Your Healthcare CIC

Clinical Governance and Patient Safety Facilitator

Information:

This job is now closed

Job summary

Are you a senior nurse, with a good understanding of, interest in and experience of governance, passionate about improving patient outcomes and experiences, in an inclusive way that actively considers difference?

Are you a highly organised, proactive, flexible, focussed and approachable with very high-quality verbal, written and presentation skills? When things go wrong, do you look at how systems can be changed, rather than people and do you have a proven track record of effectively taking this approach?

If you are looking for a chance to demonstrate your skills and develop your abilities in a non- patient facing role, this might be the job for you. You will work within the Service Effectiveness Team collaborating directly with the Lead to promote continuous quality improvement across Your Healthcare. This will support the organisations meaningful compliance with the requirements of the National Patient Safety Strategy and its regulatory requirements, set out by the Care Quality Commission.

You will be responsible for supporting the implementation of the Patient Safety Framework by embedding a non-blame culture throughout the organisation and providing clinical oversight to the well-established YH incident reporting and management framework and contribute to quality improvement workstreams.

You will support the organisation to maximise what goes right and minimise what goes wrong.

Main duties of the job

To coordinate the management of quality improvement meetings with frontline services and deliver reflective practice groups and other initiatives across the organisation that support the organisations CQC preparedness and patient safety plan roll out.

To provide effective group and individual training to YH committees and YH members which supports and facilitates high quality incident reporting and management and policy development and implementation.

To support the YH Quality and Audit Lead to ensure that audits and their associated reports meet the requirements of the organisation and CQC, and that the recommendations inform measurable changes.

To provide expert, highly visible and collaborative, hands-on support to front-line clinical teams to drive the Patient Safety and governance priorities set at an organisational level, and coordinated by the Lead for Service Effectiveness.

To provide on-going support, expertise and progress reports to the Lead that support internal and external, governance reporting.

Where required, you will also be expected, to contribute to the development of meaningful and effective collaborative relationships with our key partners across South West London, designed to support improved patient safety outcomes that are both efficient and effective.

This post will support the organisations membership to deliver high-quality, well led, safe, caring, effective and responsive care.

About us

Your Healthcare Community Interest Company is a not for profit community health and social care provider.

Details

Date posted

04 September 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,178 to £55,492 a year including HCAS

Contract

Fixed term

Duration

1 years

Working pattern

Part-time, Flexible working

Reference number

B9811-23-0102

Job locations

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL


Job description

Job responsibilities

2. Job Purpose

Your Healthcare (YH) is a social enterprise providing a wide range of community health and social care services across the Royal Borough of Kingston upon Thames, and learning disability services in Richmond.

You will work within the Service Effectiveness team to promote continuous quality improvement across Your Healthcare, which is focussed on meeting the diverse needs of the community it works with. This will support the organisations meaningful compliance with the requirements of the National Patient Safety Strategy and its regulators the Care Quality Commission.

Working in collaboration with the Service Effectiveness Lead/Patient Safety Specialist you will be responsible for the implementation of the Patient Safety Framework. You will support change by embedding a non-blame culture throughout the organisation, providing additional input to the well-established YH incident reporting and management framework and quality improvement workstreams.

You will support services to implement meaningful and workable changes to their provisions, that are patient and service user centred and developed collaboratively with YH members, our Patient Safety Partners and the community.

You will support the organisation to maximise what goes right and minimise what goes wrong.

3. Dimensions

As a key clinical member of the Service Effectiveness team you will support the development of organisational processes and practices that feed into the clinical governance structures, systems and processes that are in place, within Your Healthcare. These will incorporate measurable, quality improvement activity and provide on-going assurance to the Board and must be fit for internal and external scrutiny.

You will be expected to contribute to the development of meaningful and effective collaborative relationships with our key partners across South West London designed to support improved patient safety outcomes that are both efficient and effective.

This post will support the organisations membership to deliver high-quality, well led, safe, caring, effective and responsive care.

