Key Result Areas These are the key areas that support the purpose of the job Quality Governance/Risk Management Promote a positive safety culture throughout Family Care Division, reflecting the NHS Constitution key safety culture performance Co-ordinate the collection of data required for quality assurance across the Division and ensure databases are maintained where necessary Undertake spot checks of clinical practice in the family Care Division for quality Ensure all clinical incidents are reported, investigated and escalated in line with the Trust Incident Reporting Policy. Monitor the review of clinical incidents in Child Health and CAMHS Care Units, and in conjunction with the Head of Quality governance and care unit leadership teams, finally approve incidents Liaise with the Patient Safety Team to ensure all serious incidents are reported and escalated in line with Trust guidelines Co-ordinate investigations following serious incidents, near misses and accidents, and lead where indicated, and ensure these are reviewed at the appropriate Divisional/Trust meetings, and shared with commissioners, within agreed timescales. Facilitate a seamless process for informing patients/ families whose care is subject to an internal investigation, and for sharing the investigation report, ensuring that the Trusts Duty of Candour responsibilities are maintained Develop systems to provide feedback to staff who have been involved in clinical incidents Ensure that improvement plans from investigations/ assessments/ audits are SMART, and that outstanding actions are monitored through the Care Unit QGG Facilitate learning opportunities for staff where themes and trends are identified from incident and complaints Ensure there is a robust process for the review, development and archiving of policies, guidelines, protocols and patient information for services within the Family Care Division. Undertake risk assessments as indicated, ensuring they are presented at the Divisional Quality Governance Group and entered on the Divisional and Trust Risk register Ensure there is process to ensure the timely review of risks within the Care Units, and that the risk registers are updated Ensure the timely review of professional, NICE, other recommendations/ guidance relevant to the clinical services within the family care unit is undertaken by the Child Health and CAMHS Care Unit, and that a central database is maintained capturing this information, and areas of non-compliance are entered onto the appropriate risk register Maintain a plan of all internal/ external quality/ peer review/ accreditation requirements for the services within the Division and monitor progress with preparation/ compliance. Undertake specific case reviews where indicated and where sub-optimal care is identified, liaise with the relevant line manager/ clinical director, to ensure that the member of staff involved receives the appropriate education and training Participate in the Care Accreditation Scheme, nursing care and other quality assurance audits as required Ensure data are entered onto national reporting systems in a timely manner Provide direct support to the Care Units Quality Governance Group Chair and attend their meetings Assist the Care Units in the investigation of complaints as required Management and Leadership Demonstrate effective leadership at all times, acting as an advocate for patient safety and an influential role Contribute to the induction and competency programmes for clinical staff. Deputise for the Divisional Head of Quality governance and Risk Audit and NICE Provide a point of contact for matters relating to audit and NICE, representing the Division at relevant meetings and liaising with the Clinical effectiveness team and working closely with the Care Unit audit and NICE lead Ensure Care Unit annual audit plans are reflective of incident investigations Ensure a central audit plan is maintained for the Division and that there is a process for monitoring the completion and presentation of audits within the Care units Organise spot check audits arising from investigations of clinical care, and ensure results are cascaded to relevant staff groups Education and Training In partnership with the Lead for Clinical Education/Training, develop innovative methods of disseminating learning opportunities identified from clinical investigations and complaints Participate in education programmes and in-service training days as required Implement initiatives to increase staff awareness and engagement with safety culture Develop a failsafe process for ensuring staff are informed of new and updated clinical policies and guidelines Contribute to development plans for individual staff where learning needs have been identified Personal/ Professional Responsibilities Participate in the evaluation of own effectiveness through the staff appraisal process, identifying and acting upon development Work clinical shifts as required. Maintain personal professional status by ensuring that the requirements laid down by the relevant professional body for maintaining registration and re-validation are complied Maintain a professional portfolio in accordance with PREP requirements. Undertake mandatory training in accordance with Trust/ Divisional Demonstrate the Trusts Proud to Care values at all times