Divisional Quality and Safety Manager

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Detailed job description and main responsibilities
• The post holder will provide support for serious incidents including investigation methodology coaching through the Trust's investigation methodology
• To co-ordinate the process for serious incidents, ensuring all relevant parts of the process are undertaken by the appropriate people e.g. supporting staff, Duty of Candour, Being Open and delivery of actions
• To quality assure final drafts of investigation and learning response reports prior to submission to the central quality and safety team
• To provide training on investigation methodology and on being open
• To monitor progress on local investigations and learning responses and ensure leads are aware of timescales for these
• To monitor progress with action plans and action plans arising from local investigations, learning responses and other sources/workstreams, gaining robust assurance that changes have been implemented
• To ensure action plans reflect current best practice and long term strategic aims of the division to provide the highest levels of patient care.
• To support multi-disciplinary teams in ensuring lessons learnt are shared within the Division and the Trust and to ensure relevant Trust learning is shared within the Division.
• To provide reports to support the above including detailed analysis of key trends and highlighting outliers to key Divisional and Trust Quality & Safety targets.

Queen Square Division

The Queen Square Division is the largest Division in UCLH with a turnover of around £240m and over 2,000 staff. It comprises the services at the National Hospital for Neurology and Neurosurgery (NHNN) in Queen Square, the Royal London Hospital for Integrated Medicine (RLHIM), the Pain Management Centre at Cleveland Street and the Gower Assessment Unit at the Epilepsy Society, Chalfont St Peter.

The NHNN is the UK's largest dedicated neurological and neurosurgical hospital treating over 6,000 inpatients, 120,000 outpatients and 8,000 day cases each year. Established for over 150 years it provides comprehensive services for the diagnosis, treatment and care of all conditions that affect the brain, spinal cord, peripheral nervous system and muscles.

The RLHIM is the largest public sector provider of integrated complementary medicine in Europe. The hospital offers an innovative, patient-centred service integrating the best of conventional and complementary treatments for a wide range of conditions. The RLHIM operates on an outpatients clinic basis. Clinical services include women's health, complementary cancer care, allergy service, skin clinics, acupuncture, rheumatology service, children's service, weight loss management, sleep management clinics, musculoskeletal medicine and stress management.

Queen Square provides a wide range of services - including:

- Inpatient; surgical, medical, rehabilitation, critical care and mental health services

- A full spectrum of outpatients and daycare services across neurosciences, pain management and integrated medicine

- Diagnostics - including imaging, pathology and many other diagnostic services

- Other services including pharmacy, private patient services and more

Its facilities include 6 conventional theatres and an interventional MRI suite, neuroscience critical care unit, over 200 beds, a day-care unit and extensive outpatient facilities. It also houses the Wolfson Experimental Neurology clinical research centre. There are referral pathways and shared appointments with a variety of London hospitals.

For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.

Come and be a part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England - for the second year running : University College London Hospitals NHS Foundation Trust

*In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England - for the second year in a row.

UCLH top trust to work at in England - for the second year running : University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

Person specification

Knowledge and Qualifications

Essential criteria

• Educated to Masters level or equivalent evidence of successful study at a higher level within a specialist environment of clinical effectiveness/project management
• Management qualification or equivalent experience of leading and developing individuals and teams

Desirable criteria

• Clinical background / qualification e.g. first level nursing or AHP qualification

Experience

Essential criteria

• Experience of significant period of time working in the NHS, in at least 3 relevant fields e.g. audit, guidelines, complaints, risk, CQC work, claims.
• Understanding of the NHS Complaints procedure and current national issues.
• Appreciation of the critical issues in the management of complaints
• Experience and/or involvement in the complaint investigation process
• Experience in the management of serious incidents
• Expertise in investigative processes (e.g. Root Cause Analysis RCA - E, PSIRF)
• Experience of working in a large and complex health environment at corporate level (or on trust wide issues)
• Detailed knowledge and understanding of the Care Quality Commission regulations and PSIRF agenda
• Knowledge of quality and safety clinical governance policy framework and related documents