4. Key Result Areas

4.1 Co-ordination

  • To work with the Lead for Service Effectiveness to ensure that YH complies with, and effectively implements, all of the required aspects of national guidance including all aspects of the NHS Patient Safety Strategy, in order to meet its regulatory, legislative and commissioned requirements. Where relevant and required, this will include meaningful involvement with YH Research projects.
  • To coordinate quality improvement meetings with frontline services, reflective practice groups and other initiatives across the organisation that support the organisations CQC preparedness and patient safety plan. This will require regular and ongoing engagement with YH service leads, wider YH members and services users, incorporating their views and experiences.
  • To provide effective group and individual training to YH committees and YH members which supports and facilitates policy development, ensuring that policies are written and implemented in an accessible and meaningful way. This will require proactive regard to the requirements of the Equality Act (2010) and include audit as a standard measure of successful implementation.
  • To support the YH Quality and Audit Lead to ensure that audits and their associated reports meet the requirements of the organisation and CQC, ensuring that the recommendations inform measurable changes. These should support the delivery of high quality and safe care, utilising a SMART no-blame, systems approach.
  • To contribute to the regular reporting requirements of the Service Effectiveness team, internally and externally, including the provision of outcomes of all aspects of quality and risk management, planning and programme implementation.

4.2 Communication and marketing

  • To develop a range of creative and accessible ways of sharing information and learning, with teams across Your Healthcare, that supports the Patient Safety and wider clinical governance agenda.
  • To provide expert, highly visible, and collaborative, hands-on support to front-line clinical teams to drive the Patient Safety and governance priorities.
  • To provide on-going support, expertise and progress reports to the Lead for Service Effectiveness that support internal and external governance reporting

4.3 Performance

  • To be able to demonstrate measurable improvements in patient safety responses, and quality improvement activity, ensuring that governance principles form the foundation of all elements of clinical service delivery, and are embedded in daily practice.
  • To identify risks and any areas of concern regarding service quality gaps and where further support is required, to ensure safe delivery and continuous quality improvement against required local, national and CQC regulatory standards
  • To support improvements in the quality of incident reporting and handling, ensuring the actions that result from the learning, lead to SMART solutions that consider the reality of the working context, work as done, and do not seek to blame.

4.4 Teamwork

To work as an experienced professional clinician within the Service Effectiveness team, collaborating, supporting and facilitating, meaningful and measurable developments. This will include collaboration, as required, with the YH and wider systems Patient Safety Partners to progress relevant workstreams.

To work with the Lead for Service Effectiveness to support the development of realistic, time bound annual workplans informed by regularly changing organisational and regulatory requirements.

To work with YH teams to support quality improvement and improve patient safety and experience. This will include actively seeking and incorporating the views and ideas of YH members, service users, Patient Safety Partners and community members.

4.5 Quality and Improvement

  • To support, develop and drive the Patient Safety and YH quality improvement processes.
  • To support YH to demonstrate achievement across all areas of service provision in a safe and effective way and in line with local, national and regulatory standards.
  • To support continuous policy management improvements and support the development and maintenance of a SharePoint Quality and Safety Hub for staff.
  • To promote the Accessible Information Standard through all internal and external professional and patient/ service user focussed channels, supporting the sourcing and developing of resources and practices required to improve equity of access.
  • To demonstrate the ability to work with members and information, sensitively, and confidentially, using professional and adaptable skills, understanding limitations and scope and demonstrating appropriate escalation to the Lead for Service Effectiveness/Patient Safety Specialist or other core lead professionals, as required.
  • To facilitate an understanding of the importance of the need to monitor, evaluate and develop the quality of services and care delivered.
  • To ensure that the methods of data gathering, presenting and storing comply with the principles of Information Governance, working with the relevant policies and professionals where required and including the Caldicott Guardian and the Data Protection Officer.

The above list of role dimensions is not intended to be fully comprehensive and may be amended to take account of changing circumstances or requirements and after consultation with the post holder.

