Job summary The Clinical Quality Manager will play a critical role in advancing the quality of care at EBPC. Working with the Head of Clinical Governance & Quality and the team this post is designed to work in partnership and collaboration to promote and monitor quality of care standards. This post will seek every opportunity to support and enable improvement through embedding quality improvement methodologies, overseeing incident management, and driving change to improve patient outcomes. As a senior manager and clinician within EBPC, your vast knowledge and experience will be valuable to our wider workforce through on call activities. P.S. Please note interviews will be held 16th & 17th December 2024 after shortlisting the CVs. Main duties of the job Support safe and effective service delivery within the clinical governance framework. Work with senior management and clinical teams to align governance activities with strategic objectives. Promote risk awareness amongst all staff and work with others to mitigate risk Investigate complaints and incidents Provide support and advice to Head of Clinical Governance & Quality and deputise as directed. Support and actively engage with the preparation for CQC and other quality inspections. Co-ordinate and support investigations where appropriate, ensuring that response are fit for purpose, addressing all issues of concern raised and identifying learning and actions for improvement Support the LFPSE and PSIRF approach in responding to patient safety incidents for learning and improvement. Ensure compassionate engagement and involvement of those affected by patient safety incidents. Provide considered and proportionate responses to patient safety incidents. Support oversight focused on strengthening service functioning and improvement. Champion a learning culture through comprehensive incident investigation, after action reviews, and the application of lessons learned. Ensure all communication with patients, relative and carers is open, honest and that investigations are transparent and independent. Collaborate with teams to ensure timely reporting, analysis, promoting transparency and continuous improvement. About us EBPC is a well-respected enabler of high-quality NHS services. Established 27 years ago as an out of hours GP service, we have now grown significantly and deliver a full range of services, 24/7, to support 111, Primary Care Networks, Integrated Care Systems, Acute and Community NHS Trusts. Date posted 07 November 2024 Pay scheme Other Salary £55,000 a year £7,000p.a. On Call Contract Permanent Working pattern Full-time Reference number B0322-24-0005 Job locations Inspired Easthampstead Road Bracknell Berkshire RG12 1YQ Job description Job responsibilities Clinical Governance Support safe and effective service delivery within the clinical governance framework. Work with senior management and clinical teams to align governance activities with strategic objectives. Promote risk awareness amongst all staff and work with others to mitigate risk Investigate complaints and incidents Provide support and advice to Head of Clinical Governance & Quality and deputise as directed. Support and actively engage with the preparation for CQC and other quality inspections. Co-ordinate and support investigations where appropriate, ensuring that response are fit for purpose, addressing all issues of concern raised and identifying learning and actions for improvement LFPSE and PSIRF Support the LFPSE and PSIRF approach in responding to patient safety incidents for learning and improvement. Ensure compassionate engagement and involvement of those affected by patient safety incidents. Provide considered and proportionate responses to patient safety incidents. Support oversight focused on strengthening service functioning and improvement. Champion a learning culture through comprehensive incident investigation, after action reviews, and the application of lessons learned. Ensure all communication with patients, relative and carers is open, honest and that investigations are transparent and independent. Collaborate with teams to ensure timely reporting, analysis, promoting transparency and continuous improvement. Policy and Compliance Assist in the regular review and update of clinical policies and procedures, ensuring compliance with NHS standards and statutory requirements. To analyse and translate national policy into local context to inform policy and strategy development. To support the clinical governance and quality agenda to harness best practice, improve standards and give consistency in outcomes. Support audits and regulatory inspections, coordinating responses and action plans to address findings. Quality Improvement Initiatives Develop and lead quality improvement projects, fostering a multidisciplinary approach to enhance patient care. Ensure learning from incidents, complaints, claims, reviews and inspections are shared including good practice. Monitor key performance indicators and create reports to inform senior management of trends, risks, and progress against quality objectives. Work with colleagues across EBPC to identify and resolve the barriers and potential enablers for improvement. Training and Education Provide training and support to staff on clinical governance, patient safety principles, and the LFPSE and PSIRF frameworks. Lead clinical supervision groups. Facilitate workshops and seminars to promote awareness and embed best practices across teams. Continuously promote learning and evaluation of changes and improvement. Collaboration and Communication Act as a liaison with external stakeholders, such as NHS Trusts and other healthcare partners, to share insights and coordinate joint quality initiatives. Attend and actively contribute to professional forums to inform and influence strategy, practice and processes. Ensure feedback from patients, staff and carers is effectively utilised in shaping service improvements. Contribute to the Clinical Governance & Quality Newsletters and Bulletins to enable shared learning to be disseminated across EBPC. Attend sites to assess quality