Job summary
This role supports the strategic and operational delivery of a challenging quality improvement agenda across a large multi-sited organisation. The role is responsible for project managing several workstreams within the patient safety portfolio, working collaboratively with other programme managers and CPG teams, to deliver a variety of service improvement projects.
Led by the Head of Patient safety and risk, the role will:
- be an effective ambassador for the trust, be credible and knowledgeable with the confidence and interpersonal skills to work with clinical, managerial and support staff at all levels across the organisation.
- will have expertise in programme and project management processes, improvement methodology and have a proactive 'can do' approach, be highly motivated and confident in managing challenging and changing workloads.
- will have excellent written and verbal communication skills and will bring a strong customer service approach to their role.
- is responsible for the day-to-day management of patient safety events and the overview of all trust safety events. They will lead a team to ensure that clinical and non-clinical staff have appropriate access and training.
- will have a strong working knowledge and experience of implementing and managing risk and safety and will provide advice and support on clinical risk issues.
- will work closely with the quality governance, operational and corporate management teams and staff at all levels in the organisation.
Main duties of the job
Patient safety and risk Patient Safety Event Management Responsibility for patients Responsibility for policy and service development Training Administrative Management Reporting Responsibility for financial and physical resources Responsibility for leading and managing Responsibility for research and development
About us
All staff are required to adhere to the Trust's Infection Prevention and Control policies and procedures and the Health Act (2006) Code of Practice and make every effort to maintain high standards of infection control at all times.
The post holder is required to:
- Take reasonable care for the health and safety of himself/herself and other persons who may be affected by their actions or omissions at work.
- Co-operate with the employer in ensuring that all statutory and other requirements are complied with.
The post holder has a responsibility to comply with the Data Protection Act 1998.
The Trust is committed to promoting equality and diversity and will keep under review our policies and procedures to ensure that the job related needs of all staff working in the Trust are recognised. The Trust aims to ensure that all job applicants, employees or clients are treated fairly.
The employee is responsible for ensuing that they:
- carry out responsibilities in such a away as to minimise risk of harm to children, young people and vulnerable adults and to promote their welfare in accordance with the Children Act 2004, Working Together to Safeguard Children (2006) and No Secrets guidance (DH 2000).
- demonstrate an understanding of and adhere to the trust's child protection
The Trust implemented a No Smoking Policy, which applies to all staff.
All staff are expected to abide by the Trust's guidance on standards of dress.
Job description
Job responsibilities
Patient safety and risk Deputise for the Head of Patient Safety and Risk
- Champion and promote quality as a key focus within the Trust and across the health system to improve clinical productivity and effectiveness.
- Provide project management, planning and change management knowledge and expertise to ensure that patient safety quality improvement projects are successfully delivered in line with the Patient safety and risk department timescales
- Take a supporting role in planning, managing and overseeing the delivery of a number of multidisciplinary quality improvement projects and initiatives to achieve a beneficial change to patient safety in line with the quality objectives of the organisation and national patient safety priorities.
- Provide advice to senior clinicians/managers on the successful delivery of small and large scale change projects
- Pro-actively manage stakeholders, respond to and resolve conflict between different stakeholders when this arises through facilitation or other appropriate
- Ensure the flexibility of the workstreams if required to meet conflicting/changing
- Analyse complex information from claims, and Patient Safety Incident investigations (PSII) to establish appropriate action plans to bring about positive change.
- Lead on the Learning from deaths reviews and implement the policy and enable hospital sites, divisions and clinicians to embed practice
Patient Safety Event Management
- Further develop robust mechanisms and performance management to ensure that patient safety events are reported and managed appropriately, and in line with national best practice so that external deadlines are met and actions implemented.
- To ensure that STEIS (the external national database) is updated as appropriate in a timely manner.
- To have an overview of patient safety events and ensure that the Deputy Director of Patient Safety and Risk is kept informed of any issues or risks
- Liaise with divisional / corporate leads to agree and achieve deliverables, as
- Lead the process for reporting and updating information relating to patient safety events that may be externally reported, ensuring that terms of reference for learning responses meet required standards and are sufficiently robust.
- Be responsible for ensuring that the divisions are accountable for ensuring all patient safety events are appropriately investigated, and that action plans are implemented and monitored in a timely manner.
- Support the Divisional teams to provide timely and relevant investigations, reports and actions.
Ensure that all services have in place mechanisms for reviewing and analysing themes arising from patient safety events, monitoring implementation of action plans, and that learning from patient safety events is identified and disseminated. Maintain robust oversight of the Trust and Divisional risk registers, ensuring that these correlate with risks identified from patient safety events.
