Quality and Patient Safety Co-ordinator, Planned Care

at  Epsom and St Helier University Hospitals NHS Trust

We are looking for a clinical co-ordinator who is keen to develop their incident management and governance skills. You will have knowledge of the incident management processes within the Trust including the management of complex investigations and use of Datix. You will be able to deliver on agreed goals and to lead and influence teams; where required training and support will be given.
Working across our sites, the Planned Care Quality and Patient Safety Co-ordinator will be based at St Helier Hospital and will work as part of the Divisional management team and will support quality manager within the Planned Care Division including co-ordinating and overseeing quality processes to support patient safety, experience and clinical outcomes.
The Divisional Quality and Patient Safety Co-ordinator will support education and training for staff within the Division on aspects of quality and processes for managing the dimensions of quality (risk management, health and safety, clinical governance, audit etc.) They will promote a positive culture for reporting incidents and the implementation of PSIRF.
The post holder will support improvements in the quality of clinical care and patient safety through the PSIRF toolkit and sharing learning, supporting implementation and embedding of required practice changes within the Division.
Key Responsibilities
To support the process and management of incident review and grading of all reported incidents in line with the implementation of PSIRF
To support the co-ordination and completion of Divisional incident investigations (using the developing PSIRF toolkit) including presentation in a timely manner in accordance with Trust policy
To work with service leads to undertake analysis of their incident reporting profile enabling internal benchmarking, deep dive analysis and preventative actions to be undertaken as required to support understanding and improvement in practice
To offer advice, support and mentorship to service leads on clinical incidents, promoting a positive quality culture in which continuous improvement in clinical care is sought and achieved
To support processes in place to track and monitor completion of all levels of incident investigation ensuring that 90% of cases are completed within required timescales, escalating concerns to the Quality and Patient Safety Manager
Advise on incident investigations and as necessary support PSII Panels
To review draft investigation reports and ensure full discussion and agreement of draft actions with all proposed action leads prior to wider circulation of the draft investigation report
To appropriately circulate draft investigation reports for comment prior to approval
To support the implementation of associated actions collating evidence of completion as required
Assist in the design and completion of clinical audits and tools to measure clinical effectiveness and provide assurance, enabling internal benchmarking and sharing of good practice across the Trust, through analysis and interpretation of results/findings in conjunction with the Divisional Quality and Patient Safety Manager
To engage with clinical colleagues to support compliance with the requirements of Being Open / Statutory Duty of Candour to ensure that our Duty is sensitively met in a timely way and that any risk associated with meeting our Duty is appropriately escalated and managed
To support the process of incident investigation to ensure it is appropriately discussed and taken forward in partnership with patients/ patient’s families. This will include sharing the timeframes for investigation and the sharing of outcomes
To escalate within to the Quality and Patient Safety Manager any concerns regarding the timeliness of incident investigations and compliance with Duty of Candour supporting actions to mitigate and manage associated risk
To ensure that lessons from internal and external investigations (incident, claims, complaints and inquest investigations) are analysed and learning is shared and timely feedback of information occurs
To support the process and management of risk identification and management within the Division ensuring that risks are appropriately recorded and updated on the Divisional risk register in accordance with Trust policy and are subject to timely review
To ensure that any risks scoring 15 and above on the Divisional risk register are appropriately escalated to, and discussed with, the Divisional Quality and Patient Safety Manager
To support the process for ensuring that Mortality Reviews are completed in the Division by liaising with the clinical teams
To work collaboratively with the Datix Manager and Divisional Quality and Patient Safety Manager to ensure that Datix Dashboards within area of responsibility are functional and fit for purpose
To support the drafting of quality reports for the Division and the process of developing mitigating actions
To work collaboratively with the Trust Clinical and Effectiveness Audit Manager and Divisional audit leads to understand and support both the national and local audit agenda within the Division
To work with the audit leads to ensure that any associated audit requirement as a result of incident and risk management issues is appropriately progressed and reported
To work with the Divisional Quality and Patient Safety Manager and audit team engaging with, and supporting, the development of the Divisional Quality Half Day agendas
To attend the Divisional Quality Half Day meeting supporting administration as required
To support the planning and management of governance meetings within area of responsibility
Other
To undertake personal development, education and training in relation to safety to ensure you can meet the continued requirements of the job role.
To support staff training contributing to training materials and delivery of staff training. This will include (not exhaustive) PSIRF implementation and Duty of Candour training, Risk management, and Trust induction.
Actively share knowledge and expertise and contribute to the Trust as a whole.
Act as a reflective practitioner, applying evidence based practice and critical thinking to review practices and processes of care with clinical leads.
To promote evidence based care that is holistic and involves the patient and their carers.
Professional
To be accountable for his/her own clinical/nursing practice and takes reasonable opportunity to maintain and develop professional competence, knowledge and expertise, including Post Registration Education & Practice.
Practice in accordance with the relevant Code of Professional conduct and all other appropriate professional guideline

Please refer the Job description for details