Group Directors (PGD's) including company frameworks and ensuring compliance.
• Ensure any MHRA alerts are actioned appropriately with all relevant workforce included in all correspondence, with actions fed back centrally.
• Implement a system to ensure a comprehensive library of clinical audits are tracked, prompted and completed by a breadth of clinicians and the outcomes are shared organisation wide to increase excellence.
• Work in partnership with HR in maintaining mandatory training records ensuring staff are informed and attend relevant/complete sessions as required.
• To ensure all sites are prepared for CQC audits, supporting teams with queries and keeping up to date with any policy changes.
• Ensuring the compliance and submission of the DSP toolkit.
• Manage any issues flagged/identified via NHS choices.
• Take ownership of quality assurance through random and scheduled spot check, service reviews, internal audits and annual surveys.
• Support sites to ensure information is updated and available in formats suitable for patients, including information regarding complaints.

Essential

• GCSE Grade A to C in English and Maths
• Experience in Governance and Compliance necessary

Essential

• Experience of working within a governance team
• experience of working in general practice