Clinical Quality Lead

Job responsibilities

Co-ordinate the implementation of the clinical quality governance programme ensuring that this reflects the overall clinical governance strategic intent

Facilitate and support the GPN to plan, prepare and gather evidence for external assessments (CQC, peer visits)

Support the organisation to achieve National and Local Initiatives

Assemble and analyse qualitative and quantitative information (with operational and service managers) in ways that assist staff in reflecting and improving on service delivery and practice.

In liaison with Management Teams ensure that any necessary Governance reports are compiled within agreed time frames. Ensure that such reports are evidenced with the necessary data and narratives to provide appropriate assurance in relation to clinical quality, outcomes, and processes.

Facilitate the downward dissemination of decisions and discussions at Governance and Quality committees and provide clarity regarding how they may relate to the individual service, and develop associated programs to address and monitor the impact of change.

In liaison with service and Corporate teams, assist in the building and development of information resources pertinent to quality governance and act as a resource for the division to develop improvement programs to enhance patient experience and outcome.

Facilitate and support the Management and clinical leadership Teams to coordinate and report the activities of quality and clinical governance groups against objectives, standards, and targets.

Assist the Management Teams to exercise responsibility for clinical risk management across their services

Support the implementation of the incident reporting system within services, providing support in the investigation of incidents where appropriate.

Co-ordinate and support the management of mortality review tracking.

Co-ordinate and support the management of external serious incidents (including Healthcare Safety Investigation Branch - HSIB) and comprehensive investigations.

Co-ordinate and support the investigation, response and reporting of clinical complaints and patient feedback, working in association with teams at service and corporate levels.

Participate in management of an effective and appropriate Clinical Risk Register in liaison with Clinical Leads and operational management teams. Ensuring that the incident reporting system remains accurate and current staff are adhering to the policy.

To ensure that all risk-related information is stored and filed systematically and securely.

Provide support to ensure that external and internal inspections, have appropriate clinical action plans and that have corrective actions have been completed with an associated follow up audit planned, as required.

Work alongside clinical leads within services to develop, implement, and monitor audit and improvement programmes that support the needs of the organisation.

Monitor the implementation and on-going compliance with NICE and national guidance including effective responses to national reports.

To support the governance team in production of reports focussing on themes generated from patients, service users and their carers. Ensure that learning from patient experience, complaints, feedback and friends and family test is shared.

Co-ordinate and participate in Clinical Quality Review visits and programmes, including the follow-up of resulting actions.

Work in consultation with clinical leads to develop appropriate outcome measures that are monitored and reported, as necessary. Ensure there are systems in place for capturing and sharing of data.

Identify clinical governance training needs to ensure these needs are met.

Understand CQC regulation and the impact of any adverse findings of quality measurement, internal/external reviews and changes in service delivery and advise management/leadership teams of such. Assist in preparing for unannounced and announced inspections.

Collaborate effectively with the corporate teams covering the elements of GPN quality governance initiatives.

Qualifications

Essential

• Graduate level of education and/or relevant professional qualification, or significant governance experience within the NHS.
• Evidence of continued learning or professional development.
• Teaching qualification or appropriate level of teaching/presentation experience.
• Active registration as a healthcare professional.

Desirable

• Masters level qualification.
• Leadership qualification.

Experience

Essential

• Previous experience within an associated specialty within clinical governance.
• Relevant experience in clinical governance within a medium to large NHS organisation.
• Supervisory Management Role.
• Experience of the clinical governance function within healthcare.
• Experience of involvement in clinical audit.
• Experience of working closely with clinicians of varying seniority.
• Experience of analysing problems and identifying solutions.
• Experience of using Windows based software.
• Proven track record of delivering clinical governance objectives in line with organisational strategy.
• Understanding of and working experience of process mapping.
• A track record in delivering presentations and developing and delivering training.
• Development and use of information systems to support change.
• Knowledge of all aspects of clinical governance.
• Knowledge of using healthcare databases, healthcare systems and procedures.
• Understanding of NHS structure and processes including commissioning, regulation and evolving governmental approaches.
• Understanding of processes of standard setting, assessment and assurance within the NHS.
• Understanding of the principles and practice of the legal framework relevant to risk management, investigation and mitigation in the context of governance in the NHS.
• Understanding the use of comparative statistical information to stimulate clinical quality improvement

Desirable

• Experience of using clinical outcomes systems.
• Ability to concentrate for long periods of time while analysing data and producing reports / trackers.

Skills

Essential

• Excellent oral and written communication skills.
• Excellent interpersonal skills.
• Ability to present information concisely and clearly with excellent attention to detail.
• Ability to format and write a report with complex data presentation/analysis to inform and influence the quality governance agenda.
• Ability to lead meetings and discussions.
• Ability to communicate complex information with clinical staff (including through use of presentations).
• Organised and systematic in approach to work and prioritisation, including the ability to work to tight deadlines.
• Ability to be assertive, tactful and diplomatic.
• Ability to understand, manage and communicate data.
• Demonstrable political judgement and an astute approach to handling diverse interests and complex relationships - clear about referring upwards where necessary.
• Demonstrable credibility in working with and influencing senior staff.
• Ability to devise and implement a rigorous and analytical approach to information collection and presentation.
• Ability to devise project plans and work programmes, working independently and as part of a team.
• Knowledge of Data Protection Act and freedom of information Act, and Caldicott Principles.
• Enhanced IT skills in common software packages including Microsoft Office

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).