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CSL Quality Governance and Effectiveness Facilitator

Employer
Bedfordshire Hospitals NHS Foundation Trust
Location
Bedford
Salary
£28,407 to £34,581 per annum pro rata
Closing date
28 Apr 2024

View more

Profession
Other Health Profession
Grade
Band 5
Contract Type
Permanent
Hours
Full Time
The successful applicant will work closely with Clinical Service lines (CSL) Quality Governance Lead in supporting specific service lines in the management of:

Incidents , Nice Compliance, clinical audit , CQC action plans and patient safety related governance, in line with policy, national and local audit and NICE compliance, regulatory compliance and other quality governance activity. The post holder will support promotion of best practice in relation to quality governance and effectiveness and the facilitation of activities which generate learning to support quality improvement within CSLs

Main duties of the job

The successful applicant will liase with staff in the clinical service line and support with decision making around the management, triage and reporting of incidents. They will form an exceptional relationship with the service lines auditors and support in forward audit planning, the registration of audits and the monitoring of the audits and outcomes.

o To facilitate and support the CSL risk assessment and risk register management processes to ensure CSL risk registers are effectively populated and ensure that risks are mitigated and controlled.

o To work alongside clinical audit leads within specialties to develop and implement an audit programme that supports the needs of the organisation in relation to clinical governance and quality improvement, including the Care Quality Commission compliance requirements and HQIP

o Present reports/presentations on CSL progress on a regular basis as required and also support the delivery of training to develop staff competency in quality governance processes such as investigation and audit

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A& E, Obstetrics-led Maternity and Paediatrics.You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.

All new staff will be subject to a probationary period covering their first six months in post. Travel between hospital sites may be required.

Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job.

Job description

Job responsibilities

Working with the Clinical Service lines (CSL) Quality Governance Lead, facilitate the implementation of a CSL quality governance and effectiveness programme linked to the local service line and Trust priorities To facilitate and support the CSL risk assessment and risk register management processes to ensure CSL risk registers are effectively populated and ensure that risks are mitigated and controlled. To work alongside clinical audit leads within specialties to develop and implement an audit programme that supports the needs of the organisation in relation to clinical governance and quality improvement, including the Care Quality Commission compliance requirements and HQIP To facilitate production of a rolling programme of review of compliance in relation to local and national guidance, including the National Institute of Health and Clinical Excellence (NICE) guidance and standards. To ensure that locally developed clinical guidelines follow due procedure, are ratified and effectively distributed, disseminated and monitored within the CSL To support CSL responsibilities in relation to external accreditation and inspection To build and develop information resources pertinent to quality governance and effectiveness as a resource for the CSL and facilitate the CSL reports in conjunction with the CSL Quality Governance Lead Present reports/presentations on CSL progress on a regular basis as required and also support the delivery of training to develop staff competency in quality governance processes such as investigation and audit To co-ordinate and support CSL quality governance meetings, take minutes, and maintain and develop internal and external networks as required. To support investigations for incidents as required within CSLs Work with the CSL Quality Governance Lead to assemble and analyse information in ways that help the clinical service line staff to reflect on their service and practice. To support sharing of learning particularly related to serious incident investigations and After Action Reviews

Demonstrate excellent interpersonal skills when dealing with all levels of staff across the trust using persuasion, tact and reassurance where necessary. Manage responses from internal and external sources during the course of carrying out quality governance tasks as required. Develop positive communication pathways with lead clinical service line staff and promote partnership working to support all quality governance and effectiveness issues.

1. To support the Head of CSL Quality Governance Support Unit and Clinical Audit with the production of reports.2. To participate in relevant task and finish project groups aimed at delivery of improvements within CSLs.

Person Specification

Qualification

Essential

  • Educated to Degree level or equivalent level of experience.
  • Demonstrable evidence of on-going education


Desirable

  • Management or project management qualification or working towards (e.g. Diploma in Management Studies or PRINCE 2)


Experience

Essential

  • Demonstrable experience of involvement in the facilitation of improvement activities at a either divisional / clinical service line level
  • Experience of supporting clinical effectiveness and improvement through use of NICE standards and guidance
  • Experience of facilitating initiatives that impact process and quality improvement


Desirable

  • Experience of undertaking Divisional/ Directorate based Governance Roles
  • Experience of supporting delivery of training packages either within a clinical audit/effectiveness setting or other clinical governance discipline


Skills and Abilities

Essential

  • Ability to deal with a range of professionals forming effective collaborative relationships across boundaries
  • Good abilities in the use of a range of IT packages including Word, Excel, and PowerPoint etc.
  • Logical and consistent approach to data collection and monitoring, recording and audit with ability to identify and analyse trends and patterns
  • Ability to follow a directed work plan but with flexibility and capability to work unsupervised and prioritise workload as required


Knowledge

Essential

  • Knowledge of using healthcare databases, healthcare systems and procedures
  • Demonstrable knowledge of the clinical audit process and the link between audit and quality governance
  • Knowledge of all aspects of modern quality and safety governance with experience of supporting clinical services with aspects of quality governance
  • Knowledge of utilising information to identify and analyse trends and patterns.


Desirable

  • Knowledge of Risk management systems ie: Inphase and incident management
  • Knowledge and experience of project management / continuous improvement / change management
  • Knowledge of Care Quality Commission and other regulatory compliance requirements


Employer details

Employer name

Bedfordshire Hospitals NHS Foundation Trust

Address

Bedford Hospital South Wing

Kempston Road

Bedford

MK42 9DJ

Any attachments will be accessible after you click to apply.

418-COR0580-GT

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