Oxford University Hospitals NHS Foundation Trust
Endoscopy Clinical Quality Governance Manager (Nurse)

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Endoscopy Clinical Quality & Governance Manager
The Endoscopy Clinical Quality & Governance Manager is responsible for the leadership, development, and oversight of the Endoscopy clinical governance, quality assurance, and patient safety framework. The post holder will provide expert professional leadership in governance, risk management, audit, quality improvement, JAG compliance, workforce competency, and professional standards, ensuring the delivery of safe, effective, and high-quality patient care.
Working collaboratively with the Clinical Operations Manager, Deputy Matron, and Matron, the post holder will influence service development, lead governance and quality improvement initiatives, and provide assurance that Endoscopy services meet Trust, regulatory, and national standards.
- Lead the Endoscopy clinical governance, patient safety, and quality assurance agenda, ensuring effective systems are in place to monitor and improve clinical standards.
- Act as the lead for JAG accreditation, clinical audit, quality improvement programmes, and regulatory compliance.
- Lead the investigation and review of incidents, risks, complaints, and patient feedback, ensuring learning is embedded into sustainable improvements in practice.
- Provide expert professional leadership and assurance on clinical standards, governance, risk management, and patient safety.
- Lead the development, implementation, and review of policies, guidelines, and standard operating procedures in line with Trust and national standards.
- Provide strategic oversight of workforce competency, education, and professional development programmes, working closely with Band 6 Clinical Educators.
- Analyse governance, quality, and performance data to identify trends, risks, and opportunities for service improvement.
- Work collaboratively with the Clinical Operations Manager, Deputy Matron, Matron, and multidisciplinary teams to support service development and continuous improvement.
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About Us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training, and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington, and the Horton General Hospital in Banbury.


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Our values, standards, and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues, and the wider community.
We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement, and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
In 2023 NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles.
Oxford University Hospitals promotes a safe, respectful hiring environment.
If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.
Contact Us
For further details / informal visits contact:
- Name: Pauline Tendayi
- Job title: Matron - Endoscopy
- Email address: pauline.tendayi@ouh.nhs.uk
- Telephone number: 07876345737
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