Senior Governance Manager

at  East Kent Hospitals University NHS Foundation Trust

Support the Quality Governance Business Partners to work with their allocated care groups to deliver quality governance within the care group. Connect people with curiosity, purpose and impact, demonstrating integrity, consideration and challenge.Support in the development, implementation and sustainability of: The Trust’s Integrated Governance, Assurance and Safety agenda; the Patient Safety Incident Response Framework; and a Just and Learning Culture.To ensure that learning from adverse events, safety alerts and from positive practice is shared across the organisation to facilitate a culture of learning and improvement across the care groups.Deliver and contribute to the Trust training programme relating to PSIRF, Human Factors, Duty of Candour and Incident Management. Provide monitoring and escalation of training compliance across the organisation. Ensure that incidents reported on the Trusts incident management system are validated and quality checked.
Ensure that areas of high risk and high patient impact are escalated within one working day to the relevant clinical staff, care group triumvirate, specialists and Quality Governance Business Partner.Work in collaboration with the Corporate Patient Safety Team in the implementation of PSIRF and support a systems-based approach to learning from patient safety events.Support a variety of learning responses under PSIRF within the Trust and ensure compassionate engagement with those affected by patient safety events is maintained.Promote a culture where staff are confident in reporting incidents and being part of a learning response. Address and escalate when the Just Culture Guide and our Trust Values have not been adhered to.Have oversight of the Care Group incident closures, providing guidance and support to relevant staff where required, to ensure that timely management and closure of care group incidents is undertaken by the appropriate staff.Actively contribute to the senior management team within the Quality Governance & Patient Safety team, setting standards of practice, behaviour and leadership. 2. Risk ManagementContribute to the analysis of risk and compliance data dashboard by providing reports on data with recommendations to the lead clinical staff and care group governance meeting to address identified deficits in safety and/or compliance and ensure agreed actions are completed.
Escalate to the care group triumvirate and Quality Governance Business Partner issues and risks of concern.Work collaboratively with care groups to enable the identification of safety risks through adverse incidents, learning from deaths, complaints, legal claims, H & S risk assessment, risk registers, CQC reviews and other methods of risk identification (e.g., safety alerts, NICE, GIRFT, etc). Ensure the care group triumvirate has processes to monitor the completion of any actions to mitigate identified risk, escalating any concerns in a timely manner. 3. Governance and QualityContribute to and support delivery of quality improvement projects related to PSIRF and patient safety.Access the performance indicator dashboards and produce required reports and associated recommendations in accordance with agreed quality governance arrangements.Promote and support in the review and analysis of care group patient safety data and intelligence, to identify themes and trends.
Share information to inform on Trust projects/initiatives as directed that produce change and learning to reduce clinical risk.Provide support to the Quality Governance Business Partners and Care Groups on matters relating to risk and patient safety. Monitor the completion of improvement plans arising from incidents and patient feedback with respect to agreed timescales and that evidence is recorded and where applicable submitted to the relevant groups. Escalate non-compliance within and external to the care group as appropriate.Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met. Escalate non-compliance within and external to the care group as appropriate.
Work with the care group triumvirate to ensure staff are aware of and complete their professional and statutory requirements in relation to Duty of Candour.Support clinicians with patients and/or their relatives to outline the processes for investigation and discussing investigation findings.To participate in the preparation for any external regulatory visit by CQC as required.To manage and comprehensively respond to enquiries from a range of external organisations and sources including; CQC, ICB, NHSEI, Freedom of Information and other Healthcare providers.Attend relevant management meetings across the Trust as required

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