Job summary
At South London and Maudsley NHS Foundation Trust, we believe in providing excellent care which is delivered with pride and compassion. Everything we do is to improve the lives of the people and communities we serve and to promote mental health and wellbeing for all.
This is an exciting job opportunity to work with a directorate who are committed to the Trust's aims to support spirit of candour and a culture of openness and honesty as we seek to resolve concerns, learn lessons from mistakes that may have occurred and improve the quality of services we provide.
The Governance Lead will be responsible for ensuring the best practices of complaints and incidents governance and supporting the development and implementation of governance strategies, policies, and frameworks, as well as facilitate learning and improvement across the directorate.
The post holder will be responsible for the management of the Directorate's Governance Team and lead on the application of a range of system-based approaches from the Patient Safety Incident Response Framework, ensuring compassionate engagement of those affected by patient safety incidents.
Main duties of the job
Supporting the Head of Nursing and Quality develop and implement governance processes within the Croydon and Behavioural and Developmental Psychiatry Directorate to ensure that there is a comprehensive framework to continuously monitor and improve the quality of care.
Promote a positive culture in which reporting of incidents using the Patient Safety Incident Reporting Framework is routine practice and is recognised by staff as a means of improving the quality of clinical care and reducing risks.
Ensure that governance forms an integral part of the operational and strategic aims of the Croydon and Behavioural and Developmental Psychiatry Directorate.
Ensure that lessons from incidents, claims, complaints and inquests analysis are learned and shared and that timely feedback of information occurs, including embedding learning across the Croydon and Behavioural and Developmental Psychiatry Directorate
Provide line management responsibility for the Clinical Governance Team.
Flexible working:
As one of the few Trusts in London we are proud to offer flexible working as part of our new ways of working. In this role you will be able to work Monday to Friday with a hybrid of working from home and on site at The Bethlem Royal Hospital. We aim to provide you with the very best of good work life balance and we are happy to talk flexible working at the interview stage
About us
The Croydon and Behavioural and Developmental Psychiatry Directorate is on the site of the Bethlem Royal Hospital. The hospital is based in a beautiful setting in over 200 acres of tranquil space filled with orchards, meadows and woodland, benefiting the physical and mental health of all. In addition, there is a dedicated Green Room rest space for staff that is filled with plants providing an opportunity for staff to distance from routine activities and relax.
The directorate has a diverse and inclusive workforce that values compassion, respect, teamwork, and excellence. You will be supported by a culture of learning and improvement.
We provide core mental health services for adults of working age who live in the London borough of Croydon, alongside national specialist services including forensic mental health services, and neurodevelopmental disorders including learning disabilities, autism spectrum disorder (ASD) and adult attention deficit hyperactivity disorder (ADHD) and specialist services for people with psychosis. The services we provide in Croydon include acute inpatient services and community mental health teams, a range of rehabilitation services, psychiatric liaison services at Croydon University Hospital, and support for people who are in crisis. Our inpatient services are based at the Bethlem Royal Hospital, including Forensic Medium and Low secure units and a range of adult acute inpatient wards.
Job description
Job responsibilities
Patient Safety Incident Response Framework (PSIRF)
- The post holder will lead on the implementation of PSIRF, including teaching identified within the Directorate the facilitation skills to be able to lead Directorate PSIRF responses such as After-Action Reviews.
Quality
- To prepare reports for the Directorates Integrated Performance and Quality meetings including an aggregated analysis of trends and themes in patient experience, patient safety, patient outcomes, staff safety and other safety issues.
- To support the Heads of Nursing and Quality in developing programmes of work to ensure that the Trust meets the relevant criteria as described in the standards set by the Care Quality Commission and any other national, service-specific, or local performance frameworks.
- Through complaints and incident analysis identify barriers to implementing good practice or areas of concern and liaise with the Heads of Profession to agree and implement required remedial action and ongoing maintaining of good practice.
- To support the embedding of research to improve patient outcomes and quality of care by providing evidenced based interventions and innovations.
Governance
- To lead on Directorate complaints processes ensuring that these are investigated within statutory time frames. Ensuring that all complaint responses are comprehensive and formatted to accessible information standards as required.
- To ensure that all information contained within the Directorates Datix reporting system is managed in line with the Trusts policy including Duty of Candour and Being Open.
- To lead on responses to the Parliamentary and Health Service Ombudsman.
- To line manage the two band 6 Governance Officers and band 6 Governance Business Manager and Data Analyst.
- To support clinical teams in the monitoring and thematic reviewing of adult and childrens safeguarding activity across the directorate in collaboration with the Trusts Safeguarding
- To use the methodology of the Care Improvement System (Care IS) using complaints and incidents data to enable teams to work at their best together and create a learning environment to make improvements.
- To lead on the identification and escalation of risk issues for the directorate and to provide expert support, decision making, advice, guidance, and education on all aspects of governance management.
- To identify risks from the analysis of complaints and incidents and ensure that these are included in the Directorates risk registers in collaboration with the Directorates Senior Leadership Team.
- To facilitate events within the Directorate to support timely learning from incidents, complaints, claims and inquests and support staff to develop an open, just, and fair culture where staff report
- Able to engage effectively and compassionately with service users, families, carers and all stakeholders.
