Mortality Governance Facilitator

North West Anglia NHS Foundation Trust

This job is now closed

Job summary

The purpose of this post is to support the Head of Quality Governance & Compliance in managing the Trusts mortality review process including monitoring outcomes from case note record reviews (mortality reviews), demonstrating compliance with the national Learning from Deaths framework and monitoring hospital mortality ratios.

The job involves supporting the Head of Quality Governance & Compliance to provide data and reports to various Trust level and Clinical Divisional committees.

The post holder will provide administrative support including creating and maintaining accurate databases, extracting data for local divisional and high level reports and taking minutes at relevant meetings and committees as required.

This role will involve the post holder acting as the first point of contact across to the Trust in relation to mortality and providing advice and guidance to resolve issues or queries relating to the Trust's mortality review process.

Main duties of the job

Including but not limited to:

To be the first point of contact for queries around mortality/learning from deaths

To plan for SJR sessions including scheduling sessions, seeking reviewers, preparing pre-session documentation

To accurately record the outcomes of SJRs and extract learning points, acting on your own initiative in identifying flags where improvements need to be made, providing data to relevant committees

To organise training sessions for SJR reviewers, including training documentation, attendance records and updating presentations, and maintain up to date training records including the production and issue of certificates

To provide timely data as required on deaths under the Learning from Deaths framework, including reviews undertaken and their outcomes to external organisations such as LeDeR.

To log new investigations, download data from Dr Foster, review for themes and trends and in conjunction with the Head of Quality Governance & Compliance, share with the relevant clinical coding and clinical teams in the agreed timeframe.

To arrange deep dive and ad-hoc reviews as required at the request of the Head of Quality Governance & Compliance.

Undertake reviews of the Standardised Hospital Mortality Indicator (SHMI) preview data, liaise with Information services to ensure the accuracy of the data and review status to determine if each diagnosis group requires coding or clinical review and record this on the spreadsheet and initiate the necessary reviews

About us

We are committed to ensure a work-life balance to all our staff by offering full time and part time roles, flexible working hours on a shift pattern to fit around your family life.

We welcome and encourage applications from people of all backgrounds. We particularly encourage applications from disabled, Black, Asian and Minority Ethnic (BAME) and candidates form our local communities.

Benefits to you

27 days annual leave for new starters, rising to 29 days after five years of service and 33 days after 10 years of service, plus 8 Bank Holidays (pro-rata for part time staff);
NHS Pension Scheme;
Flexible working opportunities;
Increased hourly rates for unsociable hours e.g. night shifts, weekends, bank holidays;
Career development and training;
Wellbeing support and activities;
In-house physiotherapy service;
On-site canteens with subsidised meals;
Subsidised staff parking (currently free).
Free Stagecoach Bus Travel to and from work within Cambridgeshire and Peterborough

Date posted

08 March 2024

Pay scheme

Agenda for change

Band

Band 5

Salary

£28,407 to £34,581 a year pa pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

176-C-6105328

Job locations

Hinchingbrooke Hospital

Hinchingbrooke Park

Huntingdon

PE29 6NT

Job description

Job responsibilities

Please see detailed Job Description and Person Specification attached for more details regarding this role

Job description

Job responsibilities

Please see detailed Job Description and Person Specification attached for more details regarding this role

Person Specification

Education

Essential

Minimum 3 A Levels or equivalent qualification or equivalent experience in a similar role

Desirable

Additional specialist knowledge of administration procedures, including specialised IT systems and project management (ECDL/NVQ)

Experience

Essential

Minimum of one year experience of working in the NHS
Experience of working in a governance, compliance or regulatory role
Significant experience of using MS Excel and databases
Previous experience of comparing data and in using analytical skills to present data in a meaningful way
Experience of working without supervision, providing specialist advice, working to tight and often changing priorities and timescales
Experience of providing training to end users
Experience of minute taking

Skills and Abilities

Essential

Advanced MS Excel skills
Decision making and problem-solving skills
Proven planning and organisational skills
Excellent IT skills with aptitude for learning new databases and training staff in use of the same
Ability to work with a high degree of attention to detail
Ability to prioritise competing priorities
Excellent communication skills, written
Ability to communicate verbally and in writing in a clear, concise manner

Desirable

Knowledge of Hospital Standardised Mortality Ratio and Standardised Hospital Mortality Index
Knowledge of hospital information systems

Person Specification

Education

Essential

Minimum 3 A Levels or equivalent qualification or equivalent experience in a similar role

Desirable

Additional specialist knowledge of administration procedures, including specialised IT systems and project management (ECDL/NVQ)

Experience

Essential

Minimum of one year experience of working in the NHS
Experience of working in a governance, compliance or regulatory role
Significant experience of using MS Excel and databases
Previous experience of comparing data and in using analytical skills to present data in a meaningful way
Experience of working without supervision, providing specialist advice, working to tight and often changing priorities and timescales
Experience of providing training to end users
Experience of minute taking

Skills and Abilities

Essential

Advanced MS Excel skills
Decision making and problem-solving skills
Proven planning and organisational skills
Excellent IT skills with aptitude for learning new databases and training staff in use of the same
Ability to work with a high degree of attention to detail
Ability to prioritise competing priorities
Excellent communication skills, written
Ability to communicate verbally and in writing in a clear, concise manner

Desirable

Knowledge of Hospital Standardised Mortality Ratio and Standardised Hospital Mortality Index
Knowledge of hospital information systems

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.