Job responsibilities
2. KEY RESULT AREAS
2.1 Service Delivery & Development
2.1.1 Oversee the operational management and recruitment of the Patient Safety Team to ensure effective and efficient working whilst also ensuring service delivery needs and annual Patient Safety Team objectives are met.
2.1.2 Lead the development and improvement of a systems learning approach and cultural changes associated with the introduction of the Patient Safety Incident Response Framework (PSIRF) through collaboration with Trust colleagues.
2.1.3 Lead in continuously reviewing and improving various elements of the Trusts incidentreview process to ensure that systems and processes encourage continuous improvement inquality and patient safety; exploring the themes, trends and patterns arising from incidentreviews to support the Trusts organisational learning. Managing and escalating concerns asappropriate.
2.1.4 Support, and lead as needed, proportionate and timely responses and reviews, end toend, to patient safety incidents and facilitate own team, Specialty, CMG and Corporatecolleagues to do so using a variety of different learning response tools including,triangulation of data, After Action Reviews, MDT table-top reviews and Immediate Safetyhuddles ensuring robust and sustainable improvement action plans are devised, maintainedand delivered.
2.1.5 Support, and lead as needed, with the development and implementation of the PatientSafety Strategy and to support the development of patient safety improvement initiatives andcultural change by providing safety expertise and professional support to the identification ofbest practice in patient safety and shared learning to support reduction in patient harm.
2.1.6 Responsible for ensuring thematic reviews and Patient Safety Incident Investigations(PSIIs) undertaken align to the Trusts local priorities with the aim of identifyingimprovements to current systems and processes.
2.1.7 The post holder will also work in conjunction with subject matter experts and CMGcolleagues from all professions and levels of seniority, escalating any identified risks andimmediate safety actions to the Head of Patient Safety.
2.1.8 To process enquiries and correspondence that may be required in a timely andaccurate manner, including drafting of letters, and writing of incident review reports where ahigh-level of attention to detail is required.
2.1.9 To prepare and organise material for meetings, interviews, training and educational sessions.
2.1.10 Monitor themes, trends and clusters within case load and inform the Clinical Director, Deputy Head of Nursing, Head of Nursing Deputy Head of Midwifery, Head of Midwifery and Head of Operations communicating issues of concern.
2.1.11 Discuss sensitive and contentious information with staff of all grades and disciplines maintaining confidentiality and integrity at all times.
2.1.12 Ensure all communication with patients, relatives and carers are open, honest and that investigations are transparent and independent.
2.1.13 To ensure responses and reports are factual, well written and clearly identifyinglearning and actions.
2.1.14 Actively support the development of the team through appraisal, personaldevelopment, planning, coaching and mentoring.
2.1.15 The postholder will work in close collaboration with the Perinatal SafetyImprovement Team to ensure that emerging themes and trends from incidents, reviews,and audits are effectively triangulated with ongoing safety improvement initiatives,supporting a proactive and data-informed approach to quality and safety.
2.1.16 The postholder will work in close collaboration with the Perinatal Mortality ReviewTool (PMRT) Lead, providing clinical support and coordination for the PMRT process. Theywill be expected to provide appropriate cover and leadership in the PMRT Leads absenceto ensure continuity of review processes and timely progression of case reviews
2.1.17 Ensure compliance for the Maternity Incentive Scheme- Clinical Negligence forTrusts on the required safety standards.
2.1.18 Lead investigations, (wherever they originate) ensuring the use of Patient SafetyInvestigation tools and write findings/report identifying achievable actions that transfers intoindividual and organisational learning.
2.1.19 Support the referral of relevant patient safety incidents to external organisations,including collation and provision of relevant documents to these organisations, liaising withinand outside of the Trust and ensuring that robust action plans are developed in response toreports received.
2.2 Governance
2.2.1 Accurately maintain and implement incident management systems and processesincluding incident quality assurance, check and challenge of grade, levels of harm, furtheractions or escalation needed, closure etc to ensure good governance and support thecollation of data for reporting purposes.
