Job summary
We are looking for a clinical co-ordinator who is keen to develop their incident management and governance skills. You will have knowledge of the incident management processes within the Trust including the management of complex investigations and use of Datix. You will be able to deliver on agreed goals and to lead and influence teams; where required training and support will be given.
Main duties of the job
Working across our sites, the Planned Care Quality and Patient Safety Co-ordinator will be based at St Helier Hospital and will work as part of the Divisional management team and will support quality manager within the Planned Care Division including co-ordinating and overseeing quality processes to support patient safety, experience and clinical outcomes.
The Divisional Quality and Patient Safety Co-ordinator will support education and training for staff within the Division on aspects of quality and processes for managing the dimensions of quality (risk management, health and safety, clinical governance, audit etc.) They will promote a positive culture for reporting incidents and the implementation of PSIRF.
About us
The post holder will support improvements in the quality of clinical care and patient safety through the PSIRF toolkit and sharing learning, supporting implementation and embedding of required practice changes within the Division.
Job description
Job responsibilities
Key Responsibilities
- To support the process and management of incident review and grading of all reported incidents in line with the implementation of PSIRF
- To support the co-ordination and completion of Divisional incident investigations (using the developing PSIRF toolkit) including presentation in a timely manner in accordance with Trust policy
- To work with service leads to undertake analysis of their incident reporting profile enabling internal benchmarking, deep dive analysis and preventative actions to be undertaken as required to support understanding and improvement in practice
- To offer advice, support and mentorship to service leads on clinical incidents, promoting a positive quality culture in which continuous improvement in clinical care is sought and achieved
- To support processes in place to track and monitor completion of all levels of incident investigation ensuring that 90% of cases are completed within required timescales, escalating concerns to the Quality and Patient Safety Manager
- Advise on incident investigations and as necessary support PSII Panels
- To review draft investigation reports and ensure full discussion and agreement of draft actions with all proposed action leads prior to wider circulation of the draft investigation report
- To appropriately circulate draft investigation reports for comment prior to approval
- To support the implementation of associated actions collating evidence of completion as required
- Assist in the design and completion of clinical audits and tools to measure clinical effectiveness and provide assurance, enabling internal benchmarking and sharing of good practice across the Trust, through analysis and interpretation of results/findings in conjunction with the Divisional Quality and Patient Safety Manager
- To engage with clinical colleagues to support compliance with the requirements of Being Open / Statutory Duty of Candour to ensure that our Duty is sensitively met in a timely way and that any risk associated with meeting our Duty is appropriately escalated and managed
- To support the process of incident investigation to ensure it is appropriately discussed and taken forward in partnership with patients/ patients families. This will include sharing the timeframes for investigation and the sharing of outcomes
- To escalate within to the Quality and Patient Safety Manager any concerns regarding the timeliness of incident investigations and compliance with Duty of Candour supporting actions to mitigate and manage associated risk
- To ensure that lessons from internal and external investigations (incident, claims, complaints and inquest investigations) are analysed and learning is shared and timely feedback of information occurs
- To support the process and management of risk identification and management within the Division ensuring that risks are appropriately recorded and updated on the Divisional risk register in accordance with Trust policy and are subject to timely review
- To ensure that any risks scoring 15 and above on the Divisional risk register are appropriately escalated to, and discussed with, the Divisional Quality and Patient Safety Manager
- To support the process for ensuring that Mortality Reviews are completed in the Division by liaising with the clinical teams
- To work collaboratively with the Datix Manager and Divisional Quality and Patient Safety Manager to ensure that Datix Dashboards within area of responsibility are functional and fit for purpose
- To support the drafting of quality reports for the Division and the process of developing mitigating actions
- To work collaboratively with the Trust Clinical and Effectiveness Audit Manager and Divisional audit leads to understand and support both the national and local audit agenda within the Division
- To work with the audit leads to ensure that any associated audit requirement as a result of incident and risk management issues is appropriately progressed and reported
- To work with the Divisional Quality and Patient Safety Manager and audit team engaging with, and supporting, the development of the Divisional Quality Half Day agendas
- To attend the Divisional Quality Half Day meeting supporting administration as required
- To support the planning and management of governance meetings within area of responsibility
Other
- To undertake personal development, education and training in relation to safety to ensure you can meet the continued requirements of the job role.
- To support staff training contributing to training materials and delivery of staff training. This will include (not exhaustive) PSIRF implementation and Duty of Candour training, Risk management, and Trust induction.
- Actively share knowledge and expertise and contribute to the Trust as a whole.
- Act as a reflective practitioner, applying evidence based practice and critical thinking to review practices and processes of care with clinical leads.
- To promote evidence based care that is holistic and involves the patient and their carers.
Professional
- To be accountable for his/her own clinical/nursing practice and takes reasonable opportunity to maintain and develop professional competence, knowledge and expertise, including Post Registration Education & Practice.
