Quality Matron-Surgical Care

Job description

Job responsibilities

KEY DUTIES

The post-holder will:

Be accountable for the provision and implementation of a robust governance strategy across the Care Group in line with the wider organisation.

Create an environment of continuous quality improvement that is responsive to service developments and supports service leads to manage their risk effectively. Ensuring this is aligned to key objectives and Trust priorities for quality improvement.

Act as a positive role model through the provision of effective professional leadership and demonstration of competent, accountable clinical practice.

Ensure that the environment meets appropriate standards for health care delivery and delivers best practice in infection control.

Ensure the delivery of patient care is of the highest standard and those patients and their families are treated with dignity and respect.

Actively support the Care Group in the provision of high quality, modern, dynamic and person centred services.

To support the Care Group in the delivery of key performance targets.

Duties & Responsibilities

Coordinate the Care Groups governance and risk agenda and liaise closely with the senior leadership team in particular Care Group Clinical Director, Head of Nursing and Quality and Assistant Director of Operations.

Ensure national guidance is implemented in a timely and appropriate way, i.e. CQC standards, policies and guidelines and systems and processes are in place to prepare for and monitor external assessment, accreditation and regulatory inspections.

Provide patient safety and governance reports for care group and trust committees, collating key quality indicators to support assurance mechanisms to demonstrate compliance with key standards and to escalate where improvements need to be made.

Ensure there is aggregate analysis undertaken of patient safety, effectiveness and experience data to ensure triangulation of data for sharing of best practice and issues are escalated for improvement.

To act as an interface between the Corporate Nursing and Quality Team and the Care Groups on the Trusts Quality agenda.

To support the Care Group in the investigation and resolution of complaints and serious incidents (SIs), ensuring that appropriate remedial action is taken and lessons learnt are embedded in practice and incidents are responded to in accordance with Trust policy and National Framework.

To support clinical leaders with investigations into serious incidents, ensuring they are appropriately investigated and responded to in accordance with Trust policy and National Framework, working in partnership with the Patient Safety Manager.

To support clinical areas and specialty Matrons in monitoring local incidents and risks in compliance with the Trust Incident Reporting and Management Policy.

Ensure Care group systems are in place so that staff involved in incidents receive appropriate feedback

Provide leadership and expert advice regarding risk management within the Care Group.

To develop close and effective working relationship with the Trust Legal advisers, Patient Advice and Liaison and the Complaints office to support the complaints process within the Care Group in ensuring that learning is embedded and triangulated within the governance processes.

To be proactive in identifying areas for improvement using care group incident , complaint and claims intelligence and escalate to the Head of Nursing and Quality in order to agree remedial action and implement as necessary.

To support the Care Group management team to ensure Care Group and trust objectives are met in relation to workforce, service delivery, clinical quality and safety and financial control.

To support the Head of Nursing and Quality in gaining assurance that systems are in place to monitor and improve compliance and continuous improvement with infection control, quality of the clinical environment and the uniform and dress code.

To represent the Care Group as required providing professional advice, feedback and contributing to both nursing and service development.

To work flexibly across the Care Group supporting the Head of Nursing and Quality and to lead projects on behalf of the Care Group as appropriate.

To have an overview of patient and public involvement work and feedback within the Care Group and support the continued development of this and opportunities for service development.

In conjunction with the Trusts senior nursing team, support the continued development of nursing practice to take account of research and development within the framework of the nursing and midwifery strategy, other relevant strategies and the Trust.

The post-holder will be expected to participate in 7 day working (including Bank Holidays) alongside Matron colleagues across the organisation.

GENERAL DUTIES

To fully comply with the relevant sections of the Health and Safety at Work Act. They must also understand and implement St Helens and Knowsley Hospitals NHS Hospitals Trust Statement of Policy on Health and Safety at Work and the Trust corporate Health and Safety Policies and Procedures. You are required to follow all applicable rules and procedures relating to Health and Safety at Work and to take all responsible precautions to avoid actions.

To be aware of the confidential aspects of the post. To keep up to date with the requirements of information governance; undertake mandatory training and follow Trust policies and procedures to ensure that trust information is dealt with legally, securely, efficiently and effectively. Breaches of confidentiality will result in disciplinary action that may involve dismissal. You must maintain the confidentiality of information about service user staff and organisational business in accordance with the General Data Protection Regulation 2018 (GDPR) and Caldicott principles.

The post holder should also be aware that, regardless of any action taken by the employing authority, breaches of confidentiality could result in civil action for damages.

All staff will be treated with respect by management, colleagues, patients and visitors and equally staff will treat management, colleagues, patients and visitors with the same level of respect. Staff will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status.

You will be expected to undertake the Trusts commitment to safeguarding and promoting the welfare of children, young people and vulnerable adults.

To ensure that when creating, managing and sharing information records it is done in an appropriate way, subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines. All employees are responsible for implementing and maintaining data quality, ensuring that records are legible and attributable and that the record keeping is contemporaneous

In accordance with the Health and Social Care Act 2008, the post holder will actively participate in the prevention and control of infection within the capacity of their role. The Act requires the post holder to attend infection prevention and control training on induction and at regular updates and to take responsibility for the practical application of the training in the course of their work. Infection prevention and control must be included in any personal development plan and/or appraisal.

To adhere to relevant Code of Practice of Professional body (if appropriate)

The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be cross site.

The duties contained in this job description are not intended to be exhaustive. The duties and responsibilities of this post are likely to evolve in line with the Trusts continued organisational development.

To adhere to the NHS Constitution and its principles and values. You must be aware of your Duty of Candour which means that you must be open and honest during your employment and if you see something wrong, you must raise it. You must read the NHS Constitution in full and can download this from the Trusts intranet site or the gov.uk website. Hard copies are available from the HR Department on request.

The Trust is a non-smoking site. Failure to follow this rule could lead to disciplinary action.

Person Specification

Qualifications

Essential

• Registered Nurse (RGN) with active NMC Registration and/or active HCPC registration
• Evidence of post registration education at degree level or willing to work towards
• Teaching qualification and ability to facilitate the learning of others and/or equivalent experience

Desirable

• Postgraduate qualification in a specialty

Knowledge and Experience

Essential

• Demonstrable experience of managing a clinical team including human resource management
• Demonstrable experience of managing change within a clinical environment
• Demonstrable evidence of continuous quality improvement

Desirable

• Substantial post registration experience in a leadership position with significant evidence of clinical practice

Skills

Essential

• Coaching / Facilitation skills
• Staff development and empowerment
• Highly developed communication skills
• Setting a high standard
• Participation in research and audit
• Problem solving skills
• Risk management skills
• Experience of developing policies and procedures
• Computer Literate
• Ability to influence and work across professional boundaries
• Manage complex and competing issues remaining calm under pressure

Other

Essential

• On-going personal and professional development

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Mersey and West Lancashire Teaching Hospitals NHS Trust

Address

Whiston

Whiston

L35 5DR

Employer's website

https://www.merseywestlancs.nhs.uk/ (Opens in a new tab)