������ýAPP

Detailed job description and main responsibilities

PATIENT SAFETY

To develop and implement a sustainable and robust Trust wide system for patient safety/reporting incidents and maintain this database.

To report all Patient Safety Incident Investigations (PSII)/ Never Events in line with the ensure that a full investigation is instigated in line with the national Patient Safety Incident Response Framework (PSIRF) and local Trust PSIRF policy and plan , within the appropriate timescales.

To ensure reporting of all relevant incidents to outside agencies such as RIDDOR or MHRA in a timely manner.

To support immediate follow up of incidents in line with legislative and contractual Duty of Candour requirements and internal review processes.

To support the production of timely investigation reports to the relevant Committees such as weekly Potential Significant Event meeting, Serious Incident Review Group, Clinical Governance and any other committee requiring PSII/incident reports (Pressure Ulcer Review Group, Falls Steering Group, Maternity incident review meetings).

To provide guidance and support for investigating officers to ensure robust evidence collection and report production. To undertake the role of investigation when required, using systems analysis methodology.

In order to produce appropriate assurance reports, there will be a responsibility to analyse data and audit the outcomes.

To monitor PSII/Never Events and ensure the implementation of action plans.

To support managers in implementation of recommendations following learning and/or improvement activity arising from incident responses.

To ensure the incident reporting process has ongoing evaluation and any learning is translated in to change.

To support development, maintenance and implementation of key policies including the Incident Reporting Policy, the Being Open/Duty of Candour Policy and CAS Policy to ensure these are reviewed and evaluated on a regular basis (at least annually) and take account of national legislation.

To receive reports from the Learning from Patient Safety Events (LfPSE) which will be reviewed, monitored and appropriate actions plans produced.

To provide timely reports for relevant Committees such as Audit and Operational Governance Groups, Patient Safety Surveillance Committee and Clinical Governance Committee.

To lead and develop information resources pertinent to patient safety as a resource for the Trust, including the exranet.

To be responsible for the efficient dissemination of quality and patient safety related information across the Trust, such as dashboards, newsletters, Safety Practice Alerts and reports.

Undertake surveys/audit activity provide reports and feedback to managers and staff.

To support/lead the implementation of Patient Safety Improvement work streams in line with PSIRF methodology i.e. falls, pressure ulcers, medication safety.

Support the sharing of learning from death reviews and data analysis as part of patient safety reporting.

Ensure process for CAS alerts/Field Safety Notices is implemented across the Trust

Respond to any Freedom of Information Act requests that are relevant to the patient safety team

Ensure attendance at all relevant Patient Safety meetings

PROJECTS AND DEVELOPMENT

To develop and lead project plans detailing the key actions, responsibilities, timescales and milestone dates to meet the appropriate deadlines.

To clarify and develop project scope, definition and terms of reference in order to plan effectively.

Monitor and evaluate project work in order to facilitate the achievement of project objectives while ensuring projects are kept to agreed timetables.

INPHASE

Support the patient safety manager as Trust lead for the Inphase implementation project and be the responsible person and contact in all related queries/issues associated with the project

Responsible for the development and maintenance of modules within Inphase, in conjunction with appropriate specialist leads: to include Incident, Complaints, Risk, Claims and PALS, mortality and freedom to speak up.

To ensure effective implementation of Inphase across the organisation.

To produce data for key performance indicators, statistical reports and trend analysis reports as required/requested by others through interrogating the Inphase database for the requested information.

To ensure responses to incidents are appropriate and timely, with support to relevant areas and appropriate escalation where this does not occur.

CENTRAL ALERT SYSTEM (CAS)

To support the distribution and co-ordinator of CAS/NPSA alerts and Field Safety Notices

To ensure appropriate systems are in place for acting on alerts which are relevant to SWFT.

To monitor CAS Alerts that are received and ensure that relevant information is included in the CAS Report which will be available to relevant Committees such as the Audit and Operational Group, Patient Safety Group.

To undertake audits as appropriate on the implementation of advice given through CAS.

RISK/COMPLIANCE

To support the CQC and other external assessments for SWFT. To provide, collate and maintain robust evidence of compliance using an electronic system. To ensure action plans are in place for any ongoing requirements.

To be a key player in the development of a SWFT training programme for staff leading incident responses or engaging with patient/staff support, using the systems analysis techniques.

CULTURE

To ensure the the principles of the NHS England Patient Safety Strategy and “Being Open” are embedded as part of SWFT culture. This will include the use of the Manchester Patient Safety Framework as a self-reflection tool in order to measure the maturity of an organisation.

The post holder will be responsible for ensuring the self-assessment takes place at least annually and will provide a gap analysis and action plan, which will be reported to the corporate risk department

To be a key player in implementing and sustaining a process of sharing, learning and feedback as a whole systems approach across SWFT.

KEY RELATIONSHIPS

• Patient Safety Manager
• Local risk management system Administrators
• Healthcare Governance Support Officers
• Chief Nursing Officer
• Head of Governance
• Executive Directors
• Governance Team
• Modern Matrons
• Ward and Department Managers
• Associate Chief Medical Officers of Divisions and of Governance
• Clinical Directors
• Associate Chief Operating Officers
• Legal Services Co-ordinator
• H&S/Risk Manager
• Integrated Commissioning Board/NHS England/NHS Improvement/CQC

The post holder will be required to act within delegated financial and budgetary requirements.