Job summary
Our Quality Team are looking for a new team member who has extensive experience of working at a senior level in the NHS and has a good understanding of coordinating approaches to managing quality to join us in a Clinical Governance Lead role. We are an innovative, creative and conscientious team who have many improvement ideas for future working. This is a great time to join us as we make plans for our next steps.
This role is pivotal to supporting our Trust in consolidating our improvement journey and ensuring consistency and quality of care across all of our services in Norfolk and Suffolk.
This role will include considerations around quality management activities; the methodologies deployed; and the skills, resources and ways of working required to continue to deliver robust and effective quality systems and processes that align to organisational and national priorities, reflects changing service delivery models and measurable improvements in the quality of health and social care.
You must have excellent communication skills, a keen eye for detail, be adaptable, flexible, critical and innovative. You must have the ability to work on your own as well as within a team and be highly motivated to deliver excellence.
Main duties of the job
This role works within the Trust's Quality Team whose purpose is to support the Trust in applying a quality management approach that delivers safe, effective and positive experiences for service users, carers, staff and the community.
This involves leading on building capability and capacity through active lead management in systems and processes such as Care Quality Commission relationship and application of regulations, policy development, implementation and assurance.
About us
Here at NSFT we pride ourselves on being a welcoming, talented, friendly and supportive team who like nothing better than sharing experiences and learning from each other. In addition to ongoing training and development opportunities, we are committed to providing an environment in which you can thrive.
Why work for us? We have challenges as a Trust, but we have ambitious aspirations, are pushing ahead with exciting transformation work and we need dedicated individuals to support us on our journey. We have strong, established professional networks coupled with an exceptional leadership team who will ensure you are truly cared for and cared about.
Why Norfolk and Suffolk? The people here are warm and welcoming, you'll never be far from the beautiful coastline or Broads National Park. We're an hour and a half away from London and have an international airport in Norwich too. Our villages, towns and cities are packed full of history, independent cafes, shops and theatres. We have excellent shopping, eating out, top ranking schooling and affordable house prices too.
Job description
Job responsibilities
Quality Management Approach
- Provide expert advice to clinical services on the application of Quality Management System approach in practice e.g., local governance systems and processes. This is via coaching, facilitative support and formal education.
- Support staff to use systems in place to understand their performance and promote and share best practice.
- To lead on Clinical Governance and contribute to the governance agenda across the Trust including the preparation of the annual quality account, data collection and reports to provide evidence for regulatory compliance.
- To lead on the provision of systems to monitor compliance with fundamental standards of quality and work collaboratively to implement improvements.
- Support the Associate Director for Quality with CQC inspection activities.
- To work closely with other departments for purposes of investigation, resolution and remediation of compliance issues.
- To lead on the review and updates of the Trust wide Improvement Plan.
- To ensure supportive materials and resources are created and available on Trust intranet.
- To lead on the Quality Account development and publication engaging and working with key stakeholders.
Implementing best practice through Quality Planning
- To lead on system of monitoring for applicable NICE and other relevant guidance and the evaluation of Trust practice against such guidance (gap analysis) in association with clinical services. This involves review of clinical pathways and support in their development.
- To oversee the Trust portfolio of clinical and quality policies, supporting identified leads through policy review and to lead on clinical policy development and review as delegated.
- To ensure policies have effective implementation and monitoring plans.
- To lead on the systems and process of Quality Impact Assessments.
Quality Assurance
- Lead the audit team in identifying audit topics as determined by Trust priorities, developing effective audit tools and supporting improvement actions/shared learning.
- Lead on participation in national audit work and analysis of learning and implementation of improvements.
- To lead on internal monitoring and auditing for policy compliance for key patient safety and quality priorities ensuring findings support change.
- Work with the Quality Improvement Team to develop and facilitate a framework and programme of quality improvement using audit.
- To contribute to clinical services governance meetings and Quality Performance meetings ensuring that key patient safety and quality priorities are identified, improvement strategies identified, and assurance methods appropriately used to inform local improvement plans and Trust wide Improvement Plan.
- Participate in Quality and Safety Reviews acting as Lead Reviewer as required.
- To lead on complex assurance projects and those which involve sensitive or distressing information.
- To evaluate the data and information being collected ensuring it reliably demonstrates the impact and outcomes of patient safety and quality.
Quality Improvement
- Provide leadership in participation of national accreditation programmes ensuring learning and improvements are embedded and disseminated.
- To contribute to and inform commissioner quality contracts and support contracts team in ensuring required data is submitted as required.
- To work with Contracts team in translating and designing systems and processes that enable the Trust to implement applicable Commissioning for Quality and Innovation (CQUIN).
- To facilitate teams to progress in the Evidence Assurance Group process.
- To ensure that information regarding national learning (such as feedback from regulators & examples of innovative practice) is appraised and informs Trust compliance and improvement agenda.
General duties and responsibilities
- To promote shared learning and quality initiatives.
- To be responsible for providing expertise, advice and support across the Trust working alongside directors and senior leaders.
