Lewisham and Greenwich NHS Trust

Clinical Governance Facilitator

Information:

This job is now closed

Job summary

Allied Clinical Services Division covers a wide range of services including; pharmacy, Therapies (Physiotherapy, Occupational Therapy, Speech and Language Therapy, Dietetics and Nutrition, Podiatry), Pathology, Mortuary, Imaging, Clinical Engineering, Outpatient Services, Phlebotomy, Oncology and Haematology. Our services form part of most patient journeys through Lewisham and Greenwich NHS Trust and our teams are an integral part of the multidisciplinary care provided to our service users. An opportunity has opened for a clinical governance facilitator to work with the governance manager toward continual improvement in patient safety and experience through a recognised governance framework.

The post holder will work with the Clinical Governance Manager in meeting the requirements of the Trust Clinical Governance Agenda. In partnership with the professional leads to ensure that patient safety, quality of care and patient experience are of the highest possible standard. The post holder will assist with the day to day management of divisional governance matters as directed by the Clinical Governance Manager.

The post holder will contribute to the governance meetings throughout the Division, supporting agendas, collecting data and sharing information within the teams.

To be able to assess individual situations, some of which may be complex/ sensitive. Differentiate between issues that can be resolved contemporaneously and those that warrant further investigation.

Main duties of the job

  • Provide a resource to clinical teams and managers in the submission of investigation reports of Clinical Incidents.
  • Support the Divisional Clinical Governance Manager in patient safety investigations, complaint responses, sharing learning and collection of information for governance projects.
  • Support change and learning process through feedback and monitoring action plans to ensure the maximum benefit to patient care.

About us

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

As an organisation, we've made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of "Good" in the Well-Led and Effective domains, in addition to the rating of "Good" that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust's improvement journey, as we've stabilised our workforce by reducing vacancy rates and improving staff retention. We've also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

Details

Date posted

15 June 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum plus HCA pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

197-UT3993

Job locations

University Hospital Lewisham

High Street

Lewisham

SE13 6LH


Job description

Job responsibilities

Post Title: Clinical Governance Facilitator

Division: Allied Clinical Services (ACS)

Responsible to: Clinical Governance Manager

Band: 6

Hours: Part Time (22hrs)

Job Summary:

Accountable to the Divisional Governance Manager, ACS

Key Relationships

Heads of Professions, Senior Nurses and AHPs, Service Managers, Patient Safety Team, Patient Advocacy and Patient Complaints and Liaison Service (PALS) and Clinical Effectiveness teams.

Job Summary

The post holder will work with the Clinical Governance Manager in meeting the requirements of the Trust Clinical Governance Agenda. In partnership with the Divisional Governance lead/s working to ensure that patient safety, quality of care and patient experience are of the highest possible standard. The post holder will assist with the day to day management of divisional governance matters as directed by the Clinical Governance Manager.

The post holder will contribute to the governance meetings throughout the Division, supporting agendas, collecting data and sharing information within the teams.

To be able to assess individual situations, some of which may be complex/ sensitive. Differentiate between issues that can be resolved contemporaneously and those that warrant further investigation.

Key Result Areas:

Provide a resource to clinical teams and managers in the submission of investigation reports of Clinical Incidents.

  • Support the Divisional Clinical Governance Manager in patient safety investigations, complaint responses, sharing learning and collection of information for governance projects.
  • Support change and learning process through feedback and monitoring action plans to ensure the maximum benefit to patient care.

Performance

Collate information and draft responses to Patient queries from Patients Advocacy and Liaison Service and the patient complaints team.

  • Deputise as appropriate for the Clinical Governance Manger as required at internal meetings and events across the Trust.
  • Maintaining the Divisional Governance Trackers to meet Trust deadlines, escalating concerns within a timely manner.
  • Raise the profile of quality and governance across the Division.
  • Point of contact for members of the team, acting as a resource to support the delivery Trust and National standards.
  • Independently compile reports, data analysis and thematic reviews and audit of compliance as required within agreed parameters, with guidance of the Divisional Governance Manager when exceptional reporting requirements are identified.
  • Use the Trusts risk management system (Ulysses).
  • Management of a caseload of complaints, from initial contact from PALS/patient/carers, to liaising with and advising clinicians and senior managers. Support key staff to obtain statements, arrange interviews with key staff involved and coordinate the provision of investigation reports and complaints responses. This involves organising meetings and reviewing responses to ensure they cover all aspects of the original complaint, including statutory requirements.
  • To format the responses to complaints/concerns into a high quality written response/letter to be signed off firstly by the Divisional Governance Manager, and finally sign off by the Divisional Director of Professions and Governance.

