Quality Improvement and Sustainability Lead
We are seeking a dynamic and passionate Maternity Quality Improvement and Sustainability Lead to join our dedicated team. In this role, you will be pivotal in driving quality improvement initiatives, helping us to provide outstanding care for all those who access our service. You will play a key role in ensuring that we meet and exceed national standards for care. You will work with a wide range of key stakeholders as part of a friendly and supportive team to ensure the outstanding care given is sustainable.
Main duties of the job
The post holder will be instrumental in driving positive change, ensuring compliance with regulations and overseeing and monitoring QI projects within the maternity and gynaecology services. This will include influencing organisational culture by championing sustainability, driving innovation and encouraging continuous improvement, especially regarding ongoing cost savings. The post holder will assist the team with evidence gathering for external submissions and liaise closely with area leads and matrons to ensure lessons are learnt following incidents.
Together with the Obstetric Lead for Governance, the Governance Lead Midwife and the other members of the governance team, the post holder will support the implementation of the safety strategy and clinical governance objectives within Maternity. They will work with the lead clinicians within maternity, Professional Midwifery Advocates, Midwifery matrons, Medical and Midwifery staff to identify clinical risk issues and implement changes in practice resulting from QI projects, incidents, and ATAIN, progressing the implementation of recommendations from multidisciplinary meetings.
Job responsibilities
Quality Improvement: to include level of responsibility for:
1. Assist in the development and oversee a rolling programme of quality improvement initiatives based on the priorities of the maternity service specialty specific and the trust priorities.
2. Take the lead on identifying problem areas or areas for improvement and facilitate the planning and documentation of actions required to achieve the required standard.
3. Plan and organise activities to implement the quality agenda, promoting a multidisciplinary collaborative approach to quality improvement.
4. Review and adjust existing strategies for quality monitoring and improvement as services develop in the context of service delivery changes, developing new strategies as required.
5. Assist with gathering evidence and action plans for the department safety strategy and keeping this up to date.
6. Promote best practice and implement innovations in care.
7. Track and follow up on actions devised following incidents.
8. Assist with action planning following 72-hour reviews, serious incident reports and HSIB reports.
9. Participate in the Maternity Investigation Group and assist with investigations within the scope of responsibility including term unexpected admissions to NICU and readmissions to NICU.
10. Prepare thematic reviews from cases and disseminate learning.
ATAIN: to include level of responsibility for:
1. Compile a monthly review of all neonatal admissions/readmissions in collaboration with the lead neonatal sister and Paediatric Consultant and record on the ATAIN Audit Tool.
2. Oversight of CNST action 3 in collaboration with the SCBU Matron and clinical leads.
3. Review all neonatal readmissions in collaboration with the Community Midwifery Manager and Operational Leads as required.
4. Present monthly admissions/readmissions trends at Directorate perinatal meetings.
5. Prepare the yearly ATAIN Project Plan to meet CNST requirements and ensure robust communications in order to achieve required outcomes.
6. Prepare and present quarterly updates of the ATAIN Project Plan at the Directorate perinatal meetings.
7. Ensure regular communication and collaboration with senior neonatal staff and the Community Midwifery Manager.
8. Escalate to the relevant midwifery manager, operational lead and/or infant feeding specialist midwife when concerned about the care plans or professional practice relating to women/babies being cared for; ensuring safe services are maintained.
9. Promote evidence-based practice within the maternity service.
Safety Champions: to include level of responsibility for:
1. Devise and track a safety dashboard for use in the division and update following the safety champion meetings.
Guidelines: to include level of responsibility for:
1. Review all guidelines in line with NICE monitoring forms to ensure compliance.
2. Escalate non-compliance via correct pathway.
3. Review new NICE guidelines against current guidance and identify changes required.
4. Track guideline due dates and send to authors when required.
5. Circulate guidelines and collate comments.
6. Chair Guideline Group meeting.
7. Send approved guidelines for publishing.
Sustainability: to include level of responsibility for:
1. Ensure all service improvements are sustainable and valuable.
2. Work with the senior maternity and financial teams to have oversight of SIP.
3. Work with all members of the maternity and gynaecology team to identify areas for service improvement and savings.
4. Work with the multidisciplinary team to reduce wastage in the service.
Clinical Responsibilities: to include level of responsibility for:
1. Report any untoward incidents. Maintain security.
2. Maintain the supply and custody of drugs, medicines etc., including keeping of agreed register.
3. Ensure that measuring, administration and recording of all drugs and medicines is carried out in accordance with the rules of the NMC, and as laid down in Trust policy.
4. Support accurate and contemporaneous records of all care by all staff.
Managerial responsibilities: to include level of responsibility for:
1. Participate in regular meetings of ward/unit staff, attending as a representative at other meetings when required.
2. Maintain a safe working environment in accordance with the Health and Safety at Work Act, etc., and local policies.
3. Participate in investigations of any complaints.
4. Understand and carry out NHS Trust Policies as contained in Ward/Unit.
5. Participate in the development of Clinical Governance initiatives in conjunction with the Clinical Governance Midwifery Manager and monitor implementation and performance.
6. Attend Directorate/Board/external meetings in the absence of the Clinical Governance Midwifery Manager and update/present cases as required.
7. Prepare progress and update reports for Maternity, Divisional and Board meetings.
The post holder will work clinically across the Maternity Service to maintain own competence and credibility.
Person Specification
Education and Training
* Registered Midwife
* Degree level qualification or equivalent experience
* Formal training in the area of digital healthcare
Knowledge and Skills
* Highly skilled in the use of digital technologies
* Knowledge of clinical systems relevant to maternity and neonatal care
* In-depth understanding of the Maternity Services Data Set (MSDS), maternity metrics and ability to apply maternity data to improve service delivery
Experience
* Service development experience, delivering clinical quality improvements and successful service change
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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