Job summary
This is an exciting opportunity for a motivated, adaptable, forward thinking and patient safety/quality focused individual to join the Quality team at East Coast Community Healthcare.
As a key role in the Quality team the successful candidate will be responsible for driving quality improvement and learning across the organisation that promotes a culture of learning where patient safety is everyones focus.
The role will lead on a broad range of patient safety and clinical governance activities including the Patient Safety Incident Response Framework and Patient Engagement.
The successful applicant will be proactive and resilient, with the ability to juggle deadlines and competing demands in helping to deliver the patient safety agenda.
The individual will need to have good computer skills with a working knowledge of spreadsheets, word processing and presentation software. You will have an understanding of the use and functionality of digital platforms for incident monitoring and reporting trends and themes.
Main duties of the job
Deliver a robust and timely incident reporting programme for the organisation. Supporting Managers to investigate incidents in line with PSIRF, developing action plans and sharing learning across the organisation.
Be the main point of contact for patient safety incidents, Duty of Candour, Complaints, PALs and patient engagement.
Develop a specialist working knowledge and experience of patient safety, identifying themes and trends, producing and presenting high quality reports to committees.
Act as the organisation Patient Safety Specialist leading on compliance with the national patient safety strategy.
Represent the organisation at national and regional patient safety forums.
Ensure governance processes are continuously monitored to improve the quality of patient safety and care delivered.
Promote a positive just culture by managing and leading on patient safety with all services in the organisation.
Lead on the patient engagement programme, ensuring complaints and PALs are responded to in a timely manner and that lessons learned are shared across the organisation.
Be able to work autonomously, managing your own workload to a high degree of accuracy and to specific deadlines.
Work collaboratively with colleagues across the Quality & People directorate.
To lead on the policy and procedures process for ECCH, ensuring they reflect up to date guidance and legislation.
Manage staff within the quality team, ensuring they are supported and clear on their roles and responsibilities.
About us
ECCH is a well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.
We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.
At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.
We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.
Job description
Job responsibilities
- Works
automonuously interpreting CQC standards, accreditation standards &
government policy to be the expert on the Quality Assurance system issues and
to provide expert support, advice, guidance and education on all aspects of the
risk management system.
- Lead
on Clinical Audit, Pals, Complaints, Patient safety, Incidents, Serious
Incients & Patient engagement throughout ECCH, be the expert in the Serious
Incident response process for ECCH ensuring that all SI investigations are
completed and submitted in accordance with policy.
- To
review with clinical staff the outcomes of any investigations and ensure that
any outcomes and lessons learnt are shared for joint learning.
- To
facilitate and support timely learning from incidents, complaints, claims and
inquests and support staff to develop an open, just and fair culture where
staff report untoward incidents.
- To
educate, support and advise senior managers and clinicians who maybe
responsible for or part of carrying out investigations for incidents,
complaints and near misses including identification and implementation of
action plans and control measures to prevent incident reoccurrence.
- To
communicate sensitive information in relation to incident, complaint, claim
investigations to staff, patients, relatives and external authorities, such as
the Ombudsman, HM Coroner, NHS Resolutions, in line with the guidance on being
open, ensuring communication with key staff in the Quality Directorate.
- To
be responsible for the Serious Incident response process for ECCH ensuring that
all SI investigations are completed and submitted in accordance with policy,
working along side the CSU.
- To
develop and support the implementation of ECCH clinical governance plans and
work programmes.
- To
develop and produce comprehensive quality reports for ECCH, which enable an
aggregated analysis of trends and themes in patient experience, patient safety,
patient outcomes, issues and lead the process of developing mitigating actions.
- Support
clinical team leaders in developing programmes of work to ensure that ECCH meet
the relevant criteria as described in the standards set by the Care Quality
Commission, NHSLA and any other national, service-specific or local performance
frameworks.
- Lead
on the Root Cause Analysis process for investigating serious incidents (as
defined in the National Framework for Serious Incidents requiring Investigation
(NPSA 2010) and provide expert input to multidisciplinary investigation teams
as required.
- Identify
problems or areas of concern relating to clinical and non-clinical practice,
raise to the Deputy Director of Quality and liaise with the lead professionals
to agree remedial action and the setting and maintaining of standards.
- To have a presence on wards and departments to provide advice and support on In
Phase management and Patient Safety topics.
