Patient Safety Reviewer

Description:

Patient Safety Reviewer

Job Purpose

The post holder will be participating in the delivery of learning and change following deaths and serious incidents involving patients/service users under the care of the Trust. The post holder will lead mortality and learning reviews, using nationally accepted methodologies in conjunction with Clinical Divisions, enabling them to identify changes that need to be made to enhance safety and quality.

Recognises, reports, analyses, evaluates, and minimises clinical and associated non-clinical risk throughout the organisation, promoting good practice in risk management and reduction

Conducts quality checks, manage all incidents reported within a division and/or across the Trust

Plans, facilitates, and monitors adverse incidents when they occur.

Lead on the specific programme of transition to the Patient Safety Incident Response Framework.

Take a lead role in the design and development of the Quality, Risk, Incident Response, induction, and Patient Safety culture training programme.

Promote Patient Safety Culture throughout the Trust as part of the Quality Strategy.

Location: Winwick

Job Type: Temporary

Duration of booking: Expected to last 3 months with possible extension

Proposed start date: ASAP

Pay Rates: £23 per hour PAYE inclusive of holiday pay

Hours / Working Days: 37.5 hours per week / Monday to Friday, 9am – 5pm

Sector: Healthcare

Based: Office / Hospital

Skills, Knowledge and Experience

Graduate/higher level education or equivalent.

Evidence of continuous personal development at senior/middle management level.

Qualification in a risk related discipline at diploma or equivalent

Experience of working in a clinical governance, patient safety or research related area.

Experience of leading and managing change.

Experience of designing and delivering training programs.

Experience of quality checking clinical incidents

Experience of undertaking and/or supporting a root cause analysis investigation

Experience of proactive risk assessment

Well-developed analytical and strategic visioning skills

Ability to use data and information effectively to set and monitor performance.

Ability to communicate complex issues effectively to a wide range of audiences.

Ability to build effective collaborative relationships across organisational boundaries.

Ability to analyse complex situations and problem solve.

Facilitation skills, able to assist other staff in problem solving and decision making.

Knowledge and understanding of both clinical risk assessment and management within the NHS.

Main Duties and Responsibilities

Implement the Learning from Deaths policy.

Undertake, in association with clinical colleagues, mortality reviews as per national and local guidance.

To evaluate the care, treatment and support in place when deaths and serious incidents have occurred in order to inform improvement in the safety and quality of services provided by the Trust.

To facilitate timely and inclusive case specific reviews; to establish the facts, identify pos-sible contributory or causal factors, highlight resultant learning, consider improvements re-quired and recommendations from the reports of reviews undertaken.

To lead comprehensive reviews (Level 2 as set out in the NHS England guidance relating to Root Cause Analysis (RCA) into circumstances which are highly complex, sensitive con-tentious and which require clinical interpretation.

Provide advice and support to those affected by serious untoward events and their carers (meeting with managers/practitioners/clinicians/relatives following serious incidents to con-sider issues arising, learning resulting and service responses required).

The post holder will analyse the outcomes of a series of incidents, identifying similar is-sues, making recommendations for future learning to the Divisional Directors concerned.

The post holder will be the lead reviewer for all the incident reviews that they are working on, organising and coordinating the work of associate reviewers and advisory panels.

The post holder will support Chairs (Executive Director and Non-Executive Directors) dur-ing the lifetime of a level three adverse inclined review.

The post holder will develop an expertise in review techniques through attendance at na-tional courses, through analysing the outcomes of local reviews and consideration how improvements could be undertaken and by the reading of specialist articles /reports.

The post holder will ensure that deadlines set by commissioning are met or those re-quests for extensions are requested in a timely manner and with sufficient rationale to be accepted.

To undertake and actively participate in the mortality review process, identifying individual learning points and thematic trends.

Responsible for planning the process of reviews, within the parameters set by external guidance and the case specific terms of reference, organising and arranging own work and coordinating the work of others.

The post holder will use data systems to collate information for the use in reports and to identify the need for future reviews.

The Post holder will manage several reviews at one time, creating systems and processes to ensure that data from one incident review does not inappropriately contaminate another.

Based upon the findings and recommendations arising from the review of serious incidents the post-holder will inform changes to practice and policy of the service area subject to review and other service areas, both within the Division and across the Trust. The findings and recommendations will impact upon audit activity; initiating or amending audit pro-cesses.

Liaise with Division and Trust staff to ensure lessons learnt from reviews are acted upon and used positively to improve and develop services.

Attend Division and Trust Governance meetings as required, and support training and development days/ sessions throughout the year. Support the communication of follow on actions, after consulting with i.e. the line manager, other senior managers/clinicians, and recommendations from groups or committees.

Provide clinical support to the identification of incidence, themes, trends, recurrence and lessons learned from analysis of RCA, clinical audit and effectiveness data (e.g. regular reports to Quality Assurance Committee)