Job summary
This exciting role supports clinical services to deliver outstanding quality of care, using QI methodology, and makes sure that services are CQC-ready (leading on twice yearly Self Assessments/Peer Reviews/Learning Events). It also covers trust wide projects that require significant detail and skill in planning and delivery. Examples include: detailed data analysis, actions from patient safety incidents, or complaints, supporting external inspections such as CQC and thematic reviews.
This is a senior clinical role and the post holder must display clinical credibility, impact and influence for it to effective.
Main duties of the job
Job Purpose
o The post is responsible for supporting clinical services in delivering and evidencing outstanding quality of care as described in the Trust's Quality & Clinical Strategy, underpinned by the Trust's Quality Improvement model.o Manage and develop the Trust's programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.o Lead on learning and improvement required from incidents and inquests, as well as identifying their impact and best practice.o Implementing relevant new national guidance in areas of responsibility and oversight including NICE and Patient Safety.o Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.o Lead on a programme of Quality Improvement peer reviews and actions from these.o Oversee and support services in the assessment and management of clinical policy and clinical risk compliance.o Co-ordinate with key partners (including Healthwatch, partner Trusts in ICS and region, voluntary sector) to share learning from quality and safety incidents and maintain and develop joint working to continually improve patient experience and safety.
About us
NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an 'Outstanding' rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people and on improving access to that care, helping people to move seamlessly from one service to another. Praising NCH&C's "compassionate, inclusive and effective leadership at all levels", the CQC observed that our staff are well supported to make positive changes and innovations.
Norfolk Community Health & Care NHS Trust is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.
We welcome applications from people who share our values and can help us deliver outstanding care in our local community.
Job description
Job responsibilities
Main Duties & Responsibilities
1. Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.
2. Support the Patient Safety Specialist and deputise when required.3. Manage and develop the Trusts programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.4. Support clinical service managers and leaders through peer reviews and CQC self-assessment ensuring services are CQC ready.5. Work closely with the Trusts Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews and complaints are translated into learning and sustained improvement across all clinical areas in the service and Trust.6. Work as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks. Share these through relevant service directorate meetings and escalate concerns in a timely manner.7. Prepare data and write reports for identified committees and the Trust Board.8. Oversee and support services in the assessment and management of clinical policy and clinical risk compliance9. Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.10. Develop and use the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy, leading on specific projects that enable implementation of this programme.11. Collaborate with the Trusts Patient Safety Specialists to meet the requirements for NHS Englands Patient Safety Specialist as per the Trusts Patient Safety Incident Response Policy.12. Manage, including interpretation of, the Trusts local patient safety incident response plan that is identified annually to support local services to make the required changes.13. Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.14. Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver outstanding care to patients and service users.15. Lead relevant programmes of improvement activity based on identifying excellence in clinical quality enabling practice to be shared across services. Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.16. Lead/Chair the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.17. Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.18. Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.19. Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.20. Identify risks associated with the provision of the services and the delivery of high- quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.21. Be an active member of the Trusts clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.22. Generate and analyse data from projects to measure outcomes and inform decision making. This may include review of patient records or data related to these.23. Undertake where required, and support others to undertake, thematic reviews, detailed PSIRF reviews and PSIIs.24. Actively address failure in systems or processes underpinning the delivery of safe clinical practice.25. Support in project management and implementation of the Trust-wide Safer Staffing project.26. Support the Chief Nurse and AHP Officer or Deputy Director of Nursing and Quality in any other aspects of Clinical Quality and Professional Practice as required.27. Support the collation of evidence and development of the annual Quality Account28. Prepare data and write reports for identified committees and the Trust Board.29. Responsible for proposing and implementing departmental and Trust policies after interpretating national guidance and other sources.30. Support and participate in the Trusts Clinical Effectiveness & Audit Team and Research Team in research and development activities.31. Support the on-going work programme of the Non-Medical Prescribing (NMP) / Medicines in Practice Networking Group together with the Pharmcy and Professional Education teams.
Budgetary Responsibility1. This role will be responsible for financial management of the staff members of the Clinical Governance team2. This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.
Job description
Job responsibilities
Main Duties & Responsibilities
1. Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.