- Responsible
for introducing, adapting and improving operational information systems in own
area of use and use by others; Manage operation of system(s) which process,
update and store information.
- Develop
and review a programme of In Phase management, Root Cause Analysis (RC) and
appropriate ECCH wide initiatives. To manage any developments, as the In Phase
Administrator, upgrades with In Phase and the associated incident management
processes into all clinical and non clinical areas of ECCH. To be the manager
and lead as ECCH In Phase administrator in all aspects of incident/risk
management system.
- To
be responsible for updating regularly and in a timely way with the Deputy
Director of Quality in all quality matters including NICE guidance/Patient
Safety.
- Use
leadership skills to create an environment that is safe and supportive to
ensure effective teamwork and a motivated, efficient workforce.
- To
be the expert in the ECCH clinical audit programme and its embedding in
practice.
- Conduct
staff appraisals using constructive performance review and establish Personal
Development Plans.
- Participate
in the recruitment and selection of staff as the need arises.
- To
ensure effective communication with all staff, irrespective of working pattern,
and encourage staff involvement in decision making and changes affecting them.
- All
roles within East Coast Community Healthcare CIC (ECCH) require staff to
demonstrate our Values and Signature Behaviours in the care and service they
provide to patients, service users, stakeholders and colleagues. All members of
staff should consider these as an essential part of their job role.
- Our
Values outline the core behaviours that we can all achieve and are summarised
as an acronym within the word CARE.
These stand for: Compassion,
Action, Respect and Everyone.
- Underpinning
our Values are our Signature Behaviours which highlight by taking the right
actions we continue to build a strong culture.
Our four Signature Behaviours are: Compassion - We Listen, We Learn, We
Lead| Action - My Accountability, My Responsibility | Respect - Respect Our
Resources: People, Time and Money | Everyone - Work Together, Achieve Together.
Job description
Job responsibilities
- Works
automonuously interpreting CQC standards, accreditation standards &
government policy to be the expert on the Quality Assurance system issues and
to provide expert support, advice, guidance and education on all aspects of the
risk management system.
- Lead
on Clinical Audit, Pals, Complaints, Patient safety, Incidents, Serious
Incients & Patient engagement throughout ECCH, be the expert in the Serious
Incident response process for ECCH ensuring that all SI investigations are
completed and submitted in accordance with policy.
- To
review with clinical staff the outcomes of any investigations and ensure that
any outcomes and lessons learnt are shared for joint learning.
- To
facilitate and support timely learning from incidents, complaints, claims and
inquests and support staff to develop an open, just and fair culture where
staff report untoward incidents.
- To
educate, support and advise senior managers and clinicians who maybe
responsible for or part of carrying out investigations for incidents,
complaints and near misses including identification and implementation of
action plans and control measures to prevent incident reoccurrence.
- To
communicate sensitive information in relation to incident, complaint, claim
investigations to staff, patients, relatives and external authorities, such as
the Ombudsman, HM Coroner, NHS Resolutions, in line with the guidance on being
open, ensuring communication with key staff in the Quality Directorate.
- To
be responsible for the Serious Incident response process for ECCH ensuring that
all SI investigations are completed and submitted in accordance with policy,
working along side the CSU.
- To
develop and support the implementation of ECCH clinical governance plans and
work programmes.
- To
develop and produce comprehensive quality reports for ECCH, which enable an
aggregated analysis of trends and themes in patient experience, patient safety,
patient outcomes, issues and lead the process of developing mitigating actions.
- Support
clinical team leaders in developing programmes of work to ensure that ECCH meet
the relevant criteria as described in the standards set by the Care Quality
Commission, NHSLA and any other national, service-specific or local performance
frameworks.
- Lead
on the Root Cause Analysis process for investigating serious incidents (as
defined in the National Framework for Serious Incidents requiring Investigation
(NPSA 2010) and provide expert input to multidisciplinary investigation teams
as required.
- Identify
problems or areas of concern relating to clinical and non-clinical practice,
raise to the Deputy Director of Quality and liaise with the lead professionals
to agree remedial action and the setting and maintaining of standards.
- To have a presence on wards and departments to provide advice and support on In
Phase management and Patient Safety topics.
- Responsible
for introducing, adapting and improving operational information systems in own
area of use and use by others; Manage operation of system(s) which process,
update and store information.
