JOB PURPOSE/SUMMARY The post holder will work collaboratively within the Quality and Safety team and the wider multidisciplinary team to support the patient safety and quality improvement agenda. They will contribute to creating an organisational patient safety culture that focuses on high quality care standards and prevention of avoidable harm. This will be achieved by using evidence based practice, lessons learned and data to identify incident themes and areas for improvement. The post holder will be responsible for supporting effective governance and risk systems across maternity and gynaecology services. They will work closely and collaboratively with the quality and safety team leaders and the womens services management team to ensure effective communication systems are in place and to ensure excellent standards of care and compliance with national and local standards. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Support the quality and safety leads and womens services management team and to ensure all governance arrangements and reporting structures are in place and effective. Utilise leadership, communication, influencing and negotiating skills in the provision of advice, support and guidance to the multidisciplinary team to ensure that learning from incidents makes a positive difference to patient safety. Ensure the compliance of all relevant Trust wide policies and guidelines within maternity and gynaecology and that all safety alerts are disseminated in a timely manner and any actions are reported. Participate in clinical audit and make recommendations for practice. Regularly attend clinical governance meetings and provide specialist patient safety and quality improvement advice. Review and develop information packages for service users. Escalate any factors which are impeding the delivery of a high quality service to the quality and safety team leaders and senior management team as appropriate. Support benchmarking of service delivery against the national pathways, identify gaps and develop strategies for quality improvement. Use a variety of data such as incidents and outputs from Morbidity and Mortality meetings, to identify any themes and trends that require further investigation and action. Contribute to written monthly, quarterly and annual reports on risk / incidents complaints issues identifying trends, making recommendations for action and progress on implementation of actions for dissemination. Maintain databases of adverse outcomes and service reviews as appropriate. Identify, instigate and lead on / participate in specific quality improvement projects related to patient safety. Ensure compliance with Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met. Contribute to the multidisciplinary morbidity and mortality reviews and the dissemination of learning and feedback following review. Liaise with Professional Midwifery Advocates (PMA) if appropriate to make sure that all staff involved in clinical incidents and investigations are supported. Review and develop guidelines and align to local and national standards. Evaluate service user feedback and disseminate trends and themes through shared learning platforms. Network with other quality and safety midwives/nurses across the region and nationally as appropriate to share best practice and learning. Maintain the highest level of confidentiality; the post holder must exercise considerable initiative in dealing with incidents which are not only complex but distressing. Maintain professional development to enable the development, delivery and evaluation of outstanding evidence based care. Work within the NMC Code. Undertake mandatory and priority training within the required time scales Participate in own and others appraisals Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration Actively promote and use the Leeds Improvement method to improve the quality and safety of the service Work closely with Research and Innovation to promote research, disseminate outcomes and findings to support evidence based practice Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the LTHT safeguarding policies. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes. Undertake duties on other wards or departments as and when required by service demands or patient need. THE LEEDS WAY VALUES Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are: Patient-centred Collaborative Fair Accountable Empowered All our actions and endeavours will be guided and evaluated through these values WEST YORKSHIRE ASSOCIATION OF ACUTE TRUSTS (WYAAT) Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients. By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change. WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition. INFECTION CONTROL The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment. HEALTH AND SAFETY / RISK MANAGEMENT All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed security and safer working procedures, and reporting incidents using the Trust Incident Reporting system EQUALITY AND DIVERSITY The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. TRAINING AND PERSONAL DEVELOPMENT CONTINUOUS PROFESSIONAL DEVELOPMENT The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role. 11. COMMUNICATION & WORKING RELATIONSHIPS Clinical Director Director of Midwifery Womens CSU General Manager Deputy Head of Midwifery/Nursing Matrons Team leaders Quality and Safety Team leaders Clinicians Administration staff Nurse specialist post-mortem consent Bereavement services Specialist bereavement Midwife/Nurse Third sector organisations General practitioners Quality and Safety midwives from other organisations Service users SPECIAL WORKING CONDITIONS i) PHYSICAL EFFORT: Combination of standing, sitting, walking Travelling between hospital sites Responding to changing situations in patch May carry out some clinical tasks If undertaking clinical duties - Moving & Handling of patients and equipment: Patients 10-120kg (with lifting aids) Equipment medical equipment, specialised mattresses (weight 1-20kg) ii) MENTAL EFFORT: The post requires frequent amounts of concentration for reviewing data, accuracy and attention to detail is essential. The post holder will be frequently interrupted by urgent or non-urgent enquiries received verbally be telephone or email at any time. iii) EMOTIONAL EFFORT: The post will involve dealing with highly emotive situations on a daily basis. The post holder will convey highly sensitive information requiring empathy and reassurance. There will be some direct liaison with families. Families may exhibit challenging behaviour due to their circumstances. The post holder will be required to engage with a wide and diverse range of staff that may involve negativity and challenge, requiring a positive approach and an ability to respond to challenge. iv) WORKING CONDITIONS: The post holder must be able to cope with a diverse workload. The workload can be unpredictable and at times there will be a need to reprioritise scheduled work in response to operational, CSU and corporate pressures.