The Patient Safety team sits within the Corporate Directorate of Nursing and Quality. The team is required to set the strategic direction for patient safety, to deliver on reactive and proactive aspects of patient safety improvement work and to deliver education and training to enable and support front line staff to keep patients and staff safer.
The job purpose for the Patient Safety Investigator is to lead Patient Safety Incident Response investigations and reviews within the Trust. The key objective of the investigation is to identify underlying system factors that contributed to an incident or patient safety event. These findings are then used to identify effective, sustainable improvements by combining learning across multiple patient safety incident investigations and other responses into a similar incident type.
The Investigator will work in line with Being Open and Duty of Candour principles, ensuring appropriate investigation/review methodology and systems-based approach to support the Trust's patient safety improvement work.
This includes developing a culture of continuous learning and improvement and one where staff feel psychologically safe to raise patient safety concerns; by ensuring responses to incidents are compassionate, effective, fair and consistent. The postholder will also support the process of learning from investigation and review outcomes to ensure these inform trust wide improvement programmes, plans and development activities.
Main duties of the job
* Lead and manage multiple transient investigations and reviews and provide high quality, comprehensive, concise, and unbiased reports within the allocated timescales as per NHS Frameworks and regulations using a system-based approach.
* To act with integrity and be professionally responsible and accountable for own caseload and develop investigation plans and use peer review, subject matter experts and multidisciplinary teams to support quality and consistency.
* Engage and collaborate with internal staff involved and with external staff from other agencies, using a wide range of investigative methodologies and approaches.
* Communicate highly complex, sensitive and distressing information effectively to a range of stakeholders including patients, families, carers and staff whilst ensuring compassion, empathy and support are demonstrated throughout.
* Support organisational resilience to react promptly to adverse events (safety-I approach) and promote learning continuously and meaningfully from everyday work (safety-II approach).
The post holder must hold a full, valid, UK driving licence and have access to a car/vehicle to use for business purposes (unless you have a disability as defined by the Equality Act 2010).
Job responsibilities
* Use relevant resources to analyse complex findings e.g. policy, protocol, training records, data reports, etc.
* Ensure the findings and recommendations of the report are discussed and agreed with the responsible senior leadership teams prior to submitting the report for approval.
* Support external investigations as appropriate.
Please refer to the attached job description for the full details on the responsibilities and person specification.
Person Specification
Training, Qualifications and Registration
* Educated to degree level or equivalent in academic study.
* Additional specialist training in patient safety incident investigation, clinical risk management or relevant field (e.g. Healthcare Safety Investigation Branch Level 2/3 patient safety investigation training or equivalent).
* Registered Healthcare Professional or relevant experience of working alongside and influencing the practice of clinicians.
* SEIPS framework or equivalent training.
* Registered Healthcare Professional.
* Evidence of study at Masters level.
* Training as an After-Action Review facilitator or be willing to work towards.
Experience
* Undertaking high quality complex systems-based safety investigations.
* Engaging compassionately and effectively with those affected by safety incidents and supporting a just and restorative incident response.
* Working with multi-disciplinary teams in a healthcare environment.
* Facilitating safety discussions and meetings where highly sensitive information is discussed.
* The use of Microsoft Office Packages e.g. Word, Excel, PowerPoint.
* Using the Being Fair Tool.
* The use of clinical systems and databases.
* Experience of working in a mental health trust.
* Staff management.
* Ongoing clinical practice experience within health services.
Knowledge and Skills
* Extensive knowledge of a range of evidence-based safety investigation framework and tools and experience of their application in practice.
* Ability to conduct effective safety investigations and produce timely reports, that can be understood by a range of audiences (including patients, families and carers) and that meet the patient safety incident response standards set out in the national Patient Safety Incident Response Framework for England.
* Highly developed communication and interpersonal skills, including observation and listening and organising own workload.
* Ability to effectively analyse, interpret and synthesise complex information, distilling key messages and themes and presenting issues and options to senior audiences.
* Understanding of work in complex environments and a human factors/ergonomics approach to investigations.
* Highly developed sense of integrity and understanding of need for confidentiality.
* Personal resilience in response to exposure to sensitive and some distressing situations.
* To respond positively to feedback and to adopt a personal continuous learning approach.
* Facilitation skills or willingness to develop these.
* Presentation skills, often presenting report findings in sometimes hostile environment.
Disclosure and Barring Service Check
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.
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