Job responsibilities
PHYLLIS TUCKWELL
JOB DESCRIPTION
POST: Quality and Clinical Audit Lead
ACCOUNTABLE TO: Deputy Director for Nursing and Quality
JOB PURPOSE:
To work closely with the Deputy Director for Nursing and Quality and collaboratively with clinical teams to support the development and implementation of effective and robust activities to support clinical governance for continuous improvement at Phyllis Tuckwell and to support a strong learning and safety culture.
To champion clinical quality improvement initiatives across the organisation.
To contribute to relevant governance reports.
To help to lead on and to oversee:
- meaningful patient, family and carer involvement .
- a relevant clinical audit programme.
- robust risk assessments and risk management.
- timely and effective incidents and complaint investigation and responses.
- sharing of and response to patient safety alerts.
- policies and procedure reviews and updates.
- the work needed to ensure PT meets Care Quality Commission, regulatory compliance.
This will ensure safe, effective person-centred care for patients, families, and service users, inform service delivery, clinical effectiveness, and continuous improvement.
RESPONSIBILITIES:
1.0 Professional
1.1 To be a safe and effective clinical practitioner working to relevant professional standards and code of conduct.
1.2 To champion patient safety and quality improvement.
1.3 To act with compassion and a willingness to learn, in response to patient and service user experience feedback.
1.4 To promote and maintain a high quality of care at Phyllis Tuckwell by monitoring practice through ongoing clinical audit, risk management, evidence-based practice, and continuous professional development.
1.5 To ensure that standards set by the Care Quality Commission, NICE guidance and other relevant legislation are adhered to and maintained in accordance with legal requirements.
1.6 To promote the mission, vision and aims of Phyllis Tuckwell working closely with managers and clinicians.
2.0 Practice
2.1 To help develop a proactive culture and the skills within and across teams to ensure that audit, quality improvement, and continuous learning are embedded in all clinical activity across the organisation.
2.2 To be responsible for the annual audit programme, liaising with managers to ensure that colleagues have the skills and knowledge to complete relevant audits, that all audits are recorded and that recommendations are followed through and are reviewed.
2.3 To ensure there is a robust plan for ongoing audit of the standards in PT guidelines and polices, and for those of the Care Quality Commission (CQC).
2.4 To promote and support the wider dissemination of reports and audit findings, through regular reporting into PT Governance forums.
2.5 To support teams to improve to ensure high standards related to CQC compliance, and support PT to demonstrate this.
2.6 To support teams to complete risk assessments and to support the maintenance and review of the clinical risk register.
2.7 To support a strong reporting, investigations and learning from incidents culture.
2.8 To support staff to be open and honest, under professional and statutory duty of candour.
2.9 To collate the patient safety alerts, document them and PTs response to them.
2.10 To attend, chair as needed, and contribute positively to relevant PT working groups.
2.11 To develop and maintain effective working relationships with all PT staff, volunteers, patients, carers and their relatives.
2.12 To co-ordinate and facilitate the implementation of policies and procedures.
2.13 To oversee and keep up to date the Policy Creation and Review List liaising with Senior Management team members as required, to ensure the agreed process is maintained.
2.14 To support the implementation of best practice in relation to infection prevention and control, working closely with the Governance Manager, Community, and In-Patient Service Managers.
2.15 To lead on seeking feedback and further improve engagement and involvement of service users and potential service users about their experience via for example surveys and questionnaires, focus groups, service user groups and co production.
2.16 To champion a just, learning and safety culture.
3.0 Training and Development
a) Team
To provide clinicians with the knowledge and skills to undertake audits and service improvements to a high standard.
To help support the feedback loop to ensure that staff are informed of our incident themes, learning, and are engaged with service improvement.
To listen to and compassionately support staff in learning from incidents including via methods recommended under the patient safety incident response framework.
To document and share feedback from user satisfaction surveys and questionnaires.
To work with the multidisciplinary team, identifying areas for policy or service development and audit, and facilitate training programmes to meet these in conjunction with the Director of Patient Services and Medical Director.
b) Personal
To attend to own continuous professional development, to maintain professional standards.
To adhere to all aspects of health and safety at work and governance.
To address personal and professional development using PT annual performance review system.
4.0 Research
4.1 To identify and make recommendations on the most appropriate set of evaluation tools and service user feedback mechanisms.
5.0 Safeguarding, Equality, Diversity and Inclusion
Role holders are required to understand their responsibilities in the safeguarding context, ensuring that Phyllis Tuckwell reduces the risk of harm or abuse of adults and children at risk.
You are required to:
adhere to Phyllis Tuckwells Safeguarding Policy (held on the NEST), which supports the local authoritys multi agency safeguarding policy, the law (Care Act 2014) and Mental Capacity Act 2005 (including Deprivation of Liberty Safeguards).
inform the appropriate PT professional where there is concern that an adult or child may be at risk of harm, abuse, or neglect.
Phyllis Tuckwell is committed to an Equal Opportunities approach, valuing, and respecting everyone as individuals, with diverse opinions, cultures, lifestyles, and circumstances.
This job description is underpinned by Phyllis Tuckwells philosophy, culture, and core values, which actively embrace diversity and inclusion and promotes total team spirit.
This job description is current and subject to yearly review in consultation with the jobholder. It is liable to reflect and anticipate necessary changes to support the PT strategy.
