Job summary
Working with the Clinical Governance Manager the post holder will support the facilitation, development, delivery and implementation of the Divisional Clinical Governance work in order to achieve an effective and efficient clinical governance function.
The main focus of the post holder will be to provide clinical input to assist the Clinical Governance Manager in implementing the governance agenda achieving Divisional compliance with external and internal regulations and requirements.
The post holder will play a key role in supporting the integration of Clinical Governance in service delivery across the Division.
About us
Birmingham Community Healthcare NHS Foundation Trust (BCHC) has more than 5000 staff working across Birmingham and the West Midlands in a wide range of community nursing and specialist healthcare roles. BCHC delivers over 100 clinical services across homes, health centres, clinics and inpatient facilities, including services for children, young people, families, adults, learning disabilities, rehabilitation and dental care.
Job responsibilities
Governance and Performance
* In conjunction with Group Managers, Group Clinical Managers and identified Leads and Champions, support the implementation of the division’s governance work programme in line with the integrated business plan and Clinical Strategy.
* Embed and monitor outcomes and standards relating to CSE, CQC and NHSLA in clinical services, ensuring that Leads, where identified, are involved on an ongoing basis.
* Support the clinical services to identify and collect information on aspects of practice to evidence compliance, e.g. areas of good practice, audit and innovation.
* Liaise with appropriate clinicians and support them where necessary to ensure that requests for information regarding clinical governance are returned within agreed timeframes for assurance purposes.
* Undertake impact assessments for new business and clinical processes to ensure that clinical governance gaps have been identified, assessed and escalated if appropriate.
* Support services in the Division to develop local clinical governance reporting structures at team level.
* Hold responsibility for the clinical governance oversight of all information requests received within the division including court orders, police requests, Subject Access Requests (SARs) and Freedom of Information (FOI) requests, ensuring robust redaction assessments and assurance processes are undertaken in line with Information Governance legislation and organisational policy.
* Work with Group Clinical Managers, Group Managers, Clinical/Professional Leads and the Patient Experience Lead to develop information on clinical services which is current and ensures Children and Families are able to access information as and when required.
Risk Management
* Assist Governance lead with monitoring processes relating to incidents and complaints to ensure agreed timescales are adhered to, action plans developed and followed up.
* Collate and analyse data from the Risk Management System (Datix) for performance monitoring, audit and service reviews.
* Co‑ordinate a programme of audit related to the risk agenda, ensuring compliance with statutory duties, quality and principles of Governance and patient safety.
* Develop an audit methodology to provide assurance that actions from PSIRF, PSII or After Action reviews have been implemented.
* Ensure that information from Datix is used to inform clinical audits and notify possible risks to the Clinical Governance Manager to ensure appropriate escalation.
* Take the lead role on disciplinary investigations and PSIRF learning from incidents.
* Support staff with investigations arising from incidents, including information gathering, ensuring actions from recommendations are monitored and lessons learned are cascaded to services.
* Ensure a system is in place to undertake risk assessments and implement any arising actions.
* Co‑ordinate an ongoing risk assessment work plan to keep risk assessments within timescales and updated.
* Co‑ordinate and prepare reports for divisional and corporate committees and inspections by external regulators and internal auditors.
* Identify and analyse trends from incidents for discussion at Divisional, Service and Team meetings to agree actions and implementation plans.
* Disseminate alerts and follow up responses as appropriate, ensuring timescales are adhered to, and support clinical services with identification of equipment and processes which may pertain to alerts.
* Maintain close links and foster good working relationships with services within the division and corporate departments.
Clinical Audit and Effectiveness
* Work with clinicians to ensure a programme of clinical audit activity is undertaken across the Division through the annual planning process, and maintain an overview of the Trust's forward audit plan.
* Take lead responsibility for the development, review and monitoring of the Division's Forward Audit Plan.
* Support the Divisional Clinical Effectiveness and NICE Leads in monitoring the implementation of actions arising from Audits and NICE Guidelines.
* Support the Clinical Effectiveness Lead by co‑ordinating Clinical Effectiveness meetings, planning and ensuring distribution of agendas and meeting papers, and taking minutes.
* Support the development of an annual clinical audit and effectiveness report.
* Attend meetings and represent the Division as directed by the Clinical Governance Manager, including Risk Management, Operational Development, the Corporate Clinical Effectiveness Committee, Infection Control Committee and Essence of Care sessions.
Management and Leadership Responsibilities
* Understand the national perspective and future strategy for the NHS and related health areas to ensure staff are aware of implications and can contribute to service improvement.
* Develop and empower all members of the team to perform to high standards and innovate.
* Ensure supportive staff management arrangements are in place and carry out appraisals/personal development reviews (PDRs) for direct reports, ensuring specific objectives and effective personal development plans.
* Develop staff knowledge and skills to promote equality and diversity, addressing inequalities in employment and service delivery, and include specific equality objectives in PDRs.
* Create a working culture that ensures health and wellbeing and promotes a Great Place to Work and Learning environment for staff.
Person Specification
Qualifications / training
* Clinical qualification to master's level or equivalent.
* Evidence of continuing professional development.
* Willing to undertake training to develop new skills and competencies.
Experience
* Experience of undertaking clinical audits and developing and implementing action plans.
* Previous experience at Band 6/Post graduate level.
* Experience of extracting, analysing and interpreting data.
* Able to prepare and make presentations with credibility to clinicians.
Desirable experience
* Experience of working in Children's Services.
* Experience of working in clinical governance/risk management and clinical audit function.
* Experience of analysis of incidents and identification of trends including applying principles of RCA.
* Demonstrated track record of engagement of people who are socially excluded, disabled or disadvantaged.
* Experience working with multidisciplinary teams.
Skills / knowledge
* Working knowledge of applying a range of Microsoft Office packages including Excel, Access and Powerpoint.
Desirable skills / knowledge
* Valuing Equality and Diversity.
Personal qualities
* Excellent communication skills.
Other job requirements
* Ability to work flexibly within a team.
* Ability to work independently and prioritise workload.
* Positive attitude to the maintenance of own and others health and safety.
* Ability to articulate an understanding of standards and outcomes relating to CQC, CSE, Patient Safety, I Care.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. A submission for Disclosure must be made to the Disclosure and Barring Service (formerly CRB) to check for previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.
UK Registration
Applicants must have current UK professional registration.
Employer details
Employer name: Birmingham Community Healthcare NHS Foundation Trust (BCHC)
Address: Moseley Hall Hospital, Old Hall 2nd Floor, Birmingham, B13 8JL, United Kingdom
#J-18808-Ljbffr