Primary Care and Governance Lead

Job description

Job responsibilities

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Job description

Job purpose / context:

Lead on primary care development and incident management processes within Cranstoun

Worcestershire.

Lead on the completion of serious incident investigation, CD LIN, Drug related Death Group and

CQC reporting and local incident review processes

Ensure coordinated and timely review of shared care and pharmacy Service Specifications, review

of local SOPS relating to incident management and return of shared care and pharmacy

agreements.

Work with Cranstoun Worcestershire Clinical Lead and the management team to organise primary

care annual service reviews and training updates.

Lead on the development/production of primary care newsletters and incident learning updates.

Organise services monthly Incident Review Group (IRG) meetings ensuring that investigations have

been submitted in a timely way with clear recommendations and actions set.

Line manage the Primary Care and Governance Assistant (PCGA) including provision of supervision,

performance reviews and appraisals.

Lead on the development of the partnership between shared care surgeries and pharmacies

working within Cranstoun Worcestershire contracts.

Attend and provide updates at Cranstoun Worcestershire operational and performance meetings.

Oversee claims and audits to ensure safe standards of practice in service delivery, in accordance

with Cranstoun policies and procedures and financial regulations.

Support with the development and implementation of action plans to improve the quality of care

and service delivery within Cranstoun Worcestershire and commissioned primary care services

Provide support to the service and contribute to the development of the service.

Produce a range of reports at request of County Manager or delegated individual including

commissioner reports.

Develop the relationship with the County PCNs and LPC to identify development and expansion

opportunities.

Responsible to:

County Manager

Responsible for:

Primary Care and Governance Assistant

1. Duties and Responsibilities:

The post holder will lead on all aspects of quality and governance, PCN, shared care and pharmacy

agenda related to Cranstoun Worcestershire service delivery.

Comply with all Cranstoun policies and procedures.

Carry out duties which you are deemed competent to perform as directed by the County Manager.

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2. Incident Management and Governance:

Lead on the management of the incident and feedback management system (Datix) within

Cranstoun Worcestershire including reporting, monitoring and investigating serious incidents

Identify and report on emerging trends and lead on lessons learned.

Ensure monthly local incident review groups take place.

Ensure incident monitoring systems are in place which allow for timely identification of any service

provision gaps and put measures in place to prevent breaches in policy, commissioner or

mandatory requirements.

Utilise Datix dashboards for performance monitoring, key themes and learning.

Ensure compliance with Statutory Duty of Candour disclosures and CQC mandatory notifications.

Produce regular service reports, analysis and learning/newsletters

Escalate Serious Incidents in line with the Cranstoun Group Policy.

Act as the main contact between the service and Cranstouns Serious Incident Review Group.

Lead on the development of compliance and monitoring systems and processes with Cranstoun

Worcestershire and commissioned primary care services.

Maintain skills and knowledge in relation to Datix incident management system.

Support both internal and external reviews as required.

Coordinate and act as Chair/deputy chair for Cranstoun Worcestershires monthly Incident Review

Group

Undertake investigations using Root Cause Analysis (RCA) methodology following incidents.

Liaise with the services management team in relation to quality assurance and improvements.

Provide coaching where required to staff members in the correct use of incident reporting systems.

3. External Requests for Information, Audit and Compliance

Complete all required CQC notifications and contribute and oversee the completion and submission

of other external reporting (e.g. Drug Related Death (DRD) and CDLIN incidents) for all incidents

that meet the criteria for submission.

Ensure that Coroner reports are completed to a high standard and submitted to the Coroners Office

within stipulated timescales.

Ensure that all requests and notification submission for information are submitted within specified

timescales

Ensure that queries and requests from pharmacies, GP surgeries and other bodies/stakeholders

e.g., Local Pharmacy Committee, Integrated Care Board are responded to in a timely way.

Ensure external monitoring systems/portals are monitored and updated within timescales stated.

Lead on the development of compliance and monitoring systems and processes for. Escalate

concerns to County Manager where appropriate.

4. Primary Care

Lead on shared care surgery and pharmacy visits and annual reviews.

Ensure any learning from surgery reviews is shared within the service and appropriate actions taken

for any identified issues.

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Attend clinical prescribing meeting as required to support the delivery of a consistent approach

across specialist and shared care services.

Develop and maintain a database of primary and shared care provision across Worcestershire and

complete regular needs analysis to identify areas of need.

