Clinical Quality Manager

Overview Norfolk Community Health and Care NHS Trust is seeking a Clinical Quality Manager. Closing date: 01 October 2025.

This exciting role supports clinical services to deliver outstanding quality of care, using QI methodology, and makes sure that services are CQC-ready (leading on twice yearly Self Assessments/Peer Reviews/Learning Events). It also covers trust wide projects that require significant detail and skill in planning and delivery. Examples include: detailed data analysis, actions from patient safety incidents, or complaints, supporting external inspections such as CQC and thematic reviews.

This is a senior clinical role and the post holder must display clinical credibility, impact and influence for it to be effective.

Main duties of the job Job Purpose

1. The post is responsible for supporting clinical services in delivering and evidencing outstanding quality of care as described in the Trust's Quality & Clinical Strategy, underpinned by the Trust's Quality Improvement model.
2. Manage and develop the Trust's programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.
3. Lead on learning and improvement required from incidents and inquests, as well as identifying their impact and best practice.
4. Implementing relevant new national guidance in areas of responsibility and oversight including NICE and Patient Safety.
5. Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.
6. Lead on a programme of Quality Improvement peer reviews and actions from these.
7. Oversee and support services in the assessment and management of clinical policy and clinical risk compliance.
8. Co-ordinate with key partners (including Healthwatch, partner Trusts in ICS and region, voluntary sector) to share learning from quality and safety incidents and maintain and develop joint working to continually improve patient experience and safety.

Further responsibilities continue to include leading clinical governance, data triangulation, reporting to committees and the Trust Board, implementation of patient safety alerts, and driving continuous improvement across clinical services.

About us NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an 'Outstanding' rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people and on improving access to that care, helping people to move seamlessly from one service to another. Praising NCH&C's "compassionate, inclusive and effective leadership at all levels", the CQC observed that our staff are well supported to make positive changes and innovations.

Norfolk Community Health & Care NHS Trust is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.

We welcome applications from people who share our values and can help us deliver outstanding care in our local community.

Job responsibilities Main Duties & Responsibilities

1. Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.
2. Support the Patient Safety Specialist and deputise when required.
3. Manage and develop the Trusts programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.
4. Support clinical service managers and leaders through peer reviews and CQC self-assessment ensuring services are CQC ready.
5. Work closely with the Trusts Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews and complaints are translated into learning and sustained improvement across all clinical areas in the service and Trust.
6. Work as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks. Share these through relevant service directorate meetings and escalate concerns in a timely manner.
7. Prepare data and write reports for identified committees and the Trust Board.
8. Oversee and support services in the assessment and management of clinical policy and clinical risk compliance.
9. Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.
10. Develop and use the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy, leading on specific projects that enable implementation of this programme.
11. Collaborate with the Trusts Patient Safety Specialists to meet the requirements for NHS Englands Patient Safety Specialist as per the Trusts Patient Safety Incident Response Policy.
12. Manage, including interpretation of, the Trusts local patient safety incident response plan that is identified annually to support local services to make the required changes.
13. Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.
14. Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver outstanding care to patients and service users.
15. Lead relevant programmes of improvement activity based on identifying excellence in clinical quality enabling practice to be shared across services. Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.
16. Lead/Chair the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.
17. Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.
18. Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.
19. Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.
20. Identify risks associated with the provision of the services and the delivery of high- quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.
21. Be an active member of the Trusts clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.
22. Generate and analyse data from projects to measure outcomes and inform decision making. This may include review of patient records or data related to these.
23. Undertake where required, and support others to undertake, thematic reviews, detailed PSIRF reviews and PSIIs.
24. Actively address failure in systems or processes underpinning the delivery of safe clinical practice.
25. Support in project management and implementation of the Trust-wide Safer Staffing project.
26. Support the Chief Nurse and AHP Officer or Deputy Director of Nursing and Quality in any other aspects of Clinical Quality and Professional Practice as required.
27. Support the collation of evidence and development of the annual Quality Account.
28. Prepare data and write reports for identified committees and the Trust Board.
29. Responsible for proposing and implementing departmental and Trust policies after interpretating national guidance and other sources.
30. Support and participate in the Trusts Clinical Effectiveness & Audit Team and Research Team in research and development activities.
31. Support the on-going work programme of the Non-Medical Prescribing (NMP) / Medicines in Practice Networking Group together with the Pharmacy and Professional Education teams.

Budgetary Responsibility
1. This role will be responsible for financial management of the staff members of the Clinical Governance team
2. This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.

Person Specification Qualifications and Training

• Evidence of post registration qualification/study/development.
• Registration with a Clinical Professional body, i.e. (amongst others) NMC, HCPC.
• PSIRF training

Experience

• Proven record of working with teams to deliver improved outcomes for patients/ staff.
• Recent senior clinical/managerial level experience.
• Knowledge of NHS Patient Safety Strategy.
• Clear understanding of contemporary clinical quality agendas.
• Understand clinical governance systems and processes.
• Experience of managing effective clinical risk management.
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