Job summary The post holder will support the daily management of patient safety processes and manage effectively the investigation of patient safety incidents that occur within Offender Healthcare & Forensics in line with the requirement of the NHS Patient Safety Incident Response Framework. The post holder will oversee thorough investigations into patient safety incidents, as necessary, using the patient safety incident response framework, ensuring: - Compassionate engagement and involvement of those affected by patient safety incidents - Application of range of system based approached to learning from patient safety incidents - Considered and proportionate responses to patient safety incidents - Supportive oversight focused on strengthening response system functioning and improvement The post holder will ensure that Service Users and their Carers/Families, Trust Staff and where appropriate, third parties are fully involved in the investigative process. Main duties of the job The post holder will have oversight and provide support to investigators, review final reports and support quality checking of all reports prior to circulation to directorate leads; and supporting the patient safety incident team with collation of information for reports required internally and externally. The post holder will raise risk concerns to the directorate leads. The post holder will provide supervision and support to the patient safety incident investigator and inquests assistant. About us Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people. Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values: We're Kind We're Fair We Listen We Care Date posted 13 March 2025 Pay scheme Agenda for change Band Band 8a Salary £59,490 to £66,239 a year pa inc Contract Fixed term Duration 12 months Working pattern Full-time Reference number 277-7040460-FOR Job locations Bracton Centre Bracton Centre, Bracton Lane, Leyton Cross Road, Dartford, DA2 7AF Job description Job responsibilities Patient Safety Management Provide expert advice to all staff on matters related to Patient Safety Incidents and Investigations, ensuring compliance at all times with local and national guidance. Ensure compliance with all statutory reporting requirements at all times. Thoroughly review investigations into patient safety incidents, adjusting plans or strategies as necessary and request further evidence. Provide support to the incident investigators and inquests assistants. All risks identified to be escalated to the directorate leads. Conduct team reviews and ensure this provides an opportunity for the team to contribute to the findings of the final report. Team reviews will be conducted in line with the Being Open principles. Using the SEIPs model, provide support to investigators when required to interview a wide range of staff and about their involvement in patient safety incidents in difficult circumstances to establish the facts, including interviewing reluctant witnesses. Obtain specialist advice in relation to investigations and PSIRF to improve and influence the care and treatment of patients when required. Provide and receive complex, sensitive and contentious information relating to patient safety incidents and other investigations and present this information to teams and groups as appropriate. Ensuring Duty of Candour processes have been adhered to. Liaise with patients next of kin following a safety incident and ensuring investigators are actively engaging with the next of kin and providing updates. Investigators will advise the Patient Safety Incident Team Lead on the quality, suitability and effectiveness of completed investigation reports. Post holder will provide advice on how to present complex, unwelcome and sometimes distressing information to a range of internal and external stakeholders including patients next of kin, senior clinicians and front line professionals. Critically evaluate and analyse complex, diverse and sometime contradictory evidence from a wide range of sources. The post holder will make recommendations as to whether staff involved in incidents need to be dealt with through other processes using the principles of the Just Culture e.g. disciplinary investigations, police investigations, professional bodies. Produce, develop and present complex quality reports and analysis on incidents to the Trust Board, associated committees and for internal and external reporting requirements as required, with identified learning and thematic analysis. Participate in the development of an effective team and the development of productive working relationships throughout the Trust. Remain impartial and objective at all times. Advise, encourage and share knowledge utilising the latest research and practice development, through literature and peer reviews. Apply the principles and practice of blame free incident investigation across a diverse range of clinical services and recognise when specialist expert opinion is required. Contribute to the development and improvement of systems and processes for investigations and lead on allocated improvement projects. Inquest management The post holder will provide supervision to the inquests assistants. The post holder will review legal documents and provide guidance on legal submissions. Take referrals from the Coroners Office and complete the Coroners investigation/inquest process as required. Carry out a review of medical records to identify the relevant staff to contribute to the coronial request. Be responsible for identifying and implementing a system for the dissemination of learning following inquests. The post holder will raise any risk concerns to the directorate leads. The post holder will liaise with the Trusts Comms service for all high risk inquests. Support staff involved in coronial investigations and inquests and assist in obtaining statements as necessary for submission to HM Coroner. The post holder will keep track of court deadlines and liaise with directorate leads if any issues arise. Attend Pre Inquest Review Hearings on behalf of the Trust and conduct advocacy. Protecting Trust clinicians and pressing for a favourable outcome for the Trust as far as possible. At times may be required to act as a representative for Inquest hearings on behalf of the Trust. To obtain external legal representation and supporting legal personnel with inquest hearings. Reviewing witness statements in line with medical records and external reports such as Clinical Reviews and Prison and Probation Ombudsman reports. Service of witness statements in a timely manner ensuring deadlines are not missed with the Courts. Completing NHS Resolution funding requests for complex Article 2 inquests. To update the Trusts Legal Team for funding requests for inquests. Liaising with the Trusts Legal Team for obtaining external advice and raising any issues relating to Claims. Ensuring staff are well prepared for Inquests and have the necessary documentation and understand their obligation to assist the Coroner with the investigation. Provide and obtain legal advice