Job summary The post holder will be an essential member of the Quality and Safety Governance Team, providing expert advice and leadership across the organisation in relation to the patient safety incident investigations (PSII), ensuring rigorous systems and processes are in place for managing learning from patient safety events, in line with PSIRF (Patient Safety Incident Response Framework) and informing the Trusts quality improvement programmes. The priorities for this postholder are to support timely investigations and reporting of significant clinical incidents in line with PSIRF. To contribute to the training of the PSIRF tools, including the training of After Action Review conductors and to deliver AAR's, as and when required. This role can be based at either Bedford or Luton. However, this role will require cross site working. Previous applicants need not apply for this role. Main duties of the job Oversee clinical risk reduction programmes including the incident reporting Delivering education and training programmes for PSII investigation and PSIRF principles and practices and Duty of Candour Facilitating Patient Safety Incident investigations (PSIIs), After Action Reviews and other PSIRF tools Support, lead and develop more junior members of staff within the team and contribute to the induction of all members of the team, including those more senior About us Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available. Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible. All new staff will be subject to a probationary period covering their first six months in post. Travel between hospital sites may be required. Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job. Date posted 03 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum Contract Permanent Working pattern Part-time Reference number 418-COR9396-CW Job locations To be confirmed (Bedford or Luton) Bedford / Luton MK42 9DJ Job description Job responsibilities Actively promote a culture that encourages staff to report incidents and near misses without fear of recrimination or censure and encourages openness and honesty Play a key role in ensuring incidents are investigated and analysed in accordance with the national patient safety strategy (including PSIRF when appropriate), and that preventative measures are in place to prevent recurrence Provide After Action Reviews upon request in a timely manner and support delivery of training for new AAR conductors. Contribute to ensuring incident forms are fully and accurately completed before upload to the National Reporting and Learning System (NRLS) Contribute to ensuring that reports from the NRLS are disseminated and acted upon in an accurate and timely way Contribute when needed to high level Committee and Clinical Service Line reports, including statistical data and trend analysis on incidents and near misses highlighting current risks that may impact negatively on patients, the public and the organisation Contribute to the delivery of training for all staff groups and support the Clinical Risk and Safety Investigations Manager in the development and delivery of such training, at all levels of the Trust and including input into Corporate Induction and mandatory training programmes Advise on new and existing legislation national standards and guidance, implementing national risk management initiatives and ensuring compliance Ensure that lessons learned from individual incidents, and general themes that emerge from systematic reporting, are recognised and applied for the benefit of the Trusts patient safety improvement programme Assist and advise clinical service lines, and other staff undertaking investigations, of clinical incidents (in line with PSIRF) and near misses, alerting the litigation manager and complaints manager to cases of possible claim or complaint Support the Clinical Risk and Safety Investigations Manager in the identification and management of PSIIs, Never Events and RCAs which may arise through a variety of ways e.g. a series of unexpected outcomes, near misses or concerns amongst professional staff from both inside or outside the Trust, and trends in incident reporting or audit Provide advice and assist in the investigation of incidents as required and co-ordination and implementation of actions arising from such investigations Develop links with other Clinical Risk Managers to network, and share knowledge and professional development Support when required, the Executive Leads for the Risk Management Strategy, coordinating the work streams which link clinical risk with patient safety Job description Job responsibilities Actively promote a culture that encourages staff to report incidents and near misses without fear of recrimination or censure and encourages openness and honesty Play a key role in ensuring incidents are investigated and analysed in accordance with the national patient safety strategy (including PSIRF when appropriate), and that preventative measures are in place to prevent recurrence Provide After Action Reviews upon request in a timely manner and support delivery of training for new AAR conductors. Contribute to ensuring incident forms are fully and accurately completed before upload to the National Reporting and Learning System (NRLS) Contribute to ensuring that reports from the NRLS are disseminated and acted upon in an accurate and timely way Contribute when needed to high level Committee and Clinical Service Line reports, including statistical data and trend analysis on incidents and near misses highlighting current risks that may impact negatively on patients, the public and the organisation Contribute to the delivery of training for all staff groups and support the Clinical Risk and Safety Investigations Manager in the development and delivery of such training, at all levels of the Trust and including input into Corporate Induction and mandatory training programmes Advise on new and existing legislation national standards and guidance, implementing national risk management initiatives and ensuring compliance Ensure that lessons learned from individual incidents, and general themes that emerge from systematic reporting, are recognised and applied for the benefit of the Trusts patient safety improvement programme Assist and advise clinical service lines, and other staff undertaking investigations, of clinical incidents (in line with PSIRF) and near misses, alerting the litigation manager and complaints manager to cases of possible claim or complaint Support the Clinical Risk and Safety Investigations Manager in the identification and management of PSIIs, Never Events and RCAs which may arise through a variety of ways e.g. a series of unexpected outcomes, near misses or concerns amongst professional staff from both inside or outside the Trust, and trends in incident reporting or audit Provide advice and assist in the investigation of incidents as required and co-ordination and implementation of actions arising from such investigations Develop links with other Clinical Risk Managers to network, and share knowledge and professional development Support when required, the Executive Leads for the Risk Management Strategy, coordinating the work streams which link clinical risk with patient safety Person Specification Qualifications Essential oEducated to degree level or equivalent training and management experience or clinical and social care services experience oKnowledge of clinical risk management and clinical governance systems with significant experience in risk management, patient safety incident investigations (NHS) Desirable oClinical Qualification oRisk Management Diploma or equivalent Experience Essential oExperience of working in clinical risk management oProven track record and experience of successful working with colleagues, senior managers and clinicians oExperience in conducting investigations using the PSIRF and RCA principles and methodology oTo have training skills and experience in delivering presentations and workshops for all levels of staff Desirable oAfter Action Reviews Knowledge Essential oHave a good understanding of Corporate and Clinical Governance oBe proficient in report writing including an organised, analytical style, analysis of contributory factors and an ability to draw robust conclusions oBe proficient in the use of the InPhase risk management system (or similar) and how to generate reports oKnowledge of PSIRF principles and tools oKnowledge of Duty of Candour Desirable oProject management skills oTrained to train AAR conductors Person Specification Qualifications Essential oEducated to degree level or equivalent training and management experience or clinical and social care services experience oKnowledge of clinical risk management and clinical governance systems with significant experience in risk management, patient safety incident investigations (NHS) Desirable oClinical Qualification oRisk Management Diploma or equivalent Experience Essential oExperience of working in clinical risk management oProven track record and experience of successful working with colleagues, senior managers and clinicians oExperience in conducting investigations using the PSIRF and RCA principles and methodology oTo have training skills and experience in delivering presentations and workshops for all levels of staff Desirable oAfter Action Reviews Knowledge Essential oHave a good understanding of Corporate and Clinical Governance oBe proficient in report writing including an organised, analytical style, analysis of contributory factors and an ability to draw robust conclusions oBe proficient in the use of the InPhase risk management system (or similar) and how to generate reports oKnowledge of PSIRF principles and tools oKnowledge of Duty of Candour Desirable oProject management skills oTrained to train AAR conductors 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 Bedfordshire Hospitals NHS Foundation Trust Address To be confirmed (Bedford or Luton) Bedford / Luton MK42 9DJ Employer's website https://www.bedfordshirehospitals.nhs.uk/working-here/ (Opens in a new tab)