Practice & Quality Improvement Lead

Saint Francis Hospice

Information:

This job is now closed

Job summary

An exciting opportunity has arisen for an experienced clinician to join the Saint Francis Hospice team as the Practice and Quality Improvement Lead.  This is a 6 month fixed term contract leading to an opportunity to apply for a permanent position.

Main duties of the job

The post holder will be responsible and accountable for the promotion and monitoring safe and effective practice. There will be a focus on the enhancement of service user experience as well as leadership across the organisation, especially clinical areas, and effective collaboration to contribute to the delivery of the organisation’s objectives and strategy. Practice development and quality improvement will be central to achieving this.

If you are a highly motivated and dynamic registered professional, with leadership skills and a team player with strong interpersonal and communication skills, we want to hear from you. In return, we will offer supervision, reflective practice, staff support, professional development opportunities and a supportive working environment.

Applications will be shortlisted upon receipt.

About us

We are a dynamic, forward thinking organisation delivering a full range of specialist palliative care services for patients with life limiting illness. We achieved ‘Outstanding’ in a CQC inspection in April 2016 & have reconfigured our services to meet the changing needs of our local community. We support 5 Clinical Commissioning Groups & has a robust governance structure in place. We provide inpatient clinical services within a modern, personal & friendly 18-bedded unit, as well as Specialist Community Crisis Support Service, Hospice at Home Service & Specialist Day Therapy Service. We also have the hospice Pepperell Education Centre that has an excellent reputation for delivering high quality education programmes and study days. All communication regarding your application including invitations to interviews will be sent to the email address you have stated on your application form. Please ensure that you provide contact business email addresses for your referees, one of which must be your current or most recent employer. Please note that we are a charity & not part of an NHS Trust & we are situated in a quiet location in the village of Havering-atte-Bower, outskirts of Romford, therefore please consider our location when applying.

Date posted

04 May 2022

Pay scheme

Other

Salary

£40,069 to £46,569 a year

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

B0483-004

Job locations

St. Francis Hospice

Broxhill Road

Havering-atte-bower

Romford

RM4 1QH


Job description

Job responsibilities

Main purpose: The post holder will:

Act as CQC Link to Registered Manager.

Promote and monitor safe and effective practice through audit compliance and monitoring 

Ensure practice development and competency standards

Enhance the service user experience

Provide effective leadership and management

Contribute to the delivery of the organisation’s objectives and Strategy The Practice and Quality Improvement Lead will work pro-actively across all areas within Saint Francis Hospice (SFH) ensuring that both practice development and quality improvement are central to all parts of hospice services, particularly care services.

MAIN DUTIES AND RESPONSIBILITIES CQC registered manager:

To be the lead reporting to the Registered Manager (CQC – Care Quality Commission) for the Hospice services and Hospice Lead for CQC.

Adhere to all CQC requirements for reporting as manager and oversee the organisations compliance to statutory reporting 

Complete quarterly update meetings with the CQC inspector Proactive reporting to the CEO and Director of any significant changes to CQC regulation

Identification of any risks to the organisation as to non-compliance with best practice and ability to evidence against CQC framework

Completion of any reports or framework requests from CQV

Quarterly report to board as to CQC activity and any relevant updates for board awareness

Attend clinical Governance and board as required 

Lead and support workforce preparation for a CQC inspection, including developing mock inspections.

Develop into RM role if required Support the development and implementation of the Quality and Care team strategy and plans: and lead on the development and implementation of a nursing strategy, setting out scope of nursing role within the hospice and developments. To work collaboratively and support the Accountable Officer role within the Organisation. Practice Development and Quality Improvement

Role model the Hospice values to provide effective, multi-professional working and leadership.

Work alongside the Practice Development Nurse and advise on areas for the work plan, in response to national guidance and policy as well as locally driven need.

Prioritise such areas of work as directed by senior colleagues, depending on organisational need. The future-orientated work of the Quality Account will also influence this. 

Identify emerging development needs as indicated by monitoring and reporting processes, including accidents and incidents. 

