Job Description

Patient Safety and Quality Midwife, Band 7 (22.5 hours a week)



The Patient Safety and Quality Midwife will be responsible for providing support for clinical staff and managers in all aspects of quality and patient safety within Maternity services. The post holder will ensure that systems and processes are in place to support a systematic approach to reporting, assessment, investigation, analysis, evaluation and management of clinical and non-clinical risk. This includes management of adverse incidents when they occur. The post holder will lead on the Patient Safety Incident Reporting Framework (PSIRF) and ensure all local incidents are investigated in a timely manner, ensuring that all learning is disseminated.



The post holder will act as the point of contact/s for MNSI and national patient safety investigation bodies and provide highly competent professional advice on the protection of patients, staff, and visitors to ensure patient safety remains a priority. They will be expected to work alongside staff to deliver a planned programme of improvement work to meet the healthcare governance agenda. The post holder will provide leadership, guidance and expertise within the wider multi- professional team for Maternity for clinical governance and risk management. This will include putting in place frameworks to ensure that the neonatal and maternity service meets the Trust standards for clinical governance.



Main Duties and Responsibilities



Lead on daily review and escalation of incidences including Incident reporting through PSIRF and MNSI reviews. Provide expert advice in relation to the management, reporting, investigation (Patient Safety Incident Investigations) and follow up of adverse clinical incidents to all grades of staff including executive and consultant colleagues. To actively promote the Trust's Incident Management Policy and procedures throughout the Division, as the basis for reporting and mitigating adverse incidents. Maintain an incident database and promote the timely reporting and management of all adverse incidents, with emphasis on a pro-active and reasonable culture of learning from mistakes. To produce quarterly incident monitoring reports based on analysis of trends (with support from data teams where needed) Collaborate with managers and clinicians dealing with patient safety incidents and ensure that investigations and the preparation of reports takes place in a coordinated manner and adheres to Trust time scales.

Please see attached for additional duties.



Gloucestershire Hospitals NHS Foundation Trust operates hospitals on our two main sites in Cheltenham and Gloucester, and we're one of the largest NHS trusts in the country.



Our workforce of almost 9,000 staff provide high quality emergency, elective and specialist care across a range of clinical areas



Our maternity services provides exceptional choice to women and midwives offering a maternity service through a range of settings



It is expected that all employees uphold the values of the organisation as our values underpin everything we do and describe the way we expect our staff to behave towards our patients, families and carers and between each other. We have the following three values:



1. Caring

Patients said:

"Show me that you care about me as an individual. Talk to me, not about me.

Look at me when you talk to me."



2. Listening

Patients said:

"Please acknowledge me, even if you can't help me right now. Show me that you know that I'm here."



3. Excelling

Patients said:

"Don't just do what you have to, take the next step and go the extra mile."



Management and professional responsibilities



To ensure that the grading of incidents is accurate and that the learning response is commensurate with the harm caused and likelihood of recurrence To work within Trust policies, protocol and guidelines providing comment on new policy documents as required. To deputise for the Deputy Perinatal Quality and Governance Lead as and when necessary. To attend Directorate and Trust wide meetings relevant to risk, quality, health and safety. Ensure personal and professional development is maintained and clinical skills are updated in order to provide high quality care in accordance with NMC guidelines Maintain a safe working environment. To work as a team with the other patient safety leads for the women's division to support the timely response to Datix To work with colleagues to complete investigations if required

Leadership



Promote and role model a culture of openness and responsiveness to patient views, an ethos of constructive and positive learning from mistakes within a performance-based culture among staff A willingness to find imaginative solutions to problems, and to use information as the basis for reflection and action. Provide staff training and development of governance/risk management for all disciplines in Maternity via induction programme for new staff and Mandatory Update Study Days

Responsibilities for patients



Be able to evidence integrity in their ability to communicate with both patients, their families and staff involved in incidents evidencing excellent communication skills understanding how stressful these situations can be for all involved. With proven leadership skills and the confidence to engage with senior personnel to investigate care issues and devise appropriate learning plans. Identify and escalate any anomalies to Deputy Perinatal Quality and Governance Lead, Perinatal Quality and Governance Lead and Head of Midwifery including cascading and actioning of Safety Alerts Ensure patients who suffer harm whilst under our care, are managed in line with Being Open or Duty of Candour as indicated by level of harm Facilitate and have continuing responsibility for the effective assessment, implementation, and evaluation of all midwifery care in own sphere of clinical practice over a 24-hour period. Undertake the full role of the midwife including advanced decision making, using evidence-based practice and highly developed skills. To ensure maximum learning is gained from all quality and patient safety work, and measures are taken to share this learning

Skills and Abilities



Substantial midwifery experience including care in a high-risk environment Knowledge of NHS Risk Management within an acute care/ tertiary setting Knowledge of PSIRF learning responses or similar investigation approaches Knowledge of Clinical Governance and External Accreditation Processes Excellent and proven presentation skills Excellent and proven oral and written communication and report writing skills Ability to deal with angry or stressed staff or patients at all levels Excellent organisational skills (E) - Experience in trend analysis and aggregation Experience of carrying out detailed investigations using Root Cause Analysis techniques Experience of managing incident reporting systems Datix Proven ability to work independently and as part of a team

Information Governance, research and professional responsibility



To follow systems within the service to ensure that confidential information is obtained, held, recorded, used, and shared in accordance with Caldicott and data protection requirements. Systematically review information systems that support the clinical quality/ clinical governance agenda to ensure timely information is collated. Ensure (in conjunction with the clinical governance team) effective information systems for the dissemination of NICE guidance, Safety Alerts and action plans to achieve compliance. To follow processes around management of the Maternity Divisional governance and risk databases. To maintain confidential reports/records. To work with the Senior Team to continuously improve the quality of service and safeguarding high standards of care by creating an environment in which excellence in clinical practice flourishes. Always maintain and promote a professional attitude, in the best interest of the patient and profession in accordance with the NMC standards and rules and Trust Patient's Charter Promote high standards of midwifery care, through participation in effective quality assurance measures such as clinical audit programmes. Provide midwifery expertise, ensuring all staff are supported in their practice including midwives and obstetricians in training, in line with the Trust's management of work performance policy.

Take responsibility for the maintenance and improvement of professional knowledge and skills according to NMC for midwifery registration