Job summary
The Planned Care Divisional Quality and Patient Safety coordinator will work as part of the Planned Care Divisional management team and will support the Planned Care management team with coordinating and overseeing quality processes to support patient safety, experience and clinical outcomes.
Main duties of the job
The Planned Care Quality and Patient Safety Coordinator 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, complaints management, audit etc.).
The post holder will promote a psychologically safe culture in which reporting of incidents is actively supported. They will facilitate and coordinate learning responses in line with the Patient Safety Incident Response Framework (PSIRF) PSIRF and the Trust's Patient Safety Incident Response Plan (PSIRP). They will support improvements in the quality of clinical care and patient safety through sharing of lessons learned as a result of learning responses and supporting implementation and embedding of required practice changes within the Division.
The Planned Care Divisional Quality and Patient Safety Coordinator will offer advice, support and mentorship to service leads on the management and investigation of clinical incidents, promoting a positive quality culture in which continuous improvement in clinical care is sought and achieved.
About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).
After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
Job description
Job responsibilities
- To promote a just culture of openness, responsiveness and compassionate engagement with staff, patients, families and carers, in line with PSIRF and Duty of Candor
- To support the process and management of incident review and grading of all reported incidents
- To support the coordination and completion of learning responses using Patient Safety Incident Response Framework, 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/thematics 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 Learning Response Panels
- To review draft investigation reports and ensure full discussion and agreement of draft actions with all proposed action leads prior to sharing with the wider circulation of the draft investigation report to the senior leadership team
- 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/
- 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 Complaints and PALS teams supporting the triage of complaints and concerns, providing advice to the teams and, where required, escalating concerns to the Divisional Quality Manager
- 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 deputise on behalf of the Divisional Quality and Patient Safety Manager when required
- To line manage and actively support the Divisional Quality Administrator, ensuring annual appraisals are completed.
- 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 support the planning and management of governance meetings within the Division.
Job description
Job responsibilities
- To promote a just culture of openness, responsiveness and compassionate engagement with staff, patients, families and carers, in line with PSIRF and Duty of Candor
- To support the process and management of incident review and grading of all reported incidents
- To support the coordination and completion of learning responses using Patient Safety Incident Response Framework, 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/thematics 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 Learning Response Panels
- To review draft investigation reports and ensure full discussion and agreement of draft actions with all proposed action leads prior to sharing with the wider circulation of the draft investigation report to the senior leadership team
- 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/
- 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 Complaints and PALS teams supporting the triage of complaints and concerns, providing advice to the teams and, where required, escalating concerns to the Divisional Quality Manager
- 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 deputise on behalf of the Divisional Quality and Patient Safety Manager when required
- To line manage and actively support the Divisional Quality Administrator, ensuring annual appraisals are completed.
- 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 support the planning and management of governance meetings within the Division.
Person Specification
Qualifications
Essential
- Degree or equivalent experience in Quality, Governance and Patient Safety
- Certification in PSIRF methodology and Learning Responses
Desirable
- Previous experience of developing an aspect of quality patient safety; patient experience; Certification in a legal processes
Experience
Essential
- Experience of holding a Clinical Risk/Governance role or equivalent
- Managing complaints and Pals contacts
- Family and service user engagement
- Experience of effective team work including working within a multidisciplinary team and the wider healthcare setting
- Experience and ability to provide and receive complex sensitive information
- Able to analyse and interpret facts and make appropriate judgment
- Experience of collating and presenting Divisional and Board level reports
- Experience of undertaking Learning responses
- Experience of audits
- Experience of planning own workload and meeting agreed deadline
- Experience of communicating Involvement at regional level in a quality Governance capacity Experience of delivering training Application Form/CV and interview with the legal team to support inquests and information for litigation
- Experience of FOI and SAR process
Desirable
- Involvement at regional level in a quality Governance capacity Experience of delivering training
Knowledge
Essential
- Able to demonstrate understanding of the NHS Patient Safety Strategy and PSIRF
- Able to demonstrate understanding of the NHS Complaints Standards
- Able to describe the dimensions of quality Knowledge of the CQC Key Lines of Enquiry
- Knowledge of Data Protection
- Knowledge of clinical audit
Desirable
- Knowledge of Risk Assessment in a healthcare setting
Skills
Essential
- Able to provide and receive information demonstrating good verbal and written communication skills
- Able to analyse situations and facts discussing options where required to manage a given situation
- Strong decision making skills Able to influence and motivate staff
- Able to analyse data and draft a Board level report
- Computer skills, with working knowledge of databases, spreadsheets and presentation packages
- Able to present with confidence
- Able to deliver relevant training to staffing groups in relation to Quality, Patient Safety and Governance
Desirable
- Ability to plan and deliver training
Personal
Essential
- Self- awareness. Commitment to team working Enthusiasm/motivation.
- Approachable and determined.
- Work to own initiative and is flexible/adaptable
Person Specification
Qualifications
Essential
- Degree or equivalent experience in Quality, Governance and Patient Safety
- Certification in PSIRF methodology and Learning Responses
Desirable
- Previous experience of developing an aspect of quality patient safety; patient experience; Certification in a legal processes
Experience
Essential
- Experience of holding a Clinical Risk/Governance role or equivalent
- Managing complaints and Pals contacts
- Family and service user engagement
- Experience of effective team work including working within a multidisciplinary team and the wider healthcare setting
- Experience and ability to provide and receive complex sensitive information
- Able to analyse and interpret facts and make appropriate judgment
- Experience of collating and presenting Divisional and Board level reports
- Experience of undertaking Learning responses
- Experience of audits
- Experience of planning own workload and meeting agreed deadline
- Experience of communicating Involvement at regional level in a quality Governance capacity Experience of delivering training Application Form/CV and interview with the legal team to support inquests and information for litigation
- Experience of FOI and SAR process
Desirable
- Involvement at regional level in a quality Governance capacity Experience of delivering training
Knowledge
Essential
- Able to demonstrate understanding of the NHS Patient Safety Strategy and PSIRF
- Able to demonstrate understanding of the NHS Complaints Standards
- Able to describe the dimensions of quality Knowledge of the CQC Key Lines of Enquiry
- Knowledge of Data Protection
- Knowledge of clinical audit
Desirable
- Knowledge of Risk Assessment in a healthcare setting
Skills
Essential
- Able to provide and receive information demonstrating good verbal and written communication skills
- Able to analyse situations and facts discussing options where required to manage a given situation
- Strong decision making skills Able to influence and motivate staff
- Able to analyse data and draft a Board level report
- Computer skills, with working knowledge of databases, spreadsheets and presentation packages
- Able to present with confidence
- Able to deliver relevant training to staffing groups in relation to Quality, Patient Safety and Governance
Desirable
- Ability to plan and deliver training
Personal
Essential
- Self- awareness. Commitment to team working Enthusiasm/motivation.
- Approachable and determined.
- Work to own initiative and is flexible/adaptable
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.
