Job summaryThe post holder will provide multidisciplinary clinical staff with the support to effectively implement the principles and practice of clinical governance across all its component parts in a clinical setting, within a framework which uses information to guide reflection, leading to action and outcomes monitoring. This includes patient, family and public involvement, risk management, clinical audit, staffing and staff involvement, education and training and the use of information.
The post holder will undertake these functions under the line management of the Women's Health Clinical Governance Manager, working in conjunction with the senior management, service leads and all staff in WHS.
Main duties of the jobLead and support the management of clinical incidents, near misses and patient safety investigations, ensuring these are undertaken in accordance with Trust policy and the Patient Safety Incident Response Framework (PSIRF).
Support on maintaining the Women's Health risk register, identifying emerging risks and working collaboratively with clinical teams to develop effective mitigation plans.
The post holder will also support compliance with national maternity and women's health initiatives, including Maternity Incentive Scheme (MIS) requirements, the Three-Year Delivery Plan, Perinatal Mortality Review Tool (PMRT), maternity safety improvement programmes, care bundles and regulatory standards.
Support the development, review and implementation of clinical policies, guidelines and standard operating procedures, ensuring they remain evidence-based, compliant with national guidance.
The post holder will also contribute to audit programmes, quality improvement initiatives, governance reporting and staff education to support the ongoing development of safe, effective and responsive services.
About usWe have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients than ever before and are dedicated to improving services to deliver the best for our patients.
Our missionHelping local people live longer, healthier lives.
Our visionProvide safe, personal, co-ordinated care for the community we serve.
Our goalsWe have developed six key strategic goals to make sure we continue to support people to live longer, healthier lives.
- To secure the best possible health and wellbeing for all our community
- To integrate and coordinate care in person-centred teams
- To deliver consistent, high quality, safe services
- To support our patients and users in being active partners in their care
- To be recognised as a leader in the fields of medical and multi-professional education, and population-based clinical research
- To innovate and continuously improve the quality of our services to deliver the best outcomes for our local population
Job responsibilitiesThe post holder will provide multidisciplinary clinical staff with the support to effectively implement the principles and practice of clinical governance across all its component parts in a clinical setting, within a framework which uses information to guide reflection, leading to action and outcomes monitoring. This includes patient, family and public involvement, risk management, clinical audit, staffing and staff involvement, education and training and the use of information.
The post holder will undertake these functions under the line management of the Womens Health Clinical Governance Manager, working in conjunction with the senior management, service leads and all staff in WHS.
- Ensure that all clinical incidents and near misses are appropriately reported in accordance to trust policy.
- To work with the senior team and other staff to develop appropriate action plans to minimise risk, including identifying resource implications, changes in clinical practice, administrative procedures, etc., required.
- To ensure that all investigation processes within Maternity are conducted in accordance with Trust policy.
- To undertake learning responses in line with the patient safety incident response framework, including write up of reports of such patient safety incident investigations and make recommendations for action as appropriate within agreed timescale, incorporating human factors.
- To disseminate learning from clinical incidents including presenting findings of learning responses after clinical incidents undertaken at Trust wide groups.
- To conduct regular reviews of previously reported incidents, etc, to evaluate action plans determine whether or not recommendations have been implemented.
- Ensure that staff involved in incidents are provided with psychological support, debriefed and offered individual feedback including co ordination after action review sessions. Meet with women and families and any external agencies affected by adverse incidents.
- To research best practice in clinical risk management, including learning from other organisations and clinical services.
- Ensure that the divisional Risk register is kept up to date.
- To be aware of complaints in relation to issues requiring investigation.
- Support with the delivery of the national schemes (MIS, 3 year delivery plan, PMRT, Care bundles, CQC)
Person SpecificationEducation / QualificationsEssential- Registered Midwife
- Degree in Midwifery/health related studies or equivalent
- Mentorship or equivalent course
- Experience should include working at a senior level within and organisation/ report writing.
- Evidence of continuing education & professional development
Desirable- (MSc level) or equivalent experience in one or more of the following- Governance systems and process (e.g. complaints management/ risk management /quality assurance systems/governance/Improvement/Leadership)
Skills & AbilitiesEssential- Expert clinical skills
- Expert knowledge in specialist area
- Excellent negotiating skills
- Excellent Leadership and line Management Skills
- Excellent facilitation skills
- Excellent communication skills
- IT Literate - Experience of using a data warehouse or database system, Confident in the use of Excel or a similar package to undertake analysis of data and production of graphical reports
- Incident Reporting Data bases, i.e. experience of using DATIX
- Excellent analytical skills
- Presentation Skills
- Ability to facilitate change through personal development of staff
Knowledge & ExperienceEssential- Up to date clinical knowledge
- Up to date knowledge Risk Management issues
- Strong understanding of the principles of Clinical Governance
- Sound knowledge and understanding of the NHS and current issues in WHS, including the NHS Plan, NICE guidelines and NHS polices service framework
- Knowledge of formulating policies and clinical guidelines
- Experience of dealing with conflict
PERSONAL QUALITIESEssential- Minimum 5 years post registration experience
- Minimum 3 years recent experience at Band 7
- Experience of working in a multidisciplinary environment with a wide range of individuals, at different levels
- Experience of investigating incidents
- Record of successful change management Evidence of innovation in practice
OtherEssential- Ability to take over clinical duties if required.
Disclosure and Barring Service CheckThis 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 SponsorshipApplications 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.
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.
UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website.
