The Director ofQuality will provide professional leadership, expertise and advice onoperational and strategic issues within the Trust related to quality, patientsafety and governance.
This is a multi-professionalAssociate Director role with a comprehensive portfolio relating to quality;including quality governance, quality assurance, quality improvement,regulation, risk management, patient safety, patient experience, patient andpublic involvement, research & development, incident investigation andlearning, complaints, legal services and liaison with the Coroner.
The Director ofQuality will play a key role in leading the Trusts quality improvementprogramme, working with clinical leads and the KPO to deliver a programme basedon collaboration. The Director of Quality will work with the Medical Director(Governance and Risk) to implement the Trusts Patient Safety and QualityStrategy.
Main duties of the job
The Director ofQuality will provide leadership to all professional groups across the Trustsfive sites, liaising with CSUs and a number of corporate teams, includingCorporate Nursing, Quality Governance, Risk Management and Patient Experience.
The Director of Quality provides advice to the Chief Nurse, ChiefExecutive and Trust Board on quality, risk and patient safety and leads on theintegration of quality into the Trust wide business planning process,performance management arrangements and service improvement plans of theTrust. The Director of Quality will leadon the Trust's approach to quality governance, advising the Board on this toensure its governance arrangements are robust and meet the Regulations set bythe CQC.
The Director of Quality engageswith external organisations and partners on quality, risk and patient safety,including commissioners at NHS Leeds CCG, NHSE/I, Care Quality Commission (CQC),Healthwatch Leeds, Scrutiny Committee for Health, Health and Safety Executive (HSE),Human Tissue Authority (HTA), NICE, and the Coroner.
The Director of Quality provides leadership and line management supportand direction to the Trust's Quality Governance team, Risk Management team andHealth and Safety team; and to the Patient Safety and Quality Managers in theirrole supporting CSUs and corporate departments.
About us
Leeds Teaching Hospitals NHS Trust is a values-led organisation and one of the largest and busiest acute hospital trusts in the country. The Trust provides healthcare and specialist services for people from the city of Leeds, Yorkshire and the Humber region and beyond. We play an important role in the training and education of medical, nursing and dental students, and are a centre for world-class research, innovation and pioneering new treatments.
The Trust has a budget of more than £2.1 billion and a 20,000-strong staff. Last year we treated close to 1.8 million patients, including 109,000 inpatient admissions, 1.3 million outpatient attendances and 359,000 attendances in our Emergency Departments. Our care and clinical expertise is delivered from seven hospitals on five sites, all joined by our vision to be the best for specialist and integrated care.
Job responsibilities
A full Job Description is available as an attachment to this advert including, but not limited to
* Lead the Trusts approach to quality, risk and patient safety, including developing and overseeing the Trusts Patient Safety and Quality Strategy working in conjunction with the Deputy Chief Medical Officer (Risk and Governance).
* Implement the National Patient Safety Strategy, including patient Safety Incident Response Framework (PSIRF) and involving patients in patient safety.
* Provide leadership and support to Trust wide Quality Improvement programme and delivery of the Improvement strategy:
* Co-ordinate the activities of the designated Trust Patient Safety Specialists, liaising with the National Patient Safety Team.
* Work in conjunction with the Trusts Programme Management Office (PMO) in supporting CSUs to identify quality improvement interventions to improve efficiency in line with the Waste Reduction Programme (WRP).
* Implement the Trusts risk framework; ensure the CSU and corporate departments risk registers are subject to regular review and updated to reflect the key risks.
* Lead on the delivery of quality governance across the Trust and preparation for CQC inspection.
* Lead and advise on quality governance to ensure arrangements are robust and meet the Regulations set by the CQC.
* Lead on the Trust's Risk Framework and Corporate Risk Register.
* Work in conjunction with the Head of Health and Safety to ensure the Trust meets its obligations under the Health & Safety at Work Act 1974.
* Advise Executive Directors on changes in legislation and national policy in relation to quality, risk and patient safety, including guidance from the HSE, NHSLA and Coroner, and changes to the Health & Safety at Work Act.
* Co-ordinate the Trust's Risk Management and Health & Safety policies, to ensure these are reviewed and updated to reflect best practice and changes to legislation and national policy.
* Promote a culture that promotes a positive learning environment and staff engagement, based on the principles of continuous quality improvement and Trust values.
* Co-ordinate the Trusts approach to sharing learning from incidents, complaints, coroners inquests, clinical audit and other sources using a range of methods, including safety briefings and learning hub.
* Co-ordinate the review of Trust wide reports on incidents, complaints, claims, coroners inquests and other reports relating to quality, safety and governance; share key messages with designated CSUs to facilitate learning.
* Lead the Trusts approach to regulation, liaising with the Care Quality Commission (CQC); engage with the lead CQC Responsible Officer and ensure processes are in place to comply with the fundamental standards of quality and safety and regulations set out in the Health and Social Care Act (Regulated Activities) Regulations 2014. Advise the Trust on the outcome from inspections and oversee the action plans in response to this.
* Provide training and specialist advice to CSUs and corporate teams on regulation and establish a framework for the collation of evidence and preparation for inspection.
* Provide specialist advice to Executive Directors on changes to legislation relating to regulation and national policy relating to patient safety.
Person Specification
Experience
* A minimum of 5 years experience at a senior managerial level within an acute Trust
* Experience in a leadership role
* Evidence of working across multi-professional groups on delivery of major projects
* Delivery of major change management projects
* Evidence of continual professional development over the last 3 years
* Experience of staff management
* Experience of undertaking investigations into Serious Incidents
Knowledge, Behaviours, Practical Skills
* Knowledge of Roles of ICBs, CQC, Healthwatch Leeds, Scrutiny Committee for Health, NHS England, HSE, HTA, NICE, and the Coroner
* Knowledge of CQC Fundamental Standards and Duty of Candour
* Knowledge of Quality Governance and Assurance Framework
* Knowledge of Multi-professional agendas
* Knowledge of Quality Improvement methodology
* Knowledge of Risk Management
* Knowledge of Health and Safety
* Knowledge of Human Tissue Act
* Knowledge of External reporting requirements (PCTs. SHA, HCC, NICE, NHSLA, CNST and Coroners)
* Knowledge of Public Health
* Knowledge of Commissioning for quality
* Accept responsibility for own work and the proper performance of the Risk Management, Quality Improvement and Health and Safety teams.
* Show commitment to working as a team member by working with colleagues in the NHS and the wider community
* Take responsibility for own learning and development and share learning and development with others
* Using resources available in an effective, efficient and timely manner having proper regard to the best interests of the patients, staff and public
* Respect and treat with dignity and fairness, the public, patients, relatives, carers, NHS staff and partners in other agencies
* Seek to ensure that no one is unlawfully discriminated against
* Ensure staff are helped to maintain and improve their knowledge and skills and achieve their potential
* Ensure that judgments about colleagues (including appraisals and references) are consistent, fair and unbiased and are properly founded
* Show commitment to working as a team by working to create an environment in which leadership is encouraged and developed at all levels.
* Strategic thinking
* Leadership and team building skills
* Numerical, analytical, and problem solving skills
* Ability to prioritise complex agenda
* Written and verbal communication and presentational skills
* Interpersonal and influencing skills
* Able to fulfill Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy
Qualifications
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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