Head of Clinical Governance

The Head of Clinical Governance will lead and enhance the organisation’s commitment to delivering high-quality, safe care for children. This role is pivotal in overseeing clinical governance frameworks, ensuring compliance with regulatory standards, managing clinical risks, and implementing quality improvement initiatives. The postholder will work collaboratively across teams to promote a culture of safety and continuous improvement, aligning with The Children’s Trust’s strategic objectives. Whilst the post directly reports to the Director of Nursing and Quality, the remit of the role spans the whole organisation and works across all clinical directorates.

Duties and Responsibilities

Clinical Governance

• Develop and maintain an effective clinical governance framework that supports safe and high-quality care.
• Facilitate regular clinical governance meetings to discuss performance, incidents, and quality improvement initiatives.
• Ensure that clinical pathways and practices are aligned with best practice guidelines and evidence-based standards.

Patient Safety

• Lead initiatives to enhance patient safety across all services, promoting a culture of transparency and reporting.
• Implement and maintain the Patient Safety Incident Response Framework (PSIRF), ensuring that learning from incidents is captured and shared.
• Monitor and report on patient safety metrics, identifying areas for improvement and ensuring appropriate action plans are developed.

Clinical Risk Management

• Identify, assess, and manage clinical risks within the organisation, ensuring effective risk mitigation strategies are in place.
• Conduct regular reviews of incident reports and risk assessments to inform organisational learning and development.
• Oversee the management of serious incidents, ensuring thorough investigations and appropriate follow-up actions are completed.

Quality Improvement

• Develop and implement quality improvement initiatives aimed at enhancing patient outcomes and experiences.
• Lead quality impact assessments for new initiatives or changes in practice, evaluating potential risks and benefits and manage the organisational governance in relation to these.
• Collaborate with multidisciplinary teams to promote a culture of continuous quality improvement.

Regulatory Compliance

• Ensure compliance with relevant legislation, standards, and guidelines, including CQC regulations and national safety frameworks.
• Maintain an up-to-date understanding of regulatory changes and ensure organisational policies and practices reflect these updates.
• Coordinate and draft the annual organisation quality account.

Clinical Audit

• Design and implement a comprehensive clinical audit program that evaluates the quality of care and compliance with clinical standards.
• Analyse audit findings to identify trends and areas for improvement, facilitating the development of action plans.

Incident Management

• Oversee the incident management process, ensuring that incidents are reported, investigated, and learned from effectively.
• Develop strategies to communicate learning from incidents across the organisation to promote a culture of safety.

Professional Standards

• Promote adherence to professional standards and best practices among clinical staff, ensuring high levels of accountability and professionalism.
• Monitor compliance with organisational policies and procedures, implementing corrective actions as needed.

Policies and Procedures

• Develop, review, and update clinical policies and procedures to ensure they align with current best practices and regulatory requirements.
• Ensure all staff are trained and knowledgeable about relevant policies and procedures.

Medical Records

Ensure that medical records are maintained accurately and confidentially, supporting patient safety and care continuity.

Medicines Management

• Line manage the lead pharmacist and wider pharmacy team
• Oversee medicines management processes, ensuring compliance with best practices and safe medication administration.

Complaints and Patient Experience

• Manage the complaints process, ensuring that concerns are addressed promptly and appropriately, and lessons learned are disseminated.
• Work to enhance patient experience through feedback mechanisms, ensuring that patient voices are heard and acted upon.

General

• Undertake other or additional duties that are within your skills and abilities, as the organisation may reasonably require from time to time.
• Act as a critical member of the Nursing and Care senior leadership team.

Health and Safety

Adhere to all Health and Safety guidelines, principles and regulations required to perform your role and comply with The Children’s Trust policies and procedures.

Wellbeing and Emotional Resilience

• Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems.
• Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary.
• Treats challenges and problems as a learning experience.
• Remains organised and focused when under pressure.
• Responds appropriately and effectively to all constructive feedback.
• Motivates self and other.

Interview: Friday 2 January 2026

If you would like to discuss the role, please contact the Recruitment & Compliance Team, on 01737 365 880 or email: recruitment@thechildrenstrust.org.uk

For more information and a copy of the candidate briefing pack please click here

Terms and Conditions

PLEASE NOTE: The Children's Trust Application Form MUST be completed and submitted, for your application to be considered. As part of the shortlisting process, gaps in employment will be examined and further explored during the interview process.

About Us

The Children’s Trust is the UK’s leading charity for children with acquired brain injury, providing expert rehabilitation, education, therapy, and care at our national specialist centre in Tadworth, and to children and their families across the UK, via our Brain Injury Community Service.

Boasting a beautiful 24-acre site in Surrey, we are located just outside of London, close to the M25 (accessible via Junction 8, A217 to Tadworth) and easily accessible via National Rail, by way of: Clapham Junction, Sutton, and Epsom.

Staff Benefits

The work we do is highly rewarding, and in addition to an attractive salary, we offer a valuable range of benefits on our staff flexible benefits platform, on-site nursery, free eye tests, enhanced Maternity and Paternity Pay, time out days for those experiencing menopause symptoms and time off for gender reassignment.

We also offer additional annual leave days for those with long service, with entitlements ranging from 35 to 41 days (including bank holidays) depending on your length of service.

Other benefits include free on-site parking; a staff shuttle service from Epsom and Sutton train stations to Tadworth Court, subsidised cafeteria, on-site staff accommodation (subject to availability), the ability to retain your NHS pension (where applicable), Teacher’s pension (where applicable) or the opportunity to join an alternative scheme, and the opportunity to develop your career in a supportive and collaborative environment.

Rehabilitation of Offenders

Many roles at The Children’s Trust are exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013 and 2020) and as such, are subject to an Enhanced DBS check.  Successful applicants will be required to complete an Enhanced Disclosure & Barring Service (DBS) check, which will disclose all unspent convictions and adult cautions and any spent convictions or adult cautions that would not be protected.  The exceptions to this are our retail roles within The Children’s Trust shops, which are subject to Basic DBS checks which will disclose unspent convictions or adult cautions.

Equal Opportunity Employer

To help us achieve our ambition to give children and young people with brain injury and neurodisability the opportunity to live the best life possible, we want to accurately reflect the UK’s diverse population. We want equity, diversity, and inclusion to be at the heart of everything we do, and our people, services, and culture to reflect the diverse needs of all. Through our diversity and inclusion strategy, we have made a commitment to increase the diversity of our charity and create an inclusive culture. We have networks across the organisation working to ensure that these aims are met - including an LGBTQIA2S+ group, Ethnic Diversity Group, and Spark – our broad EDI group. Read more about our EDI work here. We welcome applications from all who share our ambition regardless of background. We will strive to ensure that any reasonable adjustments are made in respect of interview and working arrangements.

Online Searches

In accordance with statutory safeguarding and child protection guidance, online searches will be conducted for shortlisted candidates before interview. The online searches will be conducted by a person who is independent of the interview and selection process and will focus on relevant information returned via searches of the candidate’s name (and variations thereof). Social media searches will be limited to professional platforms such as LinkedIn. Any concerns relating to suitability for work with children and young people will be forwarded to the interview panel, for discussion during the interview.