Job summary
A unique, rare and exciting opportunity has arisen on the Neonatal Unit at St Peters Hospital for Lead Governance Nurse with prior experience of working clinically at Band 6/7 level in a neonatal speciality area.
We are a Level 3 NICU , caring for the sickest and smallest babies in the Surrey region with a strong commitment to Research and Quality Improvement.
This role is for 15 hours per week and is at Band 7 level. You will work alongside other members of the Neonatal , Paediatric and Perinatal Quality and Safety team with designated roles and responsibilities on NICU.
You will work flexibly Monday - Friday , no weekends, night duties or unsocial hours.
You will be fully supported in your professional development and leadership skills.
Main duties of the job
Take a lead role in the delivery of the Quality Governance Assurance Framework within neonatal to ensure that the quality of care, patient experience, patient safety and clinical effectiveness is of the highest standard and meets national and local outcomes.
Take a lead role in ensuring that the Trust's Quality Safety and Risk Management Strategy is embedded in paediatrics and neonatal.
Support the Divisional Quality Governance Manager in co-ordinating clinical and non-clinical risk management activities across within paediatrics and neonatal.
Support the Divisional Quality Governance Manager in monitoring incidents/events recorded via the Trust reporting system relating to the division in order to co-ordinate and communicate actions taken locally.
Disseminate learning that arises through incident investigation.
Assist in preparing reports for presentation at all corporate meetings.
Assist and participate in allocated Clinical Quality projects.
Support the co-ordination of audit.
Assist in the development of teaching programmes and delivery to all grades of staff as appropriate.
To keep abreast of the National Agenda in regards to Patient Safety.
Support the division to respond to complaints raised by families
Deputise for the Divisional Quality Governance Manager in their absence.
In the absence of the Divisional Quality Governance Manager, attend and contribute to relevant Divisional and Board level meetings
About us
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Ashford, Surrey and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at Ashford & St Peters Hospitals NHS Foundation Trust with our strong commitment to staff health and wellbeing. We are committed to providing continuous professional development, staff benefits and flexibility to shape our workforce around our patient care.
Please see the supporting links which you can find on the right-hand side of this job advert. There is guidance on how to make an application on NHS Jobs as well as more information about joining the ASPH Team
Although it isn't the Trusts normal practice, adverts may close early, so applicants are encouraged to submit an application as soon as possible.
Job description
Job responsibilities
Quality Responsibilities:
With the support of Divisional Quality Governance Manager review compliance with the CQC standards ensuring relevant databases are maintained and up to date.
Support the Divisional Quality Governance Manager in the development of systems to monitor and audit governance processes with a specific focus on the CQC standards and registration
Maintain the SIRI action plan database ensuring that the actions have been tested.
Develop, maintain, update and implement appropriate policies relating to governance and clinical quality across the division.
Assist in implementing systems to identify opportunities learning and sharing good practice creating learning opportunities within paediatrics and neonatal.
Work with senior clinicians in monitoring and developing action plans for the implementation of NICE guidelines, and review these on a timely basis.
Develop and communicate action plans for national surveys relevant to neonatal care.
PALS, Complaints, and Risk Management responsibilities:
Support and assist the Divisional Quality Governance Manager in the delivering the Trusts Quality Safety and Risk Management Strategy
Create and maintain a standardised process for following up any events causing concern with the appropriate nurse/clinician.
Facilitate a proactive approach to risk management through support of risk assessment
Ensure all incidents are correctly recorded and coded on Datix and complaints correctly logged
In conjunction with the Divisional Quality Governance Manager monitor action plans for incidents, complaints and PALs issues to ensure that all are completed and the learning shared.
Be responsible for collating and disseminating information on trends in incidents, complaints and PALs and prepare reports as required for various committees and meetings.
Assist with investigation and action as a result of complaints.
Education Responsibilities:
Lead on in the provision of risk management training within the division in conjunction with the Divisional Governance team.
To ensure all staff are aware of their governance and quality improvement responsibilities.
Provide advice on governance and quality improvement issues to Consultants, Junior Doctors, Clinical Nurse Leaders, Ward Managers and other relevant clinical staff within paediatrics and neonatal.
Audit Responsibilities:
To assist, support and encourage an environment of clinical audit across the division.
With the Divisional Quality Governance Manager contribute to the development of an audit programme so that appropriately, prioritised audits are undertaken and the findings implemented and shared across the division.
Undertake regular case note audits. Report on audit findings and identify areas of improvement and support on actioning these.
Professional Responsibilities:
Maintain own professional registration as required
Act as a role model, maintaining and upholding high standards of professional behaviour.
