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Clinical Quality Lead
5 months ago
Job summary
This is a new role created to support our clinical governance and quality agenda. The role will be fundamental to our oversight of clinical services and patient care ensuring services provide safe, effective, quality care to patients. The role holder will support operational and clinical teams to ensure that services meet local and national standards. The role holder will work with significant autonomy and freedom to act as the role develops.
Main duties of the job
Work closely with the Clinical and Operational Management Teams to design, implement, deliver, and evaluate the Clinical Governance and assurance frameworks Ensure all Quality Governance Activities are in line with the corporate governance agenda Support the clinical leadership team to ensure staff and clinician engagement in Clinical Governance agenda. Ensure education and training programmes are devised and delivered in relation to quality governance, risk, patient safety, clinical audit, and continuous quality improvement. Play a key role on assisting the Clinical Leadership team to identify and define the information required to monitor clinical effectiveness, patient safety, compliance and quality outputs of the services provided. To develop and maintain relationships with the corporate governance team to ensure that all clinical governance activity is in accordance with both policy and the corporate strategic intent. To co-ordinate and ensure clinical incidents and complaint investigations and responses happen within agreed time frames. To monitor actions arising from clinical incidents investigation, complaints, audit, and other sources are completed and that learning is shared. To provide reports to clinical and operational management group, quality and patient safety committee and present executive brief on reports. Provide leadership where necessary in accordance with governance organisational team structure.
About us
Our vision:To provide the patients of Greater Peterborough with high quality, sustainable healthcare that supports them to stay well and at home for as long as possible.
We are an ambitious at scale primary care organisation with a passion for integration and innovation.
We provide:
Enhanced evening and weekend access to General Practice. Deliver at scale services to improve the health and wellbeing of the populations we serve. Home visiting and community services Virtual ward services. Advice to ambulance crews to help patients remain at home or to see the most appropriate secondary care team. Recruitment, induction and support of workforce through a team dedicated to supporting Primary Care Networks and hosting of the Cambridgeshire & Peterborough Training Hub.Our principles
To attract innovation and investment into primary care. To be dynamic always seeking out new opportunities. To be the primary care provider at scale -supporting delivery of services at place level that benefits our patients and members. To engage our clinical community identifying local clinical leaders to drive service redesign and delivery across our place. To face challenges head on, working collaboratively to deliver solutions. Job description
Job responsibilities
Co-ordinate the implementation of the clinical quality governanceprogramme ensuring that this reflects the overall clinical governance strategicintent
Facilitate and support the GPN to plan, prepare and gather evidence forexternal assessments (CQC, peer visits)
Support the organisation to achieve National and Local Initiatives
Assemble and analyse qualitative and quantitative information (with operationaland service managers) in ways that assist staff in reflecting and improving onservice delivery and practice.
In liaison with Management Teams ensure that any necessary Governancereports are compiled within agreed time frames. Ensure that such reports areevidenced with the necessary data and narratives to provide appropriateassurance in relation to clinical quality, outcomes, and processes.
Facilitate the downward dissemination of decisions and discussions atGovernance and Quality committees and provide clarity regarding how they mayrelate to the individual service, and develop associated programs to addressand monitor the impact of change.
In liaison with service and Corporate teams, assist in the building anddevelopment of information resources pertinent to quality governance and act asa resource for the division to develop improvement programs to enhance patientexperience and outcome.
Facilitate and support the Management and clinical leadership Teams tocoordinate and report the activities of quality and clinical governance groupsagainst objectives, standards, and targets.
Assist the Management Teams to exercise responsibility for clinical riskmanagement across their services
Support the implementation of the incident reporting system within services,providing support in the investigation of incidents where appropriate.
Co-ordinate and support the management of mortality review tracking.
Co-ordinate and support the management of external serious incidents(including Healthcare Safety Investigation Branch - HSIB) and comprehensiveinvestigations.
Co-ordinate and support the investigation, response and reporting of clinicalcomplaints and patient feedback, working in association with teams at serviceand corporate levels.
Participate in management of an effective and appropriate Clinical RiskRegister in liaison with Clinical Leads and operational management teams.Ensuring that the incident reporting system remains accurate and current staffare adhering to the policy.
To ensure that all risk-related information is stored and filedsystematically and securely.
Provide support to ensure that external and internal inspections, haveappropriate clinical action plans and that have corrective actions have beencompleted with an associated follow up audit planned, as required.
Work alongside clinical leads within services to develop, implement, andmonitor audit and improvement programmes that support the needs of theorganisation.
Monitor the implementation and on-going compliance with NICE and nationalguidance including effective responses to national reports.
To support the governance team in production of reports focussing onthemes generated from patients, service users and their carers. Ensure thatlearning from patient experience, complaints, feedback and friends and familytest is shared.
Co-ordinate and participate in Clinical Quality Review visits andprogrammes, including the follow-up of resulting actions.
Work in consultation with clinical leads to develop appropriate outcomemeasures that are monitored and reported, as necessary. Ensure there aresystems in place for capturing and sharing of data.
Identify clinical governance training needs to ensure these needs aremet.
Understand CQC regulation and the impact of any adverse findings ofquality measurement, internal/external reviews and changes in service deliveryand advise management/leadership teams of such. Assist in preparing forunannounced and announced inspections.
Collaborate effectively with the corporate teamscovering the elements of GPN quality governance initiatives.
Person Specification
Qualifications
Essential
Graduate level of education and/or relevant professional qualification, or significant governance experience within the NHS. Evidence of continued learning or professional development. Teaching qualification or appropriate level of teaching/presentation experience. Active registration as a healthcare professional.
Desirable
Masters level qualification. Leadership qualification.
Experience
Essential
Previous experience within an associated specialty within clinical governance. Relevant experience in clinical governance within a medium to large NHS organisation. Supervisory Management Role. Experience of the clinical governance function within healthcare. Experience of involvement in clinical audit. Experience of working closely with clinicians of varying seniority. Experience of analysing problems and identifying solutions. Experience of using Windows based software. Proven track record of delivering clinical governance objectives in line with organisational strategy. Understanding of and working experience of process mapping. A track record in delivering presentations and developing and delivering training. Development and use of information systems to support change. Knowledge of all aspects of clinical governance. Knowledge of using healthcare databases, healthcare systems and procedures. Understanding of NHS structure and processes including commissioning, regulation and evolving governmental approaches. Understanding of processes of standard setting, assessment and assurance within the NHS. Understanding of the principles and practice of the legal framework relevant to risk management, investigation and mitigation in the context of governance in the NHS. Understanding the use of comparative statistical information to stimulate clinical quality improvement
Desirable
Experience of using clinical outcomes systems. Ability to concentrate for long periods of time while analysing data and producing reports / trackers.
Skills
Essential
Excellent oral and written communication skills. Excellent interpersonal skills. Ability to present information concisely and clearly with excellent attention to detail. Ability to format and write a report with complex data presentation/analysis to inform and influence the quality governance agenda. Ability to lead meetings and discussions. Ability to communicate complex information with clinical staff (including through use of presentations). Organised and systematic in approach to work and prioritisation, including the ability to work to tight deadlines. Ability to be assertive, tactful and diplomatic. Ability to understand, manage and communicate data. Demonstrable political judgement and an astute approach to handling diverse interests and complex relationships - clear about referring upwards where necessary. Demonstrable credibility in working with and influencing senior staff. Ability to devise and implement a rigorous and analytical approach to information collection and presentation. Ability to devise project plans and work programmes, working independently and as part of a team. Knowledge of Data Protection Act and freedom of information Act, and Caldicott Principles. Enhanced IT skills in common software packages including Microsoft Office