Quality Governance & Risk Management Lead – Child Health & CAMHS - Chesterfield - ref. b23793415
Job overview
The Family Care Division is looking to recruit a member of staff to join the Divisional Quality Governance Team. This is an opportunity for someone with an interest and experience in quality governance and risk management. Applicants should have a clinical background, professional registration or equivalent, and demonstrate excellent communication and inter-personal relationship skills.Applicants must have experience of using an incidnet reporting system for the management of incidents, practical experience and knowledge of incident investigations and an understanding of the Trust’s complaints and incidnet management processes.
The post holder will contribute to the effective and efficient organisation and co-ordination of quality governance requirements for Child Health and CAMHS , providing support and guidance when required. This will include the investigation of complaints and clinical incidents, to ensure these are completed within specified timescales.
This post is AfC Band 6 development to band 7, full time hours (37.5 hours a week)
Main duties of the job
The post holder will, in collaboration with the Divisional Head of Quality Governance and Risk management , and the Divisional Quality Governance Team, co-ordinate, maintain and monitor the quality governance/ risk management processes for Family Care Division, in line with the overarching Trust quality governance framework, working to create a positive organisational safety and learning culture.
The post holder will be supported to take full responsibility for leading investigations, producing reports and improvement plans.
The post holder will provide education and training for staff within the Division, related to quality governance and risk management issues, and ensure learning from clinical incidents, complaints and investigations is cascaded to all relevant staff groups.
Working for our organisation
Chesterfield Royal Hospital NHS Foundation Trust is North Derbyshire's only acute district general hospital, with 24 hour Emergency Department services; we're responsible for providing care and treatment to more than 400,000 people who live in our communities.We are modern, well-resourced and in commuting distance of Sheffield, Derby, Nottingham and close to the Peak District. The Care Quality Commission rated the Trust as ‘Good’. Our vision is to be an outstanding provider of sustainable healthcare services, delivering the best possible care to our patients and being a great place to work for our people
Detailed job description and main responsibilities
Key Result Areas
These are the key areas that support the purpose of the job
Quality Governance/Risk Management- Promote a positive safety culture throughout Family Care Division, reflecting the NHS Constitution key safety culture performance
- Co-ordinate the collection of data required for quality assurance across the Division and ensure databases are maintained where necessary
- Undertake ‘spot checks’ of clinical practice in the family Care Division for quality
- Ensure all clinical incidents are reported, investigated and escalated in line with the Trust Incident Reporting Policy.
- Monitor the review of clinical incidents in Child Health and CAMHS Care Units, and in conjunction with the Head of Quality governance and care unit leadership teams, finally approve incidents
- Liaise with the Patient Safety Team to ensure all serious incidents are reported and escalated in line with Trust guidelines
- Co-ordinate investigations following serious incidents, near misses and accidents, and lead where indicated, and ensure these are reviewed at the appropriate Divisional/Trust meetings, and shared with commissioners, within agreed timescales.
- Facilitate a seamless process for informing patients/ families whose care is subject to an internal investigation, and for sharing the investigation report, ensuring that the Trust’s Duty of Candour responsibilities are maintained
- Develop systems to provide feedback to staff who have been involved in clinical incidents
- Ensure that improvement plans from investigations/ assessments/ audits are ‘SMART’, and that outstanding actions are monitored through the Care Unit QGG
- Facilitate learning opportunities for staff where themes and trends are identified from incident and complaints
- Ensure there is a robust process for the review, development and archiving of policies, guidelines, protocols and patient information for services within the Family Care Division.
- Undertake risk assessments as indicated, ensuring they are presented at the Divisional Quality Governance Group and entered on the Divisional and Trust Risk register
- Ensure there is process to ensure the timely review of risks within the Care Units, and that the risk registers are updated
- Ensure the timely review of professional, NICE, other recommendations/ guidance relevant to the clinical services within the family care unit is undertaken by the Child Health and CAMHS Care Unit, and that a central database is maintained capturing this information, and areas of non-compliance are entered onto the appropriate risk register
- Maintain a plan of all internal/ external quality/ peer review/ accreditation requirements for the services within the Division and monitor progress with preparation/ compliance.
- Undertake specific case reviews where indicated and where sub-optimal care is identified, liaise with the relevant line manager/ clinical director, to ensure that the member of staff involved receives the appropriate education and training
- Participate in the Care Accreditation Scheme, nursing care and other quality assurance audits as required
- Ensure data are entered onto national reporting systems in a timely manner
- Provide direct support to the Care Unit’s Quality Governance Group Chair and attend their meetings
- Assist the Care Units in the investigation of complaints as required
- Demonstrate effective leadership at all times, acting as an advocate for patient safety and an influential role
- Contribute to the induction and competency programmes for clinical staff.
