Mersey Care NHS Foundation Trust

Deputy Risk & Governance Manager

Information:

This job is now closed

Job summary

JOB PURPOSE

Responsible for all aspects of management in the following areas, including training and policy/procedure development to ensure compliance for Patient Safety, Quality/Clinical Audit, Risk Management, and Internal Audit. Provide an expert resource to clinical teams, managers and Locality governance and quality management groups in the planning, design and implementation of Governance, Risk and Quality initiatives. To deputise for the Risk & governance Manager in his/her absence and to lead on specific areas of work as delegated by the Risk & Governance Manager.

To manage all risks associated with the Division including adverse events, Serious Incidents and Risk Management. To ensure the delivery of the quality strategy within the designated area incorporating establishment of systems and processes.

The post holder will work closely with the Operational and Clinical Teams and Governance & Quality Team to coordinate and deliverer a robust governance model within the locality that supports the delivery of high quality, safe and effective patient care.

Main duties of the job

PRINCIPAL RESPONSIBILITIES

1. The post holder will ensure the delivery of the quality strategy within the designated area incorporating establishment of systems and processes.2. The post holder will support the Risk & Governance Manager and Operational leads, in the management of all risks associated with the Division including adverse events, Serious Incidents and Risk Management and act as a key member of the Divisional Management Team supporting the business and service delivery of the Division.

About us

As a result of the post-holder being effective in their role, The Trust would expect to see the following outcomes for the Trust, service users and the wider community:

1. Mersey Care NHS Foundation Trust as a leading provider of community services, mental health care, physical health, addiction services and learning disability care.2. Service users receiving a high-quality service and one which is free from stigma, discrimination and harm.3. Staff engaged with the delivery, innovation and continuous improvement of services to benefit service users.4. Visible and responsive leadership, setting the standard for others and role-modelled throughout the division for all managers.5. The Trust values of Continuous Improvement, Accountability, Respectfulness, Enthusiasm and Support will be embedded across the division for all staff and evident to service users.

Details

Date posted

23 October 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

350-COM5714840

Job locations

V7 Kings Business Park

Prescot

L34 1PJ


Job description

Job responsibilities

Risk Management

3. Ensure that there are structures and systematic processes for the assessment, analysis, prioritisation and control of clinical risks.4. Ensure that systems and processes are in place to manage, maintain and update the Divisional Risk Register.5. To oversee the implementation and monitoring of Divisional Risk Register, and co-ordinate timely responses to the Central Alerting System.6. Provide expert advice on Risk Management principles.7. Oversee and implement an annual programme of essential risk/governance training for all staff and managers.8. To be the point of contact within the Division for reporting Serious Incidents acting as the Divisional hub for internal reporting.9. Oversee and coordinate investigations of SIs in line with PSIRF Framework.10. Ensure that lessons are learnt by ensuring that mitigating actions as the result of SIs are recorded, maintained and implemented.11. Produce Risk reports to support Divisional and organisational meetings / groups/ sub committees.

Patient Safety

12. Support the Clinical and Operational Leads with embedding a culture of patient safety.13. Ensure that the established system of incident reporting remains robust and is maintained, reporting where there may be breaches to policy.14. Utilise RADAR to provide Divisional reporting to support the patient safety agenda ensuring that trends and hot spots are identified and that lessons are learnt.15. Support the service managers with incident management.16. Support he production of monthly performance reports.

Quality

17. The coordination of the development, monitoring and performance management of the quality schedules within all contracts relating to the provision of services within the Division as agreed with the Risk & Governance Manager and Clinical colleagues.18. To provide expert advice and resource on quality improvement methodology and delivery.19. Ensure systems and processes are in place to enable the Division to meet the requirements laid out by the Quality Contract i.e., Quality KPIs, CQUINNs.20. To be responsible for the Divisions Clinical Audit program and ensure that audits are completed in line with the Trust-wide Clinical Audit Forward Plan.21. Ensure that any recommendations as the result of both internal and clinical audits are implemented.22. Work with the Patient Experience Team to support the management of complaints and PALS.23. Lessons Learnt - Develop systems and processes

Communication and Training

24. The post holder will communicate highly complex, confidential, personal and sensitive information.25. Presenting reports in meetings, committees and sub-committees.26. Facilitating Divisional Safety Huddles, governance and high-risk person meetings.27. Formal presentations / training (e.g., Team Leader Essentials; training to individual staff and teams).28. Facilitation of lessons learned events (e.g., Quality Forum; team level learning).29. Face to face, telephone and email communications with all levels of staff within the Division and across the organisation, e.g., resolving queries.30. Face to face and/or telephone contact with patients regarding duty of candour and investigative process.

Knowledge Training and Experience

31. The post holder will have highly developed specialist knowledge of several disciplines including risk management, incident management, quality improvement and change management underpinned by theory and practical experience, acquired through training and experience to Masters level or equivalent experience

32. The post holder will have knowledge and understanding of NHS structures in Primary and Secondary Care, the NHS plan and wider modernisation agenda and apply this with quality improvement and change management skills to collaborate with Clinical and Operational Leads service leads to embed changes to practice, as a result of learning from incidents, complaints and clinical audit.33. The post holder will have clinical experience or comprehensive experience of working within the NHS at a managerial level, with previous involvement in patient safety, robust understanding of the Serious Incident Framework and awareness of national guidance on incident management/review and the wider quality agenda.34. The post holder will have a thorough understanding of risk register and risk management processes, quality improvement framework (e.g., quality standards, quality contract, quality impact assessment and quality improvement methodology such as LEAN, process mapping, PDSA cycles) and change management.35. The post holder will support implementation of change, e.g., in collaborating with Clinical and Operational Leads in embedding learning following incident investigation, complaint resolution and audit recommendations; working with teams to apply quality improvement methodology to embed change through a project management approach.Analytical Skills36. The post holder will be responsible for analysing incident data that is reported within their Division, identifying themes and trends.37. The post holder will be responsible for providing data and data analysis in written reports and through verbal presentations.38. The post holder will be able to triangulate information to identify matters of concern, or with potential to cause concern and highlight this to the Senior Management Team for the Division or operational action to be taken.Planning and Organisational Skills39. The post holder will have excellent organisational skills and responsibility for ensuring the accuracy of a number of governance reports and coordinating a broad range of complex activities.

