Assistant Director of Quality Governance
In collaboration with the Hospital Leadership Team, provide highly visible leadership and direction to ensure that there are effective Quality Governance systems, implemented and devolved across the large, complex Hospital site, ensuring all risks are identified and managed via the Hospital's assurance framework processes.
The successful post holder will oversee and have responsibility for all elements of patient safety, clinical effectiveness and compliance for the Hospital site. An expert in the field, the post holder will be expected to provide pertinent, up-to-date professional advice and expert knowledge to the Hospital Director of Nursing and senior divisional management teams to support the successful delivery of corporate, professional, operational and clinical objectives.
Main duties of the job
The postholder will ensure that the Hospital complies with statutory, regulatory, contractual, and best practice requirements in relation to governance and quality, with effective assurance monitoring processes in place, through point of care to Hospital Assurance and Risk Group reporting and risk escalation processes. The post-holder will also provide expert patient safety advice and effective leadership across the Trust.
The Assistant Director of Quality Governance is responsible for determining and leading the risk, legal, regulatory compliance, incident management and patient safety agenda within Liverpool Women's Hospital NHS Foundation Trust (LWH). This involves working across organisational including colleagues within the University of Liverpool.
In line with the Patient Safety Incident Response Framework (PSIRF) and in collaboration with the Patient Safety Learning Response Leads, the post-holder will have responsibility for investigation and the learning responses for the Trust's most serious incidents and the implementation of associated learning. They will be responsible for managing the long-term implementation of learning that emanates from safety alerts, audits, and incidents by ensuring there are appropriate assurance mechanisms in place.
About us
Liverpool Women's NHS FT became part of NHS University Hospitals of Liverpool Group (UHLG) in November 2024, following the coming together with Liverpool University Hospitals NHS FT. UHLG was born from a shared aim to improve the care we provide to our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues who are dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, UHLG is also their local NHS, providing general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
At Liverpool Women's Hospital, each year we deliver approximately 7,500 babies, carry out around 50,000 gynaecological inpatient and outpatient procedures, care for over 1,000 poorly and premature newborns, perform around 1,000 IVF cycles, and conduct over 4,000 genetic appointments.
We believe that this, along with a strong dedication to research and innovation, makes us the specialist health provider of choice in Europe for women, babies and families.
Job responsibilities
Patient Safety Programme
* To lead the Trust's development in relation to the NHS Patient Safety Strategy and its associate actions to support current and future initiatives.
* Active participation in the Cheshire and Merseyside and Northwest of England Patient Safety Collaboratives.
* To be the organisational lead for patient safety including developing and maintaining relationships with internal and external patient safety improvement work stream leads.
* Working with the Director/Deputy Director of Nursing and Midwifery, and others to ensure that challenges and barriers to ensuring patient safety are identified and appropriate action is taken.
Patient Safety Management
* In conjunction with senior nursing, midwifery and medical colleagues, identify patient safety risks and problems and work to affect change to mitigate these risks.
* Provide highly specialist, expert knowledge on the management of risk with regards to patient safety.
* Management and analysis of the Trust's patient safety related information assets.
* Implement a cycle of audit that provides assurance of change following identification of lessons learnt, ensuring that action plans following all learning responses in line with PSIRF are tracked and monitored and clearly communicated with the ICB and CQC as requested.
* Ensure that the Trust Risk Management Strategy is fully implemented across the Trust and maintained to keep pace with regional, national and international developments.
* Coordinate special investigations into serious clinical incidents/adverse events and complaints. Gain the cooperation of senior clinicians involved in any serious event. Analyse and interpret findings and produce recommendations to changes in practice.
* Lead on the workings of any meetings in relation to PSIRF with consideration for the well-being of themselves and others. This is due to nature and threat of possible psychological harm in relation to the incidents under consideration.
Please see attached job description and person specification for a full list of duties.
Person Specification
Qualifications
* Educated to masters level or equivalent
* Evidence of continuing professional development to support the delivery of a senior role in quality governance
* Significant experience in a quality governance in a health care setting.
* Graduate qualification in a healthcare related field
Experience
* Experience of managing governance at a senior level in a large, complex healthcare Organisation; including evidence of strategic development and significant senior management experience.
* Proven track record of leadership, managing redesign and organisational change within and across a large and complex organisation
* Proven experience of managing staff from a range of professional backgrounds within an Acute NHS environment and in developing clinical teams.
* Significant experience in managing quality governance including incidents and complaints management, clinical effectiveness and compliance.
* Experience of integrated governance systems across quality governance boundaries
* Experience of Quality Improvement in Healthcare
Knowledge
* Demonstrates breadth and depth of understanding of current NHS policy and ability to develop strategies and policies and to implement them in practice
* Significant knowledge of statutory, regulatory requirements within governance in the NHS
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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