Job summary
An exciting new opportunity has been created within the NEMS clinical governance team for three clinical governance leads, with one post aligned to each of our clinical sites/services

• NEMS Urgent treatment centre (UTC) at QMC
• PC24 at SFHT
• Integrated urgent care services (IUCS) across Platform One and PC24

We are seeking a GPs, Advanced Clinical Practitioners (ACP) or Nurse Practitioners (ANP) with significant clinical experience and a strong interest in patient safety, quality improvement and clinical governance.Working as an integral part of the clinical governance function and reporting to the Head of Patient Safety & Quality

The Clinical Governance Leads will provide a visible clinical governance presence within their designated clinical site, working as part of the clinical leadership team to ensure that learning from incidents, concerns, complaints, audits, patient feedback and other sources of safety intelligence is identified, shared and translated into meaningful improvement.

The post holder will also play a key role in developing shared governance arrangements with partner organisations, working collaboratively across organisational boundaries to identify themes, share learning and support improvements in patient safety and quality.

The role would suit an experienced clinician who is confident working across professional and organisational boundaries and who can combine clinical credibility with strong communication, analytical and improvement skills.

Main duties of the job
Patient Safety, Incidents and Learning

• Work as part of the clinical governance team to ensure effective governance systems are embedded and operational across NEMS.
• Provide assurance to the Head of Patient Safety & Quality regarding key governance issues, audit and improvement activity within the designated site.
• Support clinical and operational teams to meet NEMS clinical governance, quality and safety requirements.
• Promote a culture of openness, transparency, shared learning and continuous improvement.
• Identify emerging governance and patient safety risks and ensure these are appropriately escalated.
• Undertake proportionate investigation of incidents within the designated clinical site, identifying clear learning and service improvement.
• Support compliance with relevant regulatory, legislative and professional standards, including CQC requirements.
• Support the management of patient safety incidents within the designated clinical site, aligning with PSIRF.
• Contribute to PSII, Learning Response Reviews, After Action Reviews and other proportionate learning responses where required.

About us
About NEMS

NEMS CBS is a high quality, high performing; not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. Responsive, adaptable and continually evolving, we have a reputation for delivering locally-tailored, safe, effective and cost-efficient services with high levels of patient satisfaction.

We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners, Telephone triage clinicians and Advanced Clinical Practitioners.

NEMS currently operates 3 main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Primary care provision located within the A&E Department at QMC, (3) A 24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.

NEMS is committed to the NHS Values (as set out in the NHS Constitution March 2023).

Job responsibilities
Hours for the role are full time 37.5hours, with 15 hours allocated to clinical governance and 22.5 hours working clinically across NEMS services. There is some flexibility for home working. Part time may be considered for the right applicant.

Main Duties of The Job:

Concerns, Complaints and Patient Experience

• Provide clinical governance oversight and investigation of clinical concerns and complaints within the designated clinical site.
• Support timely, proportionate and compassionate responses to patient concerns and complaints.
• Ensure that complaints and patient feedback are viewed as an important source of learning and improvement.
• Identify recurring themes and opportunities for service improvement.
• Work with clinical teams to ensure actions arising from complaints are implemented and monitored.
• Support Duty of Candour processes where required.
• Support the Head of Patient Safety & Quality with significant or complex complaints where required.

Learning, improvement and embedding actions

• Work with clinical and operational teams to implement opportunities for quality improvement.
• Translate learning into practical and sustainable improvement actions.
• Monitor progress against agreed actions and provide assurance that improvements have been embedded.
• Facilitate learning discussions, reflective sessions and other opportunities for shared learning.
• Contribute to evidence demonstrating the impact and effectiveness of improvement activity.
• Challenge where actions have not been effectively implemented or where further improvement is required.

Shared Governance and Partnership Working

• Facilitate shared governance meetings with peer organisations, working collaboratively to identify cross-organisational themes, risks and opportunities for improvement.
• Share relevant learning, good practice and improvement activity across organisations.
• Support collaborative approaches to patient safety, quality improvement and clinical governance.
• Ensure that learning identified through shared governance arrangements is communicated appropriately within NEMS to the PSSG and translated into local improvement where required.