Review and consolidate shared care quarterly reports from Engagement and Recovery Workers and

Shared Care surgeries. Liaise with partners, including finance team, to resolve any queries.

Working with the County Manager, manage and update Service Level Agreements, policies, SOPs

etc. within shared care and primary care commissioned services.

Lead on shared care development e.g. onboarding and set up of a new surgery to shared care

scheme or expansion of service delivery

Produce Cranstoun Worcestershire newsletters/updates to pharmacy and shared care surgeries

In conjunction with the Clinical Lead develop and deliver annual shared care and pharmacy team

training days

Be the point of escalation for queries and concerns raised by primary care commissioned partners

and stakeholders including shared care surgeries, pharmacies, ICB and LPC.

Attend LPC meetings as required.

Oversee the arrangement of RCGP and shared care training updates. Ensure that best practice is

communicated to shared care GPs in a timely way.

Ensure relevant messages and development are communicated to pharmacies via

Pharmoutcomes.

Use Pharmoutcomes system to identify any themes or trends in community pharmacy provision

to inform service planning and budget management.

Liaise with pharmacies to ensure service specifications are in place for commissioned services.

Take responsibility for the development of compliance and monitoring systems and processes

within primary care.

Establish and chair forums for shared care workers and shared care GPs to discuss ideas and

concerns, share best practice in shared care and areas for development.

Work closely with operational leads regarding locality queries, changes or gaps in shared care.

Ensure shared care workers have received appropriate shared care induction including EMIS

access and training.

Be the point of contact to help resolve and respond to pharmacy and shared care queries. Lead

on shared care specific complaint investigation.

Oversee the community pharmacy needle and syringe programme provision to ensure

compliance with national and local requirements and respond to community safety issues such as

needle litter hotspots.

Support with the identification and transfer of clients between specialist prescribing and shared

care prescribing.

5. General Professional Practice

Promote peoples equality, diversity and rights

Develop your own knowledge and practice and support in the development of the PCGA

Engage with appraisal and supervision process identifying potential areas for development

Circulate communications and bulletins relevant to the role as required.

Promote quality governance in a positive way at all times

Meet deadlines and manage and plan own time effectively without close supervision.

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Provide effective line management to the PCGA. Plan their activity and workflow to ensure the

service meets it primary care and governance requirements.

Carry out all aspects of the role in line with Cranstoun Group policies and procedures consulting

sources of expertise where required.

Take all reasonable steps to ensure the safety of yourself, others and resources whilst at work, in

line with the Health and Safety at Work Act.

Develop skills and deputise for team members where necessary around related workstreams.

Carry out other duties appropriate to the role, as necessary or requested.

6. Data Protection

To ensure data and records are kept in line with ISO9001;2008/2015 quality management system

and Cranstoun Group Policies

Ensure all data provided for analysis is anonymised, no personal identifiable or personal sensitive

information is shared without consent.

Ensure activity related to quality and governance and information requests are conducted in line

with the requirements of General Data Protection Regulations and Cranstoun Group Information

Governance Policies

Manage information handled within the role sensitively and confidentially, particularly person

identifiable and sensitive business information.

7. Diversity

Ensure at all times that the role is conducted in a professional, sensitive way, respectful of the

diversity and needs of the individuals who access Cranstoun Group services, as well as other team

members.

Commitment to the promotion, and support to all aspects of diversity both within the workplace

and external environments

8. Operational Duties

Undertake any additional duties as may be reasonably required by the Team Leader or County

Manager

Person Specification

Qualifications

Essential

• A-level or Level 3 vocational qualification of higher in Business Administration, social or health
• care or equivalent
• Demonstrable experience of incident investigations and identifying recommendations
• Demonstrable skills and experience of working with people from a range of social, cultural and
• ethnic backgrounds.
• Demonstrable experience of database administration, maintenance and management.
• Experience of coordinating multiple work streams
• Experience of:
• o working in compliance or governance role
• o working in health and social care and understanding of primary care services
• o coordinating quality and governance work streams
• o incident reporting and management systems such as Datix
• o working in an environment of continuous change.
• o working with multiple stakeholders and agencies particularly with health and social care

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).

Employer details

Employer name

Cranstoun

Address

Thames Mews

Portsmouth Road

Esher

Surrey

KT10 9AD

Employer's website

https://www.cranstoun.org/ (Opens in a new tab)