Job description

Job responsibilities

2. Job Purpose

Your Healthcare (YH) is a social enterprise providing a wide range of community health and social care services across the Royal Borough of Kingston upon Thames, and learning disability services in Richmond.

You will work within the Service Effectiveness team to promote continuous quality improvement across Your Healthcare, which is focussed on meeting the diverse needs of the community it works with. This will support the organisations meaningful compliance with the requirements of the National Patient Safety Strategy and its regulators the Care Quality Commission.

Working in collaboration with the Service Effectiveness Lead/Patient Safety Specialist you will be responsible for the implementation of the Patient Safety Framework. You will support change by embedding a non-blame culture throughout the organisation, providing additional input to the well-established YH incident reporting and management framework and quality improvement workstreams.

You will support services to implement meaningful and workable changes to their provisions, that are patient and service user centred and developed collaboratively with YH members, our Patient Safety Partners and the community.

You will support the organisation to maximise what goes right and minimise what goes wrong.

3. Dimensions

As a key clinical member of the Service Effectiveness team you will support the development of organisational processes and practices that feed into the clinical governance structures, systems and processes that are in place, within Your Healthcare. These will incorporate measurable, quality improvement activity and provide on-going assurance to the Board and must be fit for internal and external scrutiny.

You will be expected to contribute to the development of meaningful and effective collaborative relationships with our key partners across South West London designed to support improved patient safety outcomes that are both efficient and effective.

This post will support the organisations membership to deliver high-quality, well led, safe, caring, effective and responsive care.

4. Key Result Areas

4.1 Co-ordination

  • To work with the Lead for Service Effectiveness to ensure that YH complies with, and effectively implements, all of the required aspects of national guidance including all aspects of the NHS Patient Safety Strategy, in order to meet its regulatory, legislative and commissioned requirements. Where relevant and required, this will include meaningful involvement with YH Research projects.
  • To coordinate quality improvement meetings with frontline services, reflective practice groups and other initiatives across the organisation that support the organisations CQC preparedness and patient safety plan. This will require regular and ongoing engagement with YH service leads, wider YH members and services users, incorporating their views and experiences.
  • To provide effective group and individual training to YH committees and YH members which supports and facilitates policy development, ensuring that policies are written and implemented in an accessible and meaningful way. This will require proactive regard to the requirements of the Equality Act (2010) and include audit as a standard measure of successful implementation.
  • To support the YH Quality and Audit Lead to ensure that audits and their associated reports meet the requirements of the organisation and CQC, ensuring that the recommendations inform measurable changes. These should support the delivery of high quality and safe care, utilising a SMART no-blame, systems approach.
  • To contribute to the regular reporting requirements of the Service Effectiveness team, internally and externally, including the provision of outcomes of all aspects of quality and risk management, planning and programme implementation.

4.2 Communication and marketing

  • To develop a range of creative and accessible ways of sharing information and learning, with teams across Your Healthcare, that supports the Patient Safety and wider clinical governance agenda.
  • To provide expert, highly visible, and collaborative, hands-on support to front-line clinical teams to drive the Patient Safety and governance priorities.
  • To provide on-going support, expertise and progress reports to the Lead for Service Effectiveness that support internal and external governance reporting

4.3 Performance

  • To be able to demonstrate measurable improvements in patient safety responses, and quality improvement activity, ensuring that governance principles form the foundation of all elements of clinical service delivery, and are embedded in daily practice.
  • To identify risks and any areas of concern regarding service quality gaps and where further support is required, to ensure safe delivery and continuous quality improvement against required local, national and CQC regulatory standards
  • To support improvements in the quality of incident reporting and handling, ensuring the actions that result from the learning, lead to SMART solutions that consider the reality of the working context, work as done, and do not seek to blame.

4.4 Teamwork

To work as an experienced professional clinician within the Service Effectiveness team, collaborating, supporting and facilitating, meaningful and measurable developments. This will include collaboration, as required, with the YH and wider systems Patient Safety Partners to progress relevant workstreams.