2.2.2 Responsible for ensuring that all internal and external reporting requirements andtimescales are adhered to for the management of reported incidents.
2.2.3 Oversee and support the preparation for and collation of evidence in relation to therelevant areas of patient safety for any internal or external review.
2.2.4 Ensure that Duty of Candour is carried out and National Patient Safety Alerts actionedin accordance with Trust and National Policy, and audit data is available to demonstratecompliance.
2.2.5 Lead, critically review and analyse incidents which are referred to our Integrated CareSystem, Coroners and CQC to reflect learning and enable provision of timely responses. Toensure that learning following review is shared and adopted within services.
2.2.6 Liaise with Corporate Risk Team and CMGs to identify and flag emerging and actualrisks in terms of patient safety, utilising intelligence and data available from complaints andincidents apply skills and knowledge to react to unplanned situations relating to patientsafety.
2.2.7 Support the Head of Patient Safety to ensure the integration of safety and learninggovernance arrangements, ensuring that leadership, accountability and practices are inplace to deliver organisational assurance on patient safety and learning and are integratedwithin the wider organisational quality strategy and quality improvement approach.
2.2.8 Advise and support on the development and strengthening of SMART improvementaction plans in response to learning from incidents. Advise, develop, and audit systems formonitoring these actions to provide assurance and inform continuous quality improvement.
2.2.9 Collate learning identified through learning responses to the Head of Patient Safetyand CMG leads to provide evidence of progress changes in training, development, andpolicy to improve the quality of care provided by the Trust.
2.2.10 Accountable for own professional actions, acting as a specialist for patient safety.
2.2.11 Work with the senior leadership team in the delivery of the TrustsCommissioning for Quality and Innovation (CQUIN), Maternity and NeonatalImprovement Plan and all programmes in relation to patient safety.
2.2.12 Lead and actively engage with the preparation of CQC inspections.
2.2.13 Ensure the progress to conclusion of action plans, identifying to the ClinicalDirector, Deputy Head of Nursing, Head of Nursing, Deputy Head of Midwifery, Headof Midwifery, Head of Operations any concerns regarding compliance.
2.3 Patient/Customer Service
2.3.1 Support and guide the CMG senior team in identifying and developing patient safety initiatives which reflect the overall Trusts Patient Safety Priorities and the particular needs of their individual CMG.
2.3.2 Provide senior, highly specialised advice related to patients and/or families involved inincidents and accountable for the development, refinement and programme of delivery ofpatient safety training to clinical and non-clinical colleagues to allow them to manageincidents and risk.
2.3.3 Be highly visible and provide expert advice and support to the Clinical ManagementGroups (CMGs) and others on issues relating to patient safety. Assist healthcareprofessionals across the Trust to deliver safer care through an understanding of the effectsof work systems and culture on human behaviour and identify contributory factors whenincidents occur and make recommendations for system improvements.
2.3.4 Oversee and provide assurance of timely post-incident to members of the Trust,patients and families.
2.3.5 Proactively involve, support and develop Patient Safety Partners as part of the overallapproach to improving patient safety and the quality of patient safety reviews.
2.3.6 Use highly developed interpersonal skills to sensitively manage the expectations of keystakeholders in reviews and achieve a way forward when there are conflicting views inemotionally charged and difficult circumstances.
2.3.7 Lead work to support compassionate engagement, continued communication andinvolvement of patients, families, carers and staff affected by a patient safety incident whenundertaking Patient Safety Incident Investigations (PSIIs), in line with NHS guidance basedon national and internationally recognised good practice.
2.3.8 Create and foster psychologically safe environments of a strong patient safety culture,in line with a Just and Restorative Learning Culture, when interacting with individuals orgroups of people to maximise the effectiveness of learning and improvement arising frompatient safety incident reviews.
2.4.8 Maintain a watching brief on developments across the wider patient safety, learning and improvement, and risk management landscapes in healthcare, both nationally and internationally.
2.4.9 Responsible for ensuring that patients and families are communicated with in a timely manner and in accordance with national requirements (including Duty of Candour.
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