Quality Governance

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 the Datix system for reporting and reviewing incidents, practical experience and knowledge of incidnet 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 the Care Units within the 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 7, full time hours (37.5 hours a week)

The post holder will, in collaboration with the Divisional Head of Quality Governance, 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 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.

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

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.

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 m