for Trust matters. Conduct staff training on inquests and obtaining external support from panel firms for staff. The post holder will assist external lawyers on legal submissions and make recommendations. The post holder will ensure a favourable outcome for the Trust. Information Management Contribute to the organisations analysis of risk to the patient by utilising the Trust Datix web database for recording information, analysing and reporting on untoward incidents and recording assessments of risk To use Datix web analysis to create incident trend reports. To support the collation of clinical information for Board Level Inquiries and Independent Homicide Investigations. To be competent in the use of clinical information systems across all directorates. Research The post holder will support service directorates to undertake PSIRF, PDSA cycles and action plan reviews of patient safety incidents. To review research and national guidance that relates to the improvement of patient safety culture across the organisation. To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other services. Communication Contribute to regular reports from the Patient Safety Workstream to the Trust Patient Safety Group, Quality Committee, Board of Directors. Act as a conduit to ensure that issues of patient safety are communicated as appropriate to the relevant clinical teams and to the executive. Ensure that reports and analyses of incidents are provided as required to the various committees and individuals within the Trust with responsibility for monitoring patient safety within the organisation. Be competent in attending relevant meetings across the organisation to ensure that patient safety issues are discussed and addressed. Be competent in delivering presentations to a variety of professionals. Communicate with external agencies as required to ensure that the Trust is compliant with all requirements on external reporting and to ensure that the Trust contributes to regional and national patient safety improvement programmes. Attend regional and national meetings and conferences to represent the Trust and ensure that the Trust participates in local, regional and national initiatives to improve patient safety. Discuss sensitive and contentious information with staff from all levels of seniority within the Trust, maintaining confidentiality and integrity at all times. To use empathetic skills when liaising with services who have been involved in a patient safety incident. To communicate with patients next of kin during the investigation of patient safety incidents process. To demonstrate a high degree of competence in communicating complex information both verbally and in writing. The ability to speak in public and address formal and informal meetings with colleagues both internally and externally to the Trust as required. To demonstrate the skilled ability to write analytical reports and present these to outside agencies. To participate in the PDR process according to Trust guideline Custodial Responsibilities Assume personal responsibility for the security of issued keys. Understand and comply with prison orders, procedures, and instructions in your area of work. Comply with all security requirements. Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate. Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol. Contribute to effective risk assessment and management procedures. Job description Job responsibilities Patient Safety Management Provide expert advice to all staff on matters related to Patient Safety Incidents and Investigations, ensuring compliance at all times with local and national guidance. Ensure compliance with all statutory reporting requirements at all times. Thoroughly review investigations into patient safety incidents, adjusting plans or strategies as necessary and request further evidence. Provide support to the incident investigators and inquests assistants. All risks identified to be escalated to the directorate leads. Conduct team reviews and ensure this provides an opportunity for the team to contribute to the findings of the final report. Team reviews will be conducted in line with the Being Open principles. Using the SEIPs model, provide support to investigators when required to interview a wide range of staff and about their involvement in patient safety incidents in difficult circumstances to establish the facts, including interviewing reluctant witnesses. Obtain specialist advice in relation to investigations and PSIRF to improve and influence the care and treatment of patients when required. Provide and receive complex, sensitive and contentious information relating to patient safety incidents and other investigations and present this information to teams and groups as appropriate. Ensuring Duty of Candour processes have been adhered to. Liaise with patients next of kin following a safety incident and ensuring investigators are actively engaging with the next of kin and providing updates. Investigators will advise the Patient Safety Incident Team Lead on the quality, suitability and effectiveness of completed investigation reports. Post holder will provide advice on how to present complex, unwelcome and sometimes distressing information to a range of internal and external stakeholders including patients next of kin, senior clinicians and front line professionals. Critically evaluate and analyse complex, diverse and sometime contradictory evidence from a wide range of sources. The post holder will make recommendations as to whether staff involved in incidents need to be dealt with through other processes using the principles of the Just Culture e.g. disciplinary investigations, police investigations, professional bodies. Produce, develop and present complex quality reports and analysis on incidents to the Trust Board, associated committees and for internal and external reporting requirements as required, with identified learning and thematic analysis. Participate in the development of an effective team and the development of productive working relationships throughout the Trust. Remain impartial and objective at all times. Advise, encourage and share knowledge utilising the latest research and practice development, through literature and peer reviews. Apply the principles and practice of blame free incident investigation across a diverse range of clinical services and recognise when specialist expert opinion is required. Contribute to the development and improvement of systems and processes for investigations and lead on allocated improvement projects. Inquest management The post holder will provide supervision to the inquests assistants. The post holder will review legal documents and provide guidance on legal submissions. Take referrals from the Coroners Office and complete the Coroners investigation/inquest process as required. Carry out a review of medical records to identify the relevant staff to contribute to the coronial request. Be responsible for identifying and implementing a system for the dissemination of learning following inquests. The