NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90 + substantive staff, 30+ agency workers, and 140+ non-healthcare staff.
NEMS provides services to a population of circa 1.2 million under the following service portfolio headings;
* Care Co-ordination and non-clinical call handling
* Clinical Assessment and Care Navigation
* Support to Primary Care including General Practice Out-of-Hours and Urgent Treatment Centres
* Outbreak Management
The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS
Main duties of the job
The Director of Nursing & Quality is a Director of NEMS and will attend the NEMS Board ensuring that quality, safety and patient experience is central to all that the organisation delivers. He/she will need to be an experienced senior nurse, who has a broad understanding of healthcare and quality, especially within out of hospital and primary care settings.
The core purpose of this post is to ensure fit-for-purpose clinical standards at NEMS by providing leadership to all Nurses, Allied Health Professionals and care staff that work in the service, and to take the lead on quality governance. The Director of Nursing & Quality will lead initiatives to reduce avoidable harm and ensure the highest standards of clinical care, ensuring compliance with professional and regulatory standards, such as those set by the Care Quality Commission CQC.
In conjunction with the Medical Director, he/she will ensure that appropriate assurance is brought to the board in Quality, Patient Safety, through regular audits, management, and investigation of incidents, and appropriate insight into available data.
The Director of Nursing & Quality role bridges the gap between frontline clinical practice and the strategic direction of the organisation. By balancing managerial competencies with a deep understanding of patient and staff needs, the Director of Nursing & Quality will ensure that NEMS remains compliant with standards, are capable of providing safe, high-quality care, which is financially sound.
About us
NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90 + substantive staff, 30+ agency workers, and 140+ non-healthcare staff.
NEMS provides services to a population of circa 1.2 million under the following service portfolio headings;
* Care Co-ordination and non-clinical call handling
* Clinical Assessment and Care Navigation
* Support to Primary Care including General Practice Out-of-Hours and Urgent Treatment Centres
* Outbreak Management
The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS
Job responsibilities
Clinical Governance and Quality of Care
Lead on quality governance, ensuring robust systems for patient safety,clinical effectiveness, and quality improvement are embedded across allservices.
Ensure compliance with regulatory standards from national bodies (includingNMC, NICE, and NHSE) and can demonstrate compliance against the requirementsset out by regulating bodies and authorities.
To ensure effective preparation and planning for regulatory inspectionsand ongoing self-assessment and improvement against the Care Quality Commissiondomains, to ensure that the trust is safe, effective, caring, responsive andwell led.
Maintain strong working relationships with regulatory partners and otherstakeholders, ensuring effective intelligence gathering and proactivemanagement of risk and opportunity.
Ensure an effective approach to internal quality assurance and themechanisms for learning and delivery of improvement and change to addresspatient safety risks.
Corporate responsibility for Safeguarding Adults and Children andInfection Prevention & control, as delegated by the Chief Executive.
Put in place arrangements to support the development of a patientfocused organisational culture, with strong professional values and behaviours.
Oversee the management of patient clinical-related feedback and ensure NEMSpolicies and procedures are informed by best practice and reviewed regularly.
Guide and support the Clinical Leadership Team and the Nursing and AHP workforcein monitoring, evaluating and improving patient experience, with effectivefeedback systems.
Professional Leadership & Workforce
Provide professional leadership for nursing professionals, care staff andallied health professionals, fostering a culture of trust, respect and multidisciplinarycollaboration.
Lead the development and implementation of workforce strategies,clinical supervision, appraisal, and revalidation processes to uphold thequality of patient care and maximise clinical productivity.
Guide the clinical workforce - provide inspirational, visible leadershipand develop a cohesive, supportive team environment.
Develop and support staff and students - responsible for workforceutilisation and development, including strategies for recruitment, retention, education,ongoing training & professional development, to ensure a highly skilled andeffective nursing and AHP team.
Work with Executive colleagues and the NEMS People and Culture functionto develop the clinical workforce strategy and ensure sustainability of futureNEMS services.
Ensure effective team structures are in place and provide linemanagement of key teams.
Clinical Leadership and Service Delivery
Responsible for the management of clinical services, resource allocationand ensuring services are delivered effectively and efficiently.
Set and demonstrate an organisational safety culture in line with theTrust vision and values to ensure high quality service delivery.
