Total 7 job vacancies by NHS Jobs

Please see full job description and person specification for full details of this role, including essential qualifications and criteria.

The Perinatal Governance and Quality Improvement Lead will: Support the perinatal services in meeting its statutory requirements and clinical governance objectives by overseeing, monitoring and reporting on the progress of national drivers such as risk management, infection prevention and control, Care Quality Commission standards and regulations, regulatory initiatives and in particular lead on: Saving Babies Lives Care Bundle V3 (SBLCBv3), NHS Resolution Maternity and Perinatal Incentive Scheme (MPIS), Maternity 3 year single delivery plan, Maternity Core Competency Framework, National Maternity Preceptorship Framework, Clinical audit agenda, MBRRACE and the Perinatal Mortality Review Tool, MatNeoSip, and the national maternity reports relating to Ockenden, Kirkup and Nottingham service review. Act as representative for the specialities at governance and assurance framework groups within the Trust. Oversee the implementation of clinical audit and other clinical effectiveness processes as a mechanism for improving quality, risk and safety. This will include development of a clearly defined annual audit programme along with the obstetric and midwifery leads for Quality Improvement. Ensure systems are in place to monitor the quality of care, KPIs and outcomes to give assurance that all clinical teams are delivering ongoing quality improvements in the standards of care based on best evidenced based practice. Support clinical teams with external reviews, Quality Assurance visits and ensure processes and support in place for on-going monitoring and quality improvement methodology applies to action plans. Implement agreed systems and processes to provide assurance of the delivery of patient safety and prevention of harm in line with national and local standard of care. Support and work alongside the Trust claims team to ensure eligible Early Notification cases are reported to NHS ResolutionsIdentify required development and service changes within the maternity and neonatal services, and actively participate in seeking consensus in development and implementation of change. Responsible for the management and maintenance of the risk registers in collaboration with the individual department risk leads for maternity and neonatal services. Identify risks associated with the provision of the speciality services and the delivery of high-quality patient care, escalating risks to the senior management teams as appropriate and implementing quality improvement plans to mitigate the risks. Co-ordinate the reporting of the divisional risks, and potential risks, identifying trends and contributing to proposals for the management of such risks. Ensure there is a robust performance management framework within the service to deliver on all aspects of the risk management and clinical governance agenda. Actively engage and liaise with the LMNS to support quality, risk and governance processes across the system. Encourage and engage with the Maternity Voices Partnership chairs to support with co-production of services and governance oversight. Enable the implementation of processes to ensure that all staff receive feedback following submission of incident forms, involvement in Patient Safety Investigation Response Framework and complaints. Support the Head of Midwifery and the Head of Perinatal Governance and Quality Improvement in the overall management of the complaints process. Monitor the Datix incident reporting system for Maternity and Neonatal services and support staff to investigate thoroughly and in a timely way. Work closely with the Trust safety and quality team and service leads, to ensure learning from Safety Incidents, internal reviews, complaints and claims are translated into learning and sustained improvement across all clinical areas in the service and Trust. Lead on and work closely with the Trust Patient Safety, Quality team and LMNS on Patient Safety Incident response framework. Undertake, and support others to undertake, detailed incident investigations using a robust and clear process, in line with the patient safety framework/patient safety incident response framework which focuses on Human Factors Ergonomics (HFE), system and process service improvements. Ensure early communications with staff and families when safety incidents are identified, define involvement and engagement needs and provide ongoing support during and after investigations. Lead for liaison and meetings with families who have experienced distressing, emotional impacts to their maternity journey. Responsibility for the overview and management of cases which are emotive and distressing for both the service user and staff. Responsibility for oversight of the completion of the PMRT reviews and family liaison in sensitive and emotive situations with bereaved parents. Work collaboratively with the Professional Midwifery Advocates (PMAs) to ensure that staff feel supported when involved in incidents/adverse outcomes, providing pastoral support where required. Review and ensure the development of SMART action plans in response to investigations which are evidence based and aim to address the identified contributory factors in order to enable sustained quality improvement. Develop and maintain Quality Improvement Trackers in line with PSIRF. Develop and maintain relationships with the Maternity and Newborn Safety Investigations (MNSI) ensuring all incidents that meet the MNSI and Early Notifications eligibility criteria as referred in timeframes expected. To ensure governance and quality is embedded within the wards including the dissemination of risk, audit, learning from excellence complaints and trends are shared. Review and maintain the accuracy of the maternity dashboard to enable the comparison, monitoring and delivery of divisional KPIs, CQUIMS (MSDS), NMPA, NNPA, NMI and CIPS. Actively participate in Divisional and Trust meetings, representing all elements of the service provision. Represent the service and the organisation at system wide meetings, working collaboratively with partners within the Local Maternity and Neonatal System (LMNS). Experienced and strong analytical skills with the ability to interpret data, and to use measures to influence key decisions on priorities and drive a systematic, accurate approach for reporting and improvements. Liaise with service users regarding the development of the service whenever feasible. Be experienced and trained in quality improvement methodologies. Collaborate with the senior leadership team to enable a positive safety culture within the division and demonstrate an inclusive and mentoring approach to leadership, working with clinical teams to agree and ensure the maintenance of high standards of practice and behaviours. Promote a Just, learning, and restorative culture. Support the Head of Perinatal Governance and Quality Improvement to monitor, investigate and report on the Divisions performance, spanning a broad range of issues, including incident trends, complaints, mortality and morbidity and legal claims. Empower the staff in the Division to positively embrace formal and informal complaints, comments and praise as a learning tool to influence behaviour and alter practice and culture. Ensure a strong patient safety focus and an open culture to incident reporting and that practice is challenged positively and best practice is shared and championed. Provide all line management support and function to the staff working directly within the Maternity Quality, Safety and Risk team. Lead the annual appraisal process for members within your direct line management ensuring personal development plans and career conversations are in place with objectives to meet personal and service requirements. Provide expert, visible leadership and expert advice on clinical effectiveness, patient safety and quality and co-ordinate all aspects of clinical governance. Undertake individual staff appraisals annually and support others to undertake this role for their staff line reports. Be able to think critically and be visionary in approaches to midwifery care. Be analytical in thought with attention to detail and able to communicate to help solve problems in everyday maternity challenges. Act as a champion for maternity and midwifery building strong teams within the unit. Foster a learning culture, be recognised as a role model and demonstrate support for the ongoing professional development of staff. Actively participate in the Maternity Lead on-call rota.

