Head of Quality

The post holder will be responsible for the delivery of a robust governance framework within a defined locality/specialism as part of the Care Hub Triumvirate leadership team supporting the delivery of a high quality, safe and supportive health services and to support the quality and governance agendas of Pennine Care NHS Foundation Trust.

The post holder will be responsible for co‑ordinating all quality and governance activity including the development and / or implementation of policies, risk management strategies, training programmes and audit activity.

The post holder will be responsible for the planning, delivery and review of a comprehensive range of mental health services.

The post holder will participate in the on call rota.

Main duties of the job

• To be a core member of the care hub tier 3 triumvirate working alongside the care hub associate director and clinical director to ensure effective planning, delivery and review of a comprehensive range of mental health services within the care hub.
• To hold joint responsibility for the management of the care hub ensuring the effective implementation of both national and local strategies and the achievement of service objectives within available resources.
• To represent the care hub at a senior level in both internal and external meetings.
• To receive escalations for the care hub in relation to patient safety, experience and effectiveness and to ensure appropriate management of these to mitigate/reduce any identified risk.
• To support teams to understand their responsibility and accountability for safety, experience and effectiveness, including undertaking difficult conversations with staff and/or teams to hold them to account when concerns are raised in relation to clinical practice impacting on patient safety and quality of care.

About us

We are proud to provide high quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester – Bury, Oldham, Rochdale, Stockport and Tameside and Glossop.

Our vision is for a happier and more hopeful life for everyone in our communities and our staff work hard to deliver the very best care for the people who use our services. We’re really proud of our #PennineCarePeople and do everything we can to make sure we’re a great place to work.

All individuals regardless of race, age, disability, ethnicity, nationality, gender, gender reassignment, sexual orientation, religion or belief, marriage and civil partnership are encouraged to apply for this post. We would also encourage applications from individuals with a lived experience of mental illness, either individually or as a carer.

Benefits

• Generous annual leave entitlement for Agenda for Change and Medical and Dental staff.
• Flexible working opportunities to support your work/life balance.
• Access to Continued Professional Development.
• Involvement in improvement and research activities.
• Health and Wellbeing activities and access to an excellent staff wellbeing service.
• Access to staff discounts across retail, leisure and travel.

Job responsibilities

To be the Care Hub’s first point of contact for all clinical effectiveness business, working in partnership with the Trust’s Clinical Effectiveness and Quality Improvement Department; to report to Care Hub and Care Network on recommendations arising from audit, complaints, and incidents and ensure progress is made in respect to those recommendations and that learning can be evidenced as an outcome.

To oversee the Care Hub’s participation and reporting in all clinical effectiveness work streams, including National clinical audit programmes, National benchmarking projects, local clinical audit programmes, NICE implementation, key performance indicators and quality improvement programmes.

To work with the Trust’s NICE Implementation Analyst to ensure all services in the Care Hub appropriately use NICE guidelines and standards; including the facilitation of meetings to coordinate completion of assessments, reviews and action plans, using National and Trust developed tools and systems.

To support the Care Hub to make effective use of national and local results and outcomes falling from clinical effectiveness projects; e.g. Prescribing Observatory for Mental Health, Confidential Enquiries, National Clinical Audit, National Benchmarking studies, and clinical audit and quality improvement projects and initiatives.

To coordinate delivery and monitoring of all clinical effectiveness programmes the Care Hub participates in and ensure reporting and escalation meets the requirements of the Trust‑led programmes.

To build a relationship with the Clinical Effectiveness and Quality Improvement Lead to ensure the coordination and collation of data, information and examples of good practice to showcase on behalf of the Borough for multiple reporting requirements, including the Trust’s Annual Quality Account.

To actively identify best‑fit person(s); i.e. subject matter experts, for involvement in the development and review of Trust‑developed clinical guidelines and Trust policies.

To direct, manage and support staff who provide direct care to patients, including senior management team responsibilities, on‑call duties and guidance of front‑line care teams when incidents arise.

To be able to operate and access information from multiple information systems daily and to appraise and make recommendations.

To be frequently exposed to highly distressing and highly emotional circumstances such as meetings with families following suicides or unexpected deaths, management of complaints with families when situations go wrong.

To be readily available as a senior representative at HM Coroners Court should concerns arise or assurance be requested and to deliver the Trust‑approved investigation report at coroners court.

To support staff to complete Coroner’s statements and oversee the quality of these, and to support staff in attendance at Coroner’s Court.