Work force

  • Will be expected to work autonomously using own initiative in dealing with complaints and responses, guided by Trust policies and procedures
  • Act as a subject expert and contact for the clinical teams to guide completion of complaint responses and ensure all relevant teams are included for response through interpretation of policies in relation to complaint subject matter and a clear understanding of areas of responsibility of all the teams under Allied Clinical Services.
  • Support the Trust and Divisions Recruitment and Retention Strategy
  • To attend meetings relevant to the role and represent views of the Team
  • To contribute to the education, training and development of staff across Division on Governance Agenda as guided by Clinical Governance Manager.
  • To ensure annual personal development plan in place and review with line manager.
  • To remain current with professional practice and complete all mandatory training requirements in a timely manner.
  • To maintain accurate record keeping and confidentiality whilst performing all tasks and duties.

Financial

  • To use resources effectively
  • Advise the divisional management team of any recommendations which may impact on the delivery of the Trust Governance Agenda.

Partnerships

  • To work with teams within the Division to identify ways to raise the profile of governance.
  • To work with closely with the Patients Safety Team, PALS, Clinical Effectiveness and the Patient Experience Team.

General

  • To identify areas of research/audit with the aim to improve evidence based care.
  • To identify themes in complaints, incidents and investigations with opportunity for learning and quality improvement.
  • To contribute to the development of local and Trust policies.
  • To keep up-to-date with local and national developments.
  • Have a political awareness.
  • To develop and maintain own skills, academic knowledge and expertise as appropriate.
  • To comply with all policies and procedures eg Health and Safety at Work Act and the Data Protection Act.
  • To exercise sensitivity and diplomacy regarding role boundaries with other team members across the Trust.
  • Regular contact with distressed patients/carers.

Job description

Job responsibilities

Post Title: Clinical Governance Facilitator

Division: Allied Clinical Services (ACS)

Responsible to: Clinical Governance Manager

Band: 6

Hours: Part Time (22hrs)

Job Summary:

Accountable to the Divisional Governance Manager, ACS

Key Relationships

Heads of Professions, Senior Nurses and AHPs, Service Managers, Patient Safety Team, Patient Advocacy and Patient Complaints and Liaison Service (PALS) and Clinical Effectiveness teams.

Job Summary

The post holder will work with the Clinical Governance Manager in meeting the requirements of the Trust Clinical Governance Agenda. In partnership with the Divisional Governance lead/s working to ensure that patient safety, quality of care and patient experience are of the highest possible standard. The post holder will assist with the day to day management of divisional governance matters as directed by the Clinical Governance Manager.

The post holder will contribute to the governance meetings throughout the Division, supporting agendas, collecting data and sharing information within the teams.

To be able to assess individual situations, some of which may be complex/ sensitive. Differentiate between issues that can be resolved contemporaneously and those that warrant further investigation.

Key Result Areas:

Provide a resource to clinical teams and managers in the submission of investigation reports of Clinical Incidents.

  • Support the Divisional Clinical Governance Manager in patient safety investigations, complaint responses, sharing learning and collection of information for governance projects.
  • Support change and learning process through feedback and monitoring action plans to ensure the maximum benefit to patient care.

Performance

Collate information and draft responses to Patient queries from Patients Advocacy and Liaison Service and the patient complaints team.

  • Deputise as appropriate for the Clinical Governance Manger as required at internal meetings and events across the Trust.
  • Maintaining the Divisional Governance Trackers to meet Trust deadlines, escalating concerns within a timely manner.
  • Raise the profile of quality and governance across the Division.
  • Point of contact for members of the team, acting as a resource to support the delivery Trust and National standards.
  • Independently compile reports, data analysis and thematic reviews and audit of compliance as required within agreed parameters, with guidance of the Divisional Governance Manager when exceptional reporting requirements are identified.
  • Use the Trusts risk management system (Ulysses).
  • Management of a caseload of complaints, from initial contact from PALS/patient/carers, to liaising with and advising clinicians and senior managers. Support key staff to obtain statements, arrange interviews with key staff involved and coordinate the provision of investigation reports and complaints responses. This involves organising meetings and reviewing responses to ensure they cover all aspects of the original complaint, including statutory requirements.
  • To format the responses to complaints/concerns into a high quality written response/letter to be signed off firstly by the Divisional Governance Manager, and finally sign off by the Divisional Director of Professions and Governance.

