Job summary
Employer heading
Business Partner - Quality Governance
Band 6
Apprenticeship Eligibility Criteria
Should this vacancy be recruited as an apprenticeship, the following criteria will apply:
UK nationals or other persons with a right of abode have an eligible residency status if they have been ordinarily resident in the UK or the British Overseas Territories, or the Crown Dependencies (Channel Islands and Isle of Man) for at least the previous 3 years on the first day of the apprenticeship.
To find out why you should apply for a role at Wirral University Teaching Hospital, please view our video and listen to what our staff say working at WUTH is really like: https://youtu.be/Z5oMaNXprn8
Job overview
Main duties of the job
The post holder will work closely with the Quality Governance Senior Business Partner, promoting and facilitating quality governance within the Division. Applicants should have a good understanding and knowledge of the Governance agenda across the NHS.
Reporting to the Quality Governance Senior Business Partner, the post holder will have responsibility for supporting all aspects of governance across the Division, including incident and complaint management, risk, and clinical audit and effectiveness processes.
The post holder will have good analytical skills as well as excellent written and verbal communication skills. Candidates should have skills and experience of key governance and assurance principles. This role also requires individuals with excellent organisational skills and the ability to manage their own workload without supervision within a busy environment.
Working for our organisation
All new colleagues can expect to receive a warm and friendly Wirral welcome from the very first time they make contact with us. We are described as "competent and caring staff" by our patients.
Wirral University Teaching Hospital NHS Foundation Trust is situated on The Wirral peninsula which has a stunning coastline and beautiful countryside surroundings, with great activities for its residents.
We are one of the largest and busiest acute Trusts in the North West of England, comprising of the Wirral's only Emergency Department. We provide a high quality range of acute care services and employ over 6,000 staff, who serve a population of approximately 400,000 people across Wirral, Ellesmere Port, Neston, North Wales and the wider North West footprint.
We have approximately 855 beds trust-wide and our financial turnover is in excess of £337m.
The Wirral is easily accessible with excellent transport links including motorway, train, bus or ferry and within easy reach to the major cities of Liverpool, Chester and Manchester as well as neighbouring North Wales.
Detailed job description and main responsibilities
Please see attached Job Description for further information
about the Quality Governance Business Partner position available at WUTH.
Patient Safety
Lead the effective implementation of the Trust’s incident management and patient safety incident policies across division of responsibility.
Responsibility to escalate aspects of noncompliance with policy to divisional leadership.
Support staff in aligned services to report all new incidents and assign an investigator in a timely manner. Support accurate scoring of risks and incidents and planning suitable actions to address reoccurring issues.
Provide expert advice and challenge to ensure that incidents are appropriately investigated and that areas for improvement are identified; with robust action plans in place to reduce the likelihood of recurrence
Support patient safety investigations through all learning processes agreed by the Senior Business Partner.
Support Divisional staff to undertake immediate case reviews of patient safety incidents leading to (or potentially leading to) significant harm or significant learning, providing advice and solving problems or queries, and chasing progress to ensure they are ready for presentation at the Directorate and Divisional quality meetings.
Support the collation of evidence that complete action plans.
Support the implementation of trust governance processes within the directorate and division.
Plan, deliver and facilitate improvement events and opportunities for experiential learning
Risk
To ensure high quality risk management is embedded, enhanced and maintained and promote learning and development of all staff in risk processes and Trust risk policies - ensuring that a positive, open and supportive risk management culture is adopted and embedded throughout the Division.
To support implementation of divisional risk management systems and processes, forward planning, promoting debate and implementing effective reporting and monitoring systems.
To be a source of expert risk knowledge and advice for Divisional and directorate leaders
To work with the Senior Business Partner to drive forward the quality governance agenda across the division.
Support development of regular Divisional Risk Management Reports for the Trust Risk Management Committee.
To compile reports as required by the Senior Business Partner.
To ensure that processes for risk identification and escalation are working effectively.
To systematically analyse and review risk performance indicators including several complex components such as complaints, incident report forms, claims and litigation – ensuring that attention is immediately paid to high risk areas, and that learning is disseminated as appropriate.
Risk registers
To support the continual improvement and management of the Divisional risk registers.
To review the directorate risk registers to look at trust trends and concerns raised across the Division and report to the Divisional Quality Board
To analyse Divisional and Directorate Risk Register submissions in conjunction with the relevant lead, challenging those which appear to be inappropriately graded and escalating as appropriate and to provide feedback and support to risk leads and senior managers in order to improve the overall quality of and approach to risk register maintenance.
To support the integration of trust wide risk management.
To ensure all risk registers are maintained, discussed, managed and actioned regularly at relevant Monitoring / Management Group(s) and any trust level risks are escalated to the appropriate Committees.
Forward plan risk management programmes across all directorates including the review and adjustment of those plans based on mitigating evidence presented by risk leads.
Liaise with staff across the Trust to ensure the timely compilation and production of risk registers utilising an appropriate range of sources and identifying relevant controls and assurance and to ensure the onward reporting of all appropriate and relevant risks to the Divisional Quality Board and Risk Management Committee.