To work with the Lead for Service Effectiveness to support the development of realistic, time bound annual workplans informed by regularly changing organisational and regulatory requirements.

To work with YH teams to support quality improvement and improve patient safety and experience. This will include actively seeking and incorporating the views and ideas of YH members, service users, Patient Safety Partners and community members.

4.5 Quality and Improvement

  • To support, develop and drive the Patient Safety and YH quality improvement processes.
  • To support YH to demonstrate achievement across all areas of service provision in a safe and effective way and in line with local, national and regulatory standards.
  • To support continuous policy management improvements and support the development and maintenance of a SharePoint Quality and Safety Hub for staff.
  • To promote the Accessible Information Standard through all internal and external professional and patient/ service user focussed channels, supporting the sourcing and developing of resources and practices required to improve equity of access.
  • To demonstrate the ability to work with members and information, sensitively, and confidentially, using professional and adaptable skills, understanding limitations and scope and demonstrating appropriate escalation to the Lead for Service Effectiveness/Patient Safety Specialist or other core lead professionals, as required.
  • To facilitate an understanding of the importance of the need to monitor, evaluate and develop the quality of services and care delivered.
  • To ensure that the methods of data gathering, presenting and storing comply with the principles of Information Governance, working with the relevant policies and professionals where required and including the Caldicott Guardian and the Data Protection Officer.

The above list of role dimensions is not intended to be fully comprehensive and may be amended to take account of changing circumstances or requirements and after consultation with the post holder.

Person Specification

Experience

Essential

  • To have knowledge and experience of supporting and coordinating quality improvement activity using adaptive, inclusive non -judgmental and accessible approaches
  • To have experience of working with governance processes within a health organisation
  • To have experience of effectively communicating in a range of styles and through a range of mediums
  • To have experience of writing reports, presentations, audits and policies.
  • To have experience of running teaching sessions and facilitating workshops
  • To have experience of completing clinical audits and creating SMART action plans that have led to quality improvements
  • To have experience of incident reporting and handling
  • To have experience of analysing quantitative and qualitative data to support the generation of themes
  • To have comprehensive experience of working within the Microsoft 365 environment
  • To have experience of working to set time frames

Desirable

  • Experience of managing staff
  • Experience of patient engagement activity
  • Experience of project management

Qualifications

Essential

  • To hold an undergraduate degree or equivalent
  • To have significant and relevant experience of working frontline, holding supervisory responsibilities
  • To hold a clinical nursing qualification
  • To have completed Patient Safety Level 1 and 2 training

Desirable

  • To have attended leadership training and hold an equivalent qualification
  • To have attended facilitation training and hold an equivalent qualification
  • To have completed Patient Safety Incident Investigation training
  • To have completed Root Cause Analysis Training
  • To hold a teaching/ training qualification

Knowledge

Essential

  • To have a working understanding of the clinical governance requirements of NHS provider organisations
  • To have a good working understanding of the regulatory requirements and inspection processes of CQC
  • To have a working understanding of the NHS Patient Safety Strategy and its associated strands: the Patient Safety Incident Review Framework and Learning From Patient Safety Events. And to understand the associated organizational requirements
  • To have a good working knowledge of confidentiality and data protection
  • To have a working understanding and knowledge of risk management and quality improvement processes

Desirable

  • To have a working knowledge of a range of disciplines working within health and social care settings
  • To have knowledge of effective behaviour change and system change models

Personal qualities

Essential

  • To be passionate about improving patient outcomes and experience
  • To be inclusive and strive for equity of experience
  • To be anti a blame culture
  • To be flexible
  • To be proactive
  • To be focused
  • To be approachable
  • To be fastidious and detailed
  • To be a facilitator

