Job Description JOB TITLE: Independent Maternity Review (IMR) Response Quality Manager DIVISION: Corporate - Nursing and Midwifer.....
Job Description JOB TITLE: Independent Maternity Review (IMR) Response Quality Manager DIVISION: Corporate - Nursing and Midwifery GRADE: AfC 8a REPORTS TO: IMR Response Quality Director ACCOUNTABLE TO: IMR Response Quality Lead VALUES AND BEHAVIOURS ABOUT NUH JOB SUMMARY and PURPOSE The post holder will support the Quality Lead for the Independent Maternity Review (IMR) leading across all areas of work which are generated through the IRM teams, both external and internal. In addition the post holder will ensure that actions deriving from the IMR are progressed, liaising with key leaders to ensure timely completion. The post holder will work across and support areas all activities within the internal IMR team and all specialities in scope of the review. The post holder will: Provide support to the IMR Quality Lead and core IMR team across the quality agenda for the IMR response Work collaboratively with the clinical and specialist teams that provide information to support the IMR response. Support and develop a culture of informed questioning, trend analysis triangulation, challenge and assurance in a just, restorative and positive way in all aspects of the role. Work with the IMR Quality Lead, Midwifery and Neonatal Leads to identify and share any emergent themes and learning with the directorate and the Family Health Division leadership team Support with any action planning required from the emerging themes and learning Act as a self-relating practitioner who horizon scans to ensure the IRM response and activities remain in line with current best practice KEY JOB RESPONSIBILITIES Operational Responsibilities Support the development and delivery of the IMR Response Team programme of work/plan in line with local and statutory requirements. Lead on the collation of documents / evidence needed for the IMR in relation to quality Support with delivery of any actions identified to improve outcomes in relation to women, birthing people and families Contribute to internal and external Trust publications as required in relation to the IMR Respond to internal and external requests for information relating to the IMR Monitor the implementation and progress of systems in place to respond effectively and deliver the requirements of the IMR escalating as appropriate areas of concern Prepare and present data and reports for relevant groups and committees as directed by the IMR Quality Lead Interpret complex information to identify key themes, trends and hotspots Collate and analyse quantitative and qualitative information to support the implementation of good practice and quality improvements. Support in the identification of areas of risk and the development of actions to reduce/mitigate against the risk occurring or re-occurring. Support the effective implementation of a comprehensive and systematic approach to the quality portfolio of IMR activates Work in collaboration with colleagues, providing expertise to contribute to a whole pathway approach to IMR activities Support and promote a positive culture of quality and service improvement. Develop and maintain links with stakeholders, external agencies, and third sector parties to ensure their participation and contribution to delivery of the IMR programme Proactively identify innovative ways to improve the IMR response, efficacy and efficiency Effectively communicate complex, sensitive, and contentious information. Use tested and credible tools and techniques to undertake any evaluation and analysis required within the programme Assist with problem-solving to find and address issues or concerns Use critical evaluation and problem-solving skills to respond to changing priorities and to make improvements as required Support with developing appropriate reporting and information sharing systems to facilitate effective working practices for new end to end processes. Support the development of business cases if required. Contribute to ensuring that the quality programme outputs are of a high quality and on time. Work independently based on an agreed work plan, setting own priorities and standards, working cooperatively to achieve the programme objectives related to quality and improvement. Facilitate an inclusive culture and ethos at all times working with colleagues internally and externally to the organisation. GENERAL DUTIES In addition to the key job responsibilities detailed in this job description all employees at Nottingham University Hospitals NHS Trust are expected to comply with the general duties detailed below: Infection Control To maintain a clean, safe environment, ensuring adherence to the Trusts standards of cleanliness, hygiene and infection control. For senior/clinical managers the following statement must also be included The post holder is accountable for minimising the risks of infections and for the implementation of the Code of Practice for the Prevention and Control of Healthcare Associated Infections as outlined in the Health Act 2006. This includes receiving assurance of risk and embedding evidence based practice into daily routines of all staff. Safeguarding children, young people and vulnerable adults Nottingham University Hospitals is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff and volunteers are therefore expected to behave in such a way that supports this commitment. Information Governance All staff have an individual responsibility for creating accurate records of their work and for making entries into and managing all NHS records effectively in line with the Health Record Keeping Policy and other Health Records and Corporate Records Management policies and procedures in order to meet the Trusts legal, regulatory and accountability requirements. Health and Safety To take reasonable care to prevent injury to themselves or others who may be affected by their acts or omissions. To co-operate fully in discharging the Trust policies and procedures with regard to health and safety matters. To immediately report to their manager any shortcomings in health and safety procedures and practice. To report any accidents or dangerous incidents to their immediate manager and safety representative as early as possible and submit a completed accident/incident form. To use protective clothing and equipment where provided. Whilst the aim of the Trust is to promote a co-operative and constructive view of health and safety concerns in the organisation, all staff must be aware that a wilful or irresponsible disregard for safety matters may give rise to disciplinary proceedings. Governance To actively participate in governance activities to ensure that the highest standards of care and business conduct are achieved. Health and Wellbeing Employees are expected to take all reasonable steps to look after both their physical health and mental health. To support employees to achieve this NUH offers a wide range of health and wellbeing activities and interventions. The full programme can be viewed at on the staff intranet. Line managers are expected to encourage and support staff to look after their health and wellbeing, including the release of staff to attend health and wellbeing activities and interventions. General Policies Procedures and Practices To comply with all Trust policies, procedures and practices and to be responsible for keeping up to date with any changes to these. WORKING CONDITIONS Describe the post holders normal working conditions (such as exposures to hazards, requirement for physical effort etc). JOB REVISION This job description should be regarded as a guide to the duties required and is not definitive or restrictive in any way. The duties of the post may be varied from time to time in response to changing circumstances. This job description does not form part of the contract of employment. SERVICE REVIEW A strategic review of all Trust services is taking place, as a result of which some services, or parts of some services, may transfer from one campus to the other. This will be decided in accordance with the most appropriate way to provide the best healthcare for patients in the future and all staff will be fully consulted on about the impact of any such decisions. Job description reviewed by: Sally Seeley Date: 11.04.2024