Job responsibilities
The Chief Medial
Officer (CMO) is responsible for the overall development and leadership of the Medical workforce with executive
accountability for quality, patient safety, medicines safety and clinical
governance. The CMO is the Caldicott Guardian and the Responsible Officer for
revalidation of doctors. Through
excellent leadership the CMO will enable the delivery of high quality of care
in line with our vision, strategic objectives and 4ward signature behaviours.
This means providing the best, safest patient experience and best possible
patient outcomes by putting patients first. The post
holder will develop a professional culture that supports, recruits, nurtures,
develops and retains a compassionate, skilled and flexible workforce. This
includes enabling diversity in all its forms, a culture of learning and
improvement and an ability to lead service innovation and transformation. The post
holder will be an executive, voting, member of the Board of Directors and
report to the Chief Executive.
Key Working Relationships.
Herefordshire & Worcestershire ICS (H&W ICS)
General Medical Council
Regional and National CMOs
Trust Board
CQC and other regulators
Executive Directors and the Trust Management Executive
Senior stakeholders across clinical and corporate divisions
Hereford and Worcestershire Health and Care Trust
Worcestershire County Council, and District Councils
Third Sector Organisations
STRATEGIC RESPONSIBILITIES
Work
closely with Chief Nursing Officer (CNO), to advise the Trust Board and
Executive Directors on patient safety and risk management.
With
the CNO promote the refreshed Quality and Safety Strategy to drive the transformation of patient services in the Trust.
Working
with GPs and medical staff from across H&W ICS to create a compelling
clinical vision which inspires clinical and other practitioners to engage in
transformation.
To provide
medical policy advice and input to the Board, sub committees and designated activities.
Provide strong, visible and professional
leadership to the medical and medical model workforce.
To fulfil the role of Executive Director and
a voting member on the Trust Board.
To ensure the Trust operates with safe and
educationally appropriate staffing levels and provide assurance to the Trust
Board and relevant Board Committees.
Provides oversight of Caldicott Guardian
responsibilities.
Oversees revalidation of Medical Staff
linked to the trust.
To provide Executive Director accountability
for Medical Education at both undergraduate and post-graduate level.
To act as the Trust's lead on medicines safety and
oversee the assessment and introduction
of novel practices.
To lead the clinical input into the Information
Technology systems within the Trust, leading the Digital Care Record programme.
To oversee the implementation of NICE guidance, NSF
standards, work with GIRFT and other national best practice guidance. To review
and take remedial action where clinical risks are identified.
Leadership and Management
To oversee
all MHPS and medical disciplinary matters and referrals for external reviews.
Promote a
culture of openness and transparency, particularly in the sharing learning
from deaths and serious incidents.
To
actively promote diversity and inclusion in the workplace.
Promote
the involvement of stakeholders (staff, patients, and the wider community and
partner organisations) in Trusts activities as appropriate.
To
contribute fully to the corporate management and strategic development of the
Trust.
To provide
professional leadership across Herefordshire & Worcestershire ICS.
To
oversee continued professional development which is clearly focused on meeting
patient, employee and the Trusts needs.
Patient Safety and Experience
To
monitor, review and improve systems and practices based on evidence based best
practice, to deliver safe high quality
patient care and to meet legal, regulatory and NHS requirements.
To ensure
that medicines safety policies are fully embedded and that the management of
medicines is continuously improved.
To promote
services that are at the forefront of modern clinical practice and the patient
experience is of the highest quality. Ensure a progressive and inclusive
approach to patient safety, risk management and clinical governance.
To enable
an environment in which staff are encouraged to review and improve performance,
practice and services to patients through training and development, Quality
Improvement Projects, appraisal and peer review.
Ensure
there are robust arrangements in place for harm reviews of patients potentially
impacted by delays in their care pathway and aspects of their treatment and
care.
To
develop and promote appropriate professional and clinical guidelines, protocols
and policies.
