Quality and Governance/improvement Lead

2 weeks ago


Bicester, United Kingdom Principal Medical Limited Full time

To support the Director of Quality (DoQ) to enhance our existing quality management system to ensure we continue to monitor and improve all our clinical services to provide excellent patient care throughout the organisation. To promote an open and transparent safety culture: to encourage incident reporting; making sure lessons are learnt; and action is taken to prevent any similar issues in the future. To promote a culture of continuous improvement throughout the organisation. To work with the DoQ to ensure the Board are aware of the quality of PML clinical services.

To support the PML Clinical Governance Group and other key meetings to deliver high quality patient care. This includes preparing the agenda and ensuring that minutes are accurate and distributed in a timely fashion to members. To work with PML Care Quality Commission (CQC) Registered Managers to ensure PML complies with all CQC standards and legislative requirements. To work with all clinical teams to introduce annual quality improvement plans to improve and enhance patient care.

To support the Data Protection Officer to complete the Data Security and Protection Toolkit (DPST) To work with the Executive Team and to ensure our quality management processes support the implementation of the PML vision and objectives. Co-ordinate and present reports in the Clinical Governance meetings and for Board assurance. Lead on PMLs preparedness for regulatory and statutory duties, such as CQC inspections. This will include working with both internal and external stake holders.

To manage the PML quality management software ensuring it is kept up to date and relevant. To ensure PMLs document management system and master index stays up to date. To help develop PMLs safety culture including improving incident / learning event reporting. To roll out the Patient Safety Incident Response Framework (PSIRF) throughout the organisation.

To manage PMLs organisation and clinical audit programme to ensure services meet best practice standards. To ensure PMLs patient feedback is collected and collated effectively and ensure managers and clinical leads take action to address any issues. To participate in mock CQC inspections throughout the organisation. To support the DoQ to deliver the Health & Safety agenda ensuring PML comply with all their statutory requirements.

To work with clinical teams to ensure PML performance reports are accurate and provide effective quality information to the Board. To work with the HR directorate to ensure our training, competence records and continual professional development offer is fit for purpose. To work with our Comms team to ensure staff are aware of all quality improvement initiatives. To contribute to PMLs to risk management processes to ensure appropriate risks are highlighted and added to the risk register where appropriate.

To support the senior managers to ensure mitigation is taken to minimise or eliminate any risk.



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