Job description
Job responsibilities
Patient Safety Incident Response Framework (PSIRF)
- The post holder will lead on the implementation of PSIRF, including teaching identified within the Directorate the facilitation skills to be able to lead Directorate PSIRF responses such as After-Action Reviews.
Quality
- To prepare reports for the Directorates Integrated Performance and Quality meetings including an aggregated analysis of trends and themes in patient experience, patient safety, patient outcomes, staff safety and other safety issues.
- To support the Heads of Nursing and Quality in developing programmes of work to ensure that the Trust meets the relevant criteria as described in the standards set by the Care Quality Commission and any other national, service-specific, or local performance frameworks.
- Through complaints and incident analysis identify barriers to implementing good practice or areas of concern and liaise with the Heads of Profession to agree and implement required remedial action and ongoing maintaining of good practice.
- To support the embedding of research to improve patient outcomes and quality of care by providing evidenced based interventions and innovations.
Governance
- To lead on Directorate complaints processes ensuring that these are investigated within statutory time frames. Ensuring that all complaint responses are comprehensive and formatted to accessible information standards as required.
- To ensure that all information contained within the Directorates Datix reporting system is managed in line with the Trusts policy including Duty of Candour and Being Open.
- To lead on responses to the Parliamentary and Health Service Ombudsman.
- To line manage the two band 6 Governance Officers and band 6 Governance Business Manager and Data Analyst.
- To support clinical teams in the monitoring and thematic reviewing of adult and childrens safeguarding activity across the directorate in collaboration with the Trusts Safeguarding
- To use the methodology of the Care Improvement System (Care IS) using complaints and incidents data to enable teams to work at their best together and create a learning environment to make improvements.
- To lead on the identification and escalation of risk issues for the directorate and to provide expert support, decision making, advice, guidance, and education on all aspects of governance management.
- To identify risks from the analysis of complaints and incidents and ensure that these are included in the Directorates risk registers in collaboration with the Directorates Senior Leadership Team.
- To facilitate events within the Directorate to support timely learning from incidents, complaints, claims and inquests and support staff to develop an open, just, and fair culture where staff report
- Able to engage effectively and compassionately with service users, families, carers and all stakeholders.
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse or other registered Healthcare Professional eg Occupational Therapist, Social Worker etc
- Masters level qualification in nursing/health related topic, or equivalent experience
- Masters level qualification in nursing/health related topic, or equivalent experience
Desirable
- Advanced courses related to Patient Safety
- Evidence of postgraduate study and development
Experience
Essential
- Extensive post-registration professional development.
- Substantial experience at a senior management level, including managing change, decision-making and introducing new ways of working within mental health services.
- Experience of multi-professional collaboration at a senior level, including statutory and voluntary agencies and service user groups.
- Experience of multi-professional collaboration at a senior level, including statutory and voluntary agencies and service user groups.
- Experience of investigating incidents and complaints.
Desirable
- Experience in implementing the Patient Safety Incident Response Framework
- Experience of Quality Improvement methodology
- Experience of research, publication, and presentation
Knowledge/Skills
Essential
- Excellent verbal and written communication skills
- Ability to convey, with high levels of sensitivity and understanding, extremely distressing information to staff patients and carers.
- Advanced analytical skills, able to manage, understand and present highly complex and/or highly sensitive information in an appropriate manner
- Facilitation, negotiation and influencing skills
- Commitment to safeguarding and promoting the welfare of children, young people and vulnerable adults.
- Ability to work simultaneously on prioritised pieces of using project management skills
- Able to identify key issues from complex documents and transpose into concise reports with required actions.
- Intermediate skills in Excel, PowerPoint, Word & Office 365
Desirable
- Project management qualification
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse or other registered Healthcare Professional eg Occupational Therapist, Social Worker etc
- Masters level qualification in nursing/health related topic, or equivalent experience
- Masters level qualification in nursing/health related topic, or equivalent experience
Desirable
- Advanced courses related to Patient Safety
- Evidence of postgraduate study and development
Experience
Essential
- Extensive post-registration professional development.
- Substantial experience at a senior management level, including managing change, decision-making and introducing new ways of working within mental health services.
- Experience of multi-professional collaboration at a senior level, including statutory and voluntary agencies and service user groups.
- Experience of multi-professional collaboration at a senior level, including statutory and voluntary agencies and service user groups.
- Experience of investigating incidents and complaints.
Desirable
- Experience in implementing the Patient Safety Incident Response Framework
- Experience of Quality Improvement methodology
- Experience of research, publication, and presentation
Knowledge/Skills
Essential
- Excellent verbal and written communication skills
- Ability to convey, with high levels of sensitivity and understanding, extremely distressing information to staff patients and carers.
- Advanced analytical skills, able to manage, understand and present highly complex and/or highly sensitive information in an appropriate manner
- Facilitation, negotiation and influencing skills
- Commitment to safeguarding and promoting the welfare of children, young people and vulnerable adults.
- Ability to work simultaneously on prioritised pieces of using project management skills
- Able to identify key issues from complex documents and transpose into concise reports with required actions.
- Intermediate skills in Excel, PowerPoint, Word & Office 365
Desirable
- Project management qualification
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