- Provide expert advice, support and guidance to the Trust when patient safety events and significant events occur and support and monitor the learning response processes to ensure timely delivery of patient-related outcomes.
- Maintain up-to-date knowledge of national processes associated with patient safety event management and reporting and risk registers, and use this to help direct strategic developments in relation to patient safety events and risk registers.
- Pro-actively manage stakeholders, respond to and resolve conflict between different stakeholders when this arises through facilitation or other appropriate
- Be able to explain strategy and organisational decisions in relation to patient safety event management to everyone in the organisation.
- Represent the Trust at networks and conferences and other meetings regarding Trust developments and play an active role in sharing progress and learning with others
- Liaise directly with the Commissioners on behalf of the Trust, to report patient safety events and provide relevant evidence as required.
RESPONSIBILITY FOR PATIENTS
- Identify and escalate any anomalies to divisional / corporate leads for action
- Ensure that patient and staff feedback are integral to the planning and delivery of work programmes to inform decision making.
- Develop patient and staff feedback networks to improve processes
- Monitor to ensure that Duty of Candour conversations have occurred and relevant timely written information has been provided.
- To support the bereavement service as a follow up caller for bereaved To provide supportive communication and listen to concerns and queries, in order to support their understanding and avoid escalation to formal complaints and allow escalation to suitable teams who can help address concerns and queries swiftly and compassionately.
RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT Training
- Ensure all training is fit for purpose, current, role appropriate and reflective of the needs of the trust.
- Deliver and develop corporately agreed training related to patient safety event management.
- Identify opportunities to improve the Trusts capability and resilience and help to build these into the strategic approach to incident management
- Support the planning, delivery and facilitation of improvement events and opportunities for experiential learning
- Take a lead role in the identification and development of opportunities for training, support, coaching and mentoring staff in quality improvement techniques to build capacity and capability for improvement organisation-wide.
Administrative Management
- Attend key meetings in relation to patient safety events and provide expert advice, challenge and assurance as appropriate
- Work with, advise and support the team in developing and implementing a set of clear well-structured, user-friendly documents.
- Identify relevant metrics to assist with the patient safety event management processes
- Work with, advise and support the workstream leads/clinical experts in developing and implementing a set of clear well-structured, user-friendly documents for detailing and recording the improvement projects from beginning to end, including the objectives, the expected benefits, the expected resource requirements, the expected risks and associated metrics.
- Embed robust governance structures within patient safety projects and develop/maintain a risk register for the workstreams within the remit of the
Reporting
- Co-ordinating the collection, analysis and presentation of quantitative and qualitative safety event data to measure the effects of change and monitor continuous
- Provide timely, validated reports on progress, including key performance indicators, in written and verbal formats to Trust-wide and other groups as required.
- Provide reports and evidence as required to external bodies such as the Trusts Commissioners
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- Support the management of relevant resources within the allocated pay and non- pay budgets as directed by the Head of Patient Safety and Risk
- Produce Business Cases for future service developments, working with internal and external stakeholders; ensures resource requirements for service developments are identified and agreed.
- Authorised signatory for small cash or financial payment
- Identify opportunities for improving financial performance and delivering QIPP savings
RESPONSIBILITY FOR LEADING AND MANAGING
- To work within Royal Free London NHS Foundation Trust values and ensure decisions made are aligned with the organisations objectives.
- To work within trust policies, procedures and guidelines and where appropriate, assist with the development of these documents in line with changes to legislation or best practice.
- Constructively challenge behaviours that hinder change or do not support the strategy and values of the organisation.
- Identify interdependencies across the Divisions and support and facilitate collaboration and partnership working with the Divisional Quality Governance Managers to provide timely serious incident management.
- Directly manage the patient safety eventCoordinators
- Act as a role model for the Patient Safety and Risk Department and Divisional Quality Teams to support timely reporting, investigation and actions for serious
- Enable timely identification of bottlenecks in the processes,and provide strategic support to remove blocks and barriers to enable the Trust to improve compliance with its external duties.
- Be responsible for own personal development to ensure the achievement of own objectives and that of the team.
- Lead on the recruitment and retention of staff where relevant
RESPONSIBILITY FOR INFORMATION RESOURCES
- Appropriately record patient safety events and risks via the Datix management systems, developing these systems to actively support the patient safety event process and ensure robust learning from deaths review management
- Develop relevant key performance indicators for patient safety events and learning from deaths management.
- Present information clearly and concisely, through written reports or presentations aimed at various levels and staff groups as required.
- Ensure that all patient safety event and learning from deaths documentation is held within Datix and is up to date.
RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT
- To work in partnership with systems providers to ensure continuous improvement and best practice.
- Regularly undertakes audits and surveys to provide assurance monitoring
Job description
Job responsibilities
Patient safety and risk Deputise for the Head of Patient Safety and Risk
- Champion and promote quality as a key focus within the Trust and across the health system to improve clinical productivity and effectiveness.
- Provide project management, planning and change management knowledge and expertise to ensure that patient safety quality improvement projects are successfully delivered in line with the Patient safety and risk department timescales
- Take a supporting role in planning, managing and overseeing the delivery of a number of multidisciplinary quality improvement projects and initiatives to achieve a beneficial change to patient safety in line with the quality objectives of the organisation and national patient safety priorities.
- Provide advice to senior clinicians/managers on the successful delivery of small and large scale change projects
- Pro-actively manage stakeholders, respond to and resolve conflict between different stakeholders when this arises through facilitation or other appropriate
- Ensure the flexibility of the workstreams if required to meet conflicting/changing
- Analyse complex information from claims, and Patient Safety Incident investigations (PSII) to establish appropriate action plans to bring about positive change.
- Lead on the Learning from deaths reviews and implement the policy and enable hospital sites, divisions and clinicians to embed practice
Patient Safety Event Management
- Further develop robust mechanisms and performance management to ensure that patient safety events are reported and managed appropriately, and in line with national best practice so that external deadlines are met and actions implemented.
- To ensure that STEIS (the external national database) is updated as appropriate in a timely manner.
- To have an overview of patient safety events and ensure that the Deputy Director of Patient Safety and Risk is kept informed of any issues or risks
- Liaise with divisional / corporate leads to agree and achieve deliverables, as
- Lead the process for reporting and updating information relating to patient safety events that may be externally reported, ensuring that terms of reference for learning responses meet required standards and are sufficiently robust.
- Be responsible for ensuring that the divisions are accountable for ensuring all patient safety events are appropriately investigated, and that action plans are implemented and monitored in a timely manner.
- Support the Divisional teams to provide timely and relevant investigations, reports and actions.
Ensure that all services have in place mechanisms for reviewing and analysing themes arising from patient safety events, monitoring implementation of action plans, and that learning from patient safety events is identified and disseminated. Maintain robust oversight of the Trust and Divisional risk registers, ensuring that these correlate with risks identified from patient safety events.
- Provide expert advice, support and guidance to the Trust when patient safety events and significant events occur and support and monitor the learning response processes to ensure timely delivery of patient-related outcomes.
- Maintain up-to-date knowledge of national processes associated with patient safety event management and reporting and risk registers, and use this to help direct strategic developments in relation to patient safety events and risk registers.
- Pro-actively manage stakeholders, respond to and resolve conflict between different stakeholders when this arises through facilitation or other appropriate
- Be able to explain strategy and organisational decisions in relation to patient safety event management to everyone in the organisation.
- Represent the Trust at networks and conferences and other meetings regarding Trust developments and play an active role in sharing progress and learning with others
- Liaise directly with the Commissioners on behalf of the Trust, to report patient safety events and provide relevant evidence as required.
RESPONSIBILITY FOR PATIENTS
- Identify and escalate any anomalies to divisional / corporate leads for action
- Ensure that patient and staff feedback are integral to the planning and delivery of work programmes to inform decision making.
- Develop patient and staff feedback networks to improve processes
- Monitor to ensure that Duty of Candour conversations have occurred and relevant timely written information has been provided.
- To support the bereavement service as a follow up caller for bereaved To provide supportive communication and listen to concerns and queries, in order to support their understanding and avoid escalation to formal complaints and allow escalation to suitable teams who can help address concerns and queries swiftly and compassionately.
RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT Training
- Ensure all training is fit for purpose, current, role appropriate and reflective of the needs of the trust.
- Deliver and develop corporately agreed training related to patient safety event management.
- Identify opportunities to improve the Trusts capability and resilience and help to build these into the strategic approach to incident management
- Support the planning, delivery and facilitation of improvement events and opportunities for experiential learning
- Take a lead role in the identification and development of opportunities for training, support, coaching and mentoring staff in quality improvement techniques to build capacity and capability for improvement organisation-wide.
Administrative Management
- Attend key meetings in relation to patient safety events and provide expert advice, challenge and assurance as appropriate
- Work with, advise and support the team in developing and implementing a set of clear well-structured, user-friendly documents.
- Identify relevant metrics to assist with the patient safety event management processes
- Work with, advise and support the workstream leads/clinical experts in developing and implementing a set of clear well-structured, user-friendly documents for detailing and recording the improvement projects from beginning to end, including the objectives, the expected benefits, the expected resource requirements, the expected risks and associated metrics.
