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Governance Roles and Responsibilities

Key roles and responsibilities for governance in our hospice are listed here. Further details on the Quality and Governance are listed below.


Registered Manager

Paul Hutton

Caldicott Guardian; Safeguarding Lead

Chris Bagan

Serious Information Risk Owner (SIRO)

Iain Cameron

Data Protection Officer (DPO); Health and Safety Officer

Georgina Grace

The Caldicott Guardian’s role

A Caldicott Guardian is a senior person within a health or social care organisation who makes sure that the personal information about those who use its services is used legally, ethically and appropriately, and that confidentiality is maintained. Caldicott Guardians should be able to provide leadership and informed guidance on complex matters involving confidentiality and information sharing.

More information on Caldicott Guardian’s can be found here on the CQC website

Quality and Governance

Demonstrating that the Hospice delivers high quality care is one of the main priorities of the Registered Manager.

The Registered Manager’s role is to:

  • Use audits, benchmarking and patient and family feedback to gain assurance that St. Michael’s continues to provide quality care for patients and their families.
  • Identify areas for quality improvement which will further improve the experience of those who use our services. One example of improvements made during 2018 included the installation of Juliet balconies in patient bedrooms to enhance the patient experience on the IPU.
  • Ensure that St. Michael’s remains compliant with the regulations set out by the Care Quality Commission (CQC). Our last CQC inspection was carried out in 2016 and rated our services as “Good”. Our objective as a team is to ensure those Good standards of care are being continually provided but at the same time strive for a rating of “Outstanding”.

The Data Administrator’s role is to support the Registered Manager by:

  • Demonstrating the delivery of high-quality care by using accurate and timely data collection, detailed analysis and presentation in various forms.
  • Portraying how the Hospice are performing through collecting and analysing data, which in turn will help us to maintain our high-quality standards.