Job description

Job responsibilities

Risk Management

3. Ensure that there are structures and systematic processes for the assessment, analysis, prioritisation and control of clinical risks.4. Ensure that systems and processes are in place to manage, maintain and update the Divisional Risk Register.5. To oversee the implementation and monitoring of Divisional Risk Register, and co-ordinate timely responses to the Central Alerting System.6. Provide expert advice on Risk Management principles.7. Oversee and implement an annual programme of essential risk/governance training for all staff and managers.8. To be the point of contact within the Division for reporting Serious Incidents acting as the Divisional hub for internal reporting.9. Oversee and coordinate investigations of SIs in line with PSIRF Framework.10. Ensure that lessons are learnt by ensuring that mitigating actions as the result of SIs are recorded, maintained and implemented.11. Produce Risk reports to support Divisional and organisational meetings / groups/ sub committees.

Patient Safety

12. Support the Clinical and Operational Leads with embedding a culture of patient safety.13. Ensure that the established system of incident reporting remains robust and is maintained, reporting where there may be breaches to policy.14. Utilise RADAR to provide Divisional reporting to support the patient safety agenda ensuring that trends and hot spots are identified and that lessons are learnt.15. Support the service managers with incident management.16. Support he production of monthly performance reports.

Quality

17. The coordination of the development, monitoring and performance management of the quality schedules within all contracts relating to the provision of services within the Division as agreed with the Risk & Governance Manager and Clinical colleagues.18. To provide expert advice and resource on quality improvement methodology and delivery.19. Ensure systems and processes are in place to enable the Division to meet the requirements laid out by the Quality Contract i.e., Quality KPIs, CQUINNs.20. To be responsible for the Divisions Clinical Audit program and ensure that audits are completed in line with the Trust-wide Clinical Audit Forward Plan.21. Ensure that any recommendations as the result of both internal and clinical audits are implemented.22. Work with the Patient Experience Team to support the management of complaints and PALS.23. Lessons Learnt - Develop systems and processes

Communication and Training

24. The post holder will communicate highly complex, confidential, personal and sensitive information.25. Presenting reports in meetings, committees and sub-committees.26. Facilitating Divisional Safety Huddles, governance and high-risk person meetings.27. Formal presentations / training (e.g., Team Leader Essentials; training to individual staff and teams).28. Facilitation of lessons learned events (e.g., Quality Forum; team level learning).29. Face to face, telephone and email communications with all levels of staff within the Division and across the organisation, e.g., resolving queries.30. Face to face and/or telephone contact with patients regarding duty of candour and investigative process.

Knowledge Training and Experience

31. The post holder will have highly developed specialist knowledge of several disciplines including risk management, incident management, quality improvement and change management underpinned by theory and practical experience, acquired through training and experience to Masters level or equivalent experience

32. The post holder will have knowledge and understanding of NHS structures in Primary and Secondary Care, the NHS plan and wider modernisation agenda and apply this with quality improvement and change management skills to collaborate with Clinical and Operational Leads service leads to embed changes to practice, as a result of learning from incidents, complaints and clinical audit.33. The post holder will have clinical experience or comprehensive experience of working within the NHS at a managerial level, with previous involvement in patient safety, robust understanding of the Serious Incident Framework and awareness of national guidance on incident management/review and the wider quality agenda.34. The post holder will have a thorough understanding of risk register and risk management processes, quality improvement framework (e.g., quality standards, quality contract, quality impact assessment and quality improvement methodology such as LEAN, process mapping, PDSA cycles) and change management.35. The post holder will support implementation of change, e.g., in collaborating with Clinical and Operational Leads in embedding learning following incident investigation, complaint resolution and audit recommendations; working with teams to apply quality improvement methodology to embed change through a project management approach.Analytical Skills36. The post holder will be responsible for analysing incident data that is reported within their Division, identifying themes and trends.37. The post holder will be responsible for providing data and data analysis in written reports and through verbal presentations.38. The post holder will be able to triangulate information to identify matters of concern, or with potential to cause concern and highlight this to the Senior Management Team for the Division or operational action to be taken.Planning and Organisational Skills39. The post holder will have excellent organisational skills and responsibility for ensuring the accuracy of a number of governance reports and coordinating a broad range of complex activities.

Person Specification

Assessment

Essential

  • Achieved grade / Years experience

Desirable

  • Achieved grade / Years experience
Person Specification

Assessment

Essential

  • Achieved grade / Years experience

Desirable

  • Achieved grade / Years experience

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).

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.

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

Mersey Care NHS Foundation Trust

Address

V7 Kings Business Park

Prescot

L34 1PJ


Employer's website

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


Employer details

Employer name

Mersey Care NHS Foundation Trust

Address

V7 Kings Business Park

Prescot

L34 1PJ


Employer's website

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


Employer contact details

For questions about the job, contact:

Risk & Governance Manager

Paul Rogers

Paul.Rogers@merseycare.nhs.uk

01512953359

Details

Date posted

23 October 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

350-COM5714840

Job locations

V7 Kings Business Park

Prescot

L34 1PJ


Supporting documents

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