oversight in relation to PHE campaigns, infection prevention and control, and medicines management. Other Requirements Ability to work in a fasted paced environment with priorities changing frequently. On call is on a rotational basis operating one week in four. Value diversity in the workplace. Positively represent the Clinical Governance & Quality team and EBPC at all times. High standards must be maintained in all dealings with managers, doctors, nurses, staff and non EBPC personnel to ensure that a professional image of EBPC is preserved at all times. You are required to adopt a flexible approach. You are required to deal with any real or potential safety hazards. Where doubt exists, the On Call Duty Manager is to be informed. You are required to maintain a mutually supportive working relationship with all EBPC staff. EBPC maintains a no smoking policy on premises and grounds. This post is one of continual development. The job description is intended as a guide to the principal duties and responsibilities of the post and complements individual objectives set in line with EBPC annual business objectives. Responsibilities will be reviewed periodically in line with service priorities and duties may change or new duties be introduced after consultation with the post holder. Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, EBPC staff and other healthcare workers. They may also have access to information relating to EBPC. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of EBPC may only be divulged to authorised persons in accordance with EBPC policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & Safety The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Making effective use of training to update knowledge and skills. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Equality and Diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development The post-holder will participate in any training programme implemented by EBPC as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Quality The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources Communication The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognize peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services The post-holder will: Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate. General Data Protection Regulation (GDPR) All members of staff are bound by the requirements of the General Data Protection Regulation 2018 and any breaches of the Act or of the confidential nature of the work of this post could lead to dismissal. P.S. Please note this job description may be subject to change at times due to the needs of the business. Job description Job responsibilities Clinical Governance Support safe and effective service delivery within the clinical governance framework. Work with senior management and clinical teams to align governance activities with strategic objectives. Promote risk awareness amongst all staff and work with others to mitigate risk Investigate complaints and incidents Provide support and advice to Head of Clinical Governance & Quality and deputise as directed. Support and actively engage with the preparation for CQC and other quality inspections. Co-ordinate and support investigations where appropriate, ensuring that response are fit for purpose, addressing all issues of concern raised and identifying learning and actions for improvement LFPSE and PSIRF Support the LFPSE and PSIRF approach in responding to patient safety incidents for learning and improvement. Ensure compassionate engagement and involvement of those affected by patient safety incidents. Provide considered and proportionate responses to patient safety incidents. Support oversight focused on strengthening service functioning and improvement. Champion a learning culture through comprehensive incident investigation, after action reviews, and the application of lessons learned. Ensure all communication with patients, relative and carers is open, honest and that investigations are transparent and independent. Collaborate with teams to ensure timely reporting, analysis, promoting transparency and continuous improvement. Policy and Compliance Assist in the regular review and update of clinical policies and procedures, ensuring compliance with NHS standards and statutory requirements. To analyse and translate national policy into local context to inform policy and strategy development. To support the clinical governance and quality agenda to harness best practice, improve standards and give consistency in outcomes. Support audits and regulatory inspections, coordinating responses and action plans to address findings. Quality Improvement Initiatives Develop and lead quality improvement projects, fostering a multidisciplinary approach to enhance patient care. Ensure learning from incidents, complaints, claims, reviews and inspections are shared including good practice. Monitor key performance indicators and create reports to inform senior management of trends, risks, and progress against quality objectives. Work with colleagues across EBPC to identify and resolve the barriers and potential enablers for improvement. Training and Education Provide training and support to staff on clinical governance, patient safety principles, and the LFPSE and PSIRF frameworks. Lead clinical supervision groups. Facilitate workshops and seminars to promote awareness and embed best practices across teams. Continuously promote learning and evaluation of changes and improvement. Collaboration and Communication Act as a liaison with external stakeholders, such as NHS Trusts and other healthcare partners, to share insights and coordinate joint quality initiatives. Attend and actively contribute to professional forums to inform and influence strategy, practice and processes. Ensure feedback from patients, staff and carers is effectively utilised in shaping service improvements. Contribute to the Clinical Governance & Quality Newsletters and Bulletins to enable shared learning to be disseminated across EBPC. Attend sites to assess quality oversight in relation to PHE campaigns, infection