Work force

  • Will be expected to work autonomously using own initiative in dealing with complaints and responses, guided by Trust policies and procedures
  • Act as a subject expert and contact for the clinical teams to guide completion of complaint responses and ensure all relevant teams are included for response through interpretation of policies in relation to complaint subject matter and a clear understanding of areas of responsibility of all the teams under Allied Clinical Services.
  • Support the Trust and Divisions Recruitment and Retention Strategy
  • To attend meetings relevant to the role and represent views of the Team
  • To contribute to the education, training and development of staff across Division on Governance Agenda as guided by Clinical Governance Manager.
  • To ensure annual personal development plan in place and review with line manager.
  • To remain current with professional practice and complete all mandatory training requirements in a timely manner.
  • To maintain accurate record keeping and confidentiality whilst performing all tasks and duties.

Financial

  • To use resources effectively
  • Advise the divisional management team of any recommendations which may impact on the delivery of the Trust Governance Agenda.

Partnerships

  • To work with teams within the Division to identify ways to raise the profile of governance.
  • To work with closely with the Patients Safety Team, PALS, Clinical Effectiveness and the Patient Experience Team.

General

  • To identify areas of research/audit with the aim to improve evidence based care.
  • To identify themes in complaints, incidents and investigations with opportunity for learning and quality improvement.
  • To contribute to the development of local and Trust policies.
  • To keep up-to-date with local and national developments.
  • Have a political awareness.
  • To develop and maintain own skills, academic knowledge and expertise as appropriate.
  • To comply with all policies and procedures eg Health and Safety at Work Act and the Data Protection Act.
  • To exercise sensitivity and diplomacy regarding role boundaries with other team members across the Trust.
  • Regular contact with distressed patients/carers.

Person Specification

Qualifications & Training

Essential

  • oDegree or equivalent NHS experience
  • oEvidence of professional Development

Desirable

  • oProject Management Qualification e.g. PRINCE2
  • oECDL

Experience

Essential

  • oAt least 2 years' experience in clinical Governance or related field
  • oPractical experience of all stages of the Governance cycle

Desirable

  • oNHS experience

Knowledge & Skills

Essential

  • oKnowledge of all stages of the Governance cycle
  • oKnowledge of statistics and practical experience of statistical analysis using computerised packages
  • oWorking knowledge of data security and confidentiality
  • oExcellent written and verbal communication skills
  • oExcellent presentation skills
  • oCan demonstrate evidence of innovative thinking
  • oAble to write and present reports in a variety of formats
  • oAble to organise and facilitate meetings effectively
  • oCan demonstrate computer literacy in Windows Office Suite of programmes specifically, Excel, Word and Access.

Desirable

  • oUnderstanding of clinical governance and evidence based practice
  • oConversant with medical terminology
  • oExperience of designing and delivering training
Person Specification

Qualifications & Training

Essential

  • oDegree or equivalent NHS experience
  • oEvidence of professional Development

Desirable

  • oProject Management Qualification e.g. PRINCE2
  • oECDL

Experience

Essential

  • oAt least 2 years' experience in clinical Governance or related field
  • oPractical experience of all stages of the Governance cycle

Desirable

  • oNHS experience

Knowledge & Skills

Essential

  • oKnowledge of all stages of the Governance cycle
  • oKnowledge of statistics and practical experience of statistical analysis using computerised packages
  • oWorking knowledge of data security and confidentiality
  • oExcellent written and verbal communication skills
  • oExcellent presentation skills
  • oCan demonstrate evidence of innovative thinking
  • oAble to write and present reports in a variety of formats
  • oAble to organise and facilitate meetings effectively
  • oCan demonstrate computer literacy in Windows Office Suite of programmes specifically, Excel, Word and Access.

Desirable

  • oUnderstanding of clinical governance and evidence based practice
  • oConversant with medical terminology
  • oExperience of designing and delivering training

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

High Street

Lewisham

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

High Street

Lewisham

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Governance Manager

Kathy Baker

kathybaker@nhs.net

07748454443

Details

Date posted

15 June 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum plus HCA pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

197-UT3993

Job locations

University Hospital Lewisham

High Street

Lewisham

SE13 6LH


Supporting documents

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