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Job summary

Main area
Quality, Safety and Governance Matron
Grade
NHS AfC: Band 8a
Contract
Fixed term: 13 months (Fix Term)
Hours
Full time - 37.5 hours per week
Job ref
407-WCCSS-6376271
Employer
Walsall Healthcare NHS Trust
Employer type
NHS
Site
Walsall Manor Hospital
Town
WS2 9PS
Salary
£50,952 - £57,349 Per annum
Salary period
Yearly
Closing
31/07/2024 08:00

Employer heading

Walsall Healthcare NHS Trust logo

Quality, Safety and Governance Matron

NHS AfC: Band 8a

Walsall Healthcare NHS Trust provides integrated acute and community Healthcare in the West Midlands serving a population of 260,000 residents. Walsall Manor Hospital houses the full range of district general hospital services. The £170 million development was completed in 2010 and we are continually upgrading. Construction of the new integrated critical care unit was completed in 2018, extension of a Neonatal Unit and an approved plan to build a brand new, state of the art Emergency Department which commenced in 2021

We provide high quality, friendly and effective community health services from multiple sites covering Walsall. Our multidisciplinary services include rapid response and homebased care, so that those with long term conditions and the frail elderly can remain in their own homes.

We are recommended by colleagues as a place to work which is supported by the trusts values to work as part of a team, being respectful, compassionate and professional. We are committed to investing in our workforce

Following our recent CQC visit the Trust was rated as outstanding for care and this has been recognised by NHS Improvement. 

The work we do is highly rewarding, and in addition to an attractive salary, we offer a valuable range of benefits, including: salary sacrifice scheme; car leasing scheme; on-site staff accommodation (subject to availability); the ability to retain your NHS pension (where applicable) or the opportunity to join an alternative scheme; and the opportunity to develop and implement your expertise in an encouraging yet challenging environment

We would particularly welcome applications from people from a Black, Asian and Minority Ethnic background and from people with a disability; these groups are currently under-represented at senior level, we value diversity within our Trust and are working to achieve equality in our recruitment.
 
COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment at this time, we do encourage our staff to get vaccinated. We will be checking the vaccination status of all new starters so that we can manage individual and environmental risks, and so that we can support those who may be undecided about vaccination. If you are unvaccinated there is helpful advice and information at COVID-19 Vaccination | How to access your vaccine in the Black Country and West Birmingham (blackcountryandwestbirmccg.nhs.uk) where you can also find out more about how to access vaccination. There is a current Government consultation underway which will determine whether some new starters may need to be vaccinated.
 

Walsall Healthcare NHS Trust is proud to be part of the Armed Forces Covenant.  The Trust currently holds the Bronze Award which underlines the Trust’s commitment to supporting the Armed Forces Community.  As an organisation, we are aiming to achieve the next level Silver award, with our sights firmly on Gold.

 

 RESPECT - COMPASSION - TEAMWORK - PROFESSIONALISM

 


 

Job overview

The post holder will assist the Director of Midwifery, Gynaecology and Sexual Health in the development of the professional midwifery agenda to achieve consistency of practice, high standards of care and innovation with a strong patient safety focus. The post holder will be the expert in all matters of governance, quality and safety within the women’s services directorate and be able to support all staff working within it. They will work in conjunction with the Divisional Management Team to ensure the delivery and achievement of the group's objectives and contribute to the strategic policies for midwifery and women’s services.

The post holder will support the Director of Midwifery, Gynaecology and Sexual Health to champion the excellent care of women and their families through professional leadership, in service learning and supporting staff to help establish Walsall Healthcare NHS Trust as a leader in the field of women’s services

Main duties of the job

Responsible for:

Assist the Director of Midwifery, Gynaecology and Sexual Health in the development of the professional midwifery and women’s health agenda to achieve consistency of practice, high standards of care and innovation with a strong patient safety focus.

Be highly visible, proactive, and accessible, acting as an expert and quality resource and ensuring the sustained delivery of high standards of nursing care and service delivery, to staff, patients and the public.

Support the Care Group in ensuring the governance structure and appropriate processes are in place, ensuring timely, incident review management, monitoring of action plans and shared learning takes place. Foster close working relationships and promote a positive safety culture, working collaboratively with all staff including healthcare professionals and relevant external organisations.

Provide professional leadership and management to the existing Governance Team (Risk Midwife, Audit Midwife, Project midwife, ATAIN and Saving Babies Lives Midwife, Bereavement Team and Patient Experience Midwife.

Work with the Divisional Management Team to ensure the delivery and achievement of the objectives and contribute to the strategic policies for women’s services.

