About this role
Job summary
This is a pivotal leadership role for an experienced clinician passionate about patient safety, quality improvemen, and safeguarding. As Quality Manager, you will lead and embed a robust clinical governance framework, ensuring care is safe, effective, and consistently high-quality across a mixed workforce of staff and volunteers
Working closely with the Medical Director, you will oversee incident management, learning events, safeguarding, audit, and governance systemsensuring that learning is not only identified but translated into sustained improvements. A key focus will be aligning practice with the Patient Safety Incident Response Framework (PSIRF), fostering a culture of openness, accountability, and continuous improvement.
You will provide strategic and operational leadership for safeguarding, chair key governance forums, and deliver clear insight on risks, trends, and performance. Your work will ensure systems are not just implemented, but embedded and maintained over timesupporting compliance with CQC standards and maintaining a Good rating.
This is a highly autonomous, hands-on role requiring strong analytical skills, attention to detail, and confidence to challenge at a senior level. Ideal for a clinician seeking a flexible portfolio role with meaningful organisational impact, helping shape safe, high-quality care as the organisation grows.
Main duties of the job
The Quality Manager is responsible for leading and embedding a robust clinical governance and quality framework across the organisation, ensuring the delivery of safe effective, and high-quality care
The postholder will oversee incident management, learning events, safeguarding, audit, and governance systems, ensuring that learning is captured, acted upon, and sustained over time. The role will provide organisational leadership for safeguarding and patient safety, ensuring strong oversight, appropriate challenge, and continuous improvement
A key focus of the role is to ensure that systems are not only introduced but are consistently applied embedded and maintained across both employed staff and volunteers
The role plays a critical part in maintaining the organisation's Care Quality Commission Good rating and supporting ongoing development as the organisation grows
About us
For more than half a century LIVES has been at the heart of Lincolnshires emergency medical response
Working alongside the NHS, our highly trained volunteers and clinical staff respond to 999 and urgent healthcare calls delivering immediate pre-hospital care to people experiencing medical emergencies often arriving first when every second counts
From cardiac arrests and trauma incidents to life-threatening medical conditions we provide critical early treatment, support patients and families at the scene and help save and improve lives across urban rural and remote communities throughout the county
The postholder will work as part of a small friendly team with the ability to genuinely influence and improve the quality of service provided to patients and their families
LIVES supports flexible working patterns, and this could be a great portfolio role for someone wishing to continue clinical practice alongside
Job description Job responsibilities
Job Description: Quality Manager (Clinical Governance)
Location: LIVES HQ, Horncastle
Hours of Work- Part time 15 hours per week
Reports to- Medical Director
Salary: £50,000
Role Purpose
The Quality Manager is responsible for leading and embedding a robust clinical governance and quality framework across the organisation, ensuring the delivery of safe, effective, and high-quality care.
The postholder will oversee incident management, learning events, safeguarding, audit, and governance systems, ensuring that learning is captured, acted upon, and sustained over time. The role will provide organisational leadership for safeguarding and patient safety, ensuring strong oversight, appropriate challenge, and continuous improvement.
A key focus of the role is to ensure that systems are not only introduced but are consistently applied, embedded, and maintained across both employed staff and volunteers.
The role plays a critical part in maintaining the organisations Care Quality Commission (CQC) Good rating and supporting ongoing development as the organisation grows.
Key Responsibilities
Clinical Governance & Quality Systems
Lead the organisations clinical governance framework, ensuring effective systems for quality assurance and improvement Develop, implement, and maintain quality-related policies excluding clinical practice standards and guidelines led by Clinical Leads Ensure governance systems are consistently applied across all services, staff, and volunteers Support the organisation to maintain compliance with CQC standards and regulatory requirements Incident Management & Learning (PSIRF)
Lead the organisations Learning Events system, ensuring timely reporting, review, and learning Oversee incident management processes in line with the Patient Safety Incident Response Framework (PSIRF) Ensure incidents are appropriately triaged, investigated, and result in meaningful, actionable learning Embed and sustain a culture of openness, psychological safety, and continuous improvement Identify themes and trends and ensure organisational learning is disseminated and embedded Manage response to complaints, claims and coroners cases with input from subject matter experts
Safeguarding Leadership
Provide strategic and operational leadership for safeguarding across the organisation Act as the organisations lead for safeguarding governance, ensuring robust systems, oversight, and continuous improvement Chair the Safeguarding Review Group, ensuring effective scrutiny, appropriate challenge, and clear learning outcomes Ensure safeguarding concerns are appropriately identified, escalated, and managed in line with statutory requirements and best practice Maintain oversight of safeguarding risks, themes, and trends, ensuring learning is embedded into practice Work with Clinical and Operational Leads to ensure safeguarding is fully integrated into service delivery Provide assurance to the Clinical Governance Committee and Medical Director on safeguarding effectivenessAudit & Continuous Improvement
Lead the development and delivery of a structured clinical audit programme Strengthen the organisations audit culture, with a focus on: Consistency Follow-through Demonstrable impact Ensure audits are completed, reviewed, and translated into sustained improvements in practice Support teams to move from initiating improvements to embedding and maintaining them over timeGovernance Meetings & Reporting
Chair key governance forums, including: Learning Events Review Group Safeguarding Review Group Contribute to the Clinical Governance Committee, providing insight, analysis, and assurance Produce clear, concise governance reports, identifying risks, trends, and areas for improvement Maintain oversight of organisational quality and safety risks Assure commissioners, partners and regulators of quality in service deliveryLeadership & Line Management
Provide direct line management to the Quality Administrator Actively support the organisations charitable mission by contributing to fundraising, awareness, and engagement activities alongside clinical duties. Ensure effective administrative support for governance and quality processes Build capability, consistency, and resilience within quality systems Working with Clinical & Operational Leads
Work closely with Clinical Leads, who retain responsibility for clinical SOPs and standards Provide governance structure, oversight, and assurance without duplicating clinical leadership Collaborate with operational teams to ensure quality systems are practical and embedded in day-to-day delivery Key Priorities
Strengthen and embed the organisations clinical audit framework Improve consistency and sustainability of governance processes Enhance the effectiveness and impact of the Learning Events system Ensure full alignment with PSIRF principles and practice Maintain and evidence compliance with CQC standards Maintain a strong, consistent safeguarding governance framework
Person Specification
Qualifications Essential
Clinically qualified professional e.g. paramedic, nurse, doctor, or allied health professional
Desirable
Safeguarding Adults and-or Children trained to Level 4, or willingness to work towards this within an agreed timeframe
Experience Essential
Experience of working within a clinical governance or quality role Demonstrable experience of contributing to or leading safeguarding processes within a healthcare or similar setting Experience of leading audits and quality improvement initiatives Experience of chairing meetings and producing high-quality reports
Desirable
Experience of chairing safeguarding or case review forums Experience within pre-hospital or emergency care settings Experience working in a CQC-regulated environment Experience working with volunteer-based organisations
Knowledge and Skills Essential
Strong understanding of patient safety and incident management, including PSIRF Strong working knowledge of safeguarding legislation, frameworks, and best practice Ability to analyse data, identify trends, and translate this into practical improvements Ability to provide constructive challenge and oversight in governance and safeguarding decision-making Strong organisational skills with the ability to ensure systems are maintained and embedded over time Proficient with digital systems including O365 suite and patient record systems
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name LIVES
Address Boston Road Industrial Estate
Horncastle
Lincolnshire
LN9 6SB
United Kingdom
Employer's website https://lives.org.uk/ (Opens in a new tab)