Clinical Quality Manager

Job summary

The Clinical Quality Manager willplay a critical role in advancing the quality of care at EBPC. Working with the Head of ClinicalGovernance & Quality and the team this post is designed to work inpartnership and collaboration to promote and monitor quality of care standards.

Thispost will seek every opportunity to support and enable improvement through embeddingquality improvement methodologies, overseeing incident management, and drivingchange to improve patient outcomes. As a senior manager and clinician withinEBPC, your vast knowledge and experience will be valuable to our widerworkforce through on call activities.

Please note interviews will be held 16th & 17th December 2024 after shortlisting the CVs.

Main duties of the job

Supportsafe and effective service delivery within the clinical governanceframework.

Workwith senior management and clinical teams to align governance activities withstrategic objectives.

Promoterisk awareness amongst all staff and work with others to mitigate risk

Investigatecomplaints and incidents

Providesupport and advice to Head of Clinical Governance & Quality and deputise asdirected.

Supportand actively engage with the preparation for CQC and other quality inspections.

Co-ordinateand support investigations where appropriate, ensuring that response are fitfor purpose, addressing all issues of concern raised and identifying learningand actions for improvement

Support the LFPSE and PSIRF approach in responding topatient safety incidents for learning and improvement.

Ensure compassionate engagement and involvement of thoseaffected by patient safety incidents.

Provideconsidered and proportionate responses to patient safety incidents.

Supportoversight focused on strengthening service functioning and improvement.

Championa learning culture through comprehensive incident investigation, after actionreviews, and the application of lessons learned.

Ensureall communication with patients, relative and carers is open, honest and thatinvestigations are transparent and independent.

Collaboratewith teams to ensure timely reporting, analysis, promoting transparency andcontinuous improvement.

About us

EBPC is awell-respected enabler of high-quality NHS services. Established 27 years agoas an out of hours GP service, we have now grown significantly and deliver afull range of services, 24/7, to support 111, Primary Care Networks, IntegratedCare Systems, Acute and Community NHS Trusts.

Job description

Job responsibilities

Clinical Governance

Supportsafe and effective service delivery within the clinical governanceframework.

Workwith senior management and clinical teams to align governance activities withstrategic objectives.

Promoterisk awareness amongst all staff and work with others to mitigate risk

Investigatecomplaints and incidents

Providesupport and advice to Head of Clinical Governance & Quality and deputise asdirected.

Supportand actively engage with the preparation for CQC and other quality inspections.

Co-ordinateand support investigations where appropriate, ensuring that response are fitfor purpose, addressing all issues of concern raised and identifying learningand actions for improvement

LFPSE and PSIRF

Support the LFPSE and PSIRF approach in responding topatient safety incidents for learning and improvement.

Ensure compassionate engagement and involvement of thoseaffected by patient safety incidents.

Provideconsidered and proportionate responses to patient safety incidents.

Supportoversight focused on strengthening service functioning and improvement.

Championa learning culture through comprehensive incident investigation, after actionreviews, and the application of lessons learned.

Ensureall communication with patients, relative and carers is open, honest and thatinvestigations are transparent and independent.

Collaboratewith teams to ensure timely reporting, analysis, promoting transparency andcontinuous improvement.

Policy and Compliance

Assistin the regular review and update of clinical policies and procedures, ensuringcompliance with NHS standards and statutory requirements.

Toanalyse and translate national policy into local context to inform policy andstrategy development.

Tosupport the clinical governance and quality agenda to harness best practice,improve standards and give consistency in outcomes.

Supportaudits and regulatory inspections, coordinating responses and action plans toaddress findings.

Quality Improvement Initiatives

Developand lead quality improvement projects, fostering a multidisciplinary approachto enhance patient care.

Ensurelearning from incidents, complaints, claims, reviews and inspections are sharedincluding good practice.

Monitorkey performance indicators and create reports to inform senior management oftrends, risks, and progress against quality objectives.

Workwith colleagues across EBPC to identify and resolve the barriers and potentialenablers for improvement.

Training and Education

Providetraining and support to staff on clinical governance, patient safetyprinciples, and the LFPSE and PSIRF frameworks.

Leadclinical supervision groups.

Facilitateworkshops and seminars to promote awareness and embed best practices acrossteams.

Continuouslypromote learning and evaluation of changes and improvement.

Collaboration and Communication

Actas a liaison with external stakeholders, such as NHS Trusts and otherhealthcare partners, to share insights and coordinate joint qualityinitiatives.

Attendand actively contribute to professional forums to inform and influencestrategy, practice and processes.

Ensurefeedback from patients, staff and carers is effectively utilised in shapingservice improvements.

Contributeto the Clinical Governance & Quality Newsletters and Bulletins to enableshared learning to be disseminated across EBPC.

Attendsites to assess quality oversight in relation to PHE campaigns, infectionprevention and control, and medicines management.

Other Requirements

Ability to work in a fasted paced environment with priorities changingfrequently.

