Risk and Governance Manager

The Risk and Governance Manager is accountable for establishing and maintaining a comprehensive, proportionate risk, compliance, and complaints management framework throughout the organisation's MSK and mental health services. Reporting directly to the Quality and Clinical Governance Director and supervising the Compliance Lead and the Complaints Manager, this position ensures adherence to regulatory, contractual, and governance/clinical governance requirements, effective management of risks, timely resolution of complaints in line with PSIRF and best practice standards, and systematic application of lessons learned across all service lines.

This role is suited to an accomplished risk, compliance and complaints professional with direct healthcare experience in these areas and the capability to work autonomously and translate regulatory requirements into efficient, adaptable operational systems within a fast-growing private healthcare environment.

• Lead and maintain the organisation-wide risk management framework across MSK and Mental Health services
• Maintain and oversee corporate and service-level risk registers, ensuring consistency and regular review
• Support clinical and operational teams to identify, assess and mitigate clinical, operational, information governance and reputational risks
• Monitor risk themes, emerging risks and near misses, escalating concerns appropriately
• Contribute to learning from incidents, complaints, safeguarding concerns and serious incidents/PSIRF

• Act as a key lead for ISO and Quality compliance across MSK and Mental Health services.
• Support ISO registration, variations and audits, ensuring services are inspection-ready
• Maintain oversight of compliance with:
• Appropriate ISO Standards
• UK GDPR and Data Protection Act
• Information Governance
• Health & Safety legislation
• Contractual, client and insurer requirements
• Horizon scan for regulatory changes impacting MSK and Mental Health services and advise on required actions
• Conduct ISO audits and train staff to be able to conduct regular internal ISO audits

• Lead, manage and oversee the complaints management process across the organisation in line with PSIRF and regulatory requirements and organisational policy
• Ensure complaints are acknowledged, investigated and responded to within required timescales
• As necessary, support service leads and clinicians with complaint investigations, response drafting and resolution
• Conduct level 4 complaints and appeals
• Ensure complaints are managed in a fair, transparent, compassionate and patient-centred manner in line with PSIRF
• Design the training content for PSIRF and support the Clinical Governance Leads to deliver organisational PSIRF training
• Support the Senior Complaints Officer to identify complaint themes, trends and emerging risks, ensuring learning is captured and shared
• Link complaints intelligence with risk management, incidents, safeguarding and audit activity
• Prepare complaints reports for Quality & Clinical Governance meetings, SLT assurance
• Compile responses to level 4 complaints and complaints escalated to clients, insurers or regulators
• Link into ISCAS and ensure a fair process for independent review
• Manage and lead on the Clear Track patient feedback system and review data to establish themes and quality improvement projects

• Responsible person to lead develop, review and implementation of policies, procedures and SOPs, relating to quality, complaints, clinical governance, risk and compliance policies
• Ensure all organisational policies are accessible, proportionate and embedded
• Maintain a compliance calendar and evidence library and produce the necessary reports
• Ensure that the organisation has all the appropriate policies in place, especially in relation to PSIRF.

• Design and coordinate the corporate & ISO audit programme with the Quality & Clinical Governance Director and Quality Lead
• Conduct and support internal audits, mock inspections and service readiness reviews
• Support the Quality Lead to track audit findings, identified themes and assurance actions to completion
• Contribute to quality assurance and improvement initiatives arising from audit, complaints, feedback and risk activity
• Track audit findings, actions and assurance outcomes and produce quarterly audit reports
• Chair the Quality Assurance Group

• Prepare clear, high-quality reports on clinical governance, risk, compliance and complaints for clinical and quality groups and the SLT
• Contribute to governance papers, assurance statements and external submissions
• Support the Quality Lead with ISO and client audits and due diligence activity
• Attend and support at the Clinical Governance meetings for both MSK and MH services

• Support the development and delivery of risk and compliance training for clinical and non-clinical teams
• Provide day-to-day advice to…