Clinical Governance & Quality Manager

Job description

Job responsibilities

Job Overview

Clinical Governance is a systematic approach to maintaining and improving the quality of patient care. It provides a framework for drawing together the different strands of quality improvement which includes clinical audit, clinical leadership, evidence-based practice and the dissemination of good practice, ideas and innovation and addressing poor clinical performance.

The post holder will assist the Managing Partner in ensuring that appropriate Clinical Governance, quality management and quality assurance policies, processes and procedures are implemented demonstrating a clear process for Quality Improvement and Clinical Governance.

Working closely with the Managing Partner in the production of the Quality Improvement Strategic Plan and the Quality Account- which will underpin the Quality Strategy

Leading the development work in relation to the Quality Strategy and Quality Standards e.g. Care Quality Commission and other regulatory bodies, to ensure that CQC quality standards are met.

Key Responsibilities and Duties

1. Policy and Service Development

Review terms of reference and standing agenda items of partners meetings, working with the executive board to ensure Quality Standards issues are addressed and included in their minutes.

To review relevant Group policies and their monitoring processes to ensure they reflect practice and support the adherence of group and national clinical governance standards.

To facilitate information sessions in relation to quality standards, supporting departmental events and disseminating Quality Standards information.

To maintain own professional development and contribute to the development of departmental colleagues

2. Complaints & Significant Events (SEA)

To coordinate the complaints and significant events processes, working with the site operations managers and the clinicians to respond to complaints and significant events.

Arranging complaints and SEA review meetings to review the circumstances of the concern, ensure that the process is completed and learning points disseminated and hold a central record of complaints & SEAs.

3. Information Resources

To further develop systems of information collection, verification and storage for clinical data, ensuring data quality is achieved and maintained through audit and

Regularly set up, enter-into, maintain and extract data from medical records databases, ensuring that information is readily accessible and presented at appropriate times in an accessible fashion.

Contribute to maintenance of departmental and Group information systems, requesting, collecting, quality cross checking and storing evidence on a regular basis from across the Group.

The post holder will manage the clinical audit process working closely with clinicians across the group to identify areas for audit, ensuring that the audit cycle is completed and learning points disseminated and hold a central record of clinical audits.

Key Results/Outcomes

Along with action plans to correct any identified areas for improvement facilitating the monitoring of the action plans through to completion of improvements.

Facilitating completion of the policy monitoring mechanisms and their reporting Executive Board.

Producing regular reports to Partners on progress towards CQC assessment – in a monthly report to the partners.

Maintain a centralised store of relevant minutes, reports and submissions, producing reports on quality developments and other activity as required

To contribute to the production and dissemination of Quality Standards development plans and reports, including Significant Events, Complaints and Clinical Governance to ensure that learning is identified and acted upon.

Freedom to Act

The post holder will deliver the implementation of quality priorities across the Group with a high degree of autonomy, on behalf of the Partners. The post holder has the autonomy to identify areas of focus and determine workplans to meet the requirements of the role.

The post holder is responsible for implementation her/his own workload with a high degree of autonomy within the defined work plan of expected results. They will meet with the Managing Partner regularly to review progress and more frequently as required to address specific issues arising from project work and as the assessments approach.

Person Specification

Qualifications

Essential

• Education at degree level
• Postgraduate qualification or equivalent experience

Desirable

• Advanced Certificate in Health Service Governance

Skills/Abilities/Behaviours

Essential

• Effective team member with excellent interpersonal skills
• Excellent information collection and retrieval skills
• Excellent written and verbal communication skills in delivering complex information to audiences of different levels of seniority and expertise
• IT skills including word, excel, database, power point and TEAMS
• Ability to assess evidence and to produce reports and presentations
• Excellent planning and organising skills in relation to own work and gathering evidence
• Willingness to further develop skills/knowledge
• Alignment to RCMG Values
• Seek out opportunities to create effective change and suggest innovative ideas for improvement
• Review ways of working, including seeking and providing feedback
• Communicate purpose and direction with clarity, integrity and enthusiasm

Desirable

• Ability to work with, and influence, more senior colleagues clinicians and managers, ensuring that processes are followed

Experience

Essential

• Detailed knowledge of NHS quality standards
• Involvement in audit or quality initiatives
• Experience of analysing and presenting information
• Detailed awareness of Quality and Governance issues
• Experience of forward planning
• Experience of handling complaints including meeting with complaints or family members.

Desirable

• Involvement in quality projects
• NHS experience
• Knowledge of NHS systems, ethos and national agenda and priorities
• Detailed understanding of NHS quality assurance and CQC standards

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.

Employer details

Employer name

Ruby Country Medical Group

Address

Dobles Lane

Holsworthy

Devon

EX22 6GH

Employer's website

https://www.rubycountrymedicalgroup.co.uk/ (Opens in a new tab)