To be responsible for the whole care hub in relation to governance delivery to a wide variety of services and disciplines within mental health care, ensuring key messages are not ignored or dismissed to maintain patient care, staff safety and the Trust reputation.

Person Specification

Education / Qualifications

• Registered with relevant professional organisation (NMC / HCPC).
• Masters degree or equivalent/ experience in management which can be evidenced.
• Post‑masters training and experience.
• Further requirement for ongoing formal training in investigation management and new national patient safety processes.
• Evidence of continual formal professional development.
• Evidence of postgraduate training and continuing professional development.
• Non‑medical prescriber to v300 qualification.
• Doctorate.

Experience

• Previous experience managing, leading, supporting, and supervising staff and teams.
• In‑depth knowledge and experience of a comprehensive range of mental health services.
• Previous experience in the planning, delivery and review of a comprehensive range of mental health services.
• Proven ability to produce and create letters, reports, recording systems with high accuracy and attention to detail.
• Proven ability to analyse complex data to recognise themes and trends to identify risks and areas for improvement and to act upon this.
• Proven ability to follow complex instructions.
• Proven experience of communicating clearly, concisely and articulately at all levels, e.g. service users and carers, all staff within clinical teams, triumvirate peers, Service Directors, Clinical Service Managers, Corporate Departments and external agencies, including chairing of formal meetings and facilitation of supervision and appraisals.
• Experience of managing, coordinating and leading patient safety investigations, supporting coronial processes, service user, carer and other complaints, e.g. via MP or CQC.
• Coordinating and leading on preparation and readiness for internal audits and external inspections and for identifying and supporting development and action plans post‑audit/inspection.
• Experience of managing confidential and sensitive information in an appropriate and professional manner and exercising discretion when dealing with public and professionals and in the management of highly sensitive information.
• Experience of recognising patient and team/service priorities and taking timely and appropriate action, e.g. in conjunction with the tier‑three triumvirate instigating BCP.
• Experience of supporting action plans and overseeing quality standards when services are in formal business continuity planning.
• Experience of supporting the development of the borough, including planning of development programmes, training and feedback of lessons learned across a variety of services and departments.
• Proven experience of conducting a research project, including the use of the internet for research.
• Proven experience of extensive knowledge of Clinical Audit.

Knowledge

• Extensive knowledge of governance processes and procedures to advise and support colleagues within the organisation.
• Extensive knowledge of the Trust’s Clinical and Corporate Policies and Guidelines that will inform, direct and lead safe and effective care.
• Knowledge of standards for quality care pathways applicable to the service area including NICE guidance and legal frameworks (MHA, MCA).
• Demonstrable analytical and problem‑solving skills with the ability to make decisions by determining key points from complex and multiple information strands.
• Knowledge of current Non‑Medical Prescribing legislation and developments.
• Knowledge of the Trust’s strategy aims, ambitions, core standards and values and the ability to demonstrate these as a triumvirate partner through strong and consistent leadership.
• Knowledge and awareness of the strategic, political, commissioning, and financial landscape and ability to understand how those will or can influence the safety and quality of care.
• Ability to appraise, review and analyse distressing information frequently.
• Ability to regularly support families and manage difficult conversations with both staff and families during periods of adversity.
• Ability to demonstrate empathy, sensitivity and calmness using trauma‑informed approaches.

Skills

• Ability to utilise specific skills to implement governance processes and procedures.
• Ability to work within agreed timescales.
• Experience of responding to continuously changing priorities and challenging deadlines.
• Strong self‑awareness and recognition of others’ emotional support needs, and the capability to facilitate and lead using a trauma‑informed approach.
• Support staff wellbeing using individual skills and identify other relevant resources to offer support.
• Ability to manage a high volume of enquiries both internal and external.
• Ability to work with constant interruptions.
• Demonstrable ability to concentrate for long periods on frequent basis on report writing, analysis of information etc.
• Proven experience of managing sensitive and difficult situations, incidents and complaints, effectively and diplomatically.
• Ability to interpret a broad range of policies and procedures and make recommendations to services.

Work related circumstances

• Ability to produce reports and learning materials that are perceptible, easily read and comprehensible to all responsible groups.
• Use of a car or access to a means of mobility to travel across the Trust/GM footprint in line with service needs.
• Willingness to carry out all duties and responsibilities of the post in accordance with the Trust’s Equal Opportunities and Equality and Diversity policies.
• Appointments to regulated and controlled activities require an enhanced DBS disclosure.
• Ability to frequently sit for long periods whilst representing the organisation both internally and externally.
• Previous experience working in an office environment with attendance at clinics and resource centres across the borough as the role demands.

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.

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