Support the identification of gaps in control and assurance and where necessary develop action plans to address these.
To work with senior managers within directorates and departments to improve the quality of directorate and departmental risk registers, ensuring that services are formulating effective risk treatment plans to address risks successfully and to advise on the establishment of risk scores.
To work collaboratively with staff, using developed analytical skills, to identify risk management priorities pertinent to particular areas or departments within the aligned division(s).
To work closely with other professionals and managers with risk management implications including Health and Safety, staff welfare, complaints, inquests and claims, training and development and clinical governance.
Complaints
Support oversight of the Divisional management of complaints, escalating to Senior Business Partner where complaint management is outside of performance or quality expectations.
Clinical Outcomes
Monitor the divisional clinical outcomes processes including clinical audit, benchmarking and compliance with best practice.
Escalating both gaps in agreed processes and gaps in compliance to the Senior Business Partner.
Clinical Guidance
Maintain oversight of the divisional compliance with the trust policies relating to clinical guidance, to include; NICE implementation, review of policies by policy author within the division, review of clinical guidelines by author within the division and review of Patient Information by author within the division.
Liaise with the central governance leads for clinical guidance to ensure guidance proceeds through divisional approval and assurance processes prior to submission for document management and dissemination by the central service. General
Contribute to the delivery of corporate objectives on risk and patient safety. Support the Senior Business Partner to promote quality, customer service, improve patient care by identifying areas of concern and repeated service failure.
Person specification
Qualifications, Specific Experience & Training
Essential criteria
- Degree level qualification, or equivalent experience
- Experience of the Ulysses System or equivalent risk management system
- Experience of working in partnership with senior clinical, executive and managerial colleagues. with a proven ability to influence and change these groups
- Clinical/Quality Governance experience within a complex environment
- Adverse incident reporting including data capture, trend analysis and identification of system/process changes to reduce risk
- Experience of working in a complex changing environment and the ability to prioritise
- Knowledge of clinical audit and quality improvement techniques
Desirable criteria
- Clinical qualification
- Qualification in Risk Management
Knowledge and Skills
Essential criteria
- SEIPS skills; knowledge and experience, such as: ➢ Chronology/timeline tools ➢ Gathering & mapping information ➢ Interviewing: cognitive or narrative ➢ Round table review ➢ Report writing ➢ Action plan writing
- Knowledge and experience of improving patient safety
- Highly developed oral, written, presentation and leadership skills, with the ability to develop, communicate and gain ownership for a clear vision and direction
- Advanced computer skills (word, excel, powerpoint, access programs)
- Ability to act to improve and deliver performance and establish high levels of quality and to hold others to account for delivery
- Good understanding of acute NHS business and knowledge of recent policy developments including across the wider system
- Understanding of CQC and quality standards
- Evidence of advanced risk management knowledge including: latest guidance and best practice on Risk Management Proactive and reactive risk anagement, Horizon scanning, Residual risk, Risk appetite & tolerance, Risk matrices and grading, Controls and actions
- Demonstrable experience of developing, supporting and motivating individuals and a team in a similar working environment
- Experience of participating in the development and implementation of strategy and policy
- Experience of working with complex information/data, analysing, evaluating and presenting evidence following sound research methods and procedures
- A sound IT knowledge to produce reports and understand managing databases
- Demonstrable experience of working on complex initiatives that require attention to detail
- Experience on coaching or training staff across a variety of disciplines
- Experience of staff line management, recruitment and development
Personal Attributes
Essential criteria
- Evidence of the ability to advise and influence senior managers and clinicians in relation to risk management, patient safety and quality improvement
- Able to analyse and make judgements to resolve problems
- Able to stimulate and support an open and inclusive working environment where integrity and respect are evident and highly valued
- Able to participate in programmes of change, both departmentally and on a broader organisational setting, generating ideas and innovative ways of improving practice
- Able to articulate confidently in a public forum
- Demonstrates excellent networking skills
- Able to identify and engage with key stakeholders
- Excellent project management skills, managing outcomes and delivering to deadlines without compromising performance across a multidisciplinary team
- Able to multi-task whilst maintaining high levels of attention to detail and project progression management
- Effective communicator able to communicate highly complex and sensitive information
- Proven ability to organise complex workload and meet strict timescale and targets
- Strong problem solving and reasoning skills – able to think laterally using own initiative
- Ability to teach general risk management and incident investigation principles
- Ability to manage own workload and function independently
- Excellent collaborative working skills and ability to build good relationships with all professional groups
- Proven ability to analyse data and information and take appropriate decision
- Ability to provide complex information to Board committees in a written format that is clear and of an excellent quality
- Ability to negotiate and influence persuasively, to command confidence and respect from internal colleagues
Documents to download
Further details / informal visits contact
- Name
- Lynsey Humphreys
- Job title
- Quality Governance Senior Business Partner
- Email address
- [email protected]
- Telephone number
- 0151 678 5111
- Additional information
You can reach the main hospital Switchboard on 0151 678 5111 and ask for extension 5816.
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