Support the Director of Midwifery, Gynaecology and Sexual Health to champion the excellent care of women and their families through professional leadership through implementation of excellent governance standards.

 

Working for our organisation

Have accountability for the provision and implementation of a robust maternity governance strategy in line with the wider organisation and local, regional, and national standards.

Create an environment of continuous quality improvement that is responsive to service developments and supports service leads to manage their risk effectively. Ensuring this is aligned to key objectives and Trust priorities for quality improvement.

 

To take lead responsibility for working with the clinical staff to identify risks, carry out risk assessments, report risks appropriately ensuring effective patient safety and clinical outcomes and optimum patient experience.

 

Lead on and ensure that the priorities around the Single Delivery Plan for Maternity services, HSIB, CNST, CQC, PMRT, SBLCB and recommendations from national reports (e.g. East Kent, Ockenden) and investigations are tracked, monitored, and implemented in time frames required and appropriately escalate any concerns.

 

 

Communicate complex and sensitive information.

 

The post holder will act as a key member of the Management Team contributing fully to the development delivery and achievement of the women’s services objectives with the ability to deputise for the Head of Midwifery as required.

 

The post holder will participate in a senior manager on call rota for maternity services.

 

To project manage service developments as delegated, to ensure key targets are achieved.

 

 

 

Detailed job description and main responsibilities

Duties & Responsibilities

Professional

  • Working with the Director of Midwifery, Gynaecology and Sexual Health and the Head of Midwifery, Gynaecology and Sexual Health the post holder will ensure the effective implementation of a comprehensive and systematic approach to Clinical Governance in Women’s services.
  • Ensure the effective implementation of a comprehensive and systematic approach to Clinical Governance in Women’s services.
  • Ensuring that all aspects of clinical risk are robustly and effectively managed in the interest of women's safety.
  • Promote a culture in which reporting incidents and undertaking root cause analysis is normal practice and is recognised by staff as a means of improving the safety of staff and service users.
  • Ensure robust mechanisms whereby lessons learnt are shared systematically in the workplace and integrated into practice.
  • Encourage a culture of continual improvement of the management of women safety.
  • Educate support and advise senior managers and clinicians responsible for carrying out investigations of incidents and near misses including identification and implementation of action plans and ensure measures are in place to prevent incident recurrence.
  • Implement robust systems, and risk management arrangements to support women's safety, staff safety and local, regional, and national compliance agenda which support best practice and governance.
  • Develop and encourage a culture of continuous quality and service improvement to enable change and to help deliver better services.
  • Support reflective practice and ensure that robust debriefs are conducted where necessary.
  • Coordinate the monitoring and review of women’s services complaints, incidents and clinical risks throughout the Directorate, developing and monitoring action plans, in consultation with the Director of Midwifery Gynaecology and Sexual Health
  • Support the directorate in undertaking appropriate investigations of serious cases working closely with corporate governance on all matters of patient safety and governance.
  • Ensure clinical guidelines are developed in partnership with clinicians, ratified through the Trust Clinical Governance System, effectively distributed, disseminated, and used within Women’s Services.
  • Ensure that the Divisional Management team are appraised in a timely manner of any incidents with a level of harm of moderate or above.
  • The post holder will be required to lead in issues/projects within the directorates in relation to National NHS Performance targets and National Service Frameworks

Clinical

  • Promote clinical expertise within the midwifery teams.
  • Ensure ongoing quality improvement and continually evaluate standards of care.
  • Challenge traditional boundaries and collaborating with other stakeholders to introduce new ways of working.
  • Ensure views of patients and carer's are represented in relation to clinical care needs and care pathways.
  • Act as a point of contact for professional, expert/specialised advice, guidance, and support for the service.
  • Lead the development of an environment that supports effective multi-professional teamwork.
  • Promote clinical governance throughout all levels of the MDT to ensure inclusivity.
  • Participate in the Trusts “Back to the floor” initiative and clinical skills for 25% of the role.

Education

  • Support the development and learning agenda by ensuring that governance is imbedded in all practices.
  • Participate in activities to actively promote and shine a light on women’s services nationally.
  • Support the senior management team by making a contribution women’s services educational agenda and long-term strategic plans for education, training and clinical practice
  • Publish and present innovation and research findings that will share learning and knowledge whilst raising the profile of women’s services.
  • Act as a preceptor/mentor to other senior midwives including coaching and succession planning.
  • Ensure clinical supervision structures are in place where appropriate and implemented and their effectiveness monitored on a regular basis.
  • Implement systems to set standards/protocols and monitor and audit practice.
  • Actively promote evidence-based practice.
  • Work in close collaboration with the Director of Midwifery to enhance the quality of midwifery care.

