About this role
Job summary
This is an exciting opportunity to join Gloucestershire Hospitals NHS Foundation Trust as a Clinical Governance Facilitator within our Maternity and Neonatal Services team.
The post holder will play an important role in supporting patient safety, quality improvement, and governance activities across maternity and neonatal services. Working closely with clinical and operational colleagues, you will contribute to the coordination of governance processes, including incident management, risk reviews, mortality reviews, and clinical audit programmes. You will support learning from incidents and reviews, monitor quality and safety actions, and assist with compliance against national maternity safety requirements and regulatory standards.
The role will involve supporting the effective use of governance systems and processes, including Datix/Insight, PSIRF, CNST, and Care Quality Commission (CQC) standards. You will help analyse and interpret clinical governance data to identify emerging themes, risks, trends, and opportunities for service improvement, and contribute to the production of high-quality reports, dashboards, and presentations for governance meetings and committees.
Main duties of the job
This role offers a unique opportunity to gain broad experience across patient safety, governance, audit, data analysis, and quality improvement within one of the NHS's most dynamic clinical specialties. You will be part of a supportive and collaborative team committed to delivering safe, personalised, and equitable care for women, babies, and families.
At Gloucestershire Hospitals NHS Foundation Trust, we are committed to continuous improvement, innovation, and staff development. This role provides an excellent opportunity for someone looking to develop their career in governance, patient safety, quality improvement, or NHS leadership while making a meaningful contribution to maternity and neonatal care.
About us
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.
Job description Job responsibilities
Key Responsibilities
- Provide administrative and organisational support to the Perinatal Governance Team.
- Coordinate governance processes across maternity and neonatal services.
- Maintain governance databases, action trackers, and monitoring systems.
- Ensure governance documentation is accurate, up to date, and readily accessible.
- Support compliance monitoring against Trust, regional, and national maternity safety requirements.
- Assist in the preparation of reports, presentations, and governance documentation for meetings and committees.
- Participate in appraisal, mandatory training, and continuing professional development.
- Comply with Trust policies, procedures, and governance arrangements.
- Promote equality, diversity, inclusion, and safeguarding principles.
- Undertake other duties appropriate to the grade of the post.
Please read the attached Job Description for further details.
Person Specification
Qualifications and Training Essential
Educated to Diploma level 4 or equivalent relevant experience Evidence of continuing professional development Qualification or equivalent experience in healthcare administration, governance, quality or a related field
Desirable
Training in clinical governance, patient safety and/or quality improvement
Knowledge and Skills Essential
Good understanding of clinical governance, risk management, patient safety principles, and the importance of learning from incidents, complaints, and patient feedback. Knowledge of confidentiality, information governance, and data protection requirements within healthcare settings. Understanding of clinical audit methodology, quality improvement approaches, and maternity safety frameworks. Ability to analyse, interpret, and present complex information and data clearly, identifying trends, risks, themes, and opportunities for improvement. Ability to produce accurate, high-quality reports, dashboards, presentations, and governance documentation. Advanced IT skills, including Microsoft Excel, Word, PowerPoint, Outlook, SharePoint, and other relevant digital systems. Excellent organisational skills with the ability to manage competing priorities, work to deadlines, and maintain a high level of accuracy and attention to detail. Strong interpersonal and communication skills, with the ability to build effective working relationships, facilitate meetings, present information confidently, and support multidisciplinary collaboration.
Desirable
Awareness of the Patient Safety Incident Response Framework (PSIRF), NHS Resolution's Maternity Incentive Scheme, Care Quality Commission (CQC) standards, and current national maternity and neonatal quality and safety programmes. Competent user of incident reporting and risk management systems, such as Datix/Insight, or the ability to develop proficiency quickly. Ability to challenge constructively, influence practice positively, and contribute to service improvement initiatives.
Experience Essential
Experience of working within an NHS or healthcare environment Experience working in a governance, quality, or patient safety role Experience of analysing data and producing reports Experience supporting or leading audits or QI projects Experience facilitating meetings or training sessions
Desirable
Experience analysing data and producing reports Experience working within maternity, neonatal or acute services
Personal Attributes Essential
Professional and approachable manner Proactive and able to take initiative Commitment to patient safety and continuous improvement Ability to maintain confidentiality and discretion Reliable, motivated and able to work as part of a team Able to work independently and manage competing priorities
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.
Employer details Employer name Gloucestershire Hospitals NHS Foundation Trust
Address Gloucestershire Royal Hospital
Gloucester
GL1 3NN
United Kingdom
Employer's website https://www.gloshospitals.nhs.uk/ (Opens in a new tab)