Css Divisional Quality Officer

2 weeks ago


Blackpool, United Kingdom Blackpool Teaching Hospitals NHS Foundation Trust Full time

The Divisional Quality Officer will provide a key role in supporting the effective use of data, information, and knowledge to support and improve service delivery within the Division. The range and diversity of responsibilities will require the post holder to adopt a flexible approach. They will be required to have excellent communication and analytical skills to deal with the day to day challenges of maintaining efficient and effective outcomes.

The post holder will be a key member of the Clinical Support Quality & Governance Team and will have to work effectively with the Divisional Triumvirate, Directorate Managers, Quality Managers as well as other clinical and non-clinical members of the Division.

The post holder will assist the Divisional Quality & Governance Manager with administrative tasks relating to the wider quality and governance agenda such as: ensuring incident reports are closed within trust timescales, collating information for quality improvement action plans, obtaining patient information and case-notes, collating information to support Duty of Candour requirements, supporting the risk management function as required. The post holder will provide support to the Division in preparation for CQC inspections and other regulatory assessments and during an inspection, will assist with the coordination of and the collation and submission of information requests received from the CQC or other regulatory or accreditation bodies.

This is a vital role that has a major impact on developing a quality improvement culture within the Division and ensuring patient safety.

The Trust's mission is "Together We Care" which encompasses the strategic vision for operating as a high performing organisation within an Integrated Care System (ICS), which provides quality, safe and effective care. This will be achieved in a financially sustainable way through our values-driven, skilled and motivated workforce:
People-centred - Serving people is the focus of everything we do;
Positive - having a "can do" response whatever the situation;
Compassion - always demonstrating we care;
Excellence - continually striving to provide the best care possible.

Our Values are drivers for the behaviours that all our staff strive to demonstrate.

The values and behaviours have been and continue to be embedded and communicated across the organisation via a number of initiatives - including our recruitment processes, corporate induction, team briefings, meetings, appraisals and our annual awards ceremony.

We recommend that all individuals employed in patient facing roles, or those located on a ward or department where patients receive a service should be fully vaccinated against COVID-19.

**Patient Experience**:

- To populate and monitor incidents within the Division
- To monitor action plans which relate to CQC to ensure they are achieved with evidence within agreed timeframes
- To monitor action plans from Serious Incidents (SI) to ensure any patient experience actions are achieved, with evidence, within agreed timeframes.
- To escalate any patient experience matters to the Clinical Support Quality & Governance Manager and other Managers as required.

**Patient Safety**:

- Review incidents that are reported via the safeguard system and ensure appropriate staff are notified
- Record and track incidents on Divisional tracking systems
- Escalate any incidents of concern through Divisional governance structures and appropriate
- Identify and monitor breached incidents and liaise with managers to enable timely investigation and closure
- To champion the cause for high levels of incident, near miss and concern reporting, ensuring that staff are aware of their duty to report
- Regularly review data and use analytic skills to ensure themes have been identified
- To manage systems for the tracking of serious incident investigation action plans and Duty Candour cases assist with providing data as required.
- To support the Divisional Clinical Support Quality & Governance Manager and staff in monitoring and delivering Duty of Candour in accordance with the statute and Trust policy.
- To support the system to ensure that learning is shared throughout the Division and the wider organisation.
- Facilitate the monitoring and implementation of patient safety alerts, ensuring they are implemented within the required timeframes.

**Risk Management**:

- Monitor risks on the Ulysses system and assist in identifying any risks which have surpassed review date and similarly identify any actions that have not been completed within due date
- Liaise with departmental managers to ensure risks and actions are updated within appropriate timeframes.
- Support service managers to ensure risk assessments are reviewed at least on an annual basis and/or if any significant changes occur.
- Ensure that any high risks are escalated as appropriate to the Clinical Support Quality & Governance Manager
- To support Clinical Support Quality & Governance Manager wit



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