Desirable criteria

• Detailed demonstrable knowledge and experience of clinical effectiveness e.g. principles and practice of clinical audit methodologies and clinical guideline development/implementation and monitoring
• Awareness of Government policies and strategies in relation to clinical effectiveness

Skills and Abilities

Essential criteria

• Ability to negotiate and influence front line and management staff at all levels; particularly where proposed approaches to incident management may differ
• Articulate, influential and persuasive
• Ability to work across boundaries and breakdown barriers
• Demonstrable knowledge and experience of critical appraisal skills / the ability to evaluate and critically appraise information
• Ability to plan and organise a varying work load effectively to meet deadlines in the short and long term.
• A flexible approach to work with the ability to react accordingly to changing demands and work priorities

Values

Essential criteria

• Demonstrate ability to meet Trust Values of safety, kindness, teamwork and improving

Communication

Essential criteria

• Advanced written skills with experience of different writing styles including reports, action plans, summaries and policies.
• Ability to prepare and deliver presentations to all levels of an organisation
• Understanding of Confidentiality

Personal and People Development

Essential criteria

• Able to function within a team as team leader or team member
• The ability to encourage, enthuse and lead others

Desirable criteria

• Experience in training and/or coaching

Responsibilities towards promoting Equality Diversity and Inclusion

Essential criteria

• Demonstratable understanding of the Equality, Diversity, and Inclusion and/or Knowledge of the NHS obligations under the Equality Act 2010 and the Public Sector Equality Duties

Ensure the risk of infection to self, colleagues, patients, relatives and visitors is minimised by:

Essential criteria

• Being familiar with, and adhering to Trust policies and guidance on infection prevention and control.
• Taking personal responsibility so far as is reasonably practicable, in helping ensure that effective prevention and control of health care associated infections is embedded into everyday practice and applied consistently.

At UCLH, we have a real 'One Team' ethos, and our values - safety, kindness, teamwork and improving, are central to the way we work. This is supported by our staff, who voted us as the #1 NHS Acute Trust to work for in the whole of England.

At UCLH we take equality of opportunity seriously and are committed to being a diverse and inclusive employer, with a culture that creates a real sense of belonging and trust. It is our fundamental aim, to recruit, retain and promote a diverse mix of people who are representative of our local communities. Applications are encouraged from candidates of all backgrounds, cultures, and perspectives to support our world class research, innovation and creativity.

UCLH recognises the benefits of flexible working for staff and has a dedicated policy which allows staff to apply for flexible working right from the beginning of employment. For more information please go to: .

We offer our permanent staff an interest free season ticket loan for travel, all our staff have access to free independent and confidential support, large retail discounts, a staff discount platform, cycle to work scheme and on-site accommodation to name a few.

Additionally, UCLH Arts and Heritage's staff wellbeing programme, Creative Comfort, offers a variety of ways to engage with the arts as a member of UCLH staff. You can try out the weekly choir, weekly art club and join the Culture Club for exclusive access to free and discounted tickets for opera, exhibitions, theatre and more.

We recognise, reward and thank colleagues by nominating them for our annual Celebrating Excellence Awards, which are funded by UCLH Charity.

We are also members of which offers discounts on high street retail stores, offers on travel deals, and also to take advantage of cash back schemes.

This vacancy may close before the current listed closing date. You are advised not to delay submitting your completed application.

Please note that all correspondence regarding your application will be via email. The emails will be sent to you via TRAC.jobs and not via NHS Jobs, we encourage you to check your inbox regularly.

Please note that if you are at present in a training position on the 2016 new junior doctor's contract and are applying for a Trust doctor role your salary will not be pay protected.

You will be placed on the appropriate point of the Trust Doctor pay scale based on your previous experience.

Please note that if you have not heard from us within 3 weeks of the closing date of the advert to assume that you have not been shortlisted on this occasion.

The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.

Employer certification / accreditation badges

Documents to download

• Job Description (PDF, 672.3KB)
• Functional Requirement (PDF, 248.6KB)
• UCLH Values (PDF, 860.9KB)