- Ensure clinical quality, clinical effectiveness and priorities for improving patient outcomes are held as the highest priority
- To ensure the systems and processes within the team are robust, resilient and meet the needs of the Trust.
- To provide supervision to Quality Team members.
- Undertake recruitment of junior team colleagues where required.
- To be a visible, accessible and approachable leader within the Quality Team and other associated teams in order to support, motivate and inspire.
- Work collaboratively with operational and clinical teams.
- Provide support to all clinical staff in tackling and resolving complex problems.
- Ensure effective communication with all staff within the Trust ensuring governance and patient safety culture is embedded within the organisation.
- Present complex information to varied sized groups in an accessible way that meets the stakeholders needs
- Communication with internal and external stakeholders. Communication will involve sensitive information which could impact highly charged situations with opposing views.
Job description
Job responsibilities
Quality Management Approach
- Provide expert advice to clinical services on the application of Quality Management System approach in practice e.g., local governance systems and processes. This is via coaching, facilitative support and formal education.
- Support staff to use systems in place to understand their performance and promote and share best practice.
- To lead on Clinical Governance and contribute to the governance agenda across the Trust including the preparation of the annual quality account, data collection and reports to provide evidence for regulatory compliance.
- To lead on the provision of systems to monitor compliance with fundamental standards of quality and work collaboratively to implement improvements.
- Support the Associate Director for Quality with CQC inspection activities.
- To work closely with other departments for purposes of investigation, resolution and remediation of compliance issues.
- To lead on the review and updates of the Trust wide Improvement Plan.
- To ensure supportive materials and resources are created and available on Trust intranet.
- To lead on the Quality Account development and publication engaging and working with key stakeholders.
Implementing best practice through Quality Planning
- To lead on system of monitoring for applicable NICE and other relevant guidance and the evaluation of Trust practice against such guidance (gap analysis) in association with clinical services. This involves review of clinical pathways and support in their development.
- To oversee the Trust portfolio of clinical and quality policies, supporting identified leads through policy review and to lead on clinical policy development and review as delegated.
- To ensure policies have effective implementation and monitoring plans.
- To lead on the systems and process of Quality Impact Assessments.
Quality Assurance
- Lead the audit team in identifying audit topics as determined by Trust priorities, developing effective audit tools and supporting improvement actions/shared learning.
- Lead on participation in national audit work and analysis of learning and implementation of improvements.
- To lead on internal monitoring and auditing for policy compliance for key patient safety and quality priorities ensuring findings support change.
- Work with the Quality Improvement Team to develop and facilitate a framework and programme of quality improvement using audit.
- To contribute to clinical services governance meetings and Quality Performance meetings ensuring that key patient safety and quality priorities are identified, improvement strategies identified, and assurance methods appropriately used to inform local improvement plans and Trust wide Improvement Plan.
- Participate in Quality and Safety Reviews acting as Lead Reviewer as required.
- To lead on complex assurance projects and those which involve sensitive or distressing information.
- To evaluate the data and information being collected ensuring it reliably demonstrates the impact and outcomes of patient safety and quality.
Quality Improvement
- Provide leadership in participation of national accreditation programmes ensuring learning and improvements are embedded and disseminated.
- To contribute to and inform commissioner quality contracts and support contracts team in ensuring required data is submitted as required.
- To work with Contracts team in translating and designing systems and processes that enable the Trust to implement applicable Commissioning for Quality and Innovation (CQUIN).
- To facilitate teams to progress in the Evidence Assurance Group process.
- To ensure that information regarding national learning (such as feedback from regulators & examples of innovative practice) is appraised and informs Trust compliance and improvement agenda.
General duties and responsibilities
- To promote shared learning and quality initiatives.
- To be responsible for providing expertise, advice and support across the Trust working alongside directors and senior leaders.
- Ensure clinical quality, clinical effectiveness and priorities for improving patient outcomes are held as the highest priority
- To ensure the systems and processes within the team are robust, resilient and meet the needs of the Trust.
- To provide supervision to Quality Team members.
- Undertake recruitment of junior team colleagues where required.
- To be a visible, accessible and approachable leader within the Quality Team and other associated teams in order to support, motivate and inspire.
- Work collaboratively with operational and clinical teams.
- Provide support to all clinical staff in tackling and resolving complex problems.
- Ensure effective communication with all staff within the Trust ensuring governance and patient safety culture is embedded within the organisation.
- Present complex information to varied sized groups in an accessible way that meets the stakeholders needs
- Communication with internal and external stakeholders. Communication will involve sensitive information which could impact highly charged situations with opposing views.
Person Specification
Qualifications
Essential
- Post graduate qualification in a relevant subject or equivalent demonstrable experience
Desirable
Experience
Essential
- Experience of working at a senior level
- In depth experience of undertaking & coordinating compliance work
Knowledge
Essential
- Strong understanding of quality management approach to quality
Person Specification
Qualifications
Essential
- Post graduate qualification in a relevant subject or equivalent demonstrable experience
Desirable
Experience
Essential
- Experience of working at a senior level
- In depth experience of undertaking & coordinating compliance work
Knowledge
Essential
- Strong understanding of quality management approach to quality
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.
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.
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).
