Job summary
The Jobholder has responsibility
for ensuring that the Directorate has a robust governance and performance
framework in place that is highly effective and transparent within the Directorate
and wider Trust.
To be the Lead expert and contact
within the Directorate for any Governance advice and queries i.e., risks, incidents,
complaints, audit/Quality Improvement; providing direction as required.
To work closely with the Directorate Practice Leads and wider management team to ensure that the Governance framework is monitored, measured and adhered to.
To lead the preparation and formulation of the monthly Directorate Governance Boards, in conjunction with the Senior Management Team.
To liaise and work with the wider Trust Risk Management and Quality Improvement team, ensuring that the Directorate is on track with related projects/pieces of work, and also shares best practice and learning across the Trust.
Main duties of the job
To
ensure that staff within the Directorate are aware of their Governance responsibilities
and have appropriate access and training to support the timely reporting of
incidents.
To
provide expert advice, support and guidance to Directorate staff in the
investigation and resolution of incidents, ensuring mandatory time frames are
adhered to, action plans are formulated, presented and ratified through the
Directorate Governance Board.
To
be an active member of the Team governance/business meetings, supporting the
delivery and adherence to the Directorates Governance framework.
To
ensure all risks within the Directorate are risk assessed at the time the risk
is identified.
To
be responsible for the Directorate Risk Register ensuring risks are uploaded in
a timely manner, and are reviewed by the nominated risk manager in line with
the Trusts Risk Management Strategy.
To
ensure that mitigating actions are undertaken and achieved within the agreed
timeframe, and to escalate to the Directorate Governance Board (DGB) where risks are not on target.
To
support the Directorates compliance with essential learning and PDRs by
identifying / monitoring staff who are out of date and flagging this with the
appropriate line manager for action motivating staff to comply
with policy.
Represent
the Directorate where appropriate, at Trust wide Governance & Risk-related
meetings, presenting themes and lessons learnt with recommendations for
consideration / change to Trust wide policy and process.
About us
About Devon Partnership Trust
We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.
We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do
Our values
We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.
We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.
Job description
Job responsibilities
Complaints
To be
responsible for developing, reviewing and monitoring the complaints process
within the Directorate, to ensure it meets the overall Trust policy. Furthermore, ensures that a robust process is
in place within the Directorate to enable complaints to be investigated
thoroughly, appropriately and promptly with responses drafted within the
specified policy timeframe.
Formulate,
develop & review the reporting arrangements for complaints within the
Directorate to ensure that a regular update report regarding complaints
management / themes and lessons learnt with recommendations is presented at
Directorate Learning from Experience group
Clinical Audit
and Guidelines
To continuously
review and develop the Directorate Audits and actively monitor completion
against the Directorates annual audit plan, ensuring all local and national
audits are registered with the Clinical Audit Department/or equivalent, and are
appraised of the outcome of the audit and emerging action plan/change in
practice.
Act as the
designated NICE initiator for the Directorate, distributing guidance and
providing expertise, advice and support to the relevant clinicians for
assessment.
Ensure the
Audit Department is fully appraised of the compliance status within the
Directorate. Take a lead in updating the Directorate Audit Programme with NICE
guidance requiring audit
CQC evidence
In conjunction
with the Directorate Practice Leads, to co-lead within the Directorate and be
responsible and accountable for ensuring that the Trusts assurance process in
relation to the Care Quality Commissions (CQC) standards are accurate and
reflect the position of the Directorate.
In conjunction
with the HOP, promote and provide on-going education and awareness within the
Directorate, of the principles of the CQC standards for quality and safety.
Trust Policies
To support the
adherence of Trust-wide relevant policies
To
review/propose changes to relevant to governance-related policies, ensuring
that the Directorate is aware and communicated of any change.
External Visits
To actively
support adherence to the Trusts Policy for the Management of External Agency
Visits, inspections and accreditations by co-ordinating, collating and
providing the Trust Governance lead and Managing Partner with appropriate
information of all planned external visits and the outcome of these visits
(collating outcomes, and report including details of any actions/timescales).
To ensure that
External Visits are reported through the Directorate Governance Board and
action plans are devised, implemented, reviewed & monitored to ensure
recommendations are implemented where appropriate, without delay, including the
formulation of new policies or procedures.
Information
Governance
To be
responsible for cascading Information Governance requirements and providing a
co-ordinated response to these.