Support individual teams and staff/volunteer development as appropriate.

Oversee specific responsibilities of the Practice Development Nurse (PDN) and steer the structure of work, including projects.

Work closely with Human Resources and contribute to organisational development as appropriate.

Lead on the creation and compilation of the annual Quality Account, in conjunction with the Marketing and Communications Team. 

Lead staff and volunteers to ensure that the Quality Account requirements are worked towards using SMART objectives.

Support and guide individual staff and teams through specific pieces of quality improvement projects from across the organisation. 

Steer the dissemination of findings and learning, and identify and drive implementation of these to practice.

Recognise barriers to such implementation and work with staff and volunteers to overcome these through the identification of solutions. 

Attend external forums as appropriate to the role to sustain relationships with stakeholders.

Review, contribute to and create organisational policies as required for the role.

To oversee the support and recording of revalidation of registered professionals, in conjunction with HR. Leadership and Management Role model the Hospice values to provide effective, multi-professional working and leadership.

To contribute towards budget setting process and where appropriate manage a delegated budget ensuring this is maintained as allocated.

To undertake delegated duties from the Head of Professional Practice of Education in relation to practice development and quality improvement issues.

Produce reports as required for internal use and for external use – CQC, CCG’s, Hospice UK Benchmarking.

Ensure and oversee Audit compliance and attend with quarterly appropriate Management Group meetings. 

Contribute to local, regional and national forums for specialist palliative care, quality improvement and practice development as an SFH representative.

Develop and maintain working relationships with other Local Hospices, Acute Trusts, Primary Care, Community Services and Local Authority Services to ensure collaborative working as much as possible. 

Oversee specific responsibilities of the Practice Development Nurse (PDN) and steer the structure of work, including projects.

Oversee the work of the Service Improvement Groups and report on the activity of the Clinical Effectiveness Group to the Clinical Governance Committee annually. Education and Training 

Work with the Head of Professional Practice & Education to ensure workforce development initiatives are reflected, for example staff and volunteer development via external education opportunities.

Promote a compassionate, learning and inclusive organisation and address training needs, such as communication skills, to support this. Teach staff about quality improvement, especially how it differs from audit and how it is applied to practice, in liaison with the Head of Professional Practice Education.

Ensure a good organisational understanding of audit and quality improvement through teaching and learning activities.

Ensure that the role provides an excellent learning opportunities for staff and volunteers and those on placement and that knowledge is shared. 

Facilitate a Reflective Practice Group and participate in all associated processes. 

To participate in working alongside teams, as appropriate, to meet the development needs of staff, through induction, orientation, appraisal and learning/support following incidents. 

To participate in education programmes, internal and external, as required.

To oversee the monitoring/support of the staff competency framework. Professional Responsibilities 

To lead and manage workload by example, team work, inspiration and direction.

To keep abreast of required development/knowledge related to practice development, audit and quality improvement in palliative and end of life care, and ensure and support application of theory to practice. 

To understand the importance of own professional accountability and recognise individual responsibility for personal and professional development in accordance with a Code of Professional Code of Conduct. 

To identify own development needs and initiate a plan to meet those needs with line manager 

To receive one to one supervision for own personal and professional development. 

To facilitate all work from an organisational, hospice-wide perspective.

To adhere to the policies and conditions of service of Saint Francis Hospice.

To understand that the Practice and Quality Improvement Lead role may change as the post develops, but only with discussion between the Head of Professional Practice and Education and Director of Quality and Care. Research and Audit

Participate in research and audit. 

Identify opportunities for audit of practice and highlight any emergent research questions. 

Participate in the work of the Research and Ethics Interest Groups and disseminate findings through these forums as appropriate.  Sustain, update and support the achievement of the Annual Audit Plan, and manage this through the Clinical Audit Group.

Participate in national forums to disseminate findings and represent SFH.

Publish outcomes from work in collaboration with colleagues, supporting this process as needed. Governance & Quality Assurance To assist with responding, reporting, investigating and learning with regards to concerns, complaints and incidents  To oversee the co-ordination of mentoring and follow- up of recommendations from internal audits.