post holder will raise any risk concerns to the directorate leads. The post holder will liaise with the Trusts Comms service for all high risk inquests. Support staff involved in coronial investigations and inquests and assist in obtaining statements as necessary for submission to HM Coroner. The post holder will keep track of court deadlines and liaise with directorate leads if any issues arise. Attend Pre Inquest Review Hearings on behalf of the Trust and conduct advocacy. Protecting Trust clinicians and pressing for a favourable outcome for the Trust as far as possible. At times may be required to act as a representative for Inquest hearings on behalf of the Trust. To obtain external legal representation and supporting legal personnel with inquest hearings. Reviewing witness statements in line with medical records and external reports such as Clinical Reviews and Prison and Probation Ombudsman reports. Service of witness statements in a timely manner ensuring deadlines are not missed with the Courts. Completing NHS Resolution funding requests for complex Article 2 inquests. To update the Trusts Legal Team for funding requests for inquests. Liaising with the Trusts Legal Team for obtaining external advice and raising any issues relating to Claims. Ensuring staff are well prepared for Inquests and have the necessary documentation and understand their obligation to assist the Coroner with the investigation. Provide and obtain legal advice for Trust matters. Conduct staff training on inquests and obtaining external support from panel firms for staff. The post holder will assist external lawyers on legal submissions and make recommendations. The post holder will ensure a favourable outcome for the Trust. Information Management Contribute to the organisations analysis of risk to the patient by utilising the Trust Datix web database for recording information, analysing and reporting on untoward incidents and recording assessments of risk To use Datix web analysis to create incident trend reports. To support the collation of clinical information for Board Level Inquiries and Independent Homicide Investigations. To be competent in the use of clinical information systems across all directorates. Research The post holder will support service directorates to undertake PSIRF, PDSA cycles and action plan reviews of patient safety incidents. To review research and national guidance that relates to the improvement of patient safety culture across the organisation. To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other services. Communication Contribute to regular reports from the Patient Safety Workstream to the Trust Patient Safety Group, Quality Committee, Board of Directors. Act as a conduit to ensure that issues of patient safety are communicated as appropriate to the relevant clinical teams and to the executive. Ensure that reports and analyses of incidents are provided as required to the various committees and individuals within the Trust with responsibility for monitoring patient safety within the organisation. Be competent in attending relevant meetings across the organisation to ensure that patient safety issues are discussed and addressed. Be competent in delivering presentations to a variety of professionals. Communicate with external agencies as required to ensure that the Trust is compliant with all requirements on external reporting and to ensure that the Trust contributes to regional and national patient safety improvement programmes. Attend regional and national meetings and conferences to represent the Trust and ensure that the Trust participates in local, regional and national initiatives to improve patient safety. Discuss sensitive and contentious information with staff from all levels of seniority within the Trust, maintaining confidentiality and integrity at all times. To use empathetic skills when liaising with services who have been involved in a patient safety incident. To communicate with patients next of kin during the investigation of patient safety incidents process. To demonstrate a high degree of competence in communicating complex information both verbally and in writing. The ability to speak in public and address formal and informal meetings with colleagues both internally and externally to the Trust as required. To demonstrate the skilled ability to write analytical reports and present these to outside agencies. To participate in the PDR process according to Trust guideline Custodial Responsibilities Assume personal responsibility for the security of issued keys. Understand and comply with prison orders, procedures, and instructions in your area of work. Comply with all security requirements. Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate. Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol. Contribute to effective risk assessment and management procedures. Person Specification Education/Qualifications Essential Qualification at Masters level and /or equivalent level of experience Clinical or Legal Experience Other relevant training e.g. relating to leadership, Datix, patient safety Experience Essential Demonstration of experience of working within clinical settings. Experience of patient safety, legal, clinical incident reporting & risk management. Experience of audit and evidence of improvement of services A track record of building effective working relationships with internal colleagues Skills/Abilities/Knowledge Essential Knowledge, understanding and competencies of investigation tools, techniques and methodologies. Experience of patient safety incident investigations within a large complex organization using PSIRF methodologies Able to investigate and analyse incidents, analyse research and national guidelines to improve practice Empathy, ability to deal with highly emotive patients / relatives and staff. Person Specification Education/Qualifications Essential Qualification at Masters level and /or equivalent level of experience Clinical or Legal Experience Other relevant training e.g. relating to leadership, Datix, patient safety Experience Essential Demonstration of experience of working within clinical settings. Experience of patient safety, legal, clinical incident reporting & risk management. Experience of audit and evidence of improvement of services A track record of building effective working relationships with internal colleagues Skills/Abilities/Knowledge Essential Knowledge, understanding and competencies of investigation tools, techniques and methodologies. Experience of patient safety incident investigations within a large complex organization using PSIRF methodologies Able to investigate and analyse incidents, analyse research and national guidelines to improve practice Empathy, ability to deal with highly emotive patients / relatives and staff. 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Employer details Employer name Oxleas NHS Foundation Trust Address Bracton Centre Bracton Centre, Bracton Lane, Leyton Cross Road, Dartford, DA2 7AF Employer's website http://oxleas.nhs.uk/ (Opens in a new tab)