- Deputise for the Divisional Head of Quality governance and Risk
- Provide a point of contact for matters relating to audit and NICE, representing the Division at relevant meetings and liaising with the Clinical effectiveness team and working closely with the Care Unit audit and NICE lead
- Ensure Care Unit annual audit plans are reflective of incident investigations
- Ensure a central audit plan is maintained for the Division and that there is a process for monitoring the completion and presentation of audits within the Care units
- Organise ‘spot check’ audits arising from investigations of clinical care, and ensure results are cascaded to relevant staff groups
- In partnership with the Lead for Clinical Education/Training, develop innovative methods of disseminating learning opportunities identified from clinical investigations and complaints
- Participate in education programmes and in-service training days as required
- Implement initiatives to increase staff awareness and engagement with safety culture
- Develop a failsafe process for ensuring staff are informed of new and updated clinical policies and guidelines
- Contribute to development plans for individual staff where learning needs have been identified
- Participate in the evaluation of own effectiveness through the staff appraisal process, identifying and acting upon development
- Work clinical shifts as required.
- Maintain personal professional status by ensuring that the requirements laid down by the relevant professional body for maintaining registration and re-validation are complied
- Maintain a professional portfolio in accordance with PREP requirements.
- Undertake mandatory training in accordance with Trust/ Divisional
- Demonstrate the Trust’s Proud to Care values at all times
Person specification
Qualifications and training
Essential criteria- Registered Nurse/ equivalent healthcare professional or NHS Governance experience
- Study at Level 3
- Evidence of continued CPD
- Study at masters level
- Complaint Management training
- Incident investigation training
Experience
Essential criteria- Extensive post registration experience
- Recent clinical experience
- Understanding/ working knowledge of Incident management process
- Review/ development of clinical guidelines and policies
- Working knowledge of the management of complaints process.
- Working Knowledge of development of Improvement delivery plan
- Knowledge of audits and NICE guidance relevant to services
- Chairing meetings
- Involvement in serious incident investigations, for example MDT Learning review and PIRSF
- Experience of complaint management
- Report writing experience
- Risk management experience
Skills and Knowledge
Essential criteria- Advanced IT skills
- Knowledge of National Guidance related to Child Health and CAMHS
- Presentation skills
- Excellent communication and interpersonal skills
- Ability to identify and analyse data
- Experienced in use of digital incidnet reporting/ risk management system
- Knowledge of national initiatives
Flexible Working
If you're looking for flexible or predictable working arrangements, please speak to us about how we might be able to accommodate this. If it works for our service and patients, we will do our best to make it work for you.
COVID19 Vaccination
Chesterfield Royal Hospital NHS Foundation Trust is committed to ensuring the safety of all our staff and patients therefore encourages and supports staff to be vaccinated against COVID19 as this remains the best line of defence against the virus.
UK Points-based immigration system
Applications from job seekers who require sponsorship to work in the United Kingdom (UK) are welcome and will be considered alongside all other applications. Please note that from 1 January 2021, to work in the UK all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship unless you have permission to work via another route.Non UK / RoI candidates wishing to apply can self-assess the likelihood of obtaining a Certificate of Sponsorship here Work in the UK - GOV.UK (www.gov.uk).
It is vital that you provide full and accurate details of your current immigration status on the application form. Overseas applicants applying for entry clearance into the UK must present a criminal record certificate from each country they have resided in continuously or cumulatively for 12 months or more in the past 10 years.Guidance can be found here Criminal records checks for overseas applicants - GOV.UK (www.gov.uk)
If you are applying for a vacancy in health or adult social care, you may be eligible to apply for the Health and Care Worker visa instead, which is cheaper to apply for and you do not need to pay the annual immigration health surcharge.
Communications
Communications throughout the application process will be via e-mail therefore please check your e-mail account and Trac account regularly. References are also requested by email (where possible). Therefore to speed up the recruitment process please provide an email address for all referees when completing your application form.
If you require any support in completing the application form, please do not hesitate to contact the HR Support Services team on 01246 513177 and we will be happy to provide assistance.
Please see the attached documents and links in relation to working for Chesterfield Royal Hospital NHS Foundation Trust. In particular, the general conditions of employment and benefits of working for the trust.
This role is part of the integrated health and social care community across Derbyshire, where there are many opportunities to work across different locations and providers developing new and different skills. Whilst this role is initially based in Chesterfield there may be future opportunities to be based at different locations within the health and social care community which we may talk to you about in the future.
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