Job Introduction
The Quality Assurance team lead on improving our services, systems and processes to ensure that a quality service is provided and add value to the organisation as a whole. The team is also responsible for the execution of strategy around risk management, compliance and clinical effectiveness.
This role’s main objective is to support the organisation in the achievement of clinical excellence patient safety and quality improvement. Innovating and supporting the development of improved clinical performance and compliance in service delivery across the range of healthcare services provided by Operose Health.
Role Responsibility
Principal accountabilities:
- Work with managers and staff to deliver Operose Health’s clinical governance and Quality Assurance agenda.
- Develop, manage and deliver systems for clinical governance, and risk management throughout Operose Health.
- To work with all parts of the organisation to support and improve quality standards including ongoing compliance and annual submissions.
- Work with directors and managers to ensure the organisation is compliant with the Care Quality Fundamental Standards” and to coordinate registration and compliance requirements, and support surgeries through inspections and any subsequent action plans.
- Support a culture of continuous quality improvement and assurance across all services, ensuring that quality and governance is owned by all staff.
- Support the Business Development team and contribute to PQQ and bid proposals, reviews and clarifications.
- Assist and review Policies and Procedures relating to Governance.
Clinical governance and risk management:
- Contribute to the development of a sound clinical governance and risk management framework that fosters a culture and systems of ownership and accountability, whilst encouraging innovation and problem solving to high quality standards
- Develop and undertake risk assessments.
- Ensure this promotes the integration of clinical risk management, clinical audit and the management of underperformance, education and training.
- Promote patient involvement in clinical governance to bring a patient focused approach to clinical quality.
- Contribute to mobilisation plans and services planning, including identification of service specific risks and their management.
- Align internal governance and risk processes and outcomes to CQC regulatory requirements.
Training and communication
- Organise and facilitate training sessions on governance incident reporting, complaints, CQC & risk assessments.
- Ensure that new initiatives and quality performance trends are communicated fully throughout the organisation.
- Communicate knowledge and expertise to other staff through delivering of training and writing of articles for newsletters.
- Contribute to Quality Assurance and Governance articles to Operose Health newsletter as required.
- Communicate effectively with all levels of staff within Operose Health, other healthcare providers, NHS organisations, external agencies, members of the public and patients
Reporting and management of complaints and incidents
- Ensure systems and records are in place to enable statutory assessments and inspections to be successfully completed.
- Ensure that learning is maximised and shared through reporting modules.
- Support reporting, investigation, management to complaints and ensure learning from complaints is maximised and shared.
- Ensure the collating and monitoring of all reported incidents and complaints, analysing for trends and produce regular reports. Report incidents internally and externally, including RIDDOR reporting.
- Ensure reporting of complaints or incidents to external bodies (e.g. CQC, ICBs, ICO and NHSE, where required or appropriate.
- Manage the preparation of an annual governance report and development plan for Operose Health in conjunction with the Chief Medical Officer.
- Promote evidence based national and local information to support change in practice and quality development.
- Lead and assist in investigations of serious untoward incidents and complaints, including as appropriate root cause analysis and writing of reports with findings and recommendations.
- Research and review policies and procedures relating to Quality Compliance, Clinical Governance and risk management.
Care Quality Commission (CQC)
In all aspects of the QA Manager, ensure CQC requirements are considered and included, to maximise compliance and best practice.
- Support individual Operose Health locations prior to, during and after CQC Inspections.
- Work with Services and Surgeries to maintain accurate records of all CQC Registered Managers to keep the CQC informed of any changes to our registration status. Follow up with Practice, Regional and Services Managers to ensure applications are completed and submitted.
- Follow-up on risk assessment action and self-assessment plans to support clinical care and CQC compliance including Audits and Mock Inspections.
- Maintain CQC section of Governance Community on company intranet.
The Ideal Candidate
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