To ensure that national and local policies and procedures are adhered to by all staff and in accordance with the Regulations and Standards of the Care Quality Commission and Professional Regulatory Bodies. 

Manage the use of the CQC monitoring and reporting tool software and support all processes towards being recognised as delivering outstanding care. 

Lead on the compilation of the PIR document.

Job description

Job responsibilities

Main purpose: The post holder will:

Act as CQC Link to Registered Manager.

Promote and monitor safe and effective practice through audit compliance and monitoring 

Ensure practice development and competency standards

Enhance the service user experience

Provide effective leadership and management

Contribute to the delivery of the organisation’s objectives and Strategy The Practice and Quality Improvement Lead will work pro-actively across all areas within Saint Francis Hospice (SFH) ensuring that both practice development and quality improvement are central to all parts of hospice services, particularly care services.

MAIN DUTIES AND RESPONSIBILITIES CQC registered manager:

To be the lead reporting to the Registered Manager (CQC – Care Quality Commission) for the Hospice services and Hospice Lead for CQC.

Adhere to all CQC requirements for reporting as manager and oversee the organisations compliance to statutory reporting 

Complete quarterly update meetings with the CQC inspector Proactive reporting to the CEO and Director of any significant changes to CQC regulation

Identification of any risks to the organisation as to non-compliance with best practice and ability to evidence against CQC framework

Completion of any reports or framework requests from CQV

Quarterly report to board as to CQC activity and any relevant updates for board awareness

Attend clinical Governance and board as required 

Lead and support workforce preparation for a CQC inspection, including developing mock inspections.

Develop into RM role if required Support the development and implementation of the Quality and Care team strategy and plans: and lead on the development and implementation of a nursing strategy, setting out scope of nursing role within the hospice and developments. To work collaboratively and support the Accountable Officer role within the Organisation. Practice Development and Quality Improvement

Role model the Hospice values to provide effective, multi-professional working and leadership.

Work alongside the Practice Development Nurse and advise on areas for the work plan, in response to national guidance and policy as well as locally driven need.

Prioritise such areas of work as directed by senior colleagues, depending on organisational need. The future-orientated work of the Quality Account will also influence this. 

Identify emerging development needs as indicated by monitoring and reporting processes, including accidents and incidents. 

Support individual teams and staff/volunteer development as appropriate.

Oversee specific responsibilities of the Practice Development Nurse (PDN) and steer the structure of work, including projects.

Work closely with Human Resources and contribute to organisational development as appropriate.

Lead on the creation and compilation of the annual Quality Account, in conjunction with the Marketing and Communications Team. 

Lead staff and volunteers to ensure that the Quality Account requirements are worked towards using SMART objectives.

Support and guide individual staff and teams through specific pieces of quality improvement projects from across the organisation. 

Steer the dissemination of findings and learning, and identify and drive implementation of these to practice.

Recognise barriers to such implementation and work with staff and volunteers to overcome these through the identification of solutions. 

Attend external forums as appropriate to the role to sustain relationships with stakeholders.

Review, contribute to and create organisational policies as required for the role.

To oversee the support and recording of revalidation of registered professionals, in conjunction with HR. Leadership and Management Role model the Hospice values to provide effective, multi-professional working and leadership.

To contribute towards budget setting process and where appropriate manage a delegated budget ensuring this is maintained as allocated.

To undertake delegated duties from the Head of Professional Practice of Education in relation to practice development and quality improvement issues.

Produce reports as required for internal use and for external use – CQC, CCG’s, Hospice UK Benchmarking.

Ensure and oversee Audit compliance and attend with quarterly appropriate Management Group meetings. 

Contribute to local, regional and national forums for specialist palliative care, quality improvement and practice development as an SFH representative.

Develop and maintain working relationships with other Local Hospices, Acute Trusts, Primary Care, Community Services and Local Authority Services to ensure collaborative working as much as possible. 

