Clinical Quality Manager

Job responsibilities

Main Duties & Responsibilities

• Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.

• Support the Patient Safety Specialist and deputise when required.

• Manage and develop the Trusts programme to embed the principles of CQC self-assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.

• Work closely with the Trusts Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews, complaints and claims are translated into learning and sustained improvement across all clinical areas in the service and Trust.

• Working as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks. Share these through relevant service directorate meetings and escalate concerns in a timely manner.

• Prepare data and write reports for identified committees and the Trust Board.

• Oversee and support services in the assessment and management of clinical policy and clinical risk compliance

• Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.

• Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.

• Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver outstanding care to patients and service users.

• Lead relevant programmes of improvement activity based on identifying excellence in clinical quality agreed with the Chief Nurse or Director of Nursing enabling practice to be shared across services. Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.

• Lead the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.

• Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.

• Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.

• Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.

• Lead on the patient participation (lived experience and co-production), including Trust wide groups and functions.

• Identify risks associated with the provision of the services and the delivery of high-quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.

• Be an active member of the Trusts clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.

• Undertake where required, and support others to undertake, detailed PSIRF analysis and PSIIs.

• Actively address failure in systems or processes underpinning the delivery of safe clinical practice.

• Support the Chief Nurse and Director of Nursing in any other aspects of Clinical Quality and Professional Practice as required.

• Lead the governance and oversight of the translation service requests and service quality for the Trust. Provide reports on quality and usage and a focus on ensuring value.

• Support the collation of evidence and development of the annual Quality Account.

Communication and Engagement

• To communicate with staff at all levels of the organisation.

• To develop and maintain key relationships including the following roles:

  • Staff within the Operational Quality Team, including safeguarding, IPAC and Trust Governance.

• • Other Corporate colleagues including Finance, Workforce, Training, Education and HR Teams, Clinical Medicines and Communication Teams.

• • Clinical services directorates.

• This communication may occur at all levels of the organisation and involve presenting complex information, negotiating with parties who hold differing views, appropriate decision making and using skills of persuasion to ensure staff understand the issues involved and their responsibilities within.

• Provide relevant reports and proposals for improvements to practice to a number of for a including Board, related sub-committees and externally to a range of commissioners and stakeholders.

Budgetary Responsibility

• This role will be responsible for financial management of the staff members of the Clinical Governance team

• This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.

Human Resources

• Responsible for the day-to-day supervision and management the Lived Experience and Co-production Manager. This involves all aspects of staff management including supervision and monitoring of all aspects of their work programme.

• This includes responsibility for all the following: grievance, disciplinary, appraisal, appointing panel member at recruitment, reviewing work performance and progress, work allocation and monitoring.

• Responsible for ensuring that managed staff complete their mandatory training requirements and are offered appropriate opportunities for development.

• Responsible for maintaining own professional development and requirement to take part in appraisal and supervision.

• Responsible for Professional Body requirements, i.e. NMC revalidation, HCPC ongoing registration, etc.

Clinical and Practice Governance

• Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act.

• Any data that is taken/shared as part of a phone call or transported, or transferred electronically must be undertaken with regard to the Trusts Information Governance and Information Security policies.

• The post holder must adhere to the Trusts risk assessment and risk management processes.

• The post holder must adhere to infection control policies and procedures.

• It is a condition of your employment that you are currently registered with a Clinical Professional Body and it is your responsibility to maintain your professional registration.

• Undertake mandatory training and any other training relevant to the role as required by the Trust.

• The post holder must participate in clinical and other audits as required.

• Participate in clinical supervision on a regular basis.

• The post holder is required to lead in relevant emergency preparedness process for their team.

Sustainability

• It is the responsibility of all staff to minimise the Trusts environmental impact wherever possible. This will include recycling, switching off lights, computers, monitors and equipment when not in use as well as helping to reduce paper waste by minimising printing/copying and reducing water usage, reporting faults and heating/cooling concerns promptly and minimising travel. Where the role includes the ordering and use of supplies or equipment the post holder will consider the environmental impact of such purchases.

Other

Essential

• Flexible to meet service needs
• Able to work sensibly and collaboratively across organisational and professional boundaries recognising changes in circumstances and to incorporate them into practice
• Work under pressure to meet deadlines
• Demonstrates awareness of priorities, deals with workload, adapts to changing requirements and uses initiative

Desirable

• Knowledge and experience of multiagency working, especially promoting integration between Health and Social Care

Personal Attributes / Behaviours (linked to the Trust's Behaviour Framework)

Essential

• Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults
• Value and respect the privacy and dignity for patients
• Accepts responsibility and accountability for own work and can define the responsibilities of others.
• Recognises the limits of own authority within the role.
• Seeks and uses professional support appropriately.
• Understands the principle of confidentiality.
• Demonstrates professional curiosity.
• Acts with integrity at all times

Personal and people development

Essential

• To communicate with staff at all levels of the organisation.
• Must be self-motivated, enthusiastic and be able to meet deadlines within a pressured environment.
• Strong evidence of continued professional development
• Experience in developing a team and individuals both new to role and individuals in need of additional support and development to undertake their role

Communication

Essential

• To communicate with staff at all levels of the organisation.
• To develop and maintain key relationships
• This communication may occur at all levels of the organisation and involve presenting complex information, negotiating with parties who hold differing views, appropriate decision making and using skills of persuasion to ensure staff understand the issues involved and their responsibilities within.
• Provide relevant reports and proposals for improvements to practice to a number of fora including Board, related sub-committees and externally to a range of commissioners and stakeholders.

Skills, Abilities and Knowledge

Essential

• Has excellent interpersonal skills.
• Is able to translate national/regional and local policy into Trust relevant actions.
• Is familiar with DATIX or similar.
• Is able to communicate with staff at all levels of the organisation and engage them in relevant projects and activity.
• Is able to empower staff to take ownership of key areas of responsibility relating to CQC standards and implement identified improvements.
• Has competent keyboard skills and ability to communicate through IT using packages such as Word, Outlook, Excel and PowerPoint.
• Is able to lead a team effectively.
• Has advanced report writing skills.
• Has excellent time keeping and prioritisation skills.
• Is able to demonstrate an understanding of the CQC Single Assessment Framework standards and associated regulations and inspection framework.

Desirable

• Has competent project management skills.

Qualifications

Essential

• Masters Degree level qualification (or equivalent experience)
• Evidence of post registration qualification/study/development.
• Registration with a Clinical Professional body, i.e. (amongst others) NMC, HCPC.

Experience

Essential

• Proven record of working with teams to deliver improved outcomes for patients/ staff.
• Recent senior clinical/managerial level experience.
• Knowledge of NHS Patient Safety Strategy.
• Clear understanding of contemporary clinical quality agendas.
• Understand clinical governance systems and processes.
• Service improvement/change management experience.
• Experience of managing effective clinical risk management.
• Experience of leading programmes of engagement with staff and/or patients with defined outcomes.
• Managing staff and leading a team.
• Leading a project involving several stakeholders/teams or professions.
• Involvement in improving practice in an area covered by CQC regulations and standards.
• Experience of facilitation of sharing best practice or innovation across teams or services or organisations.

Desirable

• Experience of working with a range of clinical services in a community setting.
• Leadership models, implementing change and/or new clinical practices
• Patient Safety Specialist L3-4

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.

UK Registration

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