prevention and control, and medicines management. Other Requirements Ability to work in a fasted paced environment with priorities changing frequently. On call is on a rotational basis operating one week in four. Value diversity in the workplace. Positively represent the Clinical Governance & Quality team and EBPC at all times. High standards must be maintained in all dealings with managers, doctors, nurses, staff and non EBPC personnel to ensure that a professional image of EBPC is preserved at all times. You are required to adopt a flexible approach. You are required to deal with any real or potential safety hazards. Where doubt exists, the On Call Duty Manager is to be informed. You are required to maintain a mutually supportive working relationship with all EBPC staff. EBPC maintains a no smoking policy on premises and grounds. This post is one of continual development. The job description is intended as a guide to the principal duties and responsibilities of the post and complements individual objectives set in line with EBPC annual business objectives. Responsibilities will be reviewed periodically in line with service priorities and duties may change or new duties be introduced after consultation with the post holder. Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, EBPC staff and other healthcare workers. They may also have access to information relating to EBPC. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of EBPC may only be divulged to authorised persons in accordance with EBPC policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & Safety The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Making effective use of training to update knowledge and skills. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Equality and Diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development The post-holder will participate in any training programme implemented by EBPC as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Quality The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources Communication The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognize peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services The post-holder will: Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate. General Data Protection Regulation (GDPR) All members of staff are bound by the requirements of the General Data Protection Regulation 2018 and any breaches of the Act or of the confidential nature of the work of this post could lead to dismissal. P.S. Please note this job description may be subject to change at times due to the needs of the business. Person Specification Experience Essential Evidence of Continuous Professional Development Experience within the healthcare sector or NHS Experienced clinician with understanding of clinical standards in urgent and/or primary care Managing patient safety, clinical governance or risk Dealing with complaints to reduce risk Experience of working in a complex changing environment and ability to prioritise Desirable An ability to identify opportunities for service improvement Qualifications Essential Current qualification at degree level or equivalent Current registration as a Registered Nurse with NMC or Allied Health Professional with HCPC Desirable PSIRF training Skills & Knowledge Essential Experience of governance and risk management Understanding the role of CQC and CQC quality statements Experience and knowledge of Adult and Children Safeguarding Excellent written skills to produce documents to meet delivery needs Computer literate on Microsoft products Desirable Understanding of information analysis Understanding risk management systems Use of Adastra and EMIS Personal Attributes Essential Excellent inter-personal and communication skills Ability to work under pressure, prioritise workload and meet tight timescales Strong sense of commitment to openness, honesty and integrity Enthusiasm, ability to work independently and within a team Other Requirements Essential Commitment to promoting diversity and inclusion in the workplace Willingness to engage in ongoing professional development Ability to work collaboratively with senior management and other stakeholders to achieve organisational goals. Ability to travel between sites Person Specification Experience Essential Evidence of Continuous Professional Development Experience within the healthcare sector or NHS Experienced clinician with understanding of clinical standards in urgent and/or primary care Managing patient safety, clinical governance or risk Dealing with complaints to reduce risk Experience of working in a complex changing environment and ability to prioritise Desirable An ability to identify opportunities for service improvement Qualifications Essential Current qualification at degree level or equivalent Current registration as a Registered Nurse with NMC or Allied Health Professional with HCPC Desirable PSIRF training Skills & Knowledge Essential Experience of governance and risk management Understanding the role of CQC and CQC quality statements Experience and knowledge of Adult and Children Safeguarding Excellent written skills to produce documents to meet delivery needs Computer literate on Microsoft products Desirable Understanding of information analysis Understanding risk management systems Use of Adastra and EMIS Personal Attributes Essential Excellent inter-personal and communication skills Ability to work under pressure, prioritise workload and meet tight timescales Strong sense of commitment to openness, honesty and integrity Enthusiasm, ability to work independently and within a team Other Requirements Essential Commitment to promoting diversity and inclusion in the workplace Willingness to engage in ongoing professional development Ability to work collaboratively with senior management and other stakeholders to achieve organisational goals. Ability to travel between sites 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name East Berkshire Primary Care Address Inspired Easthampstead Road Bracknell Berkshire RG12 1YQ Employer's website https://www.ebpc.nhs.uk/ (Opens in a new tab)