Be an effective leader of supporting change, embedding a culture of continuous quality improvement, innovation and use of technology that meets the changing needs of patients
Maintain a flexible approach to working
Attend and participate at relevant meetings appropriate to the governance and quality improvement agenda
Keep abreast of current issues in clinical risk management, relevant legislation and governance and quality improvement
To support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work.
Job description
Job responsibilities
Quality Responsibilities:
With the support of Divisional Quality Governance Manager review compliance with the CQC standards ensuring relevant databases are maintained and up to date.
Support the Divisional Quality Governance Manager in the development of systems to monitor and audit governance processes with a specific focus on the CQC standards and registration
Maintain the SIRI action plan database ensuring that the actions have been tested.
Develop, maintain, update and implement appropriate policies relating to governance and clinical quality across the division.
Assist in implementing systems to identify opportunities learning and sharing good practice creating learning opportunities within paediatrics and neonatal.
Work with senior clinicians in monitoring and developing action plans for the implementation of NICE guidelines, and review these on a timely basis.
Develop and communicate action plans for national surveys relevant to neonatal care.
PALS, Complaints, and Risk Management responsibilities:
Support and assist the Divisional Quality Governance Manager in the delivering the Trusts Quality Safety and Risk Management Strategy
Create and maintain a standardised process for following up any events causing concern with the appropriate nurse/clinician.
Facilitate a proactive approach to risk management through support of risk assessment
Ensure all incidents are correctly recorded and coded on Datix and complaints correctly logged
In conjunction with the Divisional Quality Governance Manager monitor action plans for incidents, complaints and PALs issues to ensure that all are completed and the learning shared.
Be responsible for collating and disseminating information on trends in incidents, complaints and PALs and prepare reports as required for various committees and meetings.
Assist with investigation and action as a result of complaints.
Education Responsibilities:
Lead on in the provision of risk management training within the division in conjunction with the Divisional Governance team.
To ensure all staff are aware of their governance and quality improvement responsibilities.
Provide advice on governance and quality improvement issues to Consultants, Junior Doctors, Clinical Nurse Leaders, Ward Managers and other relevant clinical staff within paediatrics and neonatal.
Audit Responsibilities:
To assist, support and encourage an environment of clinical audit across the division.
With the Divisional Quality Governance Manager contribute to the development of an audit programme so that appropriately, prioritised audits are undertaken and the findings implemented and shared across the division.
Undertake regular case note audits. Report on audit findings and identify areas of improvement and support on actioning these.
Professional Responsibilities:
Maintain own professional registration as required
Act as a role model, maintaining and upholding high standards of professional behaviour.
Be an effective leader of supporting change, embedding a culture of continuous quality improvement, innovation and use of technology that meets the changing needs of patients
Maintain a flexible approach to working
Attend and participate at relevant meetings appropriate to the governance and quality improvement agenda
Keep abreast of current issues in clinical risk management, relevant legislation and governance and quality improvement
To support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work.
Person Specification
written
Essential
Desirable
- Root Cause Analysis Training
Discussion
Essential
- Experience of working at band 6 or above
- Demonstrable track record of achievement in the last 3 years, linked to the quality agenda in a healthcare environment
- Experience of writing and presenting reports at a variety of levels
- Experience of data analysis from a range of sources
- Registered Neonatal QIS Nurse
- NLS
- Mentorship/ Teaching Qualification
- Trust vision, values, strategic objectives and key work programmes
- Clear understanding of the current NHS issues and initiatives pertaining to Clinical Governance and practice
- Understanding and insight into the challenges of addressing the Clinical Governance agenda
- You have knowledge & awareness of diversity and human rights as appropriate to your role
- You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role
Desirable
- Root Cause Analysis Training
- Experience with interrogation of Datix risk management system exporting data and providing reports
Person Specification
written
Essential
Desirable
- Root Cause Analysis Training
Discussion
Essential
- Experience of working at band 6 or above
- Demonstrable track record of achievement in the last 3 years, linked to the quality agenda in a healthcare environment
- Experience of writing and presenting reports at a variety of levels
- Experience of data analysis from a range of sources
- Registered Neonatal QIS Nurse
- NLS
- Mentorship/ Teaching Qualification
- Trust vision, values, strategic objectives and key work programmes
- Clear understanding of the current NHS issues and initiatives pertaining to Clinical Governance and practice
- Understanding and insight into the challenges of addressing the Clinical Governance agenda
- You have knowledge & awareness of diversity and human rights as appropriate to your role
- You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role
Desirable
- Root Cause Analysis Training
- Experience with interrogation of Datix risk management system exporting data and providing reports
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