- Develop
and review a programme of In Phase management, Root Cause Analysis (RC) and
appropriate ECCH wide initiatives. To manage any developments, as the In Phase
Administrator, upgrades with In Phase and the associated incident management
processes into all clinical and non clinical areas of ECCH. To be the manager
and lead as ECCH In Phase administrator in all aspects of incident/risk
management system.
- To
be responsible for updating regularly and in a timely way with the Deputy
Director of Quality in all quality matters including NICE guidance/Patient
Safety.
- Use
leadership skills to create an environment that is safe and supportive to
ensure effective teamwork and a motivated, efficient workforce.
- To
be the expert in the ECCH clinical audit programme and its embedding in
practice.
- Conduct
staff appraisals using constructive performance review and establish Personal
Development Plans.
- Participate
in the recruitment and selection of staff as the need arises.
- To
ensure effective communication with all staff, irrespective of working pattern,
and encourage staff involvement in decision making and changes affecting them.
- All
roles within East Coast Community Healthcare CIC (ECCH) require staff to
demonstrate our Values and Signature Behaviours in the care and service they
provide to patients, service users, stakeholders and colleagues. All members of
staff should consider these as an essential part of their job role.
- Our
Values outline the core behaviours that we can all achieve and are summarised
as an acronym within the word CARE.
These stand for: Compassion,
Action, Respect and Everyone.
- Underpinning
our Values are our Signature Behaviours which highlight by taking the right
actions we continue to build a strong culture.
Our four Signature Behaviours are: Compassion - We Listen, We Learn, We
Lead| Action - My Accountability, My Responsibility | Respect - Respect Our
Resources: People, Time and Money | Everyone - Work Together, Achieve Together.
Person Specification
Qualifications
Essential
- Masters level qualification or equivalent level of experience in a similar role
- Investigations training / experience
- Risk Management training / experience
- Expert knowledge CQC fundamental standards
Desirable
- HSIB level 2 or willing to undertake
- Clinical Audit qualification or experience
- PRINCE 2 or equivalent
Skills and Knowledge
Essential
- Advanced computer literacy and database manipulation
- Excellent written and verbal communication skills
- Ability to lead and motivate others
- Excellent negotiation skills with an ability to work constructively with professional and managerial staff
- Ability to assimilate, analyse and present complex data
- Ability to work without supervision, completer-finisher
Desirable
- Excellent inter-personal skills and the ability to work within a team-based environment
- Self-motivating and act on own initiative, able to work independently
- Able to work with a great degree of flexibility and adaptability
- Ability to embrace our Culture, Values and Signature Behaviours:
- (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
- Willingness and ability to work across different sites and travel to alternative sites and across the community as required
Experience
Essential
- Significant experience in a large complex organisation and within Healthcare Organisation
- Proven knowledge of the principles of patient safety and integrated governance
- Demonstrable experience of managing change
- Demonstrable risk management experience including application of risk management, investigative and assessment tools within a clinical setting
Person Specification
Qualifications
Essential
- Masters level qualification or equivalent level of experience in a similar role
- Investigations training / experience
- Risk Management training / experience
- Expert knowledge CQC fundamental standards
Desirable
- HSIB level 2 or willing to undertake
- Clinical Audit qualification or experience
- PRINCE 2 or equivalent
Skills and Knowledge
Essential
- Advanced computer literacy and database manipulation
- Excellent written and verbal communication skills
- Ability to lead and motivate others
- Excellent negotiation skills with an ability to work constructively with professional and managerial staff
- Ability to assimilate, analyse and present complex data
- Ability to work without supervision, completer-finisher
Desirable
- Excellent inter-personal skills and the ability to work within a team-based environment
- Self-motivating and act on own initiative, able to work independently
- Able to work with a great degree of flexibility and adaptability
- Ability to embrace our Culture, Values and Signature Behaviours:
- (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
- Willingness and ability to work across different sites and travel to alternative sites and across the community as required
Experience
Essential
- Significant experience in a large complex organisation and within Healthcare Organisation
- Proven knowledge of the principles of patient safety and integrated governance
- Demonstrable experience of managing change
- Demonstrable risk management experience including application of risk management, investigative and assessment tools within a clinical setting
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
East Coast Community Healthcare CIC
Address
Hamilton House
Battery Green Road
Lowestoft
Suffolk
NR32 1DE
