Quality Lead

Role Summary To work within the policy framework of the hospice in its provision of Specialist Palliative Care and be responsible for the development, maintenance and communication of quality initiatives, supporting and promoting services to enable people to have equal access to good quality, person centred health care. To support incident management and investigations, quality improvement and learning. Assist in the maintenance and development of the hospices compliance with CQC regulations in regard to legislation and best practice Key Responsibilities The post holder will: 1.Provide the Care Quality Commission (CQC) with quality monitoring information required to keep the hospices risk profile rated as low risk. 2.Produce regular reports which demonstrate service quality, clinical outcome measures and statutory compliance in support of the Quality and Governance processes and external stakeholders. 3.To analyse incident reporting, using root cause analysis, identifying any trends and
making recommendations for improving practice, ensuring lessons learned are shared with the organisation to reduce the likelihood of repetition. 4.Keep updated regarding the Quality Improvement agenda in health care, making recommendations for the hospice to adopt. 5.Monitor and follow up outstanding actions with those responsible to ensure closure against matters arising or the forward planner as appropriate. 6.Monitor and interpret changes to legislation and national statutory guidance. 7.Support the Senior Management Team in coordinating, producing and compiling the required evidence and reports for a range of regulatory bodies (i.e. Integrated Care Board , Care Quality Commission). 8.Support the CEO in preparation of evidence and documentation for CQC inspections and engagement meetings. 9.Work closely with the SIRO and Data Protection Officer (DPO) to ensure data protection compliance. 10.Support the CEO with the compilation of regular reports including the Annual Quality Accounts
and other statutory reports. 11.Work with the CEO to develop a rolling programme of service outcome measures which captures the effectiveness of Hospice services and which supports the requirements of the CQC and other Statutory Bodies. 12.Work closely with the Director of Clinical Services to implement, monitor and report on patient safety incidents and improvements 13.Coordinate Hospice Audit Calendars and associated processes of auditing Hospice departments. 14.Organise and manage own workload, ensuring it reflects on the core components of your role in a manner that ensures quality and reduces risk. 15.Participate in relevant sub-committee meetings and associated work. 16.Develop Hospice policies Although this is a comprehensive job description, you may be required to undertake other duties assigned by your Line Manager. EDUCATION AND TRAINING The post holder will: 1.Participate in the Hospice Appraisal system. 2. Maintain high professional standards and to continue own
personal and professional development. 3.Assist in teaching and supervision of other members of staff and volunteers. 4.Participate in the orientation of new staff. 5.Attend all mandatory training/update sessions. VOLUNTEERS Dr Kershaws Hospice is generously supported through its active volunteers who work alongside employees of the Hospice, across all departments, helping fulfil the needs of the services. As part of all roles at the Hospice, it is expected that all post holders commit to assisting and supporting volunteers to perform their roles to the best of their ability. In addition, it may be required of the post holder to act as a volunteer lead if identified with the Volunteer Co-ordinator, as appropriate. GENERAL 1.Confidentiality - It is a condition of employment that staff will not disclose any information obtained in the course of their duties other than to those entitled to receive it. The post holder must ensure that the confidentiality
of personal data remains secure and the terms of the Data Protection Act and relevant Hospice policies are met in respect of information held on the Hospice computer systems. 2.Equal Opportunities The Hospice is committed to equality of opportunity. All staff are required to comply with current legislation and Hospice policies. 3.Health and Safety Staff must ensure they are familiar with the requirements of the Health and Safety Work Act (1974) and the Hospice Health and Safety policies and regulations applicable to their post. 4.Safeguarding Dr Kershaws Hospice is committed to safeguarding adults and children and expects all staff to share in this commitment. Staff have a responsibility to ensure that they are aware of specific duties relating to their role and should familiarise themselves with the Hospice safeguarding policy. Regular safeguarding training updates will be held and are mandatory for all staff. The above indicates the main duties that maybe reviewed
in the light of experience and developments within the service. Any review will be undertaken in conjunction with the post holder.