Infection Prevention and Control
To work in close co-operation with the designated DIPC to manage performance and
ensure staff accept personal responsibility and accountability for Infection
Prevention and Control practice within their sphere of responsibility. To
ensure they are familiar with, and comply with, all relevant Infection
Prevention and Control policies for minimising the risk of avoidable Health
Care Associated Infection and undertake annual mandatory updates in Infection Control and hold all members of the medical
staff to account for adhering to this requirement.
To ensure
that all Trust staff working to the medical model know what is expected of them
with regard to infection prevention and control and ensure that they fulfil
their responsibilities as part of their duty of care, the post holder will
ensure that responsibilities regarding infection prevention and control are
clearly identified in all job plans and appraisals.
To work in close co-operation with the Chief Nursing Officer and Chief Operating Officer to manage performance against the duties contained within the Hygiene Code, and ensure the provision of safe, clean patient care environment.
Clinical Governance
In conjunction with the Chief Nursing Officer to
develop and promote a whole system of clinical governance that maximises
clinical time on improvement, while
ensuring governance, oversight and accountability is delivered effectively at
divisional & corporate level.
In
conjunction with the Chief Nursing Officer to develop and promote an agreed and
explicit strategy for clinical governance. Ensure systems and structures are in
place to monitor, review and improve patient and staff safety and meet legal
and NHS requirements, including duties under health and safety legislation.
To
ensure the Trust demonstrates clear standards of good clinical governance, including
the requirements set out in the Safety Strategy, while delivering the core
objectives and values of the Trust.
To
ensure that effective learning systems are in place that drive improvements to
care and the experiences of patients.
To
support the work to achieve compliance with the NHSLA standards, improving
patient safety and the patient experience.
To co-chair
the Clinical Governance Committee.
To ensure
that there are fully functioning systems and processes in place for the timely
reporting and subsequent investigation and identification of lessons learnt
from all incidents, serious incidents and never events.
To provide
the Trust Board with assurance on all aspects of clinical governance.
Ensure
that there are links between the corporate risk register and the Board
Assurance Framework and work with the Company Secretary to ensure that risks
are being escalated to the Board as appropriate.
Use of Resources
To ensure
safe medical staffing models are in place and that these are compliant with
national standards. To be the executive
lead for the medical workforce.
Responsible
for the development and implementation of recruitment and retention strategies
for the medical model workforce to reduce the reliance on temporary staff.
To ensure
value for money of the clinical workforce by ensuring premium staffing costs
are only incurred where necessary for patient care/ safety.
To manage staff
and designated resources in line with Trust policies. This includes ensuring
effective two way communications and continuous staff development through the appraisal
process. To ensure appraisal is embedded in the
organisation and undertaken annually by Medical staff and those working to the
medical model.
To ensure resources are effectively and
efficiently deployed and provide support
to Divisions on the planning and management of services.
To put in place and review plans for managing
peaks in demand e.g. during winter and major incidents.
Performance Management
To support the Chief Operating Officer to monitor
Trust and Divisional performance against activity plans, standards, targets and
budgets and intervene holding to account and taking corrective action where
appropriate.
To support
the Chief Operating Officer to put in place and review plans for managing peaks
in demand e.g. during winter and major incidents.
To
provide support to Divisions and Directorates on the planning and management of
Clinical services, promoting a consistent approach to developments and
standards in practice and service.
To monitor Trust and Divisional performance
against activity plans, standards, targets and budgets and intervene and take
corrective action where appropriate.
Internal and External Communication
To
practice and promote effective two way communication and involve staff and the
wider community in the planning and review of new or revised services.
Ensure consistent
and approved external communication of key trust issues.
Maintain
communications with the Local Medical Committee.
Maintain
relations with the Local Negotiating Committee.
Business Conduct
To comply with statutory requirements, NHS
regulations and Trust standards. This includes meeting health and safety
regulations standards, business standards such as Standing Financial
lnstructions and working towards minimising clinical and corporate risks
including reducing Health Care Associated Infections.
