Quality Improvement:
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. Work with clinicians, area leads and matrons to identify quality improvement opportunities in all areas.
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 implementing 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 at the Maternity Investigation Group and assist with investigations within scope of responsibility including term unexpected admissions to NICU and re-admissions to NICU.
10. Prepare thematic reviews from cases and disseminate learning.
ATAIN
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
1. Devise and track a safety dashboard for use in the division and update following the safety champion meetings.
Guidelines
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
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:
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:
1. Participate in regular meetings of ward/unit staff, attends 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. Comply with the departments fire regulations. Ensure the proper reporting of all accidents/incidents.
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. The post holder will also attend debrief meetings 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.
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