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Working with the Clinical Governance Manager the post holder will support the facilitation, development, delivery and implementation of the Divisional Clinical Governance work in order to achieve an effective and efficient clinical governance function.
The main focus of the post holder will be to provide clinical input to assist the Clinical Governance Manager in implementing the governance agenda achieving Divisional compliance with external and internal regulations and requirements.
The post holder will play a key role in supporting the integration of Clinical Governance in service delivery across the Division.
The post holder will be responsible for supporting the Clinical Governance Manager to develop clinical governance systems across the Division for gathering and collating evidence to provide assurance to regulatory requirements, e.g. CQC, NHS Resolutions, Quality Accounts and CSE.
The post holder will be required to represent the Division at a number of meetings pertaining to Clinical Governance.
The post holder will be expected to deputise for the Clinical Governance Manager as and when required and will be required to represent the Division at a corporate level as and when requested, appropriate to the role
Be Part of Our Team...
Birmingham Community Healthcare NHS Foundation Trust (BCHC) has more than 5000 staff working across Birmingham and the West Midlands in a wide range of community nursing and specialist healthcare roles. BCHC delivers over 100 clinical services, in people's homes, health centres, clinics and inpatient facilities. We deliver a wide range of services for children, young people, parents and families as well as adults and community services, two community hospitals, services for people with learning disabilities, the internationally recognised West Midlands Rehabilitation Centre and one of Europe's leading Dental Hospitals and School of Dentistry. We deliver all of this with a commitment to integrated, personalised care that is rooted in our local communities. We have an ambition to deliver outstanding, integrated care as one of the key NHS providers in the West Midlands.
If you want to 'Be Part of Our Team' and work with a Foundation Trust which is continuously striving for better care and healthier communities, we want to hear from you.
Governance and Performance
1. In conjunction with Group Managers and Group Clinical Managers and identified Leads and
Champions, support the implementation of the division’s governance work programme in
line with the integrated business plan and Clinical Strategy.
2. Embed and monitor outcomes and standards relating to CSE, CQC and NHSLA in clinical
services ensuring that Leads, where identified, are involved on an ongoing basis.
3. Support the clinical services to identify and collect information on aspects of practice to
evidence compliance, for example, areas of good practice, audit and innovation.
4. Liaise with appropriate clinicians, and support them where necessary, to ensure that
requests for information regarding clinical governance are returned within agreed
timeframes for assurance purposes.
5. Undertake impact assessments for new business and clinical processes to ensure that
clinical governance gaps have been identified, assessed and escalated if appropriate.
6. Support services in the Division to develop local clinical governance reporting structures at
team level.
7. Hold responsibility for the clinical governance oversight of all information requests received within the division — including, but not limited to, court orders, police requests, Subject Access Requests (SARs) and Freedom of Information (FOI) requests — ensuring robust
redaction assessments and assurance processes are undertaken in line with Information Governance legislation and organisational policy.
8. Work with Group Clinical Managers, Group Managers, Clinical/Professional Leads and the Patient Experience Lead to develop information on clinical services which is current and ensures Children and Families are able to access information as and when required.
Risk Management
1. Assist Governance lead with monitoring processes relating to incidents and complaints to ensure that agreed timescales are adhered to, action plans developed and followed up.
1 Collate and analyse data from the Risk Management System (Datix) as required for performance monitoring, audit and to support service reviews.
3.. Co-ordinate a programme of audit related to the risk agenda, ensuring compliance with
statutory duties, quality and principles of Governance and patient safety.
4. Develop an audit methodology to provide assurance that actions from PSIRF PSII or After
actin reviews have been implemented.
5. Ensure that information from Datix is used to inform clinical audits and notify possible risks
to the Clinical Governance Manager to ensure appropriate escalation.
6.Take the lead role, as required, on disciplinary investigations and PSIRF learning from incidents
7. Support staff with investigations arising from incidents including information gathering, ensuring actions from recommendations are monitored where appropriate and lessons learnt cascaded to services.
8. Ensure there is a system in place to ensure risk assessments are undertaken and any action arising is implemented and monitored.
9. Co-ordinate an ongoing risk assessment work plan to ensure risk assessments are within timescales for updates.
10. Co-ordinate and prepare reports for divisional and corporate committees and inspections by external regulators and internal auditors as required.
11. Identify and analyse trends from incidents for discussion at Divisional, Service and Team meetings in order to agree actions and implementation plans.
12. . Disseminate alerts and follow up responses as appropriate ensuring timescales are adhered to. Support clinical services with identification of equipment and processes which may pertain to alerts.
13. . Maintain close links and foster good working relationships with services within the division
and corporate departments as appropriate.
Clinical Audit and Effectiveness
1. Work with clinicians to ensure a programme of clinical audit activity is undertaken across the Division through the annual planning process. Maintain an overview of the Trust forward
audit plan.
2. Take lead responsibility for the development, review and monitoring of the Division’s Forward Audit Plan.
3. Support the Divisional Clinical Effectiveness and NICE Leads in monitoring the
implementation of actions arising from Audits and NICE Guidelines.
4. Support the Clinical Effectiveness Lead with co-ordinating the Clinical Effectiveness meetings, plan and ensure distribution of agenda and meeting papers and taking of minutes.
5. Support the development of annual clinical audit and effectiveness report.
6.. Attend meetings and represent the Division as directed by the Clinical Governance Manager which will include, but Is not exclusive to : Risk Management, Operational Development meeting, Corporate Clinical Effectiveness Committee, Infection Control Committee and Essence of Care.
Management and Leadership Responsibilities .
1. Have an understanding of the national perspective and future strategy for the NHS and related areas of health to ensure that staff in your team/s are fully aware of the implications and can contribute effectively to service improvement.
2. Develop and empower all members of your team to perform to high standards and innovate.
3. Ensure supportive staff management arrangements are in place and carry out appraisals/personal development reviews (PDRs) for direct reports. Ensure all staff in your team/s have annual PDRs resulting in specific objectives and effective personal development plans
4. Develop staff knowledge and skills to promote equality and diversity and address inequalities both in employment and service delivery. Ensure specific equality objective are included in PDRs.
5. Develop a working culture that ensures Health and Wellbeing and promotes a Great Place to Work and Learning for staff.
