Divisional Quality Governance facilitator

Job Summary

This is a fixed term contract for 12 months.

This role is central to supporting the delivery of high-quality, safe patient care across the Division. The post holder will lead and coordinate a wide range of quality governance and patient safety activities, including incident investigations, risk management, clinical audit, and quality improvement initiatives. Working closely with the Divisional Senior Team and clinical services, the role focuses on analysing data, monitoring quality performance, and ensuring that learning from incidents, audits, and feedback is translated into meaningful improvements in practice.

We are looking for a proactive and analytical individual with strong organisational and communication skills who is passionate about improving patient safety and service quality. The successful candidate will be able to interpret complex information, influence and support clinical teams, and build strong working relationships across the organisation. This is an excellent opportunity to work in a collaborative and supportive environment where you can make a real impact on patient care, contribute to service improvement, and help shape a strong culture of safety and quality across the Division.

Main duties of the job

• Support the delivery of patient safety, quality improvement, and governance activities across the Division.
• Coordinate and support investigations of clinical incidents, ensuring learning is identified and shared.
• Monitor and maintain divisional risk registers and support the escalation and management of identified risks.
• Analyse and report on quality indicators including incidents, complaints, audits, and performance metrics.
• Develop and maintain quality governance dashboards, reports, and data collection systems.
• Provide expert advice and support to clinical teams on patient safety, risk management, and quality improvement.

Facilitate governance meetings and support the Divisional Senior Team with reports, action plans, and monitoring progress.

Support compliance with national standards, regulatory requirements, and external inspections.

Build strong working relationships with clinical, managerial, and governance teams to promote a culture of safety and continuous improvement

About us

We are proud to be part of BSW Hospitals Group - a formal partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.

We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.

Job Description

Job responsibilities

• Support the implementation and delivery of the Trusts Quality Governance and Risk Management strategies within the Division.
• Coordinate and provide expert advice on the investigation of clinical and non-clinical incidents, ensuring they are completed within required timescales and in line with Trust policy.
• Monitor and maintain divisional risk registers, supporting services to identify, review, and escalate risks appropriately.
• Analyse and interpret quality governance data including incidents, complaints, clinical audits, and performance metrics to identify trends and improvement opportunities.
• Develop and maintain quality governance dashboards, reporting tools, and monitoring systems to support oversight of patient safety and service quality.

Prepare and present governance reports, risk summaries, and action plans for divisional boards, committees, and senior management meetings.

Support the delivery and coordination of clinical audits and the implementation of national guidance, standards, and recommendations.

Ensure learning from incidents, complaints, audits, and external inspections is shared across the Division and translated into improvements in practice.

Support the development and monitoring of action plans to address risks, quality concerns, and regulatory requirements.

Facilitate governance meetings and support the Divisional Senior Team with agenda planning, action tracking, and progress monitoring.

Provide advice, training, and coaching to staff on patient safety, incident reporting, complaints management, and quality improvement methodologies.

Support the Division in preparing for and responding to external inspections and regulatory reviews.

Key Relationships - The post holder will work closely with a wide range of stakeholders across the organisation, including:

• Divisional Director of Nursing and Divisional Senior Leadership Team
• Clinical Directors, Matrons, Service Leads, and Clinical Teams
• Central Quality Governance, Risk Management, and Patient Safety Teams
• Clinical Audit and Effectiveness Team
• Complaints and Patient Experience Teams
• Corporate Governance and Policy Teams
• External stakeholders including regulatory bodies and partner organisations where required.
  
  
  

The role requires strong collaboration and the ability to build effective working relationships across clinical and corporate teams to support a culture of safety, learning, and continuous quality improvement.

Please See Attached Job Description For Further Information.

Person Specification

Qualifications

Qualifications

Essential

• Degree level qualification and / or equivalent knowledge and experience
  
  
  

Desirable

• Governance training
• PSIRF training
• Clinical qualification and hold current registration with the relevant professional body
• Teaching certificate
• Clinical risk management qualification
  
  
  

Experience Essential

• Experience of quality governance work in the NHS or healthcare setting
• Experience of working with complaints and clinical or non clinical incidents
• Broad understanding of the NHS governance agendas
• Successful change management in the health care setting
• Experience of writing reports and investigations
  
  
  

Desirable

• Knowledge of Care Quality Standards
• Experience with risk management systems exporting data and providing reports
• Understanding of the regulatory requirements in relation to quality governance
  
  
  

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .