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Job summary

Main area
Quality and Patient Care
Grade
AfC Band 7
Contract
12 months (Fixed term contract ends on 2026-07-01)
Hours
Full time - 37.5 hours per week
Job ref
384-AGB-EMF18767-B7
Employer
Royal Surrey NHS Foundation Trust
Employer type
NHS
Site
Royal Surrey NHS Foundation Trust
Town
Guildford
Salary
£48,270 - £54,931 (per annum) pro-rata -includes high cost area supplements (HCAS)
Salary period
Yearly
Closing
15/07/2025 23:59

Employer heading

Royal Surrey NHS Foundation Trust logo

Quality Governance Facilitator

AfC Band 7

Job overview

Are you passionate about driving quality improvement and enhancing patient safety? An exciting opportunity has arisen to join the Quality and Safety team at Royal Surrey County Hospital as a Quality Governance Facilitator.
This one-year secondment offers a unique opportunity for NHS professionals, including allied health professionals, to develop skills in risk management, safety investigations, and regulatory compliance—valuable experience for those considering future progression into senior clinical roles.

About the Role

As part of a dedicated team, you will play a key role in supporting safety investigations, clinical audits, and regulatory compliance. Working alongside three other Quality Governance Facilitators and reporting to the Senior Quality Governance Facilitator, you will help embed the Patient Safety Incident Response Framework (PSIRF) and strengthen quality improvement across the Trust.

This role is crucial in ensuring effective learning from patient safety events through the Learn From Patient Safety Events (LFPSE) system. It provides an exciting opportunity to lead proactive safety initiatives and contribute to a culture of continuous improvement.

About You

This secondment is ideal for professionals looking to expand their knowledge of quality governance while continuing their clinical development. Experience in safety investigations, risk management, and patient safety is desirable.

Main duties of the job

•    The Quality Governance Facilitator will be responsible for providing quality governance expertise to support the Trust’s Patient Safety Incident Response Framework Policy and Plan.
•    You will work collaboratively with a wide range of staff, including members of Divisional Triumvirates to review all incidents within the division, support risk management, triangulation of incident data and intelligence to assess and manage risk to provide assurance and compliance.
•    You will provide clinical governance expertise and advice to all clinical and Specialist Business Unit (SBU) staff. 
•    You will be the “critical friend” for the division ensuring appropriate learning responses are utilised to extract learning and resultant implementation of quality improvement to all aspects of practice and patient care. 
•    You will ensure compassionate engagement and effective communication with all members of the clinical and non-clinical staff, patients, carers and relatives.
•    You will support the weekly divisional Patient Safety Incident Response Group (PSIRG) and work with the divisional triumvirate to coordinate effective review and proportionate response to all patient safety incidents and safety issues within the Division. 


Please refer to the attached job description for a full list of responsibilities for the role.

 

Working for our organisation

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

The Care Quality Commission (CQC) have given us an overall rating of Outstanding.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.

Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.

A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo

Detailed job description and main responsibilities

The post holder is part of the team specifically supporting the Trust’s governance agenda.  
This will include providing expert advice, practical support and facilitation of a wide range of patient safety, governance and improvement activities. This includes identifying and providing assurance of the effectiveness of actions and supporting quality improvement activities, including audit. 

The post holder will develop and maintain effective working relationships within the Clinical Divisions to ensure that patient safety incidents are identified, reported and investigated and that shared learning and improvements are implemented. The methodology for investigation and management of patient safety events will be affected by the national agenda; from April 2024, this was the Patient Safety Incident Response Framework. 

Person specification

Qualifications

Essential criteria
  • Relevant training or experience of governance, incident investigation, patient safety, risk management and complaints management
  • Degree level plus experience. Or working towards a masters
  • Relevant training or relatable experience with regards Patient Safety Incident Response Framework
  • IT – word, email, excel, PowerPoint.
Desirable criteria
  • Relevant clinical qualification at degree level or equivalent with active registration with a professional body (eg. NMC/GMC )

Knowledge

Essential criteria
  • Demonstrate up to date knowledge of patient safety and quality legislation
  • Awareness of current issues in healthcare relevant to job role
  • Knowledge of the NHS with an understanding of NHS processes and patient pathways
  • Experience of communicating with, influencing and relating to different professional groups and managers at all levels of seniority
  • Experience of developing specialist training programmes, training new staff, and providing ongoing training and support to existing staff.
  • Experience of data quality and confidentiality issues
  • Working with in a busy environment with multiple departments
  • Demonstrate experience of working with office based electronic systems (for example Microsoft office, email)
Desirable criteria
  • Experience of working in healthcare
  • An understanding of the Trust’s Risk Management Policy and Strategy and the activities required in implementing it within the Trust – including national and external risk management requirements, mandatory data sets, and internal audits
  • Practical experience of the Patient Safety strategy, Incident management framework and other relevant standards/guidelines
  • Knowledge of medical terminology.
  • Experience of computer databases in health environment, PAS etc.

Employer certification / accreditation badges

Veteran AwareNo smoking policyMenopause Friendly EmployerArmed Forces Covenant Gold AwardWe offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.Disability confident committedStep into healthWe Work Flexibly

Applicant requirements

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.

Documents to download

Apply online now

Further details / informal visits contact

Name
Lorna Sonley
Job title
Senior Quality Governance Facilitator
Email address
[email protected]
Telephone number
01483571122
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