Detailed Job Description And Main Responsibilities

The post holder will be required to:

• Develop Clinical Risk Management initiatives and strategies with support of Governance Team
• Coordinate and facilitate risk assessment within the department.
• Plan and organise monthly Clinical Risk meetings.
• Organise and facilitate weekly Datix meetings.
• Ensure that all clinical incidents are reported by the appropriate staff in a timely manner
• Grade all clinical incidents, and ensure they are logged into the department system for collating clinical incident statistics
• Implement a system to monitor trends in clinical incidents
• Following trend analysis, through recommendation to the Improvement and Professional Development Midwives, contribute to the Improvement Agenda
• Ensure timely and effective investigation of incidents by the appropriate members of staff.
• Co-ordinate all Serious Incident Reviews and participating in the investigation of such incidents.
• Manage highly complex, sensitive or contentious information, to include analysis of data and reporting on the same.
• Oversee the perinatal morbidity review tool process.
• Report serious incidents to the Legal Department and Welsh Government (where applicable).
• Be responsible in conjunction with the service managers for ensuring actions from clinical incidents investigations have been actioned within the Directorate and ensure an integrated approach is in place to learn lessons from incidents and litigation.
• Ensure all aspects of Health and Safety are adhered to, reporting and untoward incidents appropriately.
• Take a role in the evaluation of clinical policies, protocols, guidelines and clinical pathways.
• In collaboration with other members of the multi-disciplinary team participate fully in multi-disciplinary audit meetings.
• In conjunction with the Governance Team, be responsible for ensuring that training and education in relation to all governance issues is provided within the Directorate (e.g. Root Cause Analysis; Incident Management and Record Keeping).
• Ensure that the Directorate has a robust mechanism for acting on the recommendations of all national confidential enquiries (e.g. MBRRACE, EBC, NMPA) and all NICE guidance.
• Record and monitor a change register of improvements to patient safety arising from the clinical incident review process.
• Provide statistics as required by the Directorate.
• Ensure the practice of self and others is compliant with local and national policy.
• Work in highly emotional circumstances, dealing directly with families and staff who have experienced bereavement.

Key Relationships:

The post holder will be required to develop the positive working relationships with the following professionals:

• Obstetrics & Gynaecology Consultant Governance Leads and Clinical Director
• Midwifery and Gynaecology Ward Managers/Matrons
• Neonatal Consultants
• Anaesthetic Consultants
• Corporate Risk Management Team
• Corporate Governance and Legal Teams.

Welsh Risk Pool and Health Care Standards:

• Ensure the Directorate maintains compliance with Welsh Risk Pool standards by monitoring adherence to the necessary standards, and recommending changes where appropriate.
• Contribute to the Directorate self assessment for any Health Care Standard audits undertaken.

Clinical and Professional Leadership:

• Act as a role model to colleagues.
• Provide clinical leadership within own sphere of responsibility.
• Provide expert governance advice to the wider management team.
• Challenge current practice and thinking to ensure an environment of continual improvement, using available evidence to inform future care and practice.
• To communicate sensitively and effectively with a wide range of people in a manner that promotes positive working relationships, influencing others within the team to act in a similar manner.
• Work independently with occasional guidance from line manager as required.
• Encourage and promote effective communication between staff of all disciplines to ensure a positive working environment is the norm.
• Deliver governance/risk training sessions for all staff.
• Participate in research and audit within the Directorate, where themes and trends are identified.
• Attend relevant forums to provide Governance input, i.e. North Wales Intrapartum Forum.

Post Holder Attributes:

• Excellent oral and written communication skills.
• Ability to establish positive working relationships with colleagues at all levels and from different disciplines.
• Able to utilise computer programs e.g. Word, Excel, to produce reports as required for the Directorate.
• Leadership skills.
• Project management skills.
• Enterprising and innovative approach.
• Professional credibility.
• Awareness of Clinical Governance systems.

Person specification

Qualifications And/or Knowledge

Essential criteria

• Registered Midwife
• Evidence of continuous professional development
• Evidence of working at Degree level/has a Degree qualification
• Evidence of working at Masters level/has a Masters qualification
• Has an understanding of NHS Governance and Health & safety agendas
• Has an understanding of the Health Board Governance strategy

Desirable criteria

• Experience of working in a risk management role
• Teaching/Mentoring qualification

Experience

Essential criteria

• Minimum of three years post registration experience at Band 6 or above
• Experience in managing highly complex, sensitive or contentious information; to include analysis of data and reporting on the same

Desirable criteria

• Experience of investigating and monitoring clinical incidents
• Experience in change management

Aptitude And Abilities

Essential criteria

• Ability to facilitate and influence change
• Excellent organisational and time management skills
• Can work independently and also as part of a multi-professional team with minimal guidance
• Able to work in highly sensitive situations with bereaved families and emotional staff
• Able to manage highly complex, sensitive or contentious information, to include analysis of data and reporting on the same
• Computer literate with Word and Excel programmes to produce reports for the Directorate
• Confident presentations skills
• Negotiation skills
• Ability to work well under pressure and meet deadlines.

Desirable criteria

• Has undertaken a course in Root Cause Analysis
• Project management skills
• Ability to speak Welsh

Values

Essential Criteria

• Positive working ethos
• Can build lasting, positive relationships with all members of the multi disciplinary team
• Resilient
• Sensitive approach
• Enthusiastic and innovative.

Other

Essential criteria

• Able to work flexibly
• Able to travel between sites as required
• Able to uphold the Health Board Values