Job summary
Quality & Governance Lead, Surgery & Cancer ICSU
Are you passionate about patient safety and dedicated to improving the quality of healthcare service ?
Do you possess strong leadership skills and a commitment to fostering a culture of continuous improvement ?
If so, we have an exciting opportunity for you to join our team as Quality & Governance Lead for Surgery & Cancer ICSU.
The post holder will lead, co-ordinate and advise on all aspects of clinical quality, risk management and governance processes across the Surgery & Cancer ICSU.
The post holder will be required to review, define, scope, plan, manage and deliver activities associated with the quality agenda.
The post holder will work as an integral member of the Surgery & Cancer leadership team to ensure learning from incidents and patient feedback within the ICSU.
The post holder will play a pivotal role in supporting the implementation of the Patient Safety Incident Response Framework (PSIRF) and will lead work to ensure improvement and assurance is understood, recognised, and used to improve the outcome for service users.
The postholder will undertake Patient Safety Incident investigations and other reviews as relevant and promote patient safety thinking beyond why things go wrong into examining why things routinely go right and how that can be maximised .
Main duties of the job
MAIN DUTIES
Lead and be accountable for quality governance deliverables within the ICSU.
Facilitate a culture of learning and improvement across ICSU services.
Provide training for PSIRF and risk management.
Promote improved understanding of governance mechanisms and systems within departments across the ICSU including how multi disciplinary professionals can work together to provide safe and quality patient care.
Validate and quality check all incidents, reported on the Trust's risk management system (Datix) ensuring that areas of high risk and high patient impact are addressed and escalated immediately.
Work in collaboration with the central governance team in the implementation of PSIRF and support a systems-based approach when learning from patient safety events.
Undertake and support a variety of learning responses under PSIRF within the ICSU and ensure compassionate engagement with those affected by patient safety events is maintained.
Provide quality assure on investigations prior to submission to the Central Quality and Governance team.
Lead on learning responses with patient safety incident investigations.
Advise, design and deliver training relating to incidents and patient feedback for dissemination across the ICSU.
Have an overview of patient feedback for the ICSU including complaints, PALs queries, Friends & Family Test (FFT) and compliments.
Promote a culture where staff are confident in reporting adverse incidents and investigating.
About us
Whittington Mission, Vision and Goals
We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients than ever before and are dedicated to improving services to deliver the best for our patients.Our missionHelping local people live longer, healthier lives.Our visionProvide safe, personal, co-ordinated care for the community we serve.
Our goalsWe have developed six key strategic goals to make sure we continue to support people to live longer, healthier lives.
- To secure the best possible health and wellbeing for all our community
- To integrate and coordinate care in person-centred teams
- To deliver consistent, high quality, safe services
- To support our patients and users in being active partners in their care
- To be recognised as a leader in the fields of medical and multi-professional education, and population-based clinical research
- To innovate and continuously improve the quality of our services to deliver the best outcomes for our local population
Whittington Values
Our values underpin everything we do. Our staff are committed to delivering the following values in everything they do.
Our ICARE values have been created by our staff and are embedded in our appraisal and planning processes and form part of our staff excellence awards.
Job description
Job responsibilities
Risk Management
Analyse risk and compliance data and make recommendations to ICSU committees to address identified deficits in safety and/or compliance and ensure agreed actions are completed.
Review the ICSU risk registers with service leads and ICSU triumvirate ensuring they are up-to-date and reviewed regularly.
Support staff with completing risk assessments and provide training on risk management as required.
Work collaboratively with other ICSUs to enable the identification of safety risks through adverse incidents, complaints, legal claims, H & S risk assessment, risk registers and other methods of risk identification (e.g., safety alerts, NICE etc) and ensure that any actions to mitigate identified risk are implemented.
Governance and Quality
Have oversight and involvement with QI projects in the ISCU related to PSIRF and patient safety.
Complete a performance indicator dashboard and individual reports as required for the ICSU.
Review and analyse internal patient safety data and intelligence identifying themes
and trends and inform on organisation projects/initiatives as directed that produce change and learning reducing clinical risk.
Provide support on matters relating to risk and patient safety within the ICSU.
Produce a monthly quality governance report that reflects quality performance and associated learning.