Management and Governance

  • Participate in the development of the Division's overall strategic objectives.
  • Ensure investigation of complaints, legal cases, accident reports and untoward incidents in a timely and appropriate manner by liaising as necessary with staff, addressing any quality issues that arise following the investigation of complaints.
  • To participate in the formulation of policy and procedure development across the specialties.
  • Empower all staff within the service to engage in conflict and problem resolution working proactively and positively collaboratively with PALS.
  • To be the clinical lead for Women’s services governance and link appropriately with the corporate governance team and divisional lead for governance.
  • To lead on systems and processes for robust ward to board reporting of maternity and neonatal safety
  • Develop close and effective working relationship with the Trust Legal advisers, Patient Advice and Liaison and the Complaints office to support the complaints process within the Care Group in ensuring that learning is embedded and triangulated within the governance processes.
  • Provide patient safety and governance reports to the Director of Midwifery Gynaecology and Sexual Health for directorate and Trust Committees, collating key quality indicators to support assurance mechanisms to demonstrate compliance with key standards and to escalate where improvements need to be made.
  • To represent the directorate as required providing professional advice, feedback and contributing to both nursing and service development.
  • To have an overview of patient and public involvement work and feedback within the directorate and support the continued development of this and opportunities for service development.
  • Manage a team of midwives and risk management individuals who are part of the Women’s Services governance team.
  • Authorised signatory to sign off, e.g. travel expenses/ overtime payments/ agency or Bank timesheets, less than £1,000 per month.

 Other Duties

The information supplied above is intended to summarise the key responsibilities and duties of the role and is not an exhaustive list. The post holder may be required to carry out other reasonable requests and duties as requested, consistent with the responsibilities of their Banding and development as agreed between employee and manager.

Be responsible for supporting the delivery of quality care and professional standards and the development of leadership capacity within the directorate.

Person specification

Other

Essential criteria
  • As role will include being on a manager on call, rota experience of this is essential
  • Have a current driving licence

Qualifications

Essential criteria
  • Educated to BA or BSc degree level or equivalent.
  • Master’s level in healthcare related subject or evidence of working to that level
  • Recognised management/ leadership qualification or equivalent demonstrable experience.
  • Registered midwife/ nurse with current clear NMC registration

Experience

Essential criteria
  • Comprehensive understanding of the background to and aims of patient safety, clinical audit and improvement methodologies.
  • Demonstrable recent experience in an acute maternity setting
  • Demonstrable experience of designing tools and measures for use in compliance activity and audit methodology.
  • Up to date proven knowledge of national maternity policy and strategy
  • Ability to effectively lead collaborative groups through redesign processes
  • Extensive knowledge and experience in the management of incidents
  • Previous experience of working in a senior role within quality, and patient safety
  • Risk management experience and the management of risk registers
  • Extensive experience of producing highly analytical reports
  • Experience managing a team of midwives/ nurses

Skills

Essential criteria
  • Excellent influence and negotiating skills
  • Excellent time management skills
  • Proactive and able to act on initiative
  • Ability to manage a high workload and delegate where appropriate
  • Work to strict and conflicting deadlines
  • Excellent IT skills, including MS Word, Excel, PowerPoint, Outlook
  • Excellent planning and organisational skills
  • Excellent written and verbal communication skills with staff at all levels both internal and external.
  • Excellent report writing skills with attention to detail and proof-reading skills
  • Ability to prioritise workload and respond to changing demands
  • Excellent problem solving skills
  • Ability to provide and handle complex enquiries and sensitive situations

Knowledge

Essential criteria
  • Clear understanding of clinical governance, regulatory compliance, and quality standards
  • Excellent knowledge and proven leadership in the implementation, monitoring, and management of the recommendations of Ockenden Reports, Saving Babies Lives Care Bundle, Clinical Negligence Scheme for Trusts (CNST), Maternity Incentive Scheme, Local Maternity and Neonatal System (LMNS), East Kent Report and the Maternity Single Delivery plan
  • Ability to analyse complex facts, data and situations and develop a range of options and present these to representatives from across the Maternity Service
  • The ability to devise and implement a rigorous and analytical approach to information collection and presentation
  • The ability to devise project plans and work programmes, working independently and as part of a team
  • Highly developed leadership, initiative and drive
  • Ability to motivate, develop and manage staff
  • Take decisions on difficult and contentious issues where there may be a number of options

Employer certification / accreditation badges

Apprenticeships logoNo smoking policyPositive about disabled peopleInvestors in PeopleMindful employer.  Being positive about mental health.Disability confident employerStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Armed 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
Sally Giddings
Job title
Head of Midwifery, Gynaecology and Sexual Health
Email address
[email protected]
Telephone number
01922 721172
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