IMR Quality Manager

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Detailed job description and main responsibilities
Job Description

JOB TITLE: Independent Maternity Review (IMR) Response - Quality Manager

DIVISION: Corporate - Nursing and Midwifery

GRADE: AfC 8a

REPORTS TO: IMR Response Quality Director

ACCOUNTABLE TO: IMR Response Quality Lead

VALUES AND BEHAVIOURS

ABOUT NUH

JOB SUMMARY and PURPOSE

The post holder will support the Quality Lead for the Independent Maternity Review (IMR) leading across all areas of work which are generated through the IRM teams, both external and internal. In addition the post holder will ensure that actions deriving from the IMR are progressed, liaising with key leaders to ensure timely completion. The post holder will work across and support areas all activities within the internal IMR team and all specialities in scope of the review.

The post holder will:
• Provide support to the IMR Quality Lead and core IMR team across the quality agenda for the IMR response
• Work collaboratively with the clinical and specialist teams that provide information to support the IMR response.
• Support and develop a culture of informed questioning, trend analysis triangulation, challenge and assurance in a just, restorative and positive way in all aspects of the role.
• Work with the IMR Quality Lead, Midwifery and Neonatal Leads to identify and share any emergent themes and learning with the directorate and the Family Health Division leadership team
• Support with any action planning required from the emerging themes and learning
• Act as a self-relating practitioner who horizon scans to ensure the IRM response and activities remain in line with current best practice

KEY JOB RESPONSIBILITIES

Operational Responsibilities
• Support the development and delivery of the IMR Response Team programme of work/plan in line with local and statutory requirements.
• Lead on the collation of documents / evidence needed for the IMR in relation to quality
• Support with delivery of any actions identified to improve outcomes in relation to women, birthing people and families
• Contribute to internal and external Trust publications as required in relation to the IMR
• Respond to internal and external requests for information relating to the IMR
• Monitor the implementation and progress of systems in place to respond effectively and deliver the requirements of the IMR escalating as appropriate areas of concern
• Prepare and present data and reports for relevant groups and committees as directed by the IMR Quality Lead
• Interpret complex information to identify key themes, trends and hotspots
• Collate and analyse quantitative and qualitative information to support the implementation of good practice and quality improvements.
• Support in the identification of areas of risk and the development of actions to reduce/mitigate against the risk occurring or re-occurring.
• Support the effective implementation of a comprehensive and systematic approach to the quality portfolio of IMR activates
• Work in collaboration with colleagues, providing expertise to contribute to a whole pathway approach to IMR activities
• Support and promote a positive culture of quality and service improvement.
• Develop and maintain links with stakeholders, external agencies, and third sector parties to ensure their participation and contribution to delivery of the IMR programme
• Proactively identify innovative ways to improve the IMR response, efficacy and efficiency
• Effectively communicate complex, sensitive, and contentious information.
• Use tested and credible tools and techniques to undertake any evaluation and analysis required within the programme
• Assist with problem-solving to find and address issues or concerns
• Use critical evaluation and problem-solving skills to respond to changing priorities and to make improvements as required
• Support with developing appropriate reporting and information sharing systems to facilitate effective working practices for new end to end processes.
• Support the development of business cases if required.
• Contribute to ensuring that the quality programme outputs are of a high quality and on time.
• Work independently based on an agreed work plan, setting own priorities and standards, working cooperatively to achieve the programme objectives related to quality and improvement.
• Facilitate an inclusive culture and ethos at all times working with colleagues internally and externally to the organisation.

GENERAL DUTIES

In addition to the key job responsibilities detailed in this job description all employees at Nottingham University Hospitals NHS Trust are expected to comply with the general duties detailed below:

Infection Control

To maintain a clean, safe environment, ensuring adherence to the Trust's standards of cleanliness, hygiene and infection control.

For senior/clinical managers the following statement must also be included

The post holder is accountable for minimising the risks of infections and for the implementation of the Code of Practice for the Prevention and Control of Healthcare Associated Infections as outlined in the Health Act 2006. This includes receiving assurance of risk and embedding evidence based practice into daily routines of all staff.

