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Detailed job description and main responsibilities

Please see attached Job Description for further information 
about the Quality Governance Business Partner  position available at WUTH.

Patient Safety

Lead the effective implementation of the Trust’s incident management and patient safety incident policies across division of responsibility.

Responsibility to escalate aspects of noncompliance with policy to divisional leadership.

Support staff in aligned services to report all new incidents and assign an investigator in a timely manner.  Support accurate scoring of risks and incidents and planning suitable actions to address reoccurring issues.

Provide expert advice and challenge to ensure that incidents are appropriately investigated and that areas for improvement are identified; with robust action plans in place to reduce the likelihood of recurrence

Support patient safety investigations through all learning processes agreed by the Senior Business Partner.

Support Divisional staff to undertake immediate case reviews of patient safety incidents leading to (or potentially leading to) significant harm or significant learning, providing advice and solving problems or queries, and chasing progress to ensure they are ready for presentation at the Directorate and Divisional quality meetings.

Support the collation of evidence that complete action plans.

Support the implementation of trust governance processes within the directorate and division.

Plan, deliver and facilitate improvement events and opportunities for experiential learning

Risk

To ensure high quality risk management is embedded, enhanced and maintained and promote learning and development of all staff in risk processes and Trust risk policies - ensuring that a positive, open and supportive risk management culture is adopted and embedded throughout the Division.

To support implementation of divisional risk management systems and processes, forward planning, promoting debate and implementing effective reporting and monitoring systems.

To be a source of expert risk knowledge and advice for Divisional and directorate leaders

To work with the Senior Business Partner to drive forward the quality governance agenda across the division.

Support development of regular Divisional Risk Management Reports for the Trust Risk Management Committee.

To compile reports as required by the Senior Business Partner.

To ensure that processes for risk identification and escalation are working effectively.

To systematically analyse and review risk performance indicators including several complex components such as complaints, incident report forms, claims and litigation – ensuring that attention is immediately paid to high risk areas, and that learning is disseminated as appropriate.

Risk registers

To support the continual improvement and management of the Divisional risk registers.

To review the directorate risk registers to look at trust trends and concerns raised across the Division and report to the Divisional Quality Board

To analyse Divisional and Directorate Risk Register submissions in conjunction with the relevant lead, challenging those which appear to be inappropriately graded and escalating as appropriate and to provide feedback and support to risk leads and senior managers in order to improve the overall quality of and approach to risk register maintenance.

To support the integration of trust wide risk management.

To ensure all risk registers are maintained, discussed, managed and actioned regularly at relevant Monitoring / Management Group(s) and any trust level risks are escalated to the appropriate Committees.

Forward plan risk management programmes across all directorates including the review and adjustment of those plans based on mitigating evidence presented by risk leads.

Liaise with staff across the Trust to ensure the timely compilation and production of risk registers utilising an appropriate range of sources and identifying relevant controls and assurance and to ensure the onward reporting of all appropriate and relevant risks to the Divisional Quality Board and Risk Management Committee.

Support the identification of gaps in control and assurance and where necessary develop action plans to address these.

To work with senior managers within directorates and departments to improve the quality of directorate and departmental risk registers, ensuring that services are formulating effective risk treatment plans to address risks successfully and to advise on the establishment of risk scores.

To work collaboratively with staff, using developed analytical skills, to identify risk management priorities pertinent to particular areas or departments within the aligned division(s).

To work closely with other professionals and managers with risk management implications including Health and Safety, staff welfare, complaints, inquests and claims, training and development and clinical governance.

Complaints

Support oversight of the Divisional management of complaints, escalating to Senior Business Partner where complaint management is outside of performance or quality expectations.

Clinical Outcomes

Monitor the divisional clinical outcomes processes including clinical audit, benchmarking and compliance with best practice.

Escalating both gaps in agreed processes and gaps in compliance to the Senior Business Partner.

Clinical Guidance

Maintain oversight of the divisional compliance with the trust policies relating to clinical guidance, to include; NICE implementation, review of policies by policy author within the division, review of clinical guidelines by author within the division and review of Patient Information by author within the division.

Liaise with the central governance leads for clinical guidance to ensure guidance proceeds through divisional approval and assurance processes prior to submission for document management and dissemination by the central service. General

Contribute to the delivery of corporate objectives on risk and patient safety. Support the Senior Business Partner to promote quality, customer service, improve patient care by identifying areas of concern and repeated service failure.