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Job summary

Main area
Clinical Quality Manager
Grade
8a
Contract
Permanent: Participation on on-call rota
Hours
  • Full time
  • Flexible working
37.5 hours per week
Job ref
839-7215076-BM
Employer
Norfolk Community Health and Care NHS Trust
Employer type
NHS
Site
Norwich Community Hospital
Town
Norwich
Salary
£53,755 - £60,504 per annum pro rata
Salary period
Yearly
Closing
01/06/2025 23:59
Interview date
13/06/2025

Employer heading

NHS

Clinical Quality Manager

8a

Job overview

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. 

 

Main duties of the job

  • 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.  

  • Implementing 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. 

Working for our organisation

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.

Detailed job description and main responsibilities

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 risksShare 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 Chief Nurse or Director of Nursing enabling practice to be shared across servicesEnsure 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. 

Person specification

Other

Essential criteria
  • Flexible to meet service needs
  • Able to work sensibly and collaboratively across organisational and professional boundaries recognising changes in circumstances and to incorporate them into practice
  • Work under pressure to meet deadlines
  • Demonstrates awareness of priorities, deals with workload, adapts to changing requirements and uses initiative
Desirable criteria
  • Knowledge and experience of multiagency working, especially promoting integration between Health and Social Care

Personal Attributes / Behaviours (linked to the Trust’s Behaviour Framework)

Essential criteria
  • Able to identify with the Trust’s commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults
  • Value and respect the privacy and dignity for patients
  • Accepts responsibility and accountability for own work and can define the responsibilities of others.
  • Recognises the limits of own authority within the role.
  • Seeks and uses professional support appropriately.
  • Understands the principle of confidentiality.
  • Demonstrates professional curiosity.
  • Acts with integrity at all times

Personal and people development

Essential criteria
  • To communicate with staff at all levels of the organisation.
  • Must be self-motivated, enthusiastic and be able to meet deadlines within a pressured environment.
  • Strong evidence of continued professional development
  • Experience in developing a team and individuals both new to role and individuals in need of additional support and development to undertake their role

Communication

Essential criteria
  • To communicate with staff at all levels of the organisation.
  • To develop and maintain key relationships
  • 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 fora including Board, related sub-committees and externally to a range of commissioners and stakeholders.

Skills, Abilities and Knowledge

Essential criteria
  • Has excellent interpersonal skills.
  • Is able to translate national/regional and local policy into Trust relevant actions.
  • Is familiar with DATIX or similar.
  • Is able to communicate with staff at all levels of the organisation and engage them in relevant projects and activity.
  • Is able to empower staff to take ownership of key areas of responsibility relating to CQC standards and implement identified improvements.
  • Has competent keyboard skills and ability to communicate through IT using packages such as Word, Outlook, Excel and PowerPoint.
  • Is able to lead a team effectively.
  • Has advanced report writing skills.
  • Has excellent time keeping and prioritisation skills.
  • Is able to demonstrate an understanding of the CQC Single Assessment Framework standards and associated regulations and inspection framework.
Desirable criteria
  • Has competent project management skills.

Qualifications

Essential criteria
  • Masters Degree level qualification (or equivalent experience)
  • Evidence of post registration qualification/study/development.
  • Registration with a Clinical Professional body, i.e. (amongst others) NMC, HCPC.

Experience

Essential criteria
  • Proven record of working with teams to deliver improved outcomes for patients/ staff.
  • Recent senior clinical/managerial level experience.
  • Knowledge of NHS Patient Safety Strategy.
  • Clear understanding of contemporary clinical quality agendas.
  • Understand clinical governance systems and processes.
  • Service improvement/change management experience.
  • Experience of managing effective clinical risk management.
  • Experience of leading programmes of engagement with staff and/or patients with defined outcomes.
  • Managing staff and leading a team.
  • Leading a project involving several stakeholders/teams or professions.
  • Involvement in improving practice in an area covered by CQC regulations and standards.
  • Experience of facilitation of sharing best practice or innovation across teams or services or organisations.
Desirable criteria
  • Experience of working with a range of clinical services in a community setting.
  • Leadership models, implementing change and/or new clinical practices
  • Patient Safety Specialist L3-4

Employer certification / accreditation badges

Carers Friendly Tick award EmployersSunflower Hidden DisabilitiesApprenticeships logoNo smoking policyPositive about disabled peopleAge positiveDisability confident leaderMindful employer.  Being positive about mental health.Care quality commission - OutstandingStep into healthArmed Forces Covenant Bronze AwardArmed Forces Covenant

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Del Mitchell
Job title
Deputy Director of Nursing and Quality
Email address
[email protected]
Additional information

If you would like to discuss the role in more detail or have an informal visit, please do not hesitate to get in touch.

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