Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Internally the post holder will develop effective working relationships with:

·       Clinicians and Nursing Staff

·       Admin & Clerical Staff

·       Quality Department

1.     MAIN DUTIES AND RESPONSIBILITIES OF THE POST:

Quality Responsibilities:

·       In conjunction with the Divisional Chief Nurse, Head of Nursing, Matrons , Lead Nurse for Stroke, Associate Director Operations and Divisional Director assess and review compliance with governance and CQC standards.

·       Lead and maintain the PSIRF dashboards and co-ordinate the investigative process supporting wards and leadership team to carry out appropriate meetings.

·       Lead on closing and supporting actions and learning across the division

·       Identify and cascade to senior leadership team any immediate risk or actions which occur as part of the incident reporting system

·       Support the completion of Duty of Candour statutory letters through the division

·       In conjunction with the Divisional Chief Nurse, Head of Nursing, Matrons, Lead Nurse for Stroke, Associate Director Operations and Divisional Director take responsibility for tracking all complaints relating to the division

·       In conjunction with the Divisional Chief Nurse and Patient Experience Team

assist with investigation and actions as a result of complaints

·       Contribute to the development of effective strategies, policies and processes across the Division

·       Develop and implement systems to identify opportunities for learning and sharing good practice creating learning opportunities for the division

·       Work with senior clinicians to monitor the implementation of NICE guidelines, National Service Frameworks and NCEPOD recommendations

·       Support report writing for EPSIP meetings and governance meetings

·       Work with all divisional teams to ensure speciality governance meetings are taking place and feed into the divisional governance meetings

·       Monitor PSIRF training and compliance

Risk Management responsibilities:

·       In conjunction with the leadership team, be responsible for delivering the Quality, Safety and Risk Management Strategy

·       Lead and collate the evidence/information required from the division regarding the NHSLA risk management standards

·       Be responsible for following up any events causing concern with the appropriate nurse/clinician

·       Take the lead in reporting incident events to the Divisional Governance Group, contributing to any action planning as a result of an event and supporting staff to implement the identified actions

·       Advise and support staff to undertake Root Cause Analysis Training – investigation process

·       Facilitate a proactive approach to risk management through support of risk assessment process in helping to populate the Trust risk register and ensuring regular reviews and updates are maintained

·       Ensure recommended action is taken as a result of risk management investigations

Education responsibilities:

·       Take a lead role in the provision of governance training within the division

·       To ensure all staff are aware of their governance responsibilities

·       Oversee achievement of the Trust’s mandatory training requirement across the division

·       Work with teams to ensure compliance with incident reporting is taking place and support with any educational needs that may arise

·       Ensure all learning and actions are being discussed and disseminated from floor to Board

Audit Responsibilities:

·       Work in conjunction with a designated group of clinicians and specialist nurses to make recommendations designed to eliminate or reduce risk and help facilitate the identified changes in practice

·       To foster and encourage an environment of clinical audit, acting as a facilitator for audits in conjunction with the clinical leads across the Division

·       Take the lead on producing reports for the local governance and quality meetings

·       Work with the divisional team to ensure CENARG audits and guidelines are reviewed

Professional Responsibilities:

·       Maintain own professional registration

·       Act as a role model, maintaining and upholding high standards of professional behaviour

·       Be an effective leader of change, embedding a culture of continuous quality improvement, innovation and use of technology that meets the changing needs of patients

·       Maintain a flexible approach to working

General responsibilities

·       To support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work.