Healthcare Governance Lead Band 7
1 To contribute to the development of HG initiatives in response to national and local policies ensuring the RCD is kept abreast of changes in legislation or policy as relates to healthcare delivery and patient safety.
1 To ensure that HG strategy is implemented across the Region in line with the Regional Clinical Director's (RCD) intent, HQ Defence Primary Healthcare (DPHC) guidance and HQ Surgeon General (SG) policy.
1 To collate HG data and present within HG reports to enable analysis of trends and risks and implementation of appropriate mitigation.
1 To act as a conduit to ensure expert advice is available for all Regional Medical Facilities (MFs) regarding Automated Significant Event Register (ASER) activity. Managing and monitoring the ASER database, including the collation of data as required by HQ DPHC and offering advice and support on root cause analysis and quarterly trend analysis of significant events.
1 To support MFs in the completion and ongoing monitoring of the Defence Medical Services (DMS) Common Assurance Framework (CAF).
1 To co-ordinate the Healthcare Governance and Assurance Visit (HGAV) programme to MFs ensuring visits are conducted at least two yearly in conjunction with HQ and Care Quality Commission (CQC) visits.
1 To provide concise and directive support to MFs pre and post Assurance visits in order to formulate development reports and action plans that drive progressive service delivery.
1 To monitor and evaluate the healthcare service within the MFs maintaining consistency of professional standards through audit, clinical governance and the application of risk management systems.
1 To oversee the co-ordination and implementation of quality improvement and best practice across the Region.
1 To plan, organise and co-ordinate forums, teaching and meetings to educate support and advise all MFs across the Region on current HG issues.
B - STANDARDS TO WHICH A REGIONAL HEALTHCARE GOVERNANCE LEAD MUST COMPLY WHEN PROVIDING THE SERVICES
1 To comply with regulatory standards commensurate with the professional body of which the Temporary Worker is a professional registrant e.g. NMC, GMC, HCPC.
1 To comply with Joint Service Publication (JSP) 950 Medical Policy and Headquarters (HQ) Defence Primary Healthcare (DPHC) Direction and Guidance.
C. ESSENTIAL REQUIREMENTS / QUALIFICATIONS / EXPERIENCE
1 Health professional with a minimum of 3 years experience within the last 5 years at Band 7 level or above in a Healthcare Governance related role, or equivalent prior experience as a Ministry of Defence (MoD) Primary Healthcare(PHC) Practice Manager and Healthcare Governance Lead, having completed an HQ DPHC or Regional HQ role.
1 Must have a BSc in a relevant healthcare related subject, with demonstration of level 7 academic achievement and having completed a Healthcare Governance training course (such as Healthcare Quality Quest or equivalent), or hold (or working towards) a postgraduate certificate in Healthcare Governance at Level 6 or above.
1 Must hold current valid medical indemnity insurance.
1 Must have in date Basic Life Support, Anaphylaxis, Automated External Defibrillator, Infection Prevention and Control, and Safeguarding children, young and vulnerable adults to Level 2 training.
1 Must have experience in clinical supervision, coaching, mentorship and teaching in healthcare.
D. DESIRABLE REQUIREMENTS / QUALIFICATIONS / EXPERIENCE
1 Post Graduate Award at Level 7 (or working towards one) in Healthcare Governance or Healthcare Leadership/Management.
1 Current understanding of MoD healthcare delivery related and NHS policies.
1 Previous MoD PHC experience.
1 Previous experience using the Defence Medical Information System (Defence Medical Information Capability Programme (DMICP)) and the DMS Automated Significant Event Reporting (ASER) system.