Quality & Safety Facilitator

7 months ago

Burnley, United Kingdom East Lancashire Hospitals NHS Trust Full time

The Quality & Safety Facilitator will be responsible for the administration and monitoring of governance related issues specifically patient safety and patient experience, whilst adhering to the Trusts quality standards. They will make a significant contribution to the work of the team in incident management, Risk Management, Patient Safety reviews and administration duties in the management of Trust Policies and procedures.

He/she will work closely with the Directorate Governance Lead, Divisional Director of Midwifery & Nursing / Deputy Head of Midwifery, fellow Quality & Safety Facilitators, Matrons, and ward managers.

The Quality & Safety Facilitator is an integral part of the Quality and Safety Unit and helps to drive forward, and improve, quality within the Family Care Division by working with internal and external colleagues. He/she will be responsible for providing practical support to the division to help them take forward the governance agenda, ensuring effective systems are in place to manage risk and other patient safety and patient experience linked issues within the division.

The Family Care Divisional Quality and Safety team work with the Divisional Directorates which consists of Maternity, Neonatal, Gynaecology, Paediatrics. We are a small but dynamic team that covers a variety of functions to support Family Care Divisional Clinical Colleagues to deliver the patient safety, patient experience, and clinical effectiveness agenda.

We are a friendly and supportive team who operate within the scope of the Agile working policy. We offer a flexible and supportive approach to ensure that all team members are valued and recognised for their individual and team contributions.

Patient Safety

To provide support and advice to Family Care Services in developing and maintaining systems and processes that enable risks identified at specialty level which cannot be addressed, to be reported formally through the division and escalated to the Trusts Risk Register if appropriate. Ensure that the divisional risk register is continually up to date and facilitate the on-going review of risks on the register with the Directorate Management Teams and the Senior Management Team.

To work with the Directorate Managers, Head of Midwifery / Deputy Head of Midwifery, Clinical Quality and Safety Leads, and Governance Leads to ensure that thorough investigations are carried out in relation to serious incidents/adverse events and complaints using Patient Safety Incident Response Framework (PSIRF).

To be responsible for the administration and monitoring of systems for mortality reviews following all patient deaths in the division, supporting the Clinical Quality and Safety Leads and assisting the Divisional Quality and Safety Lead to prepare the divisional mortality report, including required actions and lessons learnt.

To be responsible for the administration and monitoring of systems to capture data from infection control audits, supporting ward managers and matrons to prepare required reports and action plans, PSRs including monitoring of action plans and sharing of lessons learnt.

To monitor the implementation of recommendations and action plans from processes such as MNSI, PSIRF’s, clinical audits, escalating non-compliance or problem areas through the divisional quality and safety committees and including this in the specialty and divisional integrated reports.

Clinical Effectiveness

To be responsible for the administration and maintenance of systems within the Division for monitoring NICE Guidelines/Quality Standards, CAS alerts, NCEPOD, Royal College recommendations, Divisional Risk Registers and external reviews by regulators.

To be involved with policy development as required.

To support the Division and Trust in any external/internal reviews, audits, inspections in the collation of relevant information as required supporting CQC, NHSLA and other governing bodies requirements encompassing elements of patient safety, clinical effectiveness and patient experience.

To support the clinical audit leads in the development of the annual clinical audit plan ensuring it is based on the Trust clinical audit priorities.

Patient Experience

To assist the Divisional Quality and Safety Lead in monitoring the division’s complaints and soft intelligence to ensure adherence to timescales, identify trends, and for ensuring lessons learnt are identified and shared.

To retain a central register of all complaints, concerns and soft intelligence which are formally registered against the Division ensuring accurate records are maintained at all times and update the divisional complaints monitoring tool.

To ensure complaint responses are collated and delivered within timescale; and report on any delays in the process.

To support ward managers and matrons in monitoring inpatient survey results, NHS Friends and Family Test and National Patient Surveys, PEA/PLACE inspections, identification of areas of concern and provide

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