Please refer to the attached job description for full list of duties and responsibilities for this role

The Perinatal Governance and Quality Improvement Lead will: Support the perinatal services in meeting its statutory requirements and clinical governance objectives by overseeing, monitoring and reporting on the progress of national drivers such as risk management, infection prevention and control, Care Quality Commission standards and regulations, regulatory initiatives and in particular lead on: Saving Babies Lives Care Bundle V3 (SBLCBv3), NHS Resolution Maternity and Perinatal Incentive Scheme (MPIS), Maternity 3 year single delivery plan, Maternity Core Competency Framework, National Maternity Preceptorship Framework, Clinical audit agenda, MBRRACE and the Perinatal Mortality Review Tool, MatNeoSip, and the national maternity reports relating to Ockenden, Kirkup and Nottingham service review. Act as representative for the specialities at governance and assurance framework groups within the Trust. Oversee the implementation of clinical audit and other clinical effectiveness processes as a mechanism for improving quality, risk and safety. This will include development of a clearly defined annual audit programme along with the obstetric and midwifery leads for Quality Improvement. Ensure systems are in place to monitor the quality of care, KPIs and outcomes to give assurance that all clinical teams are delivering ongoing quality improvements in the standards of care based on best evidenced based practice. Support clinical teams with external reviews, Quality Assurance visits and ensure processes and support in place for on-going monitoring and quality improvement methodology applies to action plans. Implement agreed systems and processes to provide assurance of the delivery of patient safety and prevention of harm in line with national and local standard of care. Support and work alongside the Trust claims team to ensure eligible Early Notification cases are reported to NHS ResolutionsIdentify required development and service changes within the maternity and neonatal services, and actively participate in seeking consensus in development and implementation of change. Responsible for the management and maintenance of the risk registers in collaboration with the individual department risk leads for maternity and neonatal services. Identify risks associated with the provision of the speciality services and the delivery of high-quality patient care, escalating risks to the senior management teams as appropriate and implementing quality improvement plans to mitigate the risks. Co-ordinate the reporting of the divisional risks, and potential risks, identifying trends and contributing to proposals for the management of such risks. Ensure there is a robust performance management framework within the service to deliver on all aspects of the risk management and clinical governance agenda. Actively engage and liaise with the LMNS to support quality, risk and governance processes across the system. Encourage and engage with the Maternity Voices Partnership chairs to support with co-production of services and governance oversight. Enable the implementation of processes to ensure that all staff receive feedback following submission of incident forms, involvement in Patient Safety Investigation Response Framework and complaints. Support the Head of Midwifery and the Head of Perinatal Governance and Quality Improvement in the overall management of the complaints process. Monitor the Datix incident reporting system for Maternity and Neonatal services and support staff to investigate thoroughly and in a timely way. Work closely with the Trust safety and quality team and service leads, to ensure learning from Safety Incidents, internal reviews, complaints and claims are translated into learning and sustained improvement across all clinical areas in the service and Trust. Lead on and work closely with the Trust Patient Safety, Quality team and LMNS on Patient Safety Incident response framework. Undertake, and support others to undertake, detailed incident investigations using a robust and clear process, in line with the patient safety framework/patient safety incident response framework which focuses on Human Factors Ergonomics (HFE), system and process service improvements. Ensure early communications with staff and families when safety incidents are identified, define involvement and engagement needs and provide ongoing support during and after investigations. Lead for liaison and meetings with families who have experienced distressing, emotional impacts to their maternity journey. Responsibility for the overview and management of cases which are emotive and distressing for both the service user and staff. Responsibility for oversight of the completion of the PMRT reviews and family liaison in sensitive and emotive situations with bereaved parents. Work collaboratively with the Professional Midwifery Advocates (PMAs) to ensure that staff feel supported when involved in incidents/adverse outcomes, providing pastoral support where required. Review and ensure the development of SMART action plans in response to investigations which are evidence based and aim to address the identified contributory factors in order to enable