Clinical Leadership and Culture

• Provide advice and support to clinicians and operational colleagues on patient safety, quality and governance matters.
• Act as a member of the designated sites clinical leadership team alongside the medical lead and clinical lead.
• Encourage professional reflection, clinical curiosity and a learning-focused approach to patient safety.
• Support staff following incidents, complaints or other challenging events, working with relevant colleagues to ensure appropriate reflection, learning and support.
• Work collaboratively with the Head of Patient Safety & Quality, Medical Director, Clinical leadership team, Clinical Governance Team and wider multidisciplinary teams.

Clinical practice

• Undertake a minimum of 7.5 hours per week of clinical practice within the designated NEMS service area, alongside clinical governance responsibilities.
• Undertake autonomous clinical assessment, clinical decision-making and management of patients within professional scope of practice.
• Recognise clinical risk, deterioration and red flags, taking appropriate action and escalating where required.
• For non-medical applicants, hold a minimum Level 7 Minor Illness or APACS (Advanced Physical Assessment and Consultation Skills) qualification, or equivalent clinical assessment experience and competence.
• Maintain clinical competence and professional development in accordance with professional requirements and NEMS standards.
• Deliver safe, effective and patient-centred care in accordance with NEMS policies, clinical guidelines and relevant professional standards.

Key Relationships

• GPs and clinical staff
• Shift Leaders
• Operational Staff
• Driver/Doctor Assistants
• NEMS Management Team
• Integrated Care System Partners

Person Specification
Experience
Essential

• Significant experience in a clinical role
• Experience of working within a primary, urgent, community, out-of-hours or emergency care environment
• Experience of clinical governance, patient safety, risk management or quality improvement
• Experience of reviewing or investigating clinical incidents, complaints or concerns
• Experience of identifying themes and translating learning into improvement actions
• Experience of working collaboratively with multidisciplinary clinical and operational teams
• Experience of managing competing priorities and working autonomously
• Experience of undertaking or supporting PSII, Learning Response Reviews, After Action Reviews or other proportionate learning responses
• Experience of Duty of Candour processes
• Experience of clinical audit and quality assurance
• Experience of facilitating multidisciplinary learning or improvement meetings
• Experience of partnership or shared governance working across organisations

Qualifications
Essential

• Current professional registration with NMC, HCPC, GMC or equivalent professional body
• Qualified GP, ANP or ACP
• Evidence of continuing professional development
• Level 7 minor illness, APACS or equivilent
• Leadership or management qualification
• Relevant postgraduate qualification

Knowledge
Essential

• Understanding of clinical governance, patient safety, quality assurance and quality improvement
• Understanding of incident management, complaints, concerns and duty of candour
• Understanding of embedding sustainable change
• Understanding of Just Culture, psychological safety and learning from incidents rather than blame
• Knowledge of clinical audit, patient experience and the use of data and intelligence to identify themes and risks
• Understanding of confidentiality, information governance and professional accountability
• Understanding of partnership working and shared governance across organisations.
• Knowledge and understanding of the Patient Safety Incident Response Framework (PSIRF) and learning response approaches

Skills & abilities
Essential

• Able to provide credible clinical leadership within a governance environment
• Able to analyse incidents, complaints, feedback and quality data to identify themes, risks and opportunities for improvement
• Able to translate learning into practical, sustainable improvement actions
• Able to monitor and provide assurance on the implementation of actions
• Able to constructively challenge clinical and operational practice while maintaining positive relationships
• Excellent verbal and written communication skills
• Able to work independently, demonstrate initiative and manage competing priorities
• Able to maintain accurate, clear and timely governance records and reports
• Able to support and mentor colleagues involved in incident investigation and governance processes
• Act as an integral part of the clinician governance and clinical leadership team
• Competent use of relevant clinical, incident reporting, complaints or governance systems
• Experience of developing dashboards, reports or presentations using governance data
• Experience of facilitating shared governance meetings or cross-organisational improvement work

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.