Oversee specific responsibilities of the Practice Development Nurse (PDN) and steer the structure of work, including projects.

Oversee the work of the Service Improvement Groups and report on the activity of the Clinical Effectiveness Group to the Clinical Governance Committee annually. Education and Training 

Work with the Head of Professional Practice & Education to ensure workforce development initiatives are reflected, for example staff and volunteer development via external education opportunities.

Promote a compassionate, learning and inclusive organisation and address training needs, such as communication skills, to support this. Teach staff about quality improvement, especially how it differs from audit and how it is applied to practice, in liaison with the Head of Professional Practice Education.

Ensure a good organisational understanding of audit and quality improvement through teaching and learning activities.

Ensure that the role provides an excellent learning opportunities for staff and volunteers and those on placement and that knowledge is shared. 

Facilitate a Reflective Practice Group and participate in all associated processes. 

To participate in working alongside teams, as appropriate, to meet the development needs of staff, through induction, orientation, appraisal and learning/support following incidents. 

To participate in education programmes, internal and external, as required.

To oversee the monitoring/support of the staff competency framework. Professional Responsibilities 

To lead and manage workload by example, team work, inspiration and direction.

To keep abreast of required development/knowledge related to practice development, audit and quality improvement in palliative and end of life care, and ensure and support application of theory to practice. 

To understand the importance of own professional accountability and recognise individual responsibility for personal and professional development in accordance with a Code of Professional Code of Conduct. 

To identify own development needs and initiate a plan to meet those needs with line manager 

To receive one to one supervision for own personal and professional development. 

To facilitate all work from an organisational, hospice-wide perspective.

To adhere to the policies and conditions of service of Saint Francis Hospice.

To understand that the Practice and Quality Improvement Lead role may change as the post develops, but only with discussion between the Head of Professional Practice and Education and Director of Quality and Care. Research and Audit

Participate in research and audit. 

Identify opportunities for audit of practice and highlight any emergent research questions. 

Participate in the work of the Research and Ethics Interest Groups and disseminate findings through these forums as appropriate.  Sustain, update and support the achievement of the Annual Audit Plan, and manage this through the Clinical Audit Group.

Participate in national forums to disseminate findings and represent SFH.

Publish outcomes from work in collaboration with colleagues, supporting this process as needed. Governance & Quality Assurance To assist with responding, reporting, investigating and learning with regards to concerns, complaints and incidents  To oversee the co-ordination of mentoring and follow- up of recommendations from internal audits.

To ensure that national and local policies and procedures are adhered to by all staff and in accordance with the Regulations and Standards of the Care Quality Commission and Professional Regulatory Bodies. 

Manage the use of the CQC monitoring and reporting tool software and support all processes towards being recognised as delivering outstanding care. 

Lead on the compilation of the PIR document.

Person Specification

Qualifications

Essential

  • Degree or equivalent experience in relevant area of work
  • Trained professional with current registration and evidence of PIN if
  • appropriate
  • Qualification or equivalent experience in planning learning and delivering
  • teaching
  • Evidence of Continuing Professional Development

Skills, Abilities, Knowledge

Essential

  • Significant senior level experience of developing practice, leading change
  • and quality improvement.
  • Evidence of knowledge and practical application of practice development
  • and quality improvement
  • In depth knowledge and understanding of the CQC registered service
  • requirements for hospice service delivery
  • Excellent communications skills, both written and verbal presentation,
  • including addressing challenging conversations
  • Excellent organisational/time management skills including work under pressure with changing priorities, deadlines and high volume workloads
  • Proven ability to make decisions, to work on own initiative and accept
  • responsibility
  • Ability to work alone and as part of a team
  • Working knowledge of IT - inclusive of excel, access, word and power point
  • Knowledge of key Palliative Care service provision levers, locally and
  • nationally
  • Knowledge of hospice work coupled with enthusiasm and commitment to the work of the Hospice
  • Able to think operationally and strategically
  • Adaptable, flexible and able to handle uncertainty
  • Able to engage with, motivate and lead others
  • Ability to provide management and clinical supervision
  • Evidence of report/policy review and writing
  • Experience and knowledge of policy and service development
  • implementation
  • Experience of writing and utilising a work/implementation plan
  • Undertaking audit and implementing change following outcomes
  • Teaching groups and developing staff, including competency based
  • initiatives and mentorship
  • Working collaboratively across a wide range of personnel
  • Experience of working within the NHS or Local Government and in particular implementing service policies and procedures
  • Experience of working with/developing palliative care services
  • Demonstrable experience of working palliative care services
  • Ability to maintain and understand the importance of confidentiality
  • Willingness to take on new responsibilities and respond positively to change
  • Willingness to work flexibly to accommodate service requirements

