Job responsibilities
Role Summary:
Ensure systems and processes are in place to
maintain and improve patient safety & provide rigorous approach to all
aspects of clinical governance
Lead and enhance the organisations commitment to
delivering high quality, safe care across all services.
Ensure that NHUCs quality and safety assurance
systems and process are robust and that they are adequately monitored and
acting on risks safety and quality and patient experience issues.
Overseeing the clinical governance framework,
ensuring compliance with regulatory standards and implementing quality
improvement initiatives.
Overseeing the CQC preparedness process linking in
with all leads/directors for the services across NHUC.
Work collaboratively across teams to promote a
culture of safety and continuous improvement, aligning with the organisation
and strategic objectives across the whole of the organisation.
Key Tasks and Responsibilities:
Provision of inspirational leadership to the
clinical and non-registered clinical workforce for Same Day Care
Act as the safeguarding lead for Same Day Care and
support to the Clinical Director on strategic/organisational safeguarding
Lead on patient safety within NHUC including the
delivery of all elements of the Patient Safety Incident Response Framework
Support the workforce with Infection Prevention and Control (IPC) across all NHUC sites via IPC site inspections and audits.
Lead the Clinical Governance team, ensuring robust
and effective systems and processes are in place for complaints & incident
management and quality reporting
Provide regular updates management meetings and at
the Clinical Governance Committee (CGC) meetings on Clinical Governance,
Patient Safety, Quality related matters.
Development and delivery of the clinical audit
programme.
Support the Medicines Management Team in delivery
of safe, effective and responsive plans for continued patient care across any
of NHUC Clinical areas.
Support NHUC and the Controlled Drugs (CD) Lead
ensuring any related policies are up to date and compliant with regulatory
standards.
Implementation of national frameworks and policies,
including compliance and regulation
Support NHUC as a lead for CQC in support of the
CQC Preparedness.
Work closely with the Director of Operations,
Medical Director, Clinical Director and
Clinical Leads to facilitate patient safety and clinical governance in all
clinical areas of NHUC.
Provide high quality clinical & leadership
expertise to Same Day Cares Management Executive Committee, NHUCs Clinical
Governance Committee and the Senior Leadership Team (SLT).
To be part of the Director on-call team
Main Duties and
Responsibilities:
Leadership
To
provide effective leadership and management to staff which promotes the highest
performance standards both individually and as a team, The Post Holder will be
expected to:
Provide
service-level leadership for Same Day Care with the Clinical Lead and Director of Operations, promoting an
effective team ethos in line with NHUCs values.
Lead
the Clinical Governance Team (Clinical Governance Lead GP, Operations Team
Clinical Governance Lead and Business Support)
Line
management of the clinical and non-registered team members within the
Governance Team.
Ensure
management of staff is consistent with HR policies to the achievement of
equality, equity and optimum performance.
Provide
clear and effective two-way communication within the SLT to support Clinical
Governance, Patient Safety and Quality.
Support
the development of strategic and operational business plans
Represent
SDC & NHUC at local, regional and national levels as required
Support
the delivery of NHUCs Equality, Diversity & Inclusion Pledge
Member
of Management Executive and Clinical Governance Committee.
Safeguarding
Participate in relevant local and regional
safeguarding forums at board and sub board level and provide reports as
required.
Ensure that learning from safeguarding incidents
from outside and inside the organisation are disseminated and shared, ensuring
that all actions have been implemented.
Ensure that relevant safeguarding strategies are
developed and implemented across Same Day Care, ensuring the compliance and
adherence to all legal regulatory and statutory requirements.
Support NHUCs Safeguarding Leads in ensuring that
NHUC meets its responsibilities in safeguarding children, vulnerable adults and
the wider workforce in line with National Policy requirements.
Collaborate with the HIOW and Surrey Safeguarding
Teams to ensure that they remain current in practice.
Ensure there are effective local arrangements in
place across Same Day Care for safeguarding adults and children, and staff are
competent to recognise those at risk, escalating as per safeguarding policy.
Monitor compliance of best practice, supporting the
production of quarterly reports to the ICB, Clinical Governance Committee and
an Annual Safeguarding report to the Board.
Maintain a mechanism whereby all staff employed by
NHUC receive feedback from national and local incidents.
Ensure all Same Day Care staff have the appropriate
training and remains compliant whilst employed by NHUC.
Patient Safety
Lead the Infection, Prevention and Control agenda
for Same Day Care
Lead the delivery of the Patient Safety Incident
Response Framework for Same Day Care, providing expertise as a trained learning
response practitioner and ensuring the services Patient Safety Incident
Response Plan is maintained and updated.
Ensure robust & effective systems for Same Day
Care incident management are in place, including learning and delivery of
action plans
Develop and maintain an up-to-date knowledge on the
national patient safety agenda to inform best practice arrangements at a local
level.
Ensure that learning from incidents is disseminated
in an effective way, providing assurance to NHUC and the ICB that lessons are
learnt, and practice has improved.
Clinical
Effectiveness
To work alongside the senior clinical team to
integrate evidence with clinical expertise to provide safe and effective care
to the patient population.
To develop a clinical audit programme that is
relevant to the service, working with internal and external requirements and
demands.
To sit on the Clinical Guardian Panel Reviews and
complete appropriate follow up actions
To ensure compliance to relevant NICE guidance
incorporating them into the clinical audit cycle as appropriate.
To ensure the dissemination of relevant guidelines
and alerts.
Clinical Knowledge
The post holder will be able to deliver a ward to
board role, ensuring registration is
maintained and competence in the clinical field in order to deliver senior
clinical leadership.
The post holder will be a registered healthcare
professional
The post holder will continue to maintain a minimum
safe practice supported by NHUC.
Medicines Management
The post holder will support the Medicines
Management Meetings
In collaboration with the Medical Director and
Clinical Lead SDC to take a key leadership role in the safe effective
management of medicines within the organisation.
To support on Non-Medical Prescribing and provide
regular audits and assurance of NMP to the board level and Governance
Committee.
To oversee clinical and operational audit within
medicines management team.
To lead the Controlled Drugs agenda and maintain
compliance with HMO licence requirements.
Clinical Governance
Lead the Clinical Governance Team (Clinical
Governance Lead GP, Operations Team Clinical Governance Lead and Business
Support)
Be responsible for the delivery of timely, clear
and insightful quality reporting relating to Same Day Care
Maintain oversight of all Same Day Care clinical
risk and manage pertinent clinical risks, working with NHUCs Director of
Strategy & OD to ensure clinical risks are clearly articulated and
mitigated in line with Management Executive direction.
Responsible for ensuring that the incident and
complaints management processes are in line with NHUC policy and that
investigations & responses are carried out to the required standards and
timelines.
Attend NHUCs Clinical Governance Committee,
delivering briefings to the committee on all elements of clinical governance as
required, identifying key themes/trends, triangulating with performance data
and providing in depth analysis.
Equality and Diversity
Support the organisational delivery of NHUCs
Equality, Diversity & Inclusion Pledge
Please refer to the attached Job Description to see the full list of duties and responsibilities.
(Due to word count limitations - full list cannot be displayed here.)
