Assistant Director of Integrated Governance

2 weeks ago

Tameside, United Kingdom Tameside and Glossop Integrated Care NHS Foundation Trust Full time

Support the continual development of an open and honest safety culture; encourage staff to actively report incidents, recognise and acknowledge process and systems failures, recognise human factors and review, reflect and engage in multidisciplinary learning. Implement robust systems and processes that will reduce clinical risk, reduce levels of harm and reduce hospital mortality. Ensure that all incidents are reported, investigated appropriately and reviewed in accordance with regulatory requirements and that resultant actions and lessons learned are acted upon. Develop divisional and departmental key performance indicators (KPIs) and associated dashboards, to ensure the timely delivery of duty of candour, the timely investigation of serious incidents and the continuous improvement of quality of investigations and investigation reports.

Provide support to the relevant Executive Directors and Divisions who have a designated lead responsibility for ensuring the Trust meets required standards. Monitor and review progress against the agreed action plans in support of the CQC Fundamental standards. Provide regular patient safety reports to the appropriate assurance committees and sub committees of the Board of Directors. Monitor and review all safety / risk policies, procedures and guidelines on a regular basis ensuring that the trust complies with statutory and local obligations.

Develop appropriate education and training opportunities for Trust staff in conjunction with Executive Directors and Senior Managers. Ensure the continual integration between the components of safety including complaints, litigation, clinical incidents/adverse events, health and safety and clinical effectiveness. Monitor compliance with the Trusts Incident Reporting Procedures including Serious Incidents. Assist in the investigation and reporting of Serious Incidents and other high risk / significant incidents.

Ensure best practice with regards to adverse event reporting, monitoring, trend analysis, action plans and changes in practice Risk Management. Support the continual development of a culture of learning. Learning Lead and motivate the patient safety teams, driving a culture of continuous development and learning across the organisation. To develop proactive relationships with team and services to foster sharing of best practice and corporate learning.

To ensure that a strong patient focused culture is developed / maintained across the Trust and that poor practice is challenged and best practice is shared and championed. Lead on ensuring that the Trust has a sufficient cohort of staff trained in incident investigation, Being Open/Duty of Candour, statement taking and Root Cause Analysis by delivering training as required ensuring that actions are taken and lessons learnt are embedded into practice. Risk Management Support the continual development of a culture where Risk Management is integral to all of the Trusts processes. Co-ordinate the continued development of the trusts risk register ensuring relevant governance committees and Directors are informed of, and where necessary consulted on, all significant risks and associated risk action plans.

Assist Divisional senior management teams and Governance Managers and heads of departments to identify and implement risk registers and risk control action plans within their areas. Provide a supervisory coaching function for senior staff within the organisation covering all aspects of risk management. Coordinate all risk management external reviews. Ensure that there are structured and systematic processes for the assessment, analysis, control, prioritisation of clinical risks.

Develop appropriate policies and procedures where any deficit may exist. Complete a risk register report for Board and in linking it to the Board Assurance Framework (BAF). Health and Safety Support the Director of Nursing and Integrated Governance in coordinating and contributing to the authorship of the Trusts annual Quality Account and contribute to the Trusts Annual Report. Implement the Trusts Health and Safety Strategy and associated policies and procedures related to health and safety matters in consultation with the health and safety committee.

**Prepare for regulatory enquiries and visits, for example**: CQC enquiries / inspections, NHSE/I enquiries and implementation of guidance. Provide support to the Corporate Governance in relation to responding to Coroners enquiries and any actions required and following receipt of any Regulation 28 Report. Inquest and Legal Services Provide leadership, operational responsibility and professional advice to the Legal Services team which includes management of the Trust Litigation Services, including clinical negligence claims, coroners inquests and employee liability claims. Management & Leadership Provide leadership and line management to the Head of Assurance & Compliance, Head of Patient Safety and Head of Learning, Investigations and Audit and the wider

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