Desirable

  • Evidence of leadership and management development
  • Knowledge of existing NHS, Local Authority and Voluntary Sector architecture
  • Supporting and developing reflective practice and giving management and practice guidance
  • Experience of service redesign and implementation
Person Specification

Qualifications

Essential

  • Degree or equivalent experience in relevant area of work
  • Trained professional with current registration and evidence of PIN if
  • appropriate
  • Qualification or equivalent experience in planning learning and delivering
  • teaching
  • Evidence of Continuing Professional Development

Skills, Abilities, Knowledge

Essential

  • Significant senior level experience of developing practice, leading change
  • and quality improvement.
  • Evidence of knowledge and practical application of practice development
  • and quality improvement
  • In depth knowledge and understanding of the CQC registered service
  • requirements for hospice service delivery
  • Excellent communications skills, both written and verbal presentation,
  • including addressing challenging conversations
  • Excellent organisational/time management skills including work under pressure with changing priorities, deadlines and high volume workloads
  • Proven ability to make decisions, to work on own initiative and accept
  • responsibility
  • Ability to work alone and as part of a team
  • Working knowledge of IT - inclusive of excel, access, word and power point
  • Knowledge of key Palliative Care service provision levers, locally and
  • nationally
  • Knowledge of hospice work coupled with enthusiasm and commitment to the work of the Hospice
  • Able to think operationally and strategically
  • Adaptable, flexible and able to handle uncertainty
  • Able to engage with, motivate and lead others
  • Ability to provide management and clinical supervision
  • Evidence of report/policy review and writing
  • Experience and knowledge of policy and service development
  • implementation
  • Experience of writing and utilising a work/implementation plan
  • Undertaking audit and implementing change following outcomes
  • Teaching groups and developing staff, including competency based
  • initiatives and mentorship
  • Working collaboratively across a wide range of personnel
  • Experience of working within the NHS or Local Government and in particular implementing service policies and procedures
  • Experience of working with/developing palliative care services
  • Demonstrable experience of working palliative care services
  • Ability to maintain and understand the importance of confidentiality
  • Willingness to take on new responsibilities and respond positively to change
  • Willingness to work flexibly to accommodate service requirements

Desirable

  • Evidence of leadership and management development
  • Knowledge of existing NHS, Local Authority and Voluntary Sector architecture
  • Supporting and developing reflective practice and giving management and practice guidance
  • Experience of service redesign and implementation

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Saint Francis Hospice

Address

St. Francis Hospice

Broxhill Road

Havering-atte-bower

Romford

RM4 1QH


Employer's website

https://www.sfh.org.uk/ (Opens in a new tab)

Employer details

Employer name

Saint Francis Hospice

Address

St. Francis Hospice

Broxhill Road

Havering-atte-bower

Romford

RM4 1QH


Employer's website

https://www.sfh.org.uk/ (Opens in a new tab)

For questions about the job, contact:

Head of Professional Practice and Education

Bridget Moss

bridgetmoss@sfh.org.uk

01708758646

Date posted

04 May 2022

Pay scheme

Other

Salary

£40,069 to £46,569 a year

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

B0483-004

Job locations

St. Francis Hospice

Broxhill Road

Havering-atte-bower

Romford

RM4 1QH


Supporting documents

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