Job responsibilities
The main purpose of the role
is to support the Research and Development Manager and the Senior Management
Team of Brunel Health Group in the development and implementation of clinical
governance systems across BHG, ensuring delivery of safe, high-quality, and
continuously improving care. The post holder will coordinate governance
activities, including incident reporting, policy development, audit cycles,
risk registers, and regulatory compliance, working closely with clinical leads
and operational managers. In addition, there will be some responsibilities
relating to the monitoring of any safeguarding issues highlighted through the
services BHG delivers.
Responsible to: Research
and Development Manager, Brunel Health Group
Main duties and responsibilities:
This
summary of duties and responsibilities is not exclusive and may vary from time
to time under direction of the Brunel Research and Development Manager or the
Medical Director and the Operations Manager for Enhanced Access , and will be
dependent on current and evolving workload, priorities, and staffing levels.
Assist
in the provision of comprehensive and timely clinical governance support
service for Brunel Health Group, following all relevant operational policies,
procedures and guidelines;
Ensure
an accurate and timely maintenance of the BHG central register/Database for
policies, standard operating procedures and processes as well as relevant
clinical guidelines;
Ensure
that all policies and procedures that are close to their expiration date are
reviewed and updated so that they remain effective for the duration including (
but not exclusively) Clinical Audit, Infection Control, Consent, Safeguarding
Adults and Children, Safety Alerts, any other relevant policies;
Support
the monitoring and co-ordination of any information and documentation relating
to clinical governance and data protection including Data Sharing Agreements
and Data Privacy Impact Assessments.
Assist
in producing data, statistical information and reports in a manner that meets
all national, regional and local requirements using the data bases as
appropriate and communicating results i.e quality;
Support
BHG as directed with any clinical incident investigations, including completion
of root cause analysis;
Support
BHG services with co-ordination of Incident Report Management including significant
events and ensuring that any action agreed to address specific issues is
implemented through the delivery of an action plan and learning shared;
Support
BHG Services with data collection and monitoring of any safeguarding incidents
that are highlighted through the delivery of BHG services.
Produce
an annual report on any significant events relating to the services BHG
delivers, identifying any key themes etc upon which BHG can improve;
Support BHG in preparing
for any CQC visits etc;
Manage,
Monitor and update the BHG Risk register;
Support
the Research and Development Manager to deliver operational governance
objectives and projects;
Ensure
that all staff employed within BHG are up to date with their mandatory training
and have had an annual appraisal, ensuring appropriate records are maintained
and individuals notified if training or appraisals are outstanding;
Ensure
that clinical audits are diarised and a cyclical programme of audit established
across the financial year, including repeat audits as needed and support the
Research and Development manager in report writing detailing audit outcomes and
changes in practice.
Support
the Research and Development Manager in the circulation of any Central Alert
System notifications that are pertinent to the services delivered and supported
by BHG;
Be
aware of any local resources or information relating to clinical governance or
safeguarding and disseminate to colleagues and BHG members as appropriate.
Complete
other ad-hoc duties as and when required, operationally.
The
post holder must be able to use their own initiative, be self motivated and
have the ability to work to tight deadlines, whilst maintain a high quality
standard of work.
Freedom
to Act
Work
on own initiative to achieve expected results guided by peers or external
reference points, policies and standard operating procedures and legislation;
Manage
workload unsupervised and prioritise work on a day to day basis.
Professional
development.
Other
delegated duties considered appropriate to the post.
Confidentiality:
In the course of seeking
treatment, patients entrust us with, or allow us to gather, sensitive
information in relation to their health and other matters. They do so in
confidence and have the right to expect that staff will respect their privacy
and act appropriately
In the performance of the
duties outlined in this job description, the post-holder may have access to
confidential information relating to patients and their carers, practice staff
and other healthcare workers. They may also have access to information relating
to the practice as a business organisation. All such information from any
source is to be regarded as strictly confidential.
Information relating to
patients, carers, colleagues, other healthcare workers or the business of the
practice may only be divulged to authorised persons in accordance with the
practice policies and procedures relating to confidentiality and the protection
of personal and sensitive data.
Safeguarding:
Safeguarding is everyones
business. All Brunel Health Group employees share a responsibility both
corporately and individually to ensure that every person is treated with
dignity and respect and protected from others who may abuse them. We have a
duty of care to safeguard and promote the welfare of children, young people and
adults and must raise any concerns without delay.
Health & safety:
The post-holder will assist in
promoting and maintaining their own and others health, safety and security as
defined in the practice health & safety policy, the practice health &
safety manual, and the practice infection control policy and published
procedures. This will include:
Using
personal security systems within the workplace according to practice guidelines
Identifying the risks
involved in work activities and undertaking such activities in a way that
manages those risks
Making effective use of
training to update knowledge and skills
Using appropriate infection
control procedures, maintaining work areas in a tidy and safe way and free from
hazards
Actively reporting of health
and safety hazards and infection hazards immediately when recognised
Keeping
own work areas and general / patient areas generally clean, assisting in the
maintenance of general standards of cleanliness consistent with the scope of
the job holders role
Undertaking
periodic infection control training ( as relevant)
Reporting potential risks
identified.
Equality and diversity:
The post-holder will support
the equality, diversity and rights of patients, carers and 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 and policies, and current
legislation
Respecting the privacy,
dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which
is welcoming to and of the individual, is non-judgmental and respects their
circumstances, feelings priorities and rights.
Personal/professional
development:
The post-holder will
participate in any training programme implemented by the Brunel Health Group as
part of this employment, such training to include:
Participation in an annual
individual performance review, including taking responsibility for maintaining
a record of own personal and/or professional development
Taking responsibility for
own development, learning and performance and demonstrating skills and
activities to others who are undertaking similar work.
Quality:
The post-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, either directly or under supervision
Contribute to the
effectiveness of the team by reflecting on own and team activities and making
suggestions on ways to improve and enhance the teams 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 of effective communication within the team and will
strive to:
Communicate effectively with
other team members across Brunel Health Group
Communicate effectively with
patients and carers
Recognize peoples needs for
alternative methods of communication and respond accordingly.
Contribution to the
implementation of services:
The post-holder will:
Apply Brunel Health Group policies,
standards and guidance
Discuss with other members
of the team how the policies, standards and guidelines will affect own work
Participate in audit where
appropriate.
This job description is
indicative of the range of responsibilities of the post. It is not intended to
be an exhaustive list of duties and the post holder may undertake other duties
not specified within the job description but within the general scope of the
post as determined by Brunel Health Group.