Develop and communicate the strategic approach to clinical servicedelivery, quality, assurance, innovation and improvement; ensuring a sharedvision and measures of success which support and enable the overall strategicvision.
Jointly with theMedical Director, advise the NEMS Board on the impact of proposed servicechanges, regulation, legislation, and national policy in terms of theorganisations ability to deliver clinical services.
Service Development & Improvement
Develop evidence-based care pathways and local guidelines that enableNEMS to enhance and re-design its range of services.
Along with the Medical Director, provide clinical scrutiny and/or signoff for new and developing services and processes.
Lead efforts to continuously improve the patient and family experience.Act as a patient champion, ensuring patient and public feedback is used todrive improvements.
Working with other Directors and Senior Leaders, ensure the developmentof leadership and improvement capability across NEMS.
Strategic Leadership
Provideprofessional advice to the Board, contributing to the strategic vision, values,and objectives of the Trust, ensuring alignment with national policy andstatutory requirements.
Maintain key professionalrelationships and attend forums across the ICS and wider.
Develop effectiveexternal contacts and relationships to ensure that NEMS is best placed tobenefit from best practice networks and partnerships.
Promote financialsustainability and productive working with all clinical staff at NEMS andmaintain budget control.
Adhere to thestandards laid down in the NHS Code of Conduct for Managers and NHSConstitution and at all times act in a manner that reflects and promotes thevalues of NEMS.
Actively identifygood practice at NEMS and share it across the organisation.
Participate in theOn Call rota for NEMS.
Person Specification
Skills and Abilities
* Have the ability to understand the long term or widespread implications of decisions
* Use a range of influencing strategies to bring about change and development of services
* Build and use extended networks of influence
* Explains complex situations in ways that are accessible to a range of stakeholders
* Sets boundaries/parameters for how others are to work and act Is prepared to be held openly to account for meeting goals and targets
* Commitment to the aims and values of the organisation
* Commitment to service delivery and innovative & courageous service development
* Commitment to patient centred care
* Flexible and adaptable to changing situations
* Able to communicate expertly at all levels, including the future direction of NEMS
* Ability to work collaboratively with teams across professional and organisational boundaries
Other
* Values and respects others, treats everyone as an individual, is non-judgemental
* Motivated to be genuinely kind and caring
* Helps and co-operates with colleagues
* Pro-active and takes responsibility
* Willing to learn, open to change
* Motivated to make a difference
* Full driving licence and the ability to travel between locations
* The ability to work flexibly when required in line with the demands of the role
Qualifications
* NMC registered Nurse with experience of working in an out of hospital environment
* Experience of working clinically in a primary or urgent care setting.
* Evidence of continuing professional development
* Recognised management / leadership qualification
* Evidence of working at an advanced level of clinical practice
Skills and Abilities
* Have the ability to understand the long term or widespread implications of decisions
* Use a range of influencing strategies to bring about change and development of services
* Build and use extended networks of influence
* Explains complex situations in ways that are accessible to a range of stakeholders
* Sets boundaries/parameters for how others are to work and act Is prepared to be held openly to account for meeting goals and targets
* Commitment to the aims and values of the organisation
* Commitment to service delivery and innovative & courageous service development
* Commitment to patient centred care
* Flexible and adaptable to changing situations
* Able to communicate expertly at all levels, including the future direction of NEMS
* Ability to work collaboratively with teams across professional and organisational boundaries
Experience
* Demonstrable experience and excellent track record at senior level in a nursing leadership role
* Demonstrable experience in leading change management processes, with successful outcomes
* Coaching, mentoring and supporting high performance
* Monitoring and auditing of standards and the quality of service
* Delivering and managing care in accordance with contractual Key Performance Indicators (KPIs) and other quality requirements
* Experience of managing conflict and achieving resolution
* Development of new clinical services
* Experience working in Urgent Care
Knowledge
* Nursing and Midwifery Council/HCPC standards
* Medico-legal aspects of advanced practice
* Healthcare quality governance and improvement
* Current health policy and professional issues
* Safeguarding adults and children
* CQC registration and compliance requirements
* National Quality Requirements for Out of Hours Services.
* Change management and project management fundamentals
* Confidentiality and information governance
* NMC, HCPC and RCGP standards
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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