sustained quality improvement. Develop and maintain Quality Improvement Trackers in line with PSIRF. Develop and maintain relationships with the Maternity and Newborn Safety Investigations (MNSI) ensuring all incidents that meet the MNSI and Early Notifications eligibility criteria as referred in timeframes expected. To ensure governance and quality is embedded within the wards including the dissemination of risk, audit, learning from excellence complaints and trends are shared. Review and maintain the accuracy of the maternity dashboard to enable the comparison, monitoring and delivery of divisional KPIs, CQUIMS (MSDS), NMPA, NNPA, NMI and CIPS. Actively participate in Divisional and Trust meetings, representing all elements of the service provision. Represent the service and the organisation at system wide meetings, working collaboratively with partners within the Local Maternity and Neonatal System (LMNS). Experienced and strong analytical skills with the ability to interpret data, and to use measures to influence key decisions on priorities and drive a systematic, accurate approach for reporting and improvements. Liaise with service users regarding the development of the service whenever feasible. Be experienced and trained in quality improvement methodologies. Collaborate with the senior leadership team to enable a positive safety culture within the division and demonstrate an inclusive and mentoring approach to leadership, working with clinical teams to agree and ensure the maintenance of high standards of practice and behaviours. Promote a Just, learning, and restorative culture. Support the Head of Perinatal Governance and Quality Improvement to monitor, investigate and report on the Divisions performance, spanning a broad range of issues, including incident trends, complaints, mortality and morbidity and legal claims. Empower the staff in the Division to positively embrace formal and informal complaints, comments and praise as a learning tool to influence behaviour and alter practice and culture. Ensure a strong patient safety focus and an open culture to incident reporting and that practice is challenged positively and best practice is shared and championed. Provide all line management support and function to the staff working directly within the Maternity Quality, Safety and Risk team. Lead the annual appraisal process for members within your direct line management ensuring personal development plans and career conversations are in place with objectives to meet personal and service requirements. Provide expert, visible leadership and expert advice on clinical effectiveness, patient safety and quality and co-ordinate all aspects of clinical governance. Undertake individual staff appraisals annually and support others to undertake this role for their staff line reports. Be able to think critically and be visionary in approaches to midwifery care. Be analytical in thought with attention to detail and able to communicate to help solve problems in everyday maternity challenges. Act as a champion for maternity and midwifery building strong teams within the unit. Foster a learning culture, be recognised as a role model and demonstrate support for the ongoing professional development of staff. Actively participate in the Maternity Lead on-call rota.

Planning and Organisational Support the Deputy Care Quality Support Manager with planning and organising the Trustwide CREWS assessment programme through effective and efficient administration processes. Plan and organise clinical area visit programmes, as required by the Executive Assistant to the Chief Nurse, and Care Quality Support Manager and her Deputy, liaising with stakeholders both internal and external to the organisation. Meetings Prepare agendas and collate relevant attachments, attend and complete action trackers for the following meeting(s): CQD Admin meeting (monthly) Support the Care Quality Senior Leadership Team with annual meeting planning, ad-hoc events, presentations and interviews, including room bookings, audio visual equipment, ordering of refreshments etc. Support the Care Quality Senior Leadership Team with management of meeting papers through the Admin Control System. Support the Care Quality Senior Leadership Team to ensure designated actions from meetings are completed in a timely manner. Financial responsibilities Deal with SBS ordering requests on behalf of the Care Quality Senior Leadership Team. Support the Care Quality Admin Team with ad-hoc administrative duties including ordering stationery, printing and laminating when requested, ensuring costs are kept to a minimum Training and Education Ensure mandatory training is kept up to date. To undergo training as necessary to meet the needs of new developments within the Care Quality Directorate. Support less experienced staff and lead by example. Participate in the annual Appraisal process with the Deputy Care Quality Support Manager. HR responsibilities To assist with inputting Appraisal and Sickness information on to ESR as required. Support the Care Quality Senior Leadership Team with ensuring annual leave requests for direct reports are added to the annual leave spreadsheet and line managers calendars and individual annual leave records maintained and kept up to date.

