Patient Safety Incident Investigator

We have an exciting opportunity to work as a member of the Patient Safety Incident Investigation Team. The Patient Safety Incident Investigator is a member of the Corporate Patient Experience, Risk and Legal Services (PERLS) team. The post holder will lead and be responsible for undertaking complex investigations into serious incidents / never events within the designated timescales reported to the NHS Wales Executive

The Patient Safety Incident Investigator will act as an expert advisor and investigator to the Service Delivery Groups in regard to patient safety incident investigations. This is in support of positively impacting organisational learning and culture.

The Patient Safety Incident Investigator will provide corporate assurance and scrutiny of incident reporting, investigation and learning

to support the Lead Patient Safety Incident Investigator to enable the delivery of an efficient and effective high quality service

to work autonomously, leading on complex investigations where there has potentially been serious harm to patients and when a Never Event has been identified
- to undertake investigations and to complete an investigation report within the designated timescales reported to the NHS Wales Executive

We believe staff are our best asset and we want you to be happy and confident about starting your career here in Swansea Bay University Health Board.

As one of the biggest healthcare groups in the UK we can offer a wealth of professional training and development opportunities in an innovative, forward-thinking organisation.

You might be a nurse or doctor, maybe you specialise in a health science/therapy or can offer skills in one of our support services - we have a job for you.

There are also apprenticeships, work placements and volunteering roles available.

Our values - Caring For Each Other, Working Together and Always Improving, show that our commitment to equality is at the heart of everything we do.

If you want excellent career and training opportunities while living on the doorstep of some of Europe's most spectacular scenery, with all the benefits of a thriving and cosmopolitan city - look no further.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

Incident Investigation

To support the Lead Patient Safety Incident Investigator to enable the delivery of an efficient and effective high quality service.

To work autonomously, leading on complex investigations where there has potentially been serious harm to patients and when a Never Event has been identified.

To undertake investigations and to complete an investigation report within the designated timescale reported to the NHS Wales Executive.

To participate in strategy meetings with Service Groups in order to identify/agree the scope and key lines of enquries for investigations.

To consult with Specialist Advisors as appointed by the Service Group, working with them to review timelines, process control maps and discuss the learning outcomes/recommendations related to the incident.

To request witness accounts from staff involved in incidents.

To review staff witness accounts and, where necessary, meet with staff to discuss the witness account, obtain further information and to clarify any outstanding issues.

To consider the impact that the incident and investigation may have on staff and ensure that staff are aware of how to obtain support.

To ensure that staff are supported during the process and that staff understand that the investigation is not about apportioning blame but is about learning and improving patient safety.

To develop a time line of events in relation to the incident.

To establish and review key appropriate Health Board policies, Standard Operating Procedures (SOPs) and any National guidance from professional bodies relevant to the incident.

To create a Process Control Map to include mapping out relevant policies and SOPs to establish and outline where practice met the relevant standard/guidance and where it did not.

To use other investigative tools as necessary.

To consider other causes that may have contributed to the incident.

To critically review and analyse highly complex and sensitive information to establish causes of a serious incident.

To write a robust report outlining the incident, the omissions/problems that occurred, the causes/contributory factors that impacted on the incident, identify lessons to be learned and to make recommendations for quality improvement.

To share the report with contributors and specialist advisors to ensure the incident investigation has been accurately reflected.

To share the report with Service Group Medical and Nurse Directors for approval prior to Executive Director for final agreement and sign off.

To ensure that throughout the investigation, all documents and relevant information is recorded within Datix Cymru.

To ensure that there is openness and transparency in all aspects of the i