Clinical Governance Co-Ordinator

Job summary Thisis an exciting opportunity to support the Pathology Clinical Support Unit withits governance activities, as well as playing a key part in driving forwardsthe service improvement programme through collaborative working with individualspecialities.TheLeeds Teaching Hospitals Pathology service is part of the WYAAT regionalnetwork (West Yorkshire Association of Acute Hospital Trusts).
We will delivercentralised regional testing services using state of the art analyticaltechnology, provided as part of a new managed service contract and a newlaboratory information management system to support fully integrated workflows.Thesuccessful candidate will work closely with the Quality Lead and a team ofQuality Managers to continue to embed our new electronic quality managementsystem.
They will develop advanced skills in leadership, quality management andservice improvement, using their expertise to help shape the future design andday to day delivery of cutting-edge services.
Main duties of the job Youwill be a dedicated individual committed to continuously improving andmonitoring service quality for the benefit of our patients and engaging othersin doing so.
Keyduties will include working closely with the Quality Lead and a strong team ofQuality Managers to: Provide training and guidance todepartmental teams on the use of service improvement techniques, helping toembed the Leeds Improvement Method across all services Co-plan and implement improvements toquality systems and processes Deliver quality management systemtraining to department leadership teams Coordinate change controls inrelation to changes spanning multiple departments Provide system administration of theCSU electronic quality management system (Q-Pulse) Support the Quality Lead in preparingreports and presentations for Quality and Governance Forums Co-design policies and proceduresrelating to quality systems and processes including compliance monitoringmechanisms Represent the CSU at TrustQuality/Governance forums About us TheLeeds Teaching Hospitals Pathology service is part of the WYAAT regionalnetwork (West Yorkshire Association of Acute Hospital Trusts).
We are a leadingprovider of clinical laboratory services and will deliver centralised regionaltesting services using state of the art analytical technology, provided as partof a new managed service contract and a new laboratory information managementsystem to support fully integrated workflows.
ThePathology Quality Team plays a key role in ensuring that our services are fullyoptimised to the needs of our patients, working closely across the disciplinesto design and implement systems to both manage and continuously improve servicequality.
There is a strong culture of support, empowerment and innovativethinking with lots of idea sharing and team working across departments.
Thisteam ethic is supported by having well-aligned and integrated processes.
Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles.
Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed.
If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.
Job description Job responsibilities Thepost holder is responsible for supporting the CSU Quality Lead to facilitate the ongoing accreditation anddevelopment of the quality systems within Pathology.
The post holder will assist the Quality Leadin the development and maintenance of a quality and service improvementprogramme across all specialities within the CSU.
Thepost holder will assist and support the senior team in ensuring the delivery ofCSU wide compliance with statutory, mandatory and national clinical governancestandards and support the team to ensure good clinical governance practiceacross the services.Thepost holder will co-ordinate multi-speciality meetings, activities with otherprofessions and agencies.
The post holder will be able to initiate the planningand coordination of these activities.
The post holder will be able to manage anumber of these complex activities at any time on a daily basis.Thepost holder will attend meetings and provide administrative support to CSUcolleagues as required, for example during Peer Review.
Thepost holder will also be involved in the development and maintenance of auditschedules, monthly reports, serviceimprovements and root cause analysis where needed within the CSU.Qualitysystem(s) and/or projects will be allocated to the post holder who will beresponsible for ensuring day to day management and updating of the qualitysystems.
The post holder will beexpected to attain basic knowledge of all areas and discuss and highlightincidents as they occur.Thepost holder will collate information for the CSU Governance and other quality meetings across theCSU.
The post holder will attendmeetings, take minutes and liaise with staff to ensure that actions arecompleted.Thepost holder will support the quality team education program, booking rooms,updating calendars and spreadsheets and preparing materials for quality forum meetings.
Thepost holder will collate the complaints for the CSU and ensure accurate and upto date records and tracking logs are maintained as well as assisting themanagers with completing responses.
Thepost holder will track all investigations via a dashboard and upload actionlogs to DATIX.Thepost holder will support the CSU leadership teams in undertaking Patient SafetyIncident Response Framework Investigations.
Thepost holder will support the quality administrator team within the CSU with quality managementsystem alignment work and training in quality systems and processes.
Thepost holder will be required to travel and work across hospital sites withinthe Trust.
Qualifications essential criteria Educated to degree level or above (orequivalent experience).
Advanced keyboard skills and ECDL orequivalent level of knowledge for Word, Excel and PowerPoint.Qualifications desirable Service Improvement Certification (oractively working towards).
, Leeds Improvement Method Course.
Experience essential criteria Demonstrable analytical skills,including the ability to analyse and communicate issues effectively.
Demonstrable ability to break downproblems into critical elements and to identify solutions.
Experience of deliveringpresentations and participating at meetings and workshops.
Interpersonal skills including theability to lead influence and motivate staff.
The ability to engage and workcollaboratively with key stakeholder groups.
Proven ability to work under pressureand managing priorities appropriately.
Experience of monitoring progressagainst targets and reporting as necessary.
Demonstrates an understanding ofproject planning and management techniques.
knowledge of Data Protection, andconfidentiality issues and requirements Demonstrable ability to provideclear, concise and high-quality responses to queries from staff members,including an appreciation of when to consult senior colleagues.Experience desirable Experience in the use of serviceimprovement methodology within a clinical laboratory setting Evidence of recent and continuedprofessional development, commensurate with evolving scope of practice.Skillsand Behaviour essential Excellent problem-solving skills.
Capable of working with staff at alllevels.
Self-motivated and able to workautonomously to achieve objectives without reference to a manager.
Team worker.
A professional attitude towards allstaff & patients during incidental or planned contact Strong written & verbalcommunication skills.
Use appropriate behaviour whendealing with patients and staff in difficult situations.Skilland Behaviour desirable N/AOtherCriteria/additional requirements Understanding of clinical governanceand quality management activities Experience of applying qualitymanagement skills within a clinical laboratory setting Service improvement knowledge Understanding of the LeedsImprovement Method: theory and practical application Person Specification Skills and Behaviours Essential Excellent problem-solving skills.
Capable of working with staff at all levels.
Self-motivated and able to work autonomously to achieve objectives without reference to a manager.
Team worker.
A professional attitude towards all staff & patients during incidental or planned contact.
Strong written & verbal communication skills.
Use appropriate behaviour when dealing with patients and staff in difficult situations.
An ability to analyse and resolve highly complex problems where there is no precedent.
Ability to sustain the necessary concentration when analysing complex issues.
Can effectively deal with interruptions from staff during this time.
Use of Microsoft Office applications, commercial electronic quality management software, incident management software ( DATIX) Use of electronic quality management systems Development and monitoring of project plans.
Qualifications Essential Educated to degree level or above (or equivalent experience).
English Language and Mathematics at GCSE Grade C/higher or equivalent.
Advanced keyboard skills and ECDL or equivalent level of knowledge for Word, Excel and PowerPoint.
Desirable Evidence of continued professional development.
Experience Essential Understanding of clinical governance and quality management activities.
Understanding of the Leeds Improvement Method: theory and practical application Desirable Experience of applying quality management skills within a clinical laboratory setting Service improvement knowledge