Clinical Governance Lead

Role Purpose

The Clinical Governance Lead will provide strategic and operational clinical governance oversight across Bush and Co Care Solutions, ensuring the highest standards of safe, effective, and person‑centred care. The post‑holder will act as the lead expert in clinical governance, driving a culture of continuous quality improvement, accountability, and regulatory compliance throughout the organisation.

This is a senior, autonomous role suited to an experienced registered healthcare professional who is able to work independently from a home base whilst engaging with services, staff, and stakeholders at locations across England. Experience of Case Management desirable but not essential.

• Review ,develop, implement, and maintain a robust clinical governance framework aligned to CQC fundamental standards, NICE guidance, and relevant legislation.
• Lead the care service approach to governance, ensuring all clinical processes are evidence‑based, documented, and consistently applied.
• Provide expert clinical governance advice and support to the senior management team, registered manager, and care management team.
• Develop and maintain oversight of the governance dashboard, reporting key clinical performance indicators to the Registered Manager and Head of Care on a regular basis.

• Design, lead, and co‑ordinate a programme of clinical audits across the care service, including medication management, care planning, infection prevention and control, manual handling, and safeguarding compliance.
• Analyse audit findings, produce clear written reports, and present outcomes and recommendations to leadership teams and relevant stakeholders.
• Monitor the implementation of audit action plans, tracking improvements and re‑auditing to verify sustainable change.
• Support service managers in embedding a culture of self‑auditing and reflective clinical practice.

• Lead the development and review of clinical risk assessment tools and frameworks, ensuring they are current, evidence‑based, and appropriate to our client group.
• Participate in the Company wide review and management of the clinical risk register, ensuring timely identification, escalation, and mitigation of risks to service users and staff.
• Provide guidance and support to care staff and management on complex or high‑risk clinical situations.
• Lead or contribute to Serious Incident investigations and Root Cause Analyses (RCAs), producing quality investigation reports with clear learning outcomes.
• Ensure appropriate reporting to external bodies including CQC, NHS England, local authorities, and safeguarding teams where required.

• Lead the development, review, and ratification of clinical policies, procedures, and guidelines, ensuring they reflect current legislation, best practice, and regulatory requirements.
• Manage a scheduled programme of policy review to ensure all clinical documentation remains valid and up to date.
• Communicate policy updates effectively to all relevant staff and support training where required.
• Ensure policies are accessible to staff across all locations and embedded in day‑to‑day practice.

• Develop and maintain clinical competency frameworks for all relevant staff roles, ensuring they are aligned to professional standards and the needs of the people we support.
• Deliver or co‑ordinate specialist clinical training sessions to include medication administration competency.
• Lead on identifying other clinical training requirements and developing internal resource to deliver.

• Ensure ongoing compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and all applicable CQC standards and Quality Statements.
• Support the service to remain at all times prepared for CQC inspection, providing documentation, evidence portfolios, and clinical briefings as required.
• Liaise with CQC inspectors, commissioners, and local authority quality assurance teams as required.
• Keep abreast of changes in legislation, guidance, and best practice, and lead on translating…