Divisional Quality and Safety Manager

Job responsibilities

The post holder will provide support for serious incidents including investigation methodology coaching through the Trusts investigation methodology

To co-ordinate the process for serious incidents, ensuring all relevant parts of the process are undertaken by the appropriate people e.g. supporting staff, Duty of Candour, Being Open and delivery of actions

To quality assure final drafts of investigation and learning response reports prior to submission to the central quality and safety team

To provide training on investigation methodology and on being open

To monitor progress on local investigations and learning responses and ensure leads are aware of timescales for these

To monitor progress with action plans and action plans arising from local investigations, learning responses and other sources/workstreams, gaining robust assurance that changes have been implemented

To ensure action plans reflect current best practice and long term strategic aims of the division to provide the highest levels of patient care.

To support multi-disciplinary teams in ensuring lessons learnt are shared within the Division and the Trust and to ensure relevant Trust learning is shared within the Division.

To provide reports to support the above including detailed analysis of key trends and highlighting outliers to key Divisional and Trust Quality & Safety targets.

Queen Square Division

The Queen Square Division is the largest Division in UCLH with a turnover of around £240m and over 2,000 staff. It comprises the services at the National Hospital for Neurology and Neurosurgery (NHNN) in Queen Square, the Royal London Hospital for Integrated Medicine (RLHIM), the Pain Management Centre at Cleveland Street and the Gower Assessment Unit at the Epilepsy Society, Chalfont St Peter.

The NHNN is the UKs largest dedicated neurological and neurosurgical hospital treating over 6,000 inpatients, 120,000 outpatients and 8,000 day cases each year. Established for over 150 years it provides comprehensive services for the diagnosis, treatment and care of all conditions that affect the brain, spinal cord, peripheral nervous system and muscles.

The RLHIM is the largest public sector provider of integrated complementary medicine in Europe. The hospital offers an innovative, patient-centred service integrating the best of conventional and complementary treatments for a wide range of conditions. The RLHIM operates on an outpatients clinic basis. Clinical services include womens health, complementary cancer care, allergy service, skin clinics, acupuncture, rheumatology service, childrens service, weight loss management, sleep management clinics, musculoskeletal medicine and stress management.

Queen Square provides a wide range of services including:

- Inpatient; surgical, medical, rehabilitation, critical care and mental health services

- A full spectrum of outpatients and daycare services across neurosciences, pain management and integrated medicine

- Diagnostics including imaging, pathology and many other diagnostic services

- Other services including pharmacy, private patient services and more

Its facilities include 6 conventional theatres and an interventional MRI suite, neuroscience critical care unit, over 200 beds, a day-care unit and extensive outpatient facilities. It also houses the Wolfson Experimental Neurology clinical research centre. There are referral pathways and shared appointments with a variety of London hospitals.

For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.

Come and be a part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England for the second year running! : University College London Hospitals NHS Foundation Trust

*In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the second year in a row.

UCLH top trust to work at in England for the second year running! : University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

Knowledge and Qualifications

Essential

• Educated to Masters level or equivalent evidence of successful study at a higher level within a specialist environment of clinical effectiveness/project management
• Management qualification or equivalent experience of leading and developing individuals and teams

Desirable

• Clinical background / qualification e.g. first level nursing or AHP qualification

Experience

Essential

• Experience of significant period of time working in the NHS, in at least 3 relevant fields e.g. audit, guidelines, complaints, risk, CQC work, claims.
• Understanding of the NHS Complaints procedure and current national issues.
• Appreciation of the critical issues in the management of complaints
• Experience and/or involvement in the complaint investigation process
• Experience in the management of serious incidents
• Expertise in investigative processes (e.g. Root Cause Analysis RCA - E, PSIRF)
• Experience of working in a large and complex health environment at corporate level (or on trust wide issues)
• Detailed knowledge and understanding of the Care Quality Commission regulations and PSIRF agenda
• Knowledge of quality and safety clinical governance policy framework and related documents

Desirable

• Detailed demonstrable knowledge and experience of clinical effectiveness e.g. principles and practice of clinical audit methodologies and clinical guideline development/implementation and monitoring
• Awareness of Government policies and strategies in relation to clinical effectiveness

Skills and Abilities

Essential

• Ability to negotiate and influence front line and management staff at all levels; particularly where proposed approaches to incident management may differ
• Articulate, influential and persuasive
• Ability to work across boundaries and breakdown barriers
• Demonstrable knowledge and experience of critical appraisal skills / the ability to evaluate and critically appraise information
• Ability to plan and organise a varying work load effectively to meet deadlines in the short and long term.
• A flexible approach to work with the ability to react accordingly to changing demands and work priorities

Values

Essential

• Demonstrate ability to meet Trust Values of safety, kindness, teamwork and improving

Communication

Essential

• Advanced written skills with experience of different writing styles including reports, action plans, summaries and policies.
• Ability to prepare and deliver presentations to all levels of an organisation
• Understanding of Confidentiality

Personal and People Development

Essential

• Able to function within a team as team leader or team member
• The ability to encourage, enthuse and lead others

Desirable

• Experience in training and/or coaching

Responsibilities towards promoting Equality Diversity and Inclusion

Essential

• Demonstratable understanding of the Equality, Diversity, and Inclusion and/or Knowledge of the NHS obligations under the Equality Act 2010 and the Public Sector Equality Duties

Ensure the risk of infection to self, colleagues, patients, relatives and visitors is minimised by:

Essential

• Being familiar with, and adhering to Trust policies and guidance on infection prevention and control.
• Taking personal responsibility so far as is reasonably practicable, in helping ensure that effective prevention and control of health care associated infections is embedded into everyday practice and applied consistently.

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).