Quality Improvement
* 1.1 Assist in the development and oversee a rolling programme of quality improvement initiatives based on the priorities of the maternity service specialty specific and the trust priorities.
* 1.2 Take the lead on identifying problem areas or areas for improvement and facilitate the planning and documentation of actions required to achieve the required standard.
* 1.3 Plan and organise activities to implement the quality agenda, promoting a multidisciplinary collaborative approach to quality improvement. Work with clinicians, area leads and matrons to identify quality improvement opportunities in all areas.
* 1.4 Review and adjust existing strategies for quality monitoring and improvement as services develop in the context of service delivery changes, developing new strategies as required.
* 1.5 Assist with gathering evidence and action plans for the department safety strategy and keeping this up to date.
* 1.6 Promote best practice and implementing innovations in care.
* 1.7 Track and follow up on actions devised following incidents.
* 1.8 Assist with action planning following 72 hour reviews, serious incident reports and HSIB reports.
* 1.9 Participate at the Maternity Investigation Group and assist with investigations within scope of responsibility including term unexpected admissions to NICU and re-admissions to NICU
* 1.10 Prepare thematic reviews from cases and disseminate learning.
* 1.11 ATAIN
* 2.1 Compile a monthly review of all neonatal admissions/readmissions in collaboration with the lead neonatal sister and Paediatric Consultant and record on the ATAIN Audit Tool.
* 2.2 Oversight of CNST action 3 in collaboration with the SCBU Matron and clinical leads
* 2.3 Review all neonatal readmissions in collaboration with the Community Midwifery Manager and Operational Leads as required.
* 2.4 Present monthly admissions/readmissions trends at Directorate perinatal meetings.
* 2.5 Prepare the yearly ATAIN Project Plan to meet CNST requirements and ensure robust communications in order to achieve required outcomes.
* 2.6 Prepare and present quarterly updates of the ATAIN Project Plan at the Directorate perinatal meetings.
* 2.7 Ensure regular communication and collaboration with senior neonatal staff and the Community Midwifery Manager.
* 2.8 Escalate to the relevant midwifery manager, operational lead and /or infant feeding specialist midwife when concerned about the care plans or professional practice relating to women/babies being cared for; ensuring safe services are maintained.
* 2.9 Promote evidence based practice within the maternity service
Safety Champions
* 3.1 Devise and track a safety dashboard for use in the division and update following the safety champion meetings.
Guidelines
* 4.1 Review all guidelines in line with NICE monitoring forms to ensure compliance
* 4.2 Escalate non-compliance via correct pathway
* 4.3 Review new NICE guidelines against current guidance and identify changes required
* 4.4 Track guideline (dues) dates and send to authors when required
* 4.5 Circulate guidelines and collate comments
* 4.6 Chair Guideline Group meeting
* 4.7 Send approved guidelines for publishing
Sustainability
* 5.1 Ensure all service improvements are sustainable and valuable
* 5.2 Work with the senior maternity and financial teams to have oversight of SIP
* 5.3 Work with all members of the maternity and gynaecology team to identify areas for service improvement and savings
* 5.4 Work with the multidisciplinary team to reduce wastage in the service
Clinical Responsibilities
* 6.1 Report any untoward incidents.
* 6.2 Maintain security.
* 6.3 Maintain the supply and custody of drugs, medicines etc, including keeping of agreed register.
* 6.4 Ensure that measuring, administration and recording of all drugs and medicines is carried out in accordance with the rules of the NMC, and as laid down in Trust policy.
* 6.5 Support accurate and contemporaneous records of all care by all staff.
Managerial responsibilities
* 7.1 Participate in regular meetings of ward / unit staff, attends as a representative at other meetings when required.
* 7.2 Maintain a safe working environment in accordance with the Health and Safety at Work Act, etc and local policies. Comply with the departments fire regulations. Ensure the proper reporting of all accidents / incidents.
* 7.3 Participate in investigations of any complaints.
* 7.4 Understand and carry out NHS Trust Policies as contained in Ward / Unit.
* 7.5 Participate in the development of Clinical Governance initiatives in conjunction with the Clinical Governance Midwifery Manager and monitor implementation and performance.
* 7.6 Attend Directorate/Board/external meetings in the absence of the Clinical Governance Midwifery Manager and update/present cases as required. The post holder will also attend debrief meetings as required
* 7.7 Prepare progress and update reports for Maternity, Divisional and Board meetings
* 7.8 The post holder will work clinically across the Maternity Service to maintain own competence and credibility.
There is an additional reference at the end: LNKD1_UKTJ
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