Co-ordinate clinical audit activity for all clinical divisions Provide advice and guidance on the completion of all audit projects To ensure all local audit projects are conducted in line with the Trusts Clinical Audit Policy To assist, support and coordinate the Trust participation in national clinical audits To be responsible for the preparation of the annual Clinical Audit Forward Plan To ensure that the registration system for clinical audit operates efficiently and to provide regular feedback to the clinical audit and governance committees on progress. To ensure local clinical audit projects have a SMART action plan in place (where appropriate) To ensure all national audit recommendations are converted into a SMART action plan in a timely way Responsible for the dissemination & sharing of actions from both local and national audits across the Trust Maintain an actions tracker identifying outstanding actions and ensuring evidence is provided for all completed actions To develop working relationships with the Information Services and clinical coding team to assist in obtaining patient lists and data for Quality Accounts preparation To assist in pulling and verifying data in preparation of the annual Trust Quality Account To assist and monitor processes for the dissemination, implementation and monitoring of NICE guidance and NCEPOD recommendations including coordinating audits with Clinical Audit leads as required To ensure non-compliance is escalated to the divisional leads and the Head of QG&C for entry onto the risk register where required and for reporting to relevant Trust wide committees. To assist in the compilation of evidence collation in relation to the Care Quality Commission, NHS Resolution or other external visits as required To line manage members of the Quality Governance & Compliance and Datix teams as required To undertake other ad-hoc Quality Governance projects as required To lead on the delivery of Clinical Audit training including presentations; posters and quality events to supporting the trust strategy on clinical quality.

To provide a high standard of administrative support to the Head of Quality Governance & Compliance. Provision of day-to-day coordination of NICE guidance assessment and compliance process including communicating information to staff at all levels of the organisation. Identify and review newly published NICE guidance and determine which clinical areas are required to provide a response. Issuing newly published guidance in a timely way providing a clear timeframe for response in line with the Trusts Best Practice Policy. Act as the first point of contact and provide advice and guidance on the completion of assessments and be able to resolve issues or queries relating to compliance with NICE guidance. To train new members of staff, including clinical staff, on the completion of NICE assessment forms, expectations for these to be completed to timescale and process for non-compliance to guidance. To collate completed assessments and accurately record the compliance level on the Trust database, flagging any assessments which indicate partial or non-compliance, to the Head of Quality Governance & Compliance. To act with autonomy to attempt to resolve any issues of non-compliance with guidance in assessments. Maintain an action tracker identifying reasons for all partial compliance and actions required to support the full implementation of the guidance with the identification of an action owner and completion date. Monitor responses and chase for any past the agreed response date, escalating any issues in obtaining a response in line with departmental process. Assist in project planning and take responsibility for key effectiveness and compliance projects, under the guidance of the Head of Quality Governance & Compliance. Extract data and prepare and present reports to divisional committees, to assist the Head of Quality Governance & Compliance in the production of Trust level reports for the Quality Governance Oversight Committee (QGOC), the Quality Assurance Committee (QAC) and for the Integrated Care Boards (ICBs). Work with the Head of Quality Governance & Compliance and the Associate Medical Director for Audit & Effectiveness to prepare the agenda, gather and distribute papers, monitor actions, and take minutes at the Clinical Audit Forum (CAF). Act as minute taker for the Clinical Audit Forum (CAF) and provide cover for the minute taker for the Mortality Surveillance Committee (MSC). To coordinate National Confidential Enquiries into Patient Outcome and Death (NCEPOD), including liaising with clinicians and the Information Services team to obtain patient lists, liaising with NCEPOD in the collation and return of clinician questionnaires, organisational questionnaires and copies of patient records as required. To maintain accurate records of NCEPOD study participation including a rolling schedule for presentation of published studies at QGOC and other committees as directed by the Head of Quality Governance & Compliance. Assist in processing clinical audit registrations and completed projects as required by the Head of Quality Governance & Compliance. Responsible for maintaining appropriate stationary supplies including submitting new orders for supplies.