Quality and Governance Support Facilitator

Job description

Job responsibilities

PRIMARY DUTIES & AREAS OF RESPONSIBILITY

Work with the Deputy Service Line Manager (Quality and Governance) in the assessment, reporting and escalation of effective quality and governance processes within the Imaging Service Line

Support the delivery of governance improvement projects in the service line with oversight and support from the Deputy Service Line Manager and Service Improvement Manager.

Work closely and develop excellent relationships with Imaging staff at all levels, Care Group Level, Medical Physics and Trust Governance to understand needs, agree project objectives, develop safe processes and identify timeframes and assign ownership of tasks.

Work to time critical deadlines; liaising with key Imaging leads to identify concerns and provide resolutions within given timescales.

Produce and present complex governance and quality data and other information to multi-disciplinary staff groups including clinicians, service users and radiographers. Including identification of themes for escalation to Deputy Service Line Manager.

Able to communicate and engage effectively with a wide range of staff including clinicians, specialist advisors, service providers and senior project leads, in relation to the quality and governance processes.

Have overall management responsibility for the Quality Management and Document Control System (Q-Pulse) and oversee approval process for documentation with support of the Deputy Service Line Manager

Provide training support to the staff within the Service Line in the use of the Q-Pulse document control system

Ensure all service line documents are reviewed and updated in a timely manner in line with UHP requirements

Support the Deputy Service Line Manager in the delivery of all CQC requirements such as inspections, self-assessments and engagement meetings

Manage processes for reviewing and approving risks and incidents as reported on the Trust Datix system and ensure areas of concerns are identified to the Deputy Service Line Manager for appropriate escalation via Trust frameworks

Ensure that every learning opportunity, from any of the information sources available, is identified and escalated/highlighted accordingly

To manage databases and spread sheets for complex data analysis, compliance visibility and robust reporting including trends and themes i.e. NICE Guidance and Clinical Audit Register

Provide support on the production of risk assessments, risk register information / data and the arrangements for the review of all risks, particularly those pertaining to equipment and facilities

To work in conjunction with Deputy Service Line Manager with responsibility for quality and governance framework to support the Trusts regulatory requirements

Co-ordinate and respond to all Freedom of Information Requests on behalf of the Imaging Service Line by liaising with appropriate leads to collate required information

Manage and respond to all PALS enquires on behalf of the Imaging Service Line and assist the Deputy Service Line Manager in the investigation of formal complaints

To act as the nominated records lead within the service line

Contribute new ideas to develop and deliver improvement projects within the Service Line, particularly those pertaining to quality, governance and equipment

Manage working relationships with the modalities in the Imaging Service Line that focus on facilitating appropriate action so that department can demonstrate continuous improvement as part of daily activity

Develop working relationships with external agencies who work in conjunction with the service line to ensure necessary support can be provided to the Deputy Service Line Manager when required

Facilitate group agenda items that contribute to quality/equipment/project management agenda

Contribute to the review of team procedures, performance and improvement projects

Provide support to the Deputy Service Line Manager in the submission of relevant business cases as required

Person Specification

Knowledge and Experience

Essential

• Previous demonstrable experience in a healthcare setting in an administrative or clinical role.
• Provide interpretative skills with data analysis and presentation for the benefit of governance management and performance metrics, including incident evaluation.
• Demonstrable experience in working directly with clinicians, managers, staff & contractors on a variety of matters

Desirable

• Demonstrable experience with working with clinical systems such as IPM and CRIS
• Demonstrable experience of governance and quality management systems such as Q-Pulse and Datix
• Have proven knowledge and demonstrable experience in improvement / change management methodologies

Qualifications

Essential

• oHold a relevant Higher Education Qualification (Business Management, / Administration, etc) or have equivalent demonstrable experience, with a minimum of 3 years' demonstrable experience of managing quality and governance processes

Desirable

• Additional qualification in business administration, people management or equivalent
• IT qualifications equivalent to ECDL or NVQ's, and familiar with all aspects of Microsoft office

Aptitude and Abilities

Essential

• Good communication skills and ability to communicate effectively with a range of individuals and groups in order to lead/support management of projects
• Ability to deal with difficult situations and conversations in a professional manner
• Able to provide and receive complex information and communicate to multi-disciplinary staff/meetings.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH

Employer's website

https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)