Job overview
Under the direction of the Lead Midwife for Patient Safety the post holder will be responsible for the provision of practical support, expertise and facilitation to the Service Line, across a wide range of patient safety and quality improvement activities.
The post holder will ensure that the Service Line is appropriately supported in order to deliver their Quality Governance agenda in line with the Patient Safety Incident Response Framework (PSIRF). This will mean provision of support relating to the management and investigation of Patient Safety Incident Investigations (PSIIs), incident reporting, risk registers, clinical audit plans and clinical effectiveness activity. The post-holder will also work closely with the Quality Governance teams (patient safety, audit & effectiveness etc.) and provide a ‘link’ between the Trust Management Directorate and the Service Line
The post holder will ensure provision of support to the Service Line for governance meetings and will assist the Lead Midwife for Patient Safety and other key personnel in the Service Line in the implementation of the Quality Governance Framework, dashboards and reports
Main duties of the job
Report to the Lead Midwife for Patient Safety, with the oversight of the Head of Governance and Quality Improvement, Heads of Midwifery, Operational Managers and Director of Midwifery, any issues that might affect the provision of care or service within the Service Line being supported.
Support the maintenance of the Service Line risk registers in liaison with the Lead Midwife for Patient Safety, Head of Midwifery, Operational Managers, Director of Midwifery and the Patient Safety team.
Ensure all incident reports involving or affecting Women’s Services are actioned as appropriate in accordance with the PSIRF.
Identify and communicate high scoring risk issues and incident trends within the Specialty. Produce monthly reports on incident reporting to support Specialty review of trends and facilitate analysis of all incidents and to communicate and share Trust wide lessons learnt and practice changes as required.
Ensure that all incidents and near misses are reported by staff within the area of responsibility in accordance with the Trust policy and support the investigation of PSIIs, ensuring appropriate action plans are developed and monitored, and lessons are learned and disseminated.
Working for our organisation
Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
Our values
We not only recruit based on qualifications and experience - we recruit individuals who demonstrate the behaviours which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity, and creating a culture that values differences.
Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job
Detailed job description and main responsibilities
Report to the Lead Midwife for Patient Safety, with the oversight of the Head of Governance and Quality Improvement, Heads of Midwifery, Operational Managers and Director of Midwifery, any issues that might affect the provision of care or service within the Service Line being supported.
Support the maintenance of the Service Line risk registers in liaison with the Lead Midwife for Patient Safety, Head of Midwifery, Operational Managers, Director of Midwifery and the Patient Safety team.
Ensure all incident reports involving or affecting Women’s Services are actioned as appropriate in accordance with the PSIRF.
Identify and communicate high scoring risk issues and incident trends within the Specialty. Produce monthly reports on incident reporting to support Specialty review of trends and facilitate analysis of all incidents and to communicate and share Trust wide lessons learnt and practice changes as required.
Ensure that all incidents and near misses are reported by staff within the area of responsibility in accordance with the Trust policy and support the investigation of PSIIs, ensuring appropriate action plans are developed and monitored, and lessons are learned and disseminated.
Be conversant with Systems Engineering Initiative for Patient Safety (SEIPS) and human factors, and lead and advise on this method or the most appropriate method/process of investigation.
Support 2nd victims (staff members involved in an incident) after an incident via engagement, de-briefs and sign-posting to other Trust resources such as the Lead Professional Midwifery Advocate, Employee Relations and Advice Service. Foster just culture where learning is the central focus.
Support specialty activities related to the improvement of compliance with the CQC and MIS Standards and other assessments relevant to the service, including the provision of information for assessment of compliance.
Monitor key performance indicators capable of showing improvements in the management of risk
Effectively provide feedback on incident reporting to staff within the Specialty
Assist Ward Managers/Matrons/Departmental Heads/Leads to develop and monitor compliance with action plan time scales and provide assurances to the CSL Governance Group.
Ensure that evidence/documents to be relied upon are up-to-date and comply with Trust’s policy.
Raise the profile and importance of quality governance and patient safety within the Service Line
Promote a learning culture within the Service Line which acknowledges the benefits of effective risk management and patient safety, in providing psychological safety and a safe environment, thereby reducing risk to staff, patients, careers and visitors.
Promote an open, honest and trusting culture within the Service Line so that all staff are actively encouraged to report incidents, acknowledge human error where appropriate, review and reflect upon adverse events, and engage in multi-disciplinary learning.
Ensure the Service Line properly embeds and implements action plans following PSIIs.
Work with the Specialty management team to plan and organise the governance meetings and ensure that all relevant topics and papers are covered at the meeting.
Ensure that the Service Line has appropriate arrangements in place to implement Trust procedures relating to governance, such as incident investigation and approval, complaints and claims investigations, risk assessment and risk registers. Liaise with the relevant staff in the Quality Governance teams when additional support or expertise is required.
Coordinate and manage the process in place in the Service Line to ensure complaints investigations are undertaken in accordance with Trust policy and that actions and lessons learnt subsequent to a complaints investigation are identified and implemented. Attend complaints meetings in the Division as necessary.
Ensure effective communication and liaison with the complaints team within the Divisions
Ensure that the Service Line has a clear programme of work with regard to its Quality Governance agenda to include dashboards and programmes of work.
Assist the Specialty’s management team in preparation of Specialty reports for Quality Governance panels, groups and committees and any other relevant meetings
Contribute information or sections to other Quality Governance reports as appropriate.
Ensure that Specialty’s work programmes support Trust and national priorities such as:
Care Quality Commission (CQC) Registration Requirements,
Maternity Incentive Scheme (MIS) Requirements,
Any other successor relevant frameworks or external assessments
Work with the Specialty and relevant staff in the Quality Governance teams in preparation for external reviews or assessments. This may include evidence collation.
Ensure that the Specialty reviews the results from any relevant external or internal reviews or Quality Governance project, working with them to make recommendations for improvements in practice, action plans and supporting the implementation of changes to improve outcomes of patient care and patient/carer experience.
Support the Specialty in the development and implementation of their quality governance reporting structures including meetings and in the production of reports required in line with the Trust’s Quality Governance Framework, such as reports for the Specialty performance reviews and the Patient Safety Committee.
Meet regularly with the Lead Midwife for Quality Assurance, Governance and Compliance, Safety and Quality Programme Manager, Patient Safety manager, Clinical Audit & Effectiveness manager and the Complaints & PALS Manager, and the other Quality Governance Facilitators as a group to ensure group priorities are understood and standards agreed.
Person specification
Knowledge
Essential criteria
1. Registered Midwife
Desirable criteria
2. Masters
Experience
Essential criteria
3. Relevant Clinical Experience
Desirable criteria
4. Knowledge of MIS
Skills
Essential criteria
5. Ability to prioritise workload
Desirable criteria
6. Benchmarking
Applicant requirements
You must have appropriate UK professional registration.
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.