Job overview Evelina London Children's Hospital is seeking a patient safety and quality facilitator to join the Children's Surgery, Theatres and Anaesthesia Directorate. The post holder will co-ordinate the clinical governance agenda within this Evelina London Directorate. This covers assessing, monitoring and improving services, risk management, patient safety, clinical audit, quality improvement programmes, staff involvement, education and training, and the use of information, including guidelines and supporting patient and public involvement and patient information. Main duties of the job Specifically the post holder will provide multidisciplinary clinical staff with the support to implement effectively the principles and practice of clinical governance and quality improvement across the Directorate, within a framework that uses information to guide reflection, leading to action and outcomes monitoring. The post holder will work closely with the central clinical governance team to deliver Trust approved work programmes. The post holder will undertake these functions under the professional management of the Evelina London Head of Patient Safety, Assurance and Quality. The post holder will have regular contact with the following staff in Evelina London: Clinical Director, Heads of Nursing, Clinical Patient Safety Leads, Clinical Audit Leads, Matrons, Service Leads, Ward Sisters, Nursing staff and Clinical Nurse Specialists, General Manager, Service Managers and Assistant Service Managers, Consultants and Junior Medical Staff, Allied Health Professionals, Pharmacists, Administrative and Clerical Support Staff, Professional and Technical staff, children and their families. They will also have regular contact with other Clinical Governance Facilitators in other directorates and the central clinical QIPS team. Working for our organisation Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation At Evelina, we are reminded every day of how important life is, and how important it is to look after the health and wellbeing of our staff as they balance of responsibilities in and out of work. We are committed to supporting flexible working; we want to support you to work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that’s job share, part time or another flexible pattern. If it works for the service, we will do our best to make it work for you. Detailed job description and main responsibilities Duties and Responsibilities Clinical Governance: a. To coordinate the implementation of the directorate clinical governance programme of work linked to the Evelina London and GSTTs. b. To work with the Directorate Teams and the Head of Patient Safety, Assurance and Quality to assemble and analyze quantitative and qualitative information in ways that help staff reflect on their service and practice. c. To co-ordination the Directorates response to the review of information based on local and Trust priorities in the light of the National Service Frameworks, National Confidential Enquiries, and National Institute of Health and Clinical Excellence guidance (NICE). d. To co-ordinate the Directorate responsibilities in relation to external accreditation e. To compile Directorate clinical governance reports and to present reports/presentations at Directorate and SBU forums and meetings. f. To monitor, support and review any changes implemented as part of the clinical governance action plan or work programme, with the CD and HoN. g. To build and develop information resources pertinent to clinical governance as a resource for the Directorate. h. To provide help and support for staff in the development of guidelines / patient information and give assistance with the submission process. i. To undertake training and education programmes on clinical governance for all staff within Evelina London in accordance with the overall Trust programme. j. To co-ordinate and support the chair of the Directorate Management Team meeting with the patient safety, assurance and quality agenda. Risk Management a. To co-ordinate risk management across the Directorate. b. To co-ordinate the use and management of Datix in relation to Directorate activities. c. To provide support to staff for incident monitoring/investigation where appropriate. d. To support and/or lead investigations for serious adverse incidents within the Directorate. e. To facilitate shared learning from incidents f. To facilitate the directorate risk assessment process and to support DMT in ensuring the Directorate risk register is effectively populated, to analyze and identify trends and actions arising, and to monitor on a regular basis to ensure that risks are controlled. g. To bring to the attention of the DMT that health & safety standards and be involved in improvement programmes as required by external accrediting bodies and in line with legislation. h. Follow up on external inspections, develop action plans and verify the completion of corrective actions as required. Clinical Audit a. To effectively integrate audit data and clinical outcomes with the existing patient safety agenda and proactively use audit and outcome data to generate quality improvement. b. To work alongside clinical audit leads within specialties and provide support for local, Trust audits where appropriate. Patient and Public Involvement a. Under the direction of the CD and HoN, liaise with the Evelina London Engagement Lead, Trust PALS manager, Patient Experience manager, and Patient Information team, identifying mechanisms for effective patient and public involvement in service monitoring and development. b. To ensure patient and public involvement is in line with Standards for better Health and NHS Litigation Authority Risk Management Standards. c. To co-ordinate the management of the complaints process and support a local system of complaints investigation d. To populate and monitor complaints, identifying trends, ensuring learning from experience and that action plans are followed through. e. With the Head of PSAQ ensure that Duty of Candour is being implemented actioned consistently across the Directorate. Training and Education a. To identify training needs through implementation of the clinical governance agenda. b. To undertake teaching or training sessions on an on-going basis to multidisciplinary team. c. To ensure lessons are learnt from post-event analysis, proactive risk assessments and timely dissemination. Person specification Knowledge and experience Essential criteria Evidence of relevant clinical updating Desirable criteria Evidence of working at Masters level Skills Essential criteria Ability to think and plan strategically, tactically and creatively, over short, medium and long-term timeframes and to adjust plans and resource requirements accordingly Experience of managing conflict and difficult situations and knowledge of a wide range of problem solving techniques Excellent inter-personal and communication skills with good listening skills and an ability to work with a wide range of professions. Strong written communication skills including report writing and presentation of information. Skills Essential criteria Thorough understanding of the prinicples of clinical governance systems, required output and their use to improve clinical practice Proven ability to analyze complex problems and to develop and successfully implement practical and workable solutions to address them. Ability to think and plan strategically, tactically and creatively, and to prioritise work programs in the face of competing demands. A strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority. Ability to collaborate constructively with internal and external partners to create the conditions for successfully partnership working. Experience Essential criteria Experience of clinical governance, patient safety and quality A proven track record of successfully implementing change Experience in coordinating staff Desirable criteria Clinical qualification Applicant requirements The postholder will have regular contact with vulnerable people and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions. Further details / informal visits contact Name Jennifer Webb Job title Interim Head of Patient Safety, Quality Email address [email protected] Telephone number 07977175596