Job Description

We are looking for a compassionate, innovative individual who is able to manage the detail, but see the bigger picture. The Clinical Quality Manager takes responsibility for monitoring the safety and experiences of our patients and their families, helping to ensure that they are the heart of everything we do.



The post is responsible for supporting clinical services in delivering and evidencing outstanding quality of care as described in the Trust's Quality & Clinical Strategy, underpinned by the Trust's Quality Improvement model.



Manage and develop the Trust's programme to embed the principles of CQC self-assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.



Lead on learning and changes from incidents, inquests, claims, complaints as well as identifying impact of always events and best practice.



I mplementing relevant new national guidance in areas of responsibility and oversight including NICE and Patient Safety .



Working closely with the Patient Safety Specialist(s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.



Lead with Deputy Director of Nursing and other Trust leads on a programme of Quality Improvement peer reviews and actions from these.



NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an 'Outstanding' rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people and on improving access to that care, helping people to move seamlessly from one service to another. Praising NCH&C's "compassionate, inclusive and effective leadership at all levels", the CQC observed that our staff are well supported to make positive changes and innovations.



Norfolk Community Health & Care NHS Trust is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.



We welcome applications from people who share our values and can help us deliver outstanding care in our local community.



Main Duties & Responsibilities



Working closely with the Patient Safety Specialist( s) developing and using the framework of Insight, Involvement and Improvement as laid out in the NHS Patient Safety Strategy.



Support the Patient Safety Specialist and deputise when required .



Manage and develop the Trust's programme to embed the principles of CQC self-assessment which is based on CQC Regulatory Fundamental Standards of Care in conjunction with the Deputy Director of Nursing.



Work closely with the Trust's Place Quality teams, Patient Experience & People Participation Manager and service leads, to ensure learning from serious incidents, inquests, internal reviews, complaints and claims are translated into learning and sustained improvement across all clinical areas in the service and Trust.



Working as a senior clinical leader, to triangulate quantitative and qualitative data to demonstrate themes, trends and risks . Share these through relevant service directorate meetings and escalate concerns in a timely manner .



Prepare data and write reports for identified committees and the Trust Board.



Oversee and support services in the assessment and management of clinical policy and clinical risk compliance



Work in partnership with the Patient Safety Specialist, on ensuring robust response and dissemination of alerts in relation to medical devices and safety, with responsibility for understanding the clinical impact of these.



Maintain the appropriate Trust Quality dashboards with support from the Business Intelligence team.



Support clinical teams to identify and implement innovative aspects of practice to enable them to deliver 'outstanding' care to patients and service users.



Lead relevant programmes of improvement activity based on identifying excellence in clinical quality agreed with the C hief Nurse or Director of Nursing enabling practice to be shared across services . Ensure improvements are informed by different aspects of patient safety science such as human factors, systems thinking, investigation, quality improvement, change management, prospective and reactive risk analysis and management, error theory and just culture.



Lead the Clinical Effectiveness & Audit process and group and, be responsible for ensuring consistency of good practice across the Trust and reduce unwarranted variation in practice.



Develop strategies to motivate and influence staff to improve clinical practice in their professional capacity and across services.



Support the senior quality leadership team in the development of professional practice as a result of Trust, regional and national developments.



Actively seek out and provide relevant translation for the Trust of national, regional and local policies and strategies related to Quality.



Lead on the patient participation (lived experience and co-production), including Trust wide groups and functions.



Identify risks associated with the provision of the services and the delivery of high-quality patient care, escalating risks to the senior management teams as appropriate and implementing action plans to mitigate the risks.



Be an active member of the Trust's clinical governance groups to influence and inform the quality agenda, reporting, improvements and learning, providing expert knowledge where relevant.



Undertake where required, and support others to undertake, detailed PSIRF analysis and PSII's .



Actively address failure in systems or processes underpinning the delivery of safe clinical practice.



Support the Chief Nurse and Director of Nursing in any other aspects of Clinical Quality and Professional Practice as required .



Lead the governance and oversight of the translation service requests and service quality for the Trust. Provide reports on quality and usage and a focus on ensuring value.



Support the collation of evidence and development of the annual Quality Account.



Communication and Engagement



To communicate with staff at all levels of the organisation.



To develop and maintain key relationships including the following roles:



Staff within the Operational Quality Team, including safeguarding, IPAC and Trust Governance.



Other Corporate colleagues including Finance, Workforce, Training, Education and HR Teams, Clinical Medicines and Communication Teams.



Clinical services directorates.



This communication may occur at all levels of the organisation and involve presenting complex information, negotiating with parties who hold differing views, appropriate decision making and using skills of persuasion to ensure staff understand the issues involved and their responsibilities within.



Provide relevant reports and proposals for improvements to practice to a number of for a including Board, related sub-committees and externally to a range of commissioners and stakeholders.



Budgetary Responsibility



This role will be responsible for financial management of the staff members of the Clinical Governance team



This post is responsible for monitoring the associated budget, procurement of any related capital equipment and supplies.



Human Resources



Responsible for the day-to-day supervision and management the Lived Experience and Co-production Manager . This involves all aspects of staff management including supervision and monitoring of all aspects of their work programme.

This includes responsibility for all the following:

grievance, disciplinary, appraisal, appointing panel member at recruitment, reviewing work performance and progress, work allocation and monitoring.



Responsible for ensuring that managed staff complete their mandatory training requirements and are offered appropriate opportunities for development.



Responsible for maintaining own professional development and requirement to take part in appraisal and supervision.



Responsible for Professional Body requirements, i.e. NMC revalidation, HCPC ongoing registration, etc.



Clinical and Practice Governance



Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act.



Any data that is taken/shared as part of a phone call or transported, or transferred electronically must be undertaken with regard to the Trust's Information Governance and Information Security policies .



The post holder must adhere to the Trust's risk assessment and risk management processes.



The post holder must adhere to infection control policies and procedures.



It is a condition of your employment that you are currently registered with a Clinical Professional Body and it is your responsibility to maintain your professional registration.



Undertake mandatory training and any other training relevant to the role as required by the Trust.



The post holder must participate in clinical and other audits as required .



Participate in clinical supervision on a regular basis.



The post holder is required to lead in relevant emergency preparedness process for their team.



Sustainability



It is the responsibility of all staff to minimise the Trust's environmental impact wherever possible. This will include recycling, switching off lights, computers, monitors and equipment when not in use as well as helping to reduce paper waste by minimising printing/copying and reducing water usage, reporting faults and heating/cooling concerns promptly and minimising travel. Where the role includes the ordering and use of supplies or equipment the post holder will consider the environmental impact of such purchases.