Governance and Assurance Lead

Job summary

Are you passionate about clinical governance? An exciting opportunity has arisen for a registered Midwife/Nurse to join the Women's and Families Health Directorate governance team at Calderdale and Huddersfield NHS. The post is within the diverse directorate with a focus on supporting across all the services within the directorate.

The post holder will work collaboratively within the team to implement, monitor, review and embed strategies and frameworks which underpin the principles of clinical governance within the Women's and Families Health Services.

The successful candidate will work with the team to maintain and develop robust systems which evaluate and minimise the risk to the organisation, staff, patients and visitors. Ensuring learning is at the forefront from incidents, external reviews, complaints and inquests which support improvements in safety and quality care.

Main duties of the job

The post holder will be responsible for supporting effective governance and risk systems across maternity, neonatal and gynaecology services. They will work with leaders within the Women's and Families Health services to ensure effective communication systems are in place and to ensure excellent standards of care and compliance with national and local standards.

The post holder will support the patient safety and the quality improvement agenda, support completion of the Duty of Candour requirements and provide feedback to families following review of clinical incidents. Take a leading role in auditing practice, analysis of results and preparing reports for presentation. They will support quality improvement initiatives including identifying areas for improvement / themes arising from clinical incidents and support the process for developing and updating clinical guidelines. The post holder will provide support with risk management to other areas as service need requires and may be required to provide clinical care to women and their families if required. The post holder will have a key leadership role within the Governance Team and will provide specialist skills and knowledge to support the division's quality and safety agenda.

About us

We employ more than 6,500 staffwho deliver compassionate care from our two main hospitals,Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, healthcentres and in patients' homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.

We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.

We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.

We continue to modernise and invest in our health services to build on our strong reputation.Foundation trusts are public leaders in improving quality in health services. They are part of the NHS- yet decisions about what they do and how they do it are driven by independent boards. Boardslisten to their Council of Governors and respond to the needs of their members - patients, staff andthe local community.

Foundation trusts provide what the health service wants, yet are also free to invest quickly in thechanges to the local community needs, in striving to be the best, and in putting their patients first.

Job description

Job responsibilities

Support the quality and safety leads within the perinatal, neonataland womens services management team and to ensure all governance arrangements and reporting structures are in place and effective. Utilise leadership, communication, influencing and negotiating skills in the provision of advice, support and guidance to the multidisciplinary team to ensure that learning from incidents makes a positive difference to patient safety. Ensure the compliance of all relevant Trust wide policies and guidelines within maternity, neonatesand gynaecology and that all safety alerts are disseminated in a timely manner and any actions are reported. Participate in clinical audit and make recommendations for practice. Regularly attend clinical governance meetings and provide specialist patient safety and quality improvement advice. Review and develop information packages for service users. Escalate any factors which are impeding the delivery of a high-quality service to the quality and safety team leaders and senior management team as appropriate. Support benchmarking of service delivery against the national pathways, identify gaps and develop strategies for quality improvement. Use a variety of data such as incidents and outputs from Morbidity and Mortality meetings, to identify any themes and trends that require further investigation and action. Contribute to written monthly, quarterly and annual reports on risk / incidents complaints issues identifying trends, making recommendations for action and progress on implementation of actions for dissemination. Maintain databases of adverse outcomes and service reviews as appropriate. Identify, instigate and lead on / participate in specific quality improvement projects related to patient safety. Ensure compliance with Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met. Contribute to the multidisciplinary morbidity and mortality reviews and the dissemination of learning and feedback following review. Liaise with Professional Midwifery and Nursing Advocates (PMA PNA) if appropriate to make sure that all staff involved in clinical incidents and investigations are supported. Review and develop guidelines and align to local and national standards. Evaluate service user feedback and disseminate trends and themes through shared learning platforms. Network with other quality and safety midwives/nurses across the region and nationally as appropriate to share best practice and learning. Maintain the highest level of confidentiality; the post holder must exercise considerable initiative in dealing with incidents which are not only complex but distressing. Maintain professional development to enable the development, delivery and evaluation of outstanding evidence based care. Work within the NMC Code. Undertake mandatory and priority training within the required time scales Participate in own and others appraisals Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration Work closely with Research and Innovation to promote research, disseminate outcomes and findings to support evidence-based practice Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the safeguarding policies. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the Whistleblowing policy and supporting processes. Undertake duties on other wards or departments as and when required by service demands or patient need Person Specification

QUALIFICATIONS / TRAINING

Essential

Registered Midwife/Nurse/RSCN Degree in Midwifery/Nursing or evidence of working at degree level Evidence of continuing professional education and development QIS Neonates (Neonatal post)

Desirable

Risk management qualification NLS (Neonatal post) Master's Degree or Working towards master's level qualification Leadership experience and or qualification

KNOWLEDGE, EXPERIENCE & EXPERTISE

Essential

Demonstrable experience in developing self and others and changing practice Extensive experience in Neonatal care Knowledge and understanding of the reporting requirements to external bodies Experience in clinical audit Demonstrable Experience in all aspects of maternity/nursing including changing practice Knowledge and experience of national patient safety agenda and NHS England and CQC priorities Ability to demonstrate knowledge and understanding of the quality and safety agenda Willing to develop new skills including completing appropriate training as required Flexible, highly motivated and supportive of others Ability to undertake a wide range of work procedures without direct supervision Strong organisational and planning skills Willingness to share knowledge and skills to contribute to the professional development of others Resilient and able to maintain personal effectiveness and work well under pressure

COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)

Essential

Excellent communication skills and ability to be responsive to highly emotive conversations. Ability to adapt written and verbal communication skills to the audience Ability to analyse data and produce required reports and information Ability to develop excellent working relationships with all staff

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