On call is on a rotational basis operating one week in four.

Value diversity in the workplace.

Positively represent the Clinical Governance & Quality team and EBPCat all times.

High standards must be maintained in all dealings with managers,doctors, nurses, staff and non EBPC personnel to ensure that a professionalimage of EBPC is preserved at all times.

You are required to adopt a flexible approach.

You are required to deal with any real or potential safety hazards.Where doubt exists, the On Call Duty Manager is to be informed.

You are required to maintain a mutually supportive working relationshipwith all EBPC staff.

EBPC maintains a no smoking policy on premises and grounds.

This post isone of continual development. The jobdescription is intended as a guide to the principal duties and responsibilitiesof the post and complements individual objectives set in line with EBPC annualbusiness objectives. Responsibilitieswill be reviewed periodically in line with service priorities and duties maychange or new duties be introduced after consultation with the post holder.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allowus to gather, sensitive information in relation to their health and othermatters. They do so in confidence and have the right to expect that staff willrespect their privacy and act appropriately.

In the performance of the duties outlined in this job description, thepost-holder may have access to confidential information relating to patientsand their carers, EBPC staff and other healthcare workers. They may also have access to informationrelating to EBPC. All such informationfrom any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcareworkers or the business of EBPC may only be divulged to authorised persons inaccordance with EBPC policies and procedures relating to confidentiality andthe protection of personal and sensitive data.

Health & Safety

Thepost-holder will assist in promoting and maintaining their own and othershealth, safety and security as defined in the practice Health & SafetyPolicy, the practice Health & Safety manual, and the practice InfectionControl policy and published procedures. This will include:

Using personal security systems within the workplace according topractice guidelines

Identifying the risks involved in work activities and undertaking suchactivities in a way that manages those risks.

Making effective use of training to update knowledge and skills.

Using appropriate infection control procedures, maintaining work areasin a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazardsimmediately when recognised

Keeping own work areas and general / patient areas generally clean,assisting in the maintenance of general standards of cleanliness consistentwith the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Equalityand Diversity

Thepost-holder will support the equality, diversity and rights of patients, carersand colleagues, to include:

Acting in a way that recognizes the importance of peoples rights,interpreting them in a way that is consistent with practice procedures andpolicies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carersand colleagues.

Behaving in a manner which is welcoming to and of the individual, isnon-judgmental and respects their circumstances, feelings priorities andrights.

Personal/Professionaldevelopment

Thepost-holder will participate in any training programme implemented by EBPC aspart of this employment, such training to include:

Participation in an annual individual performance review, includingtaking responsibility for maintaining a record of own personal and/orprofessional development.

Taking responsibility for own development, learning and performanceand demonstrating skills and activities to others who are undertaking similarwork.

Quality

Thepost-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk.

Assess own performance and take accountability for own actions, eitherdirectly or under supervision.

Contribute to the effectiveness of the team by reflecting on own andteam activities and making suggestions on ways to improve and enhance theteams performance.

Work effectively with individuals in other agencies to meet patients needs.

Effectively manage own time, workload and resources

Communication

The post-holder should recognize the importance ofeffective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with patients and carers.

Recognize peoples needs for alternative methods of communication andrespond accordingly.

Contributionto the implementation of services

Thepost-holder will:

Apply practice policies, standards and guidance.

Discuss with other members of the team how the policies, standards andguidelines will affect own work.

Participate in audit where appropriate.

GeneralData Protection Regulation (GDPR)

All members of staff are bound by the requirements of the General DataProtection Regulation 2018 and any breaches of the Act or of the confidentialnature of the work of this post could lead to dismissal.

Pleasenote this job description may be subject to change at times due to the needs ofthe business.

Person Specification

Experience

Essential

Evidence of Continuous Professional Development Experience within the healthcare sector or NHS Experienced clinician with understanding of clinical standards in urgent and/or primary care Managing patient safety, clinical governance or risk Dealing with complaints to reduce risk Experience of working in a complex changing environment and ability to prioritise

Desirable

An ability to identify opportunities for service improvement

Qualifications

Essential

Current qualification at degree level or equivalent Current registration as a Registered Nurse with NMC or Allied Health Professional with HCPC

Desirable

PSIRF training

Skills & Knowledge

Essential

Experience of governance and risk management Understanding the role of CQC and CQC quality statements Experience and knowledge of Adult and Children Safeguarding Excellent written skills to produce documents to meet delivery needs Computer literate on Microsoft products

Desirable

Understanding of information analysis Understanding risk management systems Use of Adastra and EMIS

Personal Attributes

Essential

Excellent inter-personal and communication skills Ability to work under pressure, prioritise workload and meet tight timescales Strong sense of commitment to openness, honesty and integrity Enthusiasm, ability to work independently and within a team

Other Requirements

Essential

Commitment to promoting diversity and inclusion in the workplace Willingness to engage in ongoing professional development Ability to work collaboratively with senior management and other stakeholders to achieve organisational goals. Ability to travel between sites

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