Job responsibilities
Patient Safety
To provide support and advice to Family Care Services in developing and maintaining systems and processes that enable risks identified at specialty level which cannot be addressed, to be reported formally through the division and escalated to the Trusts Risk Register if appropriate. Ensure that the divisional risk register is continually up to date and facilitate the on-going review of risks on the register with the Directorate Management Teams and the Senior Management Team.
To work with the Directorate Managers, Head of Midwifery / Deputy Head of Midwifery, Clinical Quality and Safety Leads, and Governance Leads to ensure that thorough investigations are carried out in relation to serious incidents/adverse events and complaints using Patient Safety Incident Response Framework (PSIRF).
To be responsible for the administration and monitoring of systems for mortality reviews following all patient deaths in the division, supporting the Clinical Quality and Safety Leads and assisting the Divisional Quality and Safety Lead to prepare the divisional mortality report, including required actions and lessons learnt.
To be responsible for the administration and monitoring of systems to capture data from infection control audits, supporting ward managers and matrons to prepare required reports and action plans, PSRs including monitoring of action plans and sharing of lessons learnt.
To monitor the implementation of recommendations and action plans from processes such as MNSI, PSIRFs, clinical audits, escalating non-compliance or problem areas through the divisional quality and safety committees and including this in the specialty and divisional integrated reports.
Clinical Effectiveness
To be responsible for the administration and maintenance of systems within the Division for monitoring NICE Guidelines/Quality Standards, CAS alerts, NCEPOD, Royal College recommendations, Divisional Risk Registers and external reviews by regulators.
To be involved with policy development as required.
To support the Division and Trust in any external/internal reviews, audits, inspections in the collation of relevant information as required supporting CQC, NHSLA and other governing bodies requirements encompassing elements of patient safety, clinical effectiveness and patient experience.
To support the clinical audit leads in the development of the annual clinical audit plan ensuring it is based on the Trust clinical audit priorities.
Patient Experience
To assist the Divisional Quality and Safety Lead in monitoring the divisions complaints and soft intelligence to ensure adherence to timescales, identify trends, and for ensuring lessons learnt are identified and shared.
To retain a central register of all complaints, concerns and soft intelligence which are formally registered against the Division ensuring accurate records are maintained at all times and update the divisional complaints monitoring tool.
To ensure complaint responses are collated and delivered within timescale; and report on any delays in the process.
To support ward managers and matrons in monitoring inpatient survey results, NHS Friends and Family Test and National Patient Surveys, PEA/PLACE inspections, identification of areas of concern and provide assistance to clinical teams when looking at action planning as a result of patient feedback.
Health & Safety
To assist the Divisional Quality and Safety Lead in implementing and monitoring of Trust health and safety policies and procedures throughout the division.
To provide support to the Divisional Quality and Safety Lead, Divisional Clinical Effectiveness Lead and Divisional Clinical Quality and Safety Lead.
To attend/participate in Divisional and local Quality and Safety Groups and other key meetings as requested.
Contribute to, and assist with, the production of Divisional reports which may involve providing analysis of data, managing complex and sensitive information and require prolonged periods of concentration to identify specific trends etc.
To highlight areas of good practice to assist in promoting Clinical Quality and Safety activities across the division, sharing learning with the wider organisation.
To act as an effective conduit between the central Quality and Safety team and the division
To communicate with clinicians and managers within the directorates and be able to discern those situations where the line managers would require briefing
Training & Development
Supports training for Risk management, incident reporting, and complaints management within the division.
To complete Trust induction and core mandatory training in accordance with Trust policy.
Where required to provide input into the Trust corporate Induction programme on incident and safety matters.
To assist and delivery in the provision of management and supervisory training courses for the reporting and management of incidents on DATIX.
To attend such specialist training as may be required from time to time to maintain professional and organisational skills.
To maintain IT literacy and be able to use electronic databases provided by the Trust
Organisational Responsibilities
The post holder will be expected to work with a minimum of supervision on a regular basis given the nature of the work and be expected to use their own initiative by assessing urgent/delicate situations that can be addressed by appropriate colleagues to provide solutions.
To manage day to day administration of all quality and safety activities ensuring that quality and safety related issues are handled in accordance with Trust Policy and Procedures.
To maintain and develop effective filing and communication systems, maximising the use of information technology to effectively manage information using advanced keyboard skills and a range of software packages including Microsoft Word, Excel, PowerPoint, Access, Outlook and Datix.
To assist with the formulation of quality and safety specific action plans, updating as necessary and reporting progress through the quality and safety groups including national, regional and local results.
Understand the organisation structure of the Trust and have knowledge of own and other services in order to deal with enquiries from external organisations.
