Clinical Governance, Quality and Risk Manag

Clinical Governance, Quality and Risk Manager/Nottingham/Tollerton/Permanent/Full Time

Spire Nottingham Hospital has an exciting opportunity for a Clinical Governance, Quality and Risk Assesment Manager to join the team on a permanent basis.

Our vision is to be recognised as a world class healthcare business bringing together the best people who are dedicated to developing excellent clinical environments and delivering the highest quality patient care.

Duties and responsibilities:

• To work closely with the Director of Clinical Services, Hospital Director, Lead Consultant for Clinical Governance and the MAC Chair in driving clinical excellence, quality and the Clinical Governance Framework within the hospital.
• To take an active role in ensuring compliance with all hospital regulatory requirements and implementation of the Patient Safety and Incident Response Framework (PSIRF).
• Undertake incident analysis and identify barriers to good practice/areas of concern and liaise with Heads of Departments to develop remedial actions and to support in the embedding and maintenance of good practice.
• To display and promote excellent clinical leadership in all areas of the hospital. To promote excellent customer service throughout the hospital, facilitating and co-ordinating corporate and local customer service initiatives and providing appropriate support to colleagues.
• To provide and develop strong leadership for all aspects of the role initiating optimal clinical standards, managing business objectives, and aspiring to being the leading private healthcare provision within the locality.
• To promote and facilitate effective and timely lines of communication within the teams, building relationships with all customer groups, and effecting delivery of actions.

Integrated Governance

• Support all departments in ensuring compliance with CQC and or external and internal PSQR audits and actions.
• Produce the quarterly Governance and Quality Reports and provide support in the compilation of other Governance related reports using a wide range of databases including DCIQ, AMaT and excel work sheets.
• Initiate the investigation of Incidents in a timely manner via the Incident Reporting system and appropriate escalation of incidents. To support colleagues in the collation and submission of information within timescales as per corporate policy, for example duty of candour. Initiate and implement PSIRF requirements effectively within the hospital.

Clinical Governance

• Support the Director of Clinical Services in assessing, monitoring and reviewing performance and support the preparation for inspection or assessment visits from the CQC and other relevant regulatory bodies.
• Attendance at the suite of Governance meetings, prepare and provide associated clinical governance update reports (as required).
• Ensure the efficient co-ordination of data required in advance for meetings such as Clinical Governance Committee to ensure it functions effectively, in line with Spire Healthcare policy.
• In collaboration with the Director of Clinical Services, review and update relevant strategies, policies and procedures.

Clinical Leadership

• To work closely with all clinical departments promoting patient focused high quality care.
• To act as an exemplary role model and ensure evidence-based practice is undertaken within all clinical teams taking every opportunity to promote innovative practice.
• Lead, support and empower colleagues to realise their full potential.
• Adopting a multi-disciplinary approach, in conjunction with colleagues, work to develop an organisational culture which encourages professionals to review practice, report untoward incidents and share lessons learnt without fear of recrimination or censure.

Risk Management

• Manage and co-ordinate clinical and corporate risk management activities ensuring compliance with relevant regulatory bodies.
• Ensure appropriate reporting, investigation and management of incidents is undertaken in accordance with requirements of CQC and HSE. Develop and devise procedures as necessary.
• Co-ordinate the dissemination, integration and implementation of corporate and local policies and procedures. Work with colleagues to develop appropriate policies where appropriate, and ensure they are reviewed within the required time frames.
• Adopting a multi-disciplinary approach, in conjunction with colleagues, work to develop an organisational culture which encourages professionals to review practice, report untoward incidents and share lessons learnt without fear of recrimination or censure.
• Maintain and monitor the clinical and corporate risk assessment library, ensuring that risks are reviewed as per Spire policy.

Who we're looking for:

• Registered with NMC or HCPC is desirable.
• Relevant clinical qualification desirable, however not essential if equivalent experience in quality improvement or clinical governance experience can be demonstrated.
• Previous experience operating at senior level
• Experience of undertaking clinical audits
• Experience of undertaking Root Cause Analysis
• Attended and obtained recent PSIRF training
• Quality Improvement (QI) or Project Management qualification/training.
• Computer literate with a comprehensive understanding of word and excel and be able to transfer data into charts with Excel and other programmes.
• Good facilitation and interpersonal skills.
• Ability and experience of collating data, interpreting data accurately, report writing and minute taking, demonstrating excellent attention to detail

Benefits:

We offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to:

• 35 days annual leave inclusive of bank holidays
• Employer and employee contributory pension with flexible retirement options
• 'Spire for you' reward platform - discount and cashback for over 1000 retailers
• Free Bupa wellness screening
• Private medical insurance
• Life assurance

Our Values:

We are extremely proud of our heritage in private healthcare and of our values as an organisation:

• Driving clinical excellence
• Doing the right thing
• Caring is our passion.
• Keeping it simple
• Delivering on our promises
• Succeeding and celebrating together

We commit to our employees' well-being through work life balance, on-going development, support and reward.

Spire Healthcare is a leading independent hospital group in the United Kingdom and the largest in terms of revenue. From 39 hospitals and 8 clinics across England, Wales and Scotland, Spire Healthcare provides diagnostics, inpatient, day case and outpatient care.

Spire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.

Closing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.

For us, it's more than just treating patients; it's about looking after people.