2. Support the Patient Safety Specialist and deputise when required.3. Manage and develop the Trusts programme to embed the principles of CQC self- assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.4. Support clinical service managers and leaders through peer reviews and CQC self-assessment ensuring services are CQC ready.5. Work closely with the Trusts Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews and complaints are translated into learning and sustained improvement across all clinical areas in the service and Trust.6. Work as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks. Share these through relevant service directorate meetings and escalate concerns in a timely manner.7. Prepare data and write reports for identified committees and the Trust Board.8. Oversee and support services in the assessment and management of clinical policy and clinical risk compliance9. Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.10. Develop and use the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy, leading on specific projects that enable implementation of this programme.11. Collaborate with the Trusts Patient Safety Specialists to meet the requirements for NHS Englands Patient Safety Specialist as per the Trusts Patient Safety Incident Response Policy.12. Manage, including interpretation of, the Trusts local patient safety incident response plan that is identified annually to support local services to make the required changes.13. Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.14. Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver outstanding care to patients and service users.15. Lead relevant programmes of improvement activity based on identifying excellence in clinical quality enabling practice to be shared across services. Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.16. Lead/Chair the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.17. Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.18. Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.19. Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.20. Identify risks associated with the provision of the services and the delivery of high- quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.21. Be an active member of the Trusts clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.22. Generate and analyse data from projects to measure outcomes and inform decision making. This may include review of patient records or data related to these.23. Undertake where required, and support others to undertake, thematic reviews, detailed PSIRF reviews and PSIIs.24. Actively address failure in systems or processes underpinning the delivery of safe clinical practice.25. Support in project management and implementation of the Trust-wide Safer Staffing project.26. Support the Chief Nurse and AHP Officer or Deputy Director of Nursing and Quality in any other aspects of Clinical Quality and Professional Practice as required.27. Support the collation of evidence and development of the annual Quality Account28. Prepare data and write reports for identified committees and the Trust Board.29. Responsible for proposing and implementing departmental and Trust policies after interpretating national guidance and other sources.30. Support and participate in the Trusts Clinical Effectiveness & Audit Team and Research Team in research and development activities.31. Support the on-going work programme of the Non-Medical Prescribing (NMP) / Medicines in Practice Networking Group together with the Pharmcy and Professional Education teams.
Budgetary Responsibility1. This role will be responsible for financial management of the staff members of the Clinical Governance team2. This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.
Person Specification
Qualifications and Training
Essential
- Masters Degree level qualification (or equivalent experience).
- Evidence of post registration qualification/study/development.
- Registration with a Clinical Professional body, i.e. (amongst others) NMC, HCPC.
Desirable
Experience
Essential
- Proven record of working with teams to deliver improved outcomes for patients/ staff.
- Recent senior clinical/managerial level experience.
- Knowledge of NHS Patient Safety Strategy.
- Clear understanding of contemporary clinical quality agendas.
- Understand clinical governance systems and processes.
- Service improvement/change management experience.
- Experience of managing effective clinical risk management.
- Experience of leading programmes of engagement with staff and/or patients with defined outcomes.
- Managing staff and leading a team.
- Leading a project involving several stakeholders/teams or professions.
- Involvement in improving practice in an area covered by CQC regulations and standards.
- Experience of facilitation of sharing best practice or innovation across teams or services or organisations.
Desirable
- Experience of working with a range of clinical services in a community setting.
- Leadership models, implementing change and/or new clinical practices.
Skills - Technical/Work-based skills
Essential
- Has excellent interpersonal skills.
- Is able to translate national/regional and local policy into Trust relevant actions.
- Is familiar with DATIX or similar.
- Is able to communicate with staff at all levels of the organisation and engage them in relevant projects and activity.
- Has competent keyboard skills and ability to communicate through IT using packages such as Word, Outlook, Excel and PowerPoint.
- Is able to lead a team effectively.
- Has advanced report writing skills.
- Has excellent time keeping and prioritisation skills.
- Is able to demonstrate an understanding of the CQC Fundamentals of Care standards and associated regulations and inspection framework.
- Has competent project management skills.
- Is able to empower staff to take ownership of key areas of responsibility relating to CQC standards and implement identified improvements.
Safeguarding and promoting the welfare of children and young people/vulnerable adults
Essential
- Has ability to safeguard and promote the welfare of children and young people/ vulnerable adults.
- Demonstrates understanding of safeguarding issues.
- Appreciates the significance of safeguarding and interprets this accurately for all individual children and young people/vulnerable adults whatever their life circumstances.
- Has a good understanding of the Safeguarding agenda.
- Can demonstrate an ability to contribute towards a safe environment.
- Is up-to-date with legislation and current events.
- Can demonstrate how s/he has promoted 'best practice'.
- Shows a personal commitment to safeguarding children.
Working within Professional Boundaries
Essential
- Accepts responsibility and accountability for own work and can define the responsibilities of others.
- Recognises the limits of own authority within the role.
- Seeks and uses professional support appropriately.
- Understands the principle of confidentiality.
- Demonstrates professional curiosity.
