Clinical Quality Lead

8 months ago


Peterborough, United Kingdom Greater Peterborough Network Full time

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.



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