Divisional Quality and Patient Safety Manager

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Job overview

We are looking for an inspirational leader who cares as passionately as we do about the quality and safety of the care we offer our patients at the Royal National ENT & Eastman Dental Hospitals, UCLH.

This role will lead the division in all aspects of Quality & Safety, including patient complaints, guidelines and clinical effectiveness, clinical audit, learning from incidents and risk management. They will also play a key role in leading the division to ensure compliance with our regulatory bodies, such as the Care Quality Commission.

Leading a team of two others to support delivery, this role is a key part of the divisions leadership team and represents an exciting opportunity for a leader with the right skills and experience in quality and safety.

Main duties of the job

This role will cover areas including:
• Care Quality Commission Compliance
• Risk Management
• Incident Management
• Learning from Incidents
• Clinical audit and effectiveness
• Guidelines and Clinical Effectiveness
• Complaints
• Quality & safety strategy and communication across the hospital
• Claims and Inquests

Please see the job description for a more detailed breakdown of these duties.

Working for our organisation

University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.

We provide first-class acute and specialist services across eight sites:

• University College Hospital (incorporating the Elizabeth Garrett Anderson Wing)

• National Hospital for Neurology and Neurosurgery

• Royal National ENT and Eastman Dental Hospitals

• University College Hospital Grafton Way Building

• Royal London Hospital for Integrated Medicine

• University College Hospital Macmillan Cancer Centre

• The Hospital for Tropical Diseases

• University College Hospital at Westmoreland Street

We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.

We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.

Detailed job description and main responsibilities

For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.

Come and be a part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England - for the second year running! : University College London Hospitals NHS Foundation Trust

*In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England - for the second year in a row.

UCLH top trust to work at in England - for the second year running! University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

To discover more about what makes UCLH a great place to work, visit: Why Choose UCLH?

Person specification

Knowledge & Qualifications

Essential criteria

• Educated to Masters level or equivalent evidence of successful study at a higher level within a specialist environment of clinical effectiveness/project management
• Management qualification or equivalent experience of leading and developing individuals and teams

Desirable criteria

• Clinical background / qualification e.g. first level nursing qualification

Knowledge, Training and Experience

Essential criteria

• Experience of working in the NHS, in at least 3 relevant fields e.g. audit, guidelines, complaints, risk, CQC work, claims.
• Patient Safety Incident Response Framework (PSIRF) Training
• Understanding of the NHS Complaints procedure and current national issues.
• Appreciation of the critical issues in the management of complaints
• Experience and/or involvement in the complaint investigation process
• Experience in the management of Patient Safety Incident Investigations
• Expertise in Root Cause Analysis (RCA)
• Experience of working in a large and complex health environment at corporate level (or on trustwide issues)
• Detailed knowledge and understanding of the Care Quality Commission regulations
• Ability to prepare and deliver presentations to all levels of an organisation
• Knowledge of quality and safety clinical governance policy framework and related documents
• Advanced written skills with experience of different writing styles including reports, action plans, summaries and policies.
• Demonstrable knowledge and experience of critical appraisal skills / the ability to evaluate and critically appraise information

Desirable criteria

• After Action Review (AAR) Training
• Experience in training and/or coaching in root cause analysis and being open
• Detailed demonstrable knowledge and experience of clinical effectiveness e.g. principles and practice of clinical audit methodologies and clinical guideline development/implementation and monitoring
• Awareness of Government policies and strategies in relation to clinical effectiveness

Other requirements, including:

Essential criteria

• The ability to encourage, enthuse and lead others
• Well organised, methodical and analytical
• Ability to plan and organise a varying work load effectively to meet deadlines in the short and long term.
• Understanding of Equality, Diversity and Inclusion
• Embodies Trust Values of Safety, Kindness, Improving & Teamwork

At UCLH, we have a real 'One Team' ethos, and our values - safety, kindness, teamwork and improving, are central to the way we work. This is supported by our staff, who voted us as the #1 NHS Acute Trust to work for in the whole of England.

At UCLH we take equality of opportunity seriously and are committed to being a diverse and inclusive employer, with a culture that creates a real sense of belonging and trust. It is our fundamental aim, to recruit, retain and promote a diverse mix of people who are representative of our local communities. Applications are encouraged from candidates of all backgrounds, cultures, and perspectives to support our world class research, innovation and creativity.

UCLH recognises the benefits of flexible working for staff and has a dedicated policy which allows staff to apply for flexible working right from the beginning of employment. For more information please go to: https://www.uclh.nhs.uk/work-with-us/why-choose-uclh/flexible-working.

We offer our permanent staff an interest free season ticket loan for travel, all our staff have access to free independent and confidential support, large retail discounts, a staff discount platform, cycle to work scheme and on-site accommodation to name a few.

Additionally, UCLH Arts and Heritage's staff wellbeing programme, Creative Comfort, offers a variety of ways to engage with the arts as a member of UCLH staff. You can try out the weekly choir, weekly art club and join the Culture Club for exclusive access to free and discounted tickets for opera, exhibitions, theatre and more.

We recognise, reward and thank colleagues by nominating them for our annual Celebrating Excellence Awards, which are funded by UCLH Charity.

We are also members of www.mytrustbenefits.co.uk/ which offers discounts on high street retail stores, offers on travel deals, and also to take advantage of cash back schemes.

This vacancy may close before the current listed closing date. You are advised not to delay submitting your completed application.

Please note that all correspondence regarding your application will be via email. The emails will be sent to you via TRAC.jobs and not via NHS Jobs, we encourage you to check your inbox regularly.

Please note that if you are at present in a training position on the 2016 new junior doctor's contract and are applying for a Trust doctor role your salary will not be pay protected.

You will be placed on the appropriate point of the Trust Doctor pay scale based on your previous experience.

Please note that if you have not heard from us within 3 weeks of the closing date of the advert to assume that you have not been shortlisted on this occasion.

The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Job Description (PDF, 768.3KB)
• Functional Requirements (PDF, 262.3KB)
• UCLH Values (PDF, 860.9KB)