Skills and abilities

Essential

  • To understand key legislation and regulation: Patient Safety Framework, Accessible Information Standard, Data Protection, Equality Act, GDPR, CQC
  • To be able to analyse and digest a range of information from a range of sources to support the development of workable plans that can be implemented across a range of systems in an adaptable, inclusive and accessible way
  • To possess a very high quality, straight forward and accessible communication style, that facilitates the creation of useful learning forums, documents and reports, with a great attention to detail
  • To have the ability to work collaboratively and autonomously with appropriate levels of escalation to a lead
  • To be very organised when holding multiple workstreams and flexible enough to change direction as required and directed
  • To be able to understand and link theory to clinical practice, and to support others to do so in an accessible and inclusive way

Other factors

Essential

  • To be able to travel to all YH locations
Person Specification

Experience

Essential

  • To have knowledge and experience of supporting and coordinating quality improvement activity using adaptive, inclusive non -judgmental and accessible approaches
  • To have experience of working with governance processes within a health organisation
  • To have experience of effectively communicating in a range of styles and through a range of mediums
  • To have experience of writing reports, presentations, audits and policies.
  • To have experience of running teaching sessions and facilitating workshops
  • To have experience of completing clinical audits and creating SMART action plans that have led to quality improvements
  • To have experience of incident reporting and handling
  • To have experience of analysing quantitative and qualitative data to support the generation of themes
  • To have comprehensive experience of working within the Microsoft 365 environment
  • To have experience of working to set time frames

Desirable

  • Experience of managing staff
  • Experience of patient engagement activity
  • Experience of project management

Qualifications

Essential

  • To hold an undergraduate degree or equivalent
  • To have significant and relevant experience of working frontline, holding supervisory responsibilities
  • To hold a clinical nursing qualification
  • To have completed Patient Safety Level 1 and 2 training

Desirable

  • To have attended leadership training and hold an equivalent qualification
  • To have attended facilitation training and hold an equivalent qualification
  • To have completed Patient Safety Incident Investigation training
  • To have completed Root Cause Analysis Training
  • To hold a teaching/ training qualification

Knowledge

Essential

  • To have a working understanding of the clinical governance requirements of NHS provider organisations
  • To have a good working understanding of the regulatory requirements and inspection processes of CQC
  • To have a working understanding of the NHS Patient Safety Strategy and its associated strands: the Patient Safety Incident Review Framework and Learning From Patient Safety Events. And to understand the associated organizational requirements
  • To have a good working knowledge of confidentiality and data protection
  • To have a working understanding and knowledge of risk management and quality improvement processes

Desirable

  • To have a working knowledge of a range of disciplines working within health and social care settings
  • To have knowledge of effective behaviour change and system change models

Personal qualities

Essential

  • To be passionate about improving patient outcomes and experience
  • To be inclusive and strive for equity of experience
  • To be anti a blame culture
  • To be flexible
  • To be proactive
  • To be focused
  • To be approachable
  • To be fastidious and detailed
  • To be a facilitator

Skills and abilities

Essential

  • To understand key legislation and regulation: Patient Safety Framework, Accessible Information Standard, Data Protection, Equality Act, GDPR, CQC
  • To be able to analyse and digest a range of information from a range of sources to support the development of workable plans that can be implemented across a range of systems in an adaptable, inclusive and accessible way
  • To possess a very high quality, straight forward and accessible communication style, that facilitates the creation of useful learning forums, documents and reports, with a great attention to detail
  • To have the ability to work collaboratively and autonomously with appropriate levels of escalation to a lead
  • To be very organised when holding multiple workstreams and flexible enough to change direction as required and directed
  • To be able to understand and link theory to clinical practice, and to support others to do so in an accessible and inclusive way

Other factors

Essential

  • To be able to travel to all YH locations

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

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).

Employer details

Employer name

Your Healthcare CIC

Address

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL


Employer's website

http://www.yourhealthcare.org (Opens in a new tab)


Employer details

Employer name

Your Healthcare CIC

Address

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL


Employer's website

http://www.yourhealthcare.org (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Details

Date posted

04 September 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,178 to £55,492 a year including HCAS

Contract

Fixed term

Duration

1 years

Working pattern

Part-time, Flexible working

Reference number

B9811-23-0102

Job locations

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL


Supporting documents

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