Quality Governance

Job summary The Family Care Division is looking to recruit a member of staff to join the Divisional Quality Governance Team.
This is an opportunity for someone with an interest and experience in quality governance and risk management.
Applicants should have a clinical background, professional registration or equivalent, and demonstrate excellent communication and inter-personal relationship skills.
Applicants must have experience of using an incidnet reporting system for the management of incidents, practical experience and knowledge of incident investigations and an understanding of the Trust's complaints and incidnet management processes.
The post holder will contribute to the effective and efficient organisation and co-ordination of quality governance requirements for Child Health and CAMHS , providing support and guidance when required.
This will include the investigation of complaints and clinical incidents, to ensure these are completed within specified timescales.This post is AfC Band 6 development to band 7, full time hours ( hours a week) Main duties of the job The post holder will, in collaboration with the Divisional Head of Quality Governance and Risk management , and the Divisional Quality Governance Team, co-ordinate, maintain and monitor the quality governance/ risk management processes for Family Care Division, in line with the overarching Trust quality governance framework, working to create a positive organisational safety and learning culture.The post holder will be supported to take full responsibility for leading investigations, producing reports and improvement plans.The post holder will provide education and training for staff within the Division, related to quality governance and risk management issues, and ensure learning from clinical incidents, complaints and investigations is cascaded to all relevant staff groups.
About us Chesterfield Royal Hospital NHS Foundation Trust is North Derbyshire's only acute district general hospital, with 24 hour Emergency Department services; we're responsible for providing care and treatment to more than 400,000 people who live in our communities.
We are modern, well-resourced and in commuting distance of Sheffield, Derby, Nottingham and close to the Peak District.
The Care Quality Commission rated the Trust as 'Good'.
Our vision is to be an outstanding provider of sustainable healthcare services, delivering the best possible care to our patients and being a great place to work for our people Job description Job responsibilities Key Result Areas These are the key areas that support the purpose of the job Quality Governance/Risk Management Promote a positive safety culture throughout Family Care Division, reflecting the NHS Constitution key safety culture performance Co-ordinate the collection of data required for quality assurance across the Division and ensure databases are maintained where necessary Undertake spot checks of clinical practice in the family Care Division for quality Ensure all clinical incidents are reported, investigated and escalated in line with the Trust Incident Reporting Policy.
Monitor the review of clinical incidents in Child Health and CAMHS Care Units, and in conjunction with the Head of Quality governance and care unit leadership teams, finally approve incidents Liaise with the Patient Safety Team to ensure all serious incidents are reported and escalated in line with Trust guidelines Co-ordinate investigations following serious incidents, near misses and accidents, and lead where indicated, and ensure these are reviewed at the appropriate Divisional/Trust meetings, and shared with commissioners, within agreed timescales.
Facilitate a seamless process for informing patients/ families whose care is subject to an internal investigation, and for sharing the investigation report, ensuring that the Trusts Duty of Candour responsibilities are maintained Develop systems to provide feedback to staff who have been involved in clinical incidents Ensure that improvement plans from investigations/ assessments/ audits are SMART, and that outstanding actions are monitored through the Care Unit QGG Facilitate learning opportunities for staff where themes and trends are identified from incident and complaints Ensure there is a robust process for the review, development and archiving of policies, guidelines, protocols and patient information for services within the Family Care Division.
Undertake risk assessments as indicated, ensuring they are presented at the Divisional Quality Governance Group and entered on the Divisional and Trust Risk register Ensure there is process to ensure the timely review of risks within the Care Units, and that the risk registers are updated Ensure the timely review of professional, NICE, other recommendations/ guidance relevant to the clinical services within the family care unit is undertaken by the Child Health and CAMHS Care Unit, and that a central database is maintained capturing this information, and areas of non-compliance are entered onto the appropriate risk register Maintain a plan of all internal/ external quality/ peer review/ accreditation requirements for the services within the Division and monitor progress with preparation/ compliance.
Undertake specific case reviews where indicated and where sub-optimal care is identified, liaise with the relevant line manager/ clinical director, to ensure that the member of staff involved receives the appropriate education and training Participate in the Care Accreditation Scheme, nursing care and other quality assurance audits as required Ensure data are entered onto national reporting systems in a timely manner Provide direct support to the Care Units Quality Governance Group Chair and attend their meetings Assist the Care Units in the investigation of complaints as required Management and Leadership Demonstrate effective leadership at all times, acting as an advocate for patient safety and an influential role Contribute to the induction and competency programmes for clinical staff.
Deputise for the Divisional Head of Quality governance and Risk Audit and NICE Provide a point of contact for matters relating to audit and NICE, representing the Division at relevant meetings and liaising with the Clinical effectiveness team and working closely with the Care Unit audit and NICE lead Ensure Care Unit annual audit plans are reflective of incident investigations Ensure a central audit plan is maintained for the Division and that there is a process for monitoring the completion and presentation of audits within the Care units Organise spot check audits arising from investigations of clinical care, and ensure results are cascaded to relevant staff groups Education and Training In partnership with the Lead for Clinical Education/Training, develop innovative methods of disseminating learning opportunities identified from clinical investigations and complaints Participate in education programmes and in-service training days as required Implement initiatives to increase staff awareness and engagement with safety culture Develop a failsafe process for ensuring staff are informed of new and updated clinical policies and guidelines Contribute to development plans for individual staff where learning needs have been identified Personal/ Professional Responsibilities Participate in the evaluation of own effectiveness through the staff appraisal process, identifying and acting upon development Work clinical shifts as required.
Maintain personal professional status by ensuring that the requirements laid down by the relevant professional body for maintaining registration and re-validation are complied Maintain a professional portfolio in accordance with PREP requirements.
Undertake mandatory training in accordance with Trust/ Divisional Demonstrate the Trusts Proud to Care values at all times Person Specification Qualifications and training Essential Registered Nurse or equivalent healthcare professional Study at Level 3 Evidence of continued CPD Desirable Study at masters level Complaint Management training Incident investigation training Experience Essential Extensive post registration experience Recent clinical experience Understanding/ working knowledge of Incident management process Review/ development of clinical guidelines and policies Working knowledge of the management of complaints process.
Working Knowledge of developmental of Improvement delivery plan Knowledge of audits and NICE guidance relevant to services Desirable Chairing meetings Involvement in serious incident investigations, for example MDT Learning review and PIRSF Experience of complaint management Report writing experience Risk management experience Skills and Knowledge Essential Advanced IT skills Knowledge of National Guidance related to Child Health and CAMHS Presentation skills Excellent communication and interpersonal skills Ability to identify and analyse data Desirable Experienced in use of datix system Knowledge of national initiatives