- Practice in accordance with the relevant Code of Professional conduct and all other appropriate professional guidelines
Job description
Job responsibilities
Key Responsibilities
- To support the process and management of incident review and grading of all reported incidents in line with the implementation of PSIRF
- To support the co-ordination and completion of Divisional incident investigations (using the developing PSIRF toolkit) including presentation in a timely manner in accordance with Trust policy
- To work with service leads to undertake analysis of their incident reporting profile enabling internal benchmarking, deep dive analysis and preventative actions to be undertaken as required to support understanding and improvement in practice
- To offer advice, support and mentorship to service leads on clinical incidents, promoting a positive quality culture in which continuous improvement in clinical care is sought and achieved
- To support processes in place to track and monitor completion of all levels of incident investigation ensuring that 90% of cases are completed within required timescales, escalating concerns to the Quality and Patient Safety Manager
- Advise on incident investigations and as necessary support PSII Panels
- To review draft investigation reports and ensure full discussion and agreement of draft actions with all proposed action leads prior to wider circulation of the draft investigation report
- To appropriately circulate draft investigation reports for comment prior to approval
- To support the implementation of associated actions collating evidence of completion as required
- Assist in the design and completion of clinical audits and tools to measure clinical effectiveness and provide assurance, enabling internal benchmarking and sharing of good practice across the Trust, through analysis and interpretation of results/findings in conjunction with the Divisional Quality and Patient Safety Manager
- To engage with clinical colleagues to support compliance with the requirements of Being Open / Statutory Duty of Candour to ensure that our Duty is sensitively met in a timely way and that any risk associated with meeting our Duty is appropriately escalated and managed
- To support the process of incident investigation to ensure it is appropriately discussed and taken forward in partnership with patients/ patients families. This will include sharing the timeframes for investigation and the sharing of outcomes
- To escalate within to the Quality and Patient Safety Manager any concerns regarding the timeliness of incident investigations and compliance with Duty of Candour supporting actions to mitigate and manage associated risk
- To ensure that lessons from internal and external investigations (incident, claims, complaints and inquest investigations) are analysed and learning is shared and timely feedback of information occurs
- To support the process and management of risk identification and management within the Division ensuring that risks are appropriately recorded and updated on the Divisional risk register in accordance with Trust policy and are subject to timely review
- To ensure that any risks scoring 15 and above on the Divisional risk register are appropriately escalated to, and discussed with, the Divisional Quality and Patient Safety Manager
- To support the process for ensuring that Mortality Reviews are completed in the Division by liaising with the clinical teams
- To work collaboratively with the Datix Manager and Divisional Quality and Patient Safety Manager to ensure that Datix Dashboards within area of responsibility are functional and fit for purpose
- To support the drafting of quality reports for the Division and the process of developing mitigating actions
- To work collaboratively with the Trust Clinical and Effectiveness Audit Manager and Divisional audit leads to understand and support both the national and local audit agenda within the Division
- To work with the audit leads to ensure that any associated audit requirement as a result of incident and risk management issues is appropriately progressed and reported
- To work with the Divisional Quality and Patient Safety Manager and audit team engaging with, and supporting, the development of the Divisional Quality Half Day agendas
- To attend the Divisional Quality Half Day meeting supporting administration as required
- To support the planning and management of governance meetings within area of responsibility
Other
- To undertake personal development, education and training in relation to safety to ensure you can meet the continued requirements of the job role.
- To support staff training contributing to training materials and delivery of staff training. This will include (not exhaustive) PSIRF implementation and Duty of Candour training, Risk management, and Trust induction.
- Actively share knowledge and expertise and contribute to the Trust as a whole.
- Act as a reflective practitioner, applying evidence based practice and critical thinking to review practices and processes of care with clinical leads.
- To promote evidence based care that is holistic and involves the patient and their carers.
Professional
- To be accountable for his/her own clinical/nursing practice and takes reasonable opportunity to maintain and develop professional competence, knowledge and expertise, including Post Registration Education & Practice.
- Practice in accordance with the relevant Code of Professional conduct and all other appropriate professional guidelines
Person Specification
Qualifications
Essential
- Registered Nurse and /or Midwife
- Post registration course related to care of medical patients
Desirable
- Previous experience of developing an aspect of quality - patient safety; clinical outcomes
Experience
Essential
- Experience in caring for acutely unwell patients in the acute setting
Desirable
- Previous experience in Clinical Risk/Governance role
Knowledge
Essential
Desirable
- Knowledge of Risk Assessment in a healthcare setting
Skills
Essential
- Computer skills, with working knowledge of databases, spreadsheets and presentation packages.
Desirable
- Ability to plan and deliver training
Person Specification
Qualifications
Essential
- Registered Nurse and /or Midwife
- Post registration course related to care of medical patients
Desirable
- Previous experience of developing an aspect of quality - patient safety; clinical outcomes
Experience
Essential
- Experience in caring for acutely unwell patients in the acute setting
Desirable
- Previous experience in Clinical Risk/Governance role
Knowledge
Essential
Desirable
- Knowledge of Risk Assessment in a healthcare setting
Skills
Essential
- Computer skills, with working knowledge of databases, spreadsheets and presentation packages.
Desirable
- Ability to plan and deliver training
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
