Quality Standards Assurance Visits Programme Lead

Job description

Job responsibilities

To co-ordinate and, along with the Quality Assurance and Effectiveness Manager, deliver the Quality Standards Assurance Visits Programme across the Trust that provides assurance of compliance with regulatory requirements.

Develop, coordinate and undertake visits to teams and services, including evidence collation, to assess compliance; escalating risks and issues in a timely manner, where appropriate.

During the visits, gather and respond to complex and sensitive information, writing clear reports following the visit and working with teams to ensure the development of appropriate action plans.

Lead and support on specific quality work streams and projects, including the delivery of a self-assessment process for teams and services to offer internal assurance.

Deliver improvements through facilitation, engagement of stakeholders, analysis, planning and project management.

Inform and facilitate the sharing of best practice (share and spread) across the Trust, ensuring success is celebrated and learning is disseminated.

Work closely with the Performance Development Team to ensure that action plans are monitored, updated and evidence uploaded to In Phase (Performance Plus) in a timely manner following Quality Standards Assurance Visits, and to support the successful deployment of Performance Plus across the Trust.

Produce reports regarding QSAVs that can demonstrate trends, interpret changes in performance and produce analytical data in a range of formats (from PowerPoint presentations to statistical illustrations) for a variety of audiences, including to Board sub committees, for the purpose of monitoring compliance.

Work closely with the QSAVs Programme Lead, Quality Improvement Programme Manager and the Head of Quality Assurance and Effectiveness to determine the priority of specific work streams and take forward tasks as delegated by the Deputy Director of Regulatory Compliance and Assurance.

Maintain effective and efficient working processes to ensure the smooth functioning of the Quality Assurance and Effectiveness Team. This will include creating, developing, implementing and monitoring work stream specific plans and standard procedures, and ensure that there are appropriate systems, controls and processes in place to support the delivery and evaluation of work streams.

With the Quality Assurance and Effectiveness Manager, assist with the development and implementation of policies and guidelines relating to the role, for example to carry out QSAVs within the Trust ensuring that they feature and reflect current regulatory requirements.

Be responsive to the team or service that is being visited and the circumstances that are presented on the day. Adapt the delivery of the visit in response to this if required, whilst gaining the required assurance against regulatory requirements and the Quality Assurance and Effectivenesss policies and guidelines.

Develop and maintain effective information systems, computerised and/or paper based for the prime purposes of robust audit trails and the generation of relevant reports to assist in both project monitoring and the provision of a timely response to a range of external and / or internal requests for work stream associated information.

Identify opportunities for improvement and monitor the delivery of work streams to ensure that tasks are delivered to standard and timescale, chasing and challenging progress as appropriate.

Identify, design, build and frequently revise any necessary spreadsheets needed to store and maintain sensitive information, including remedial action plans.

Monitor and confirm that others are receiving data and information in a timely and meaningful format.

Support the collation and timely delivery of information requested by the regulator and other external bodies.

Provide project support to ensure implementation of robust monitoring of newly acquired services or service models.

Provide guidance and support to junior team members to facilitate shared learning and ensure that they are able to support QSAV processes confidently.

Work with the Continuous Improvement Team and others outside the team, frontline staff and service managers to support the delivery of the Trust wide transformation programme.

Undertake specific project management work to support the ongoing strategic development of the Trust.

Arrange, organise and facilitate stakeholder events / workshops, including routine CQC engagement activities and events adapting and presenting the material as is appropriate to the audience in question.

Support delivery of the Getting to Outstanding programme, working with teams to raise awareness of requirements; delivering Quality Improvement training where necessary and highlighting practice that meets CQC requirements for outstanding.

Work with professional staff, managers and other staff to develop an environment that promotes continuous service improvement and ensures sustainability.

Knowledge of administration procedures, including specialised Trust IT systems and project management, training knowledge acquired through formal training or experience to post graduate diploma level.

Evidence of continuing CPD e.g. working towards a PRINCE 2 or equivalent qualification.

A working knowledge of regulatory (for example CQC Key Lines Of Enquiry) and contractual requirements associated with the delivery of Trust services.

Work without daily supervision and independently resolve the majority of issues delegated.

Deliver Improvements through facilitation, engagement of stakeholders, analysis, planning and project management.

Inform and facilitate sharing of best practice.

Maintain strict confidentiality regarding information concerning patients, staff and sensitive business at all times.

Involved in scoping, planning and costing external service delivery, costing out of time which generates income.

Person Specification

Qualifications and Training

Essential

• Degree or equivalent experience
• Experience of managing projects
• Experience of managing projects.

Desirable

• Project Management qualification
• Training in quality improvement in healthcare

Experience

Essential

• Experience in a Health Care setting and associated standards i.e. NICE Guidance.
• Experience of training and / or facilitating group discussions.
• Experience in development and preparation of complex information / reports.

Desirable

• Experience of applying QI / Lean or other quality improvement systems across numerous pathways.

SKILLS, KNOWLEDGE & ABILITIES

Essential

• High degree of personal credibility and professionalism.
• Ability to work under pressure and meet tight deadlines
• Ability to work creatively and think laterally to ensure high quality presentation of statistical information.
• Ability to work on own initiative to manage their workload with competing priorities.

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

Midlands Partnership NHS Foundation Trust

Address

Trust Headquarters

Corporation Street

Stafford

ST163SR

Employer's website

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