Ensure action plans arising from incidents and patient feedback are completed within agreed timescales and that evidence is submitted to the relevant committees.
Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met.
Support clinicians with patients and/or their relatives to outline the processes for investigation and discussing investigation findings.
Support staff when meeting with patients and/or their relatives following a complaint or concern, outlining complaint processes for investigation, findings, learning and resolution.
Professional
Comply with governing body registration and keep up to date with current practices, maintaining clinical competence in area of expertise.
Identify your development needs within your annual appraisal. Ensure that the organisations goals are reflected in your own and your teams objectives.
Demonstrate the Trusts core behaviors in delivering a quality service.
Act, at all times, in such a way as to provide a suitable and professional role model.
Form part of the Surgery & Cancer senior leadership team and will be expected to provide senior professional support and leadership as required to other services in the absence of their matron or lead.
Job description
Job responsibilities
Risk Management
Analyse risk and compliance data and make recommendations to ICSU committees to address identified deficits in safety and/or compliance and ensure agreed actions are completed.
Review the ICSU risk registers with service leads and ICSU triumvirate ensuring they are up-to-date and reviewed regularly.
Support staff with completing risk assessments and provide training on risk management as required.
Work collaboratively with other ICSUs to enable the identification of safety risks through adverse incidents, complaints, legal claims, H & S risk assessment, risk registers and other methods of risk identification (e.g., safety alerts, NICE etc) and ensure that any actions to mitigate identified risk are implemented.
Governance and Quality
Have oversight and involvement with QI projects in the ISCU related to PSIRF and patient safety.
Complete a performance indicator dashboard and individual reports as required for the ICSU.
Review and analyse internal patient safety data and intelligence identifying themes
and trends and inform on organisation projects/initiatives as directed that produce change and learning reducing clinical risk.
Provide support on matters relating to risk and patient safety within the ICSU.
Produce a monthly quality governance report that reflects quality performance and associated learning.
Ensure action plans arising from incidents and patient feedback are completed within agreed timescales and that evidence is submitted to the relevant committees.
Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met.
Support clinicians with patients and/or their relatives to outline the processes for investigation and discussing investigation findings.
Support staff when meeting with patients and/or their relatives following a complaint or concern, outlining complaint processes for investigation, findings, learning and resolution.
Professional
Comply with governing body registration and keep up to date with current practices, maintaining clinical competence in area of expertise.
Identify your development needs within your annual appraisal. Ensure that the organisations goals are reflected in your own and your teams objectives.
Demonstrate the Trusts core behaviors in delivering a quality service.
Act, at all times, in such a way as to provide a suitable and professional role model.
Form part of the Surgery & Cancer senior leadership team and will be expected to provide senior professional support and leadership as required to other services in the absence of their matron or lead.
Person Specification
Education / Qualifications
Essential
- oBSc degree qualification or equivalent
- oPrevious training in investigation and report writing
- oPrevious experience working a governance related role
Desirable
- oRegistered with relevant professional organisation, either Nursing & Midwifery Council (NMC) or Health & Care Professional Council (HCPC)
Skills & Abilities
Essential
- oExcellent written and verbal communication skills
- oProven experience and ability to produce and create letters, reports, recording systems
- oAbility to build and maintain effective working relationships with staff at all levels
- oProven high degree of accuracy and attention to detail
Knowledge & Experience
Essential
- oPrevious experience in leading change and supporting staff
- oKnowledge of clinical governance and risk management at a local and national level
- oPrevious experience in carrying out or involvement in risk management investigations
Person Specification
Education / Qualifications
Essential
- oBSc degree qualification or equivalent
- oPrevious training in investigation and report writing
- oPrevious experience working a governance related role
Desirable
- oRegistered with relevant professional organisation, either Nursing & Midwifery Council (NMC) or Health & Care Professional Council (HCPC)
Skills & Abilities
Essential
- oExcellent written and verbal communication skills
- oProven experience and ability to produce and create letters, reports, recording systems
- oAbility to build and maintain effective working relationships with staff at all levels
- oProven high degree of accuracy and attention to detail
Knowledge & Experience
Essential
- oPrevious experience in leading change and supporting staff
- oKnowledge of clinical governance and risk management at a local and national level
- oPrevious experience in carrying out or involvement in risk management investigations
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.
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).
Additional information
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.
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).