To be
responsible for informing the Information Governance Office of any new systems
(electronic and manual) within the Directorate to ensure that an owner can be
assigned and appropriate training provided.
Job description
Job responsibilities
Complaints
To be
responsible for developing, reviewing and monitoring the complaints process
within the Directorate, to ensure it meets the overall Trust policy. Furthermore, ensures that a robust process is
in place within the Directorate to enable complaints to be investigated
thoroughly, appropriately and promptly with responses drafted within the
specified policy timeframe.
Formulate,
develop & review the reporting arrangements for complaints within the
Directorate to ensure that a regular update report regarding complaints
management / themes and lessons learnt with recommendations is presented at
Directorate Learning from Experience group
Clinical Audit
and Guidelines
To continuously
review and develop the Directorate Audits and actively monitor completion
against the Directorates annual audit plan, ensuring all local and national
audits are registered with the Clinical Audit Department/or equivalent, and are
appraised of the outcome of the audit and emerging action plan/change in
practice.
Act as the
designated NICE initiator for the Directorate, distributing guidance and
providing expertise, advice and support to the relevant clinicians for
assessment.
Ensure the
Audit Department is fully appraised of the compliance status within the
Directorate. Take a lead in updating the Directorate Audit Programme with NICE
guidance requiring audit
CQC evidence
In conjunction
with the Directorate Practice Leads, to co-lead within the Directorate and be
responsible and accountable for ensuring that the Trusts assurance process in
relation to the Care Quality Commissions (CQC) standards are accurate and
reflect the position of the Directorate.
In conjunction
with the HOP, promote and provide on-going education and awareness within the
Directorate, of the principles of the CQC standards for quality and safety.
Trust Policies
To support the
adherence of Trust-wide relevant policies
To
review/propose changes to relevant to governance-related policies, ensuring
that the Directorate is aware and communicated of any change.
External Visits
To actively
support adherence to the Trusts Policy for the Management of External Agency
Visits, inspections and accreditations by co-ordinating, collating and
providing the Trust Governance lead and Managing Partner with appropriate
information of all planned external visits and the outcome of these visits
(collating outcomes, and report including details of any actions/timescales).
To ensure that
External Visits are reported through the Directorate Governance Board and
action plans are devised, implemented, reviewed & monitored to ensure
recommendations are implemented where appropriate, without delay, including the
formulation of new policies or procedures.
Information
Governance
To be
responsible for cascading Information Governance requirements and providing a
co-ordinated response to these.
To be
responsible for informing the Information Governance Office of any new systems
(electronic and manual) within the Directorate to ensure that an owner can be
assigned and appropriate training provided.
Person Specification
Experience
Essential
- Substantial previous experience and success in supporting and delivering the risk and clinical governance agenda including experience in risk management and audit techniques.
- Experience of co-ordinating project work, with a comprehensive knowledge of project principles, techniques & tools.
- Experience of policy and report drafting and formulation.
- Experience of planning over short, medium, and long term timeframes and adjusting plans & resource accordingly.
- Sound political judgement and astuteness in understanding and working with complex policy, and diverse interest groups, and common sense in knowing when to brief up the line.
- A commitment to improving patient services through an ability to sustain a clear performance focus on achieving demanding goals.
Qualifications
Essential
- Educated to degree level in relevant subject or equivalent qualification / significant equivalent experience.
- Post graduate degree in management studies or equivalent experience
Desirable
- A Masters level qualification (or equivalent) or working towards, desirable, or equivalent experience.
- Prince 2 Foundation level or equivalent experience.
Person Specification
Experience
Essential
- Substantial previous experience and success in supporting and delivering the risk and clinical governance agenda including experience in risk management and audit techniques.
- Experience of co-ordinating project work, with a comprehensive knowledge of project principles, techniques & tools.
- Experience of policy and report drafting and formulation.
- Experience of planning over short, medium, and long term timeframes and adjusting plans & resource accordingly.
- Sound political judgement and astuteness in understanding and working with complex policy, and diverse interest groups, and common sense in knowing when to brief up the line.
- A commitment to improving patient services through an ability to sustain a clear performance focus on achieving demanding goals.
Qualifications
Essential
- Educated to degree level in relevant subject or equivalent qualification / significant equivalent experience.
- Post graduate degree in management studies or equivalent experience
Desirable
- A Masters level qualification (or equivalent) or working towards, desirable, or equivalent experience.
- Prince 2 Foundation level or equivalent experience.