Emotional Awareness
Essential
- Is aware of the range of emotions in self and others.
- Demonstrates empathy for the concerns of others.
- Listens to and understands directly and indirectly expressed feelings.
- Encourages others to express themselves openly.
- Manages strong emotions and responds constructively to the source of problems.
- Shows respect for others' feelings, views and circumstances.
- In highly stressful situations, keeps own feelings in check, take constructive action and calms others down.
- Has a range of mechanisms for dealing with stress, recognises when to use them and does so appropriately.
- Listens to personal comments without becoming defensive.
Self-awareness
Essential
- Has a balanced understanding of self and others.
- Has a realistic knowledge of personal strengths and areas for development.
- Is able to demonstrate flexibility of approach.
- Shows a realistic appreciation of the challenges of working with children and young people/vulnerable adults.
Other
Essential
- Is able to travel across the Trust's geography, sometimes at short notice.
- Satisfactory Disclosure and Barring Service check.
Person Specification
Qualifications and Training
Essential
- Masters Degree level qualification (or equivalent experience).
- Evidence of post registration qualification/study/development.
- Registration with a Clinical Professional body, i.e. (amongst others) NMC, HCPC.
Desirable
Experience
Essential
- Proven record of working with teams to deliver improved outcomes for patients/ staff.
- Recent senior clinical/managerial level experience.
- Knowledge of NHS Patient Safety Strategy.
- Clear understanding of contemporary clinical quality agendas.
- Understand clinical governance systems and processes.
- Service improvement/change management experience.
- Experience of managing effective clinical risk management.
- Experience of leading programmes of engagement with staff and/or patients with defined outcomes.
- Managing staff and leading a team.
- Leading a project involving several stakeholders/teams or professions.
- Involvement in improving practice in an area covered by CQC regulations and standards.
- Experience of facilitation of sharing best practice or innovation across teams or services or organisations.
Desirable
- Experience of working with a range of clinical services in a community setting.
- Leadership models, implementing change and/or new clinical practices.
Skills - Technical/Work-based skills
Essential
- Has excellent interpersonal skills.
- Is able to translate national/regional and local policy into Trust relevant actions.
- Is familiar with DATIX or similar.
- Is able to communicate with staff at all levels of the organisation and engage them in relevant projects and activity.
- Has competent keyboard skills and ability to communicate through IT using packages such as Word, Outlook, Excel and PowerPoint.
- Is able to lead a team effectively.
- Has advanced report writing skills.
- Has excellent time keeping and prioritisation skills.
- Is able to demonstrate an understanding of the CQC Fundamentals of Care standards and associated regulations and inspection framework.
- Has competent project management skills.
- Is able to empower staff to take ownership of key areas of responsibility relating to CQC standards and implement identified improvements.
Safeguarding and promoting the welfare of children and young people/vulnerable adults
Essential
- Has ability to safeguard and promote the welfare of children and young people/ vulnerable adults.
- Demonstrates understanding of safeguarding issues.
- Appreciates the significance of safeguarding and interprets this accurately for all individual children and young people/vulnerable adults whatever their life circumstances.
- Has a good understanding of the Safeguarding agenda.
- Can demonstrate an ability to contribute towards a safe environment.
- Is up-to-date with legislation and current events.
- Can demonstrate how s/he has promoted 'best practice'.
- Shows a personal commitment to safeguarding children.
Working within Professional Boundaries
Essential
- Accepts responsibility and accountability for own work and can define the responsibilities of others.
- Recognises the limits of own authority within the role.
- Seeks and uses professional support appropriately.
- Understands the principle of confidentiality.
- Demonstrates professional curiosity.
Emotional Awareness
Essential
- Is aware of the range of emotions in self and others.
- Demonstrates empathy for the concerns of others.
- Listens to and understands directly and indirectly expressed feelings.
- Encourages others to express themselves openly.
- Manages strong emotions and responds constructively to the source of problems.
- Shows respect for others' feelings, views and circumstances.
- In highly stressful situations, keeps own feelings in check, take constructive action and calms others down.
- Has a range of mechanisms for dealing with stress, recognises when to use them and does so appropriately.
- Listens to personal comments without becoming defensive.
Self-awareness
Essential
- Has a balanced understanding of self and others.
- Has a realistic knowledge of personal strengths and areas for development.
- Is able to demonstrate flexibility of approach.
- Shows a realistic appreciation of the challenges of working with children and young people/vulnerable adults.
Other
Essential
- Is able to travel across the Trust's geography, sometimes at short notice.
- Satisfactory Disclosure and Barring Service check.
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).