Safeguarding children, young people and vulnerable adults

Nottingham University Hospitals is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff and volunteers are therefore expected to behave in such a way that supports this commitment.

Information Governance

All staff have an individual responsibility for creating accurate records of their work and for making entries into and managing all NHS records effectively in line with the Health Record Keeping Policy and other Health Records and Corporate Records Management policies and procedures in order to meet the Trust's legal, regulatory and accountability requirements.

Health and Safety

To take reasonable care to prevent injury to themselves or others who may be affected by their acts or omissions.

To co-operate fully in discharging the Trust policies and procedures with regard to health and safety matters.

To immediately report to their manager any shortcomings in health and safety procedures and practice.

To report any accidents or dangerous incidents to their immediate manager and safety representative as early as possible and submit a completed accident/incident form.

To use protective clothing and equipment where provided.

Whilst the aim of the Trust is to promote a co-operative and constructive view of health and safety concerns in the organisation, all staff must be aware that a wilful or irresponsible disregard for safety matters may give rise to disciplinary proceedings.

Governance

To actively participate in governance activities to ensure that the highest standards of care and business conduct are achieved.

Health and Wellbeing

Employees are expected to take all reasonable steps to look after both their physical health and mental health. To support employees to achieve this NUH offers a wide range of health and wellbeing activities and interventions. The full programme can be viewed at on the staff intranet.

Line managers are expected to encourage and support staff to look after their health and wellbeing, including the release of staff to attend health and wellbeing activities and interventions.

General Policies Procedures and Practices

To comply with all Trust policies, procedures and practices and to be responsible for keeping up to date with any changes to these.

WORKING CONDITIONS

Describe the post holder's normal working conditions (such as exposures to hazards, requirement for physical effort etc).

JOB REVISION

This job description should be regarded as a guide to the duties required and is not definitive or restrictive in any way. The duties of the post may be varied from time to time in response to changing circumstances. This job description does not form part of the contract of employment.

SERVICE REVIEW

A strategic review of all Trust services is taking place, as a result of which some services, or parts of some services, may transfer from one campus to the other. This will be decided in accordance with the most appropriate way to provide the best healthcare for patients in the future and all staff will be fully consulted on about the impact of any such decisions.

Job description reviewed by: Sally Seeley

Date: 11.04.2024

Person specification

Working remotely

Essential criteria

• Previous experience

Experience of detailed review work

Essential criteria

• Experience - in years or type of work

Desirable criteria

• Current midwife

Strong communication skills

Essential criteria

• Ability to provide succinct and clear responses

Desirable criteria

• Years in post

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.

Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.

Easy read application: if you have a disability and find it difficult to complete our online application form, you can apply via our easy read application which you can find on the intranet https://www.nuh.nhs.uk/easy-read-job-application

NUH are now able to offer application completion support and interview preparation support. Please follow the link to book onto our sessions: Support for NUH Job Applications

If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:

• Stay in full-time education, for example at a college
• Start an Apprenticeship
• Spend 20 hours of more a week working or volunteering, while in part-time education or training

For more details visit; School leaving age - GOV.UK (www.gov.uk)

Salary: The quoted salary will be on a pro rata basis for part time workers.

Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.

At Risk of redundancy: NHS employees within the East Midlands who are 'at risk' of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.

International Recruitment: If you are applying for a role with us from outside of the UK then please read the guidance on applying for a health or social care job in the UK from abroad.

ID and Right to work checks: NUH authenticate ID and right to work documentation including passports and driving licenses through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.

Consent:

• Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
• Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£42.90 for enhanced and £22.90 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month's pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
• For more information about our organisation and the career opportunities available, please visit our website and/or follow us on Instagram, Twitter and Facebook

Employer certification / accreditation badges

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• IMR Quality Lead JD (PDF, 592.3KB)
• IMR Quality Lead PS (PDF, 328.6KB)
• Mindful Employer (PDF, 242.5KB)
• Equality and Diversity (PDF, 122.3KB)
• Equal Opportunities (PDF, 57.4KB)
• Disability Confidence Scheme (PDF, 51.0KB)
• Rehabilitation of Ex Offenders (PDF, 106.0KB)