Clinical Governance Specialist

Job description

Job responsibilities

Clinical Governance Specialist | Competitive salary- dependent on experience| Brighton, Hove | Full time- 37.5 hours a week

The Montefiore Hospital has a rare opportunity for a Clinical Governance Specialist to join their team. The successful candidate will play an important role in ensuring the highest standards of safe, effective and high-quality patient care across the hospital by supporting the delivery and development of the integrated quality governance agenda.

The Montefiore Hospital is a premium provider of private healthcare in Hove, East Sussex. We practice some of the most advanced treatments with the latest generation imaging and diagnostic technology. This means we can offer everything from screening, rehabilitation and cutting-edge surgical procedures across a variety of specialist treatments which are all delivered through our expert and caring clinical teams.

Duties & Responsibilities

The overall purpose of the role is to support the integrated quality governance team function, through provision of specialist support in relation to clinical audit, clinical effectiveness and patient safety.

In relation to clinical audit:

• Ensure full compliance with the Spire Healthcare audit programme, specifically:
• Maintain a relevant local clinical audit programme to provide necessary assurances.
• Undertake clinical audit, as required.
• Provide training, education, guidance, support and coaching to individuals and teams in clinical audit and improvement.
• Act as a change catalyst and take responsibility for ensuring that planned initiatives and activities designed to drive up and improve the standard of service delivery are effectively communicated, implemented, monitored and evaluated.
• Lead on the development of bespoke activities related to quality improvement priorities and ensure these activities are engaging, purposeful, and have a demonstrable and positive impact on practice.
• Analyse and present data in ways that support staff to understand, improve and manage their systems and processes.
• Engage fully with all relevant corporate initiatives (such as Clinical Audit Week) and network events.

In relation to clinical effectiveness:

• As required, review current national guidance against clinical practice to identify where there are gaps and, in collaboration with relevant clinical teams, identify actions required to ensure full compliance
• In relation to NHS-funded patients, review case notes to assess compliance with clinical commissioning requirements
• In relation to new procedures, techniques and technologies, as required, work with clinicians to develop new procedure (etc.) applications ready for presentation at the Medical Advisory Committee (MAC)
• Work with clinical teams to ensure the safe and effective introduction of new procedures (etc.)
• In relation to local registers, as required, maintain local registers (such as the Metal-on-Metal) register and ensure timely compliance with all associated requirements

In relation to patient safety:

• Develop a robust working knowledge of the DCIQ incident reporting system and support required day-to-day system management activities
• Maintain oversight of the patient safety investigation timeline and work with incident handlers and investigators to help them pass incidents through for final approval in a timely manner
• Assist in the preparation and dissemination of learning from the investigation into adverse and near miss events.
• Oversee DCIQ actions to ensure timely closure by action owners
• Support the appropriate management of incidents that fall within the Patient Safety Incident Response Framework (PSIRF), including duty of candour obligations, notifications to regulatory bodies and investigation methodologies (such as case reviews, MDT discussions, after-event reviews)

In relation to the wider clinical governance remit:

• As required, support the Clinical Governance & Risk Manager in delivering the wider remit of clinical governance and regulatory compliance, carrying out any other duty that reasonably falls within the general nature and level of responsibility of the post
• Attend all relevant clinical governance meetings and contribute fully as appropriate to the effectiveness of these meetings with provision of content and full participation
• In the absence of the Clinical Governance & Risk Manager, chair relevant clinical governance meetings.
• Contribute to the compilation of the quarterly clinical governance reports and provide support in the compilation of other governance-related reports

Who were looking for:

• Good standard of general education to A-level (or equivalent).
• Registered professional qualification with either the Nursing & Midwifery Council or HPC, with significant post-registration experience.
• IT literacy and a competent user of the MS Office suite of products.
• A proactive and resourceful inclination.
• A problem-solving and decision-making aptitude.
• Strong interpersonal and communication skills and an ability to maintain a complex array of working relationships at all levels of the organisation.
• High personal standards and quality of work output.
• An ability to manage own workload in the face of competing priorities, and an ability to manage multiple projects / workstreams.
• A strong work ethic, reliability and an ability to be discreet.
• An ability to demonstrate our purpose, vision and values.
• A team player with a flexible approach to work, and acceptance that exact role responsibilities may be adjusted over time in response to business need.
• An ability to work with multidisciplinary teams to influence behavioural changes.
• An ability to chair effective meetings.
• An ability to produce written reports and meeting minutes.
• Experience in patient safety incident investigation.

It would be advantageous to have:

• Education at degree level or equivalent
• Education and experience in audit and quality improvement
• Education and experience in the PSIRF

Benefits:

We offer employees a competitive salary as well as a comprehensive benefits package which includes but is not limited to:

• 35 days annual leave inclusive of bank holidays
• Employer and employee contributory pension with flexible retirement options
• Spire for you reward platform - discount and cashback for over 1000 retailers
• Private medical insurance
• Life assurance
• Health Assessment
• Employee Assistance Programme
• Sharesave
• Free DBS
• Free Car park

Our Values

We are extremely proud of our heritage in private healthcare and of our values as an organisation:

• Driving clinical excellence
• Doing the right thing
• Caring is our passion
• Keeping it simple
• Delivering on our promises
• Succeeding and celebrating together

Our people are our difference; it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.

We commit to our employees well-being through work life balance, on-going development, support and reward.

Spire Healthcare is a leading independent hospital group in the United Kingdom and the largest in terms of revenue. From 39 hospitals and 8 clinics across England, Wales and Scotland, Spire Healthcare provides diagnostics, inpatient, day case and outpatient care.

For us, it's more than just treating patients; it's about looking after people.

If we have received sufficient applications, this date may be brought forward so please submit your application as soon as possible.

Person Specification

Qualifications

Essential

• It would be advantageous to have:
• Education at degree level or equivalent
• Education and experience in audit and quality improvement
• Education and experience in the PSIRF

Experience

Essential

• Experience of supporting integrated quality governance team function, through provision of specialist support in relation to clinical audit, clinical effectiveness and patient safety.

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Spire Healthcare Ltd

Address

2 Montefiore Rd,

Hove

BN3 1RD

Employer's website

https://www.spirehealthcare.com/ (Opens in a new tab)