- Embed robust governance structures within patient safety projects and develop/maintain a risk register for the workstreams within the remit of the
Reporting
- Co-ordinating the collection, analysis and presentation of quantitative and qualitative safety event data to measure the effects of change and monitor continuous
- Provide timely, validated reports on progress, including key performance indicators, in written and verbal formats to Trust-wide and other groups as required.
- Provide reports and evidence as required to external bodies such as the Trusts Commissioners
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- Support the management of relevant resources within the allocated pay and non- pay budgets as directed by the Head of Patient Safety and Risk
- Produce Business Cases for future service developments, working with internal and external stakeholders; ensures resource requirements for service developments are identified and agreed.
- Authorised signatory for small cash or financial payment
- Identify opportunities for improving financial performance and delivering QIPP savings
RESPONSIBILITY FOR LEADING AND MANAGING
- To work within Royal Free London NHS Foundation Trust values and ensure decisions made are aligned with the organisations objectives.
- To work within trust policies, procedures and guidelines and where appropriate, assist with the development of these documents in line with changes to legislation or best practice.
- Constructively challenge behaviours that hinder change or do not support the strategy and values of the organisation.
- Identify interdependencies across the Divisions and support and facilitate collaboration and partnership working with the Divisional Quality Governance Managers to provide timely serious incident management.
- Directly manage the patient safety eventCoordinators
- Act as a role model for the Patient Safety and Risk Department and Divisional Quality Teams to support timely reporting, investigation and actions for serious
- Enable timely identification of bottlenecks in the processes,and provide strategic support to remove blocks and barriers to enable the Trust to improve compliance with its external duties.
- Be responsible for own personal development to ensure the achievement of own objectives and that of the team.
- Lead on the recruitment and retention of staff where relevant
RESPONSIBILITY FOR INFORMATION RESOURCES
- Appropriately record patient safety events and risks via the Datix management systems, developing these systems to actively support the patient safety event process and ensure robust learning from deaths review management
- Develop relevant key performance indicators for patient safety events and learning from deaths management.
- Present information clearly and concisely, through written reports or presentations aimed at various levels and staff groups as required.
- Ensure that all patient safety event and learning from deaths documentation is held within Datix and is up to date.
RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT
- To work in partnership with systems providers to ensure continuous improvement and best practice.
- Regularly undertakes audits and surveys to provide assurance monitoring
Person Specification
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Education & professional Qualifications
Essential
- Undergraduate Degree or equivalent professional qualification
- Masters level qualification, or equivalent experience
- Evidence of further professional and personal development
Desirable
- Business/Project Management qualification, or equivalent experience
- Clinical qualification
Experience
Essential
- Knowledge of PSIRF Learning responses and techniques
- Knowledge of quality improvement tools and techniques and/or Demonstrable experience in project management in an acute care environment
- Ability to collate and analyse statistical and qualitative information
- Experience of implementing change projects
- Experience of effective working within a team and alone
- Experience of working with minimal supervision
- Knowledge of the components of governance, risk management and assurance function; current NHS national policies, standards, requirements and directions that relate to measuring and improving the quality and safety of patient care
- Demonstrates commitment to improving the quality of patient care
- Ability to support a range of staff and quality/ clinical services /professional activity
- Experience of working with patients/service/ stakeholders to improve quality of service
- Experience in setting objectives and performance management and holding people to account
Desirable
- Experience in providing advice on complex professional and other HR issues
Person Specification
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Education & professional Qualifications
Essential
- Undergraduate Degree or equivalent professional qualification
- Masters level qualification, or equivalent experience
- Evidence of further professional and personal development
Desirable
- Business/Project Management qualification, or equivalent experience
- Clinical qualification
Experience
Essential
- Knowledge of PSIRF Learning responses and techniques
- Knowledge of quality improvement tools and techniques and/or Demonstrable experience in project management in an acute care environment
- Ability to collate and analyse statistical and qualitative information
- Experience of implementing change projects
- Experience of effective working within a team and alone
- Experience of working with minimal supervision
- Knowledge of the components of governance, risk management and assurance function; current NHS national policies, standards, requirements and directions that relate to measuring and improving the quality and safety of patient care
- Demonstrates commitment to improving the quality of patient care
- Ability to support a range of staff and quality/ clinical services /professional activity
- Experience of working with patients/service/ stakeholders to improve quality of service
- Experience in setting objectives and performance management and holding people to account
Desirable
- Experience in providing advice on complex professional and other HR issues
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).
