Patient Safety Reviewer

Job summary The post holder will be participating in the delivery of learning and change following serious incidents and deaths of service users under the care of the Trust.
The post holder will lead investigations, using nationally accepted methodologies in conjunction with clinical divisions, enabling them to identify changes that need to be made to enhance safety and quality.Shortlisting planned for: 26 November 2024Interviews planned for: 12 December 2024 Main duties of the job 1.
To evaluate the care, treatment and support in place when serious incidents have occurredin order to inform improvement in the safety and quality of services provided by the To facilitate timely and inclusive case specific reviews; to establish the facts, identify possiblecontributory or causal factors, highlight resultant learning, consider improvements requiredand recommendations from the reports of reviews To lead comprehensive reviews (Level 2 as set out in the National Patient Safety Agencyguidance relating to Root Cause Analysis (RCA)) into circumstances and / or LeDeR (NationalLearning Disability Review Programme) reviews into the deaths of service users with alearning disability which can be highly complex, sensitive contentious and which requireclinical Provide advice and support to those affected by serious untoward events and their carers(meeting with managers/practitioners/clinicians/relatives following serious incidents toconsider issues arising, learning resulting and service responses required).
About us Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services.
Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient.
We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together.
We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.Flexible working requests will be considered for all roles.
Job description Job responsibilities The post holder will analyse the outcomes of a series of incidents, identifying similar issues, making recommendations for future learning to the Chief Operating Officers concerned.
The post holder will use data systems to collate information for the use in reports and to identify the need for future investigations.
The Post holder will manage several investigations at one time, creating systems and processes to ensure that data from one Incident review does not inappropriately contaminate another.
The post holder will be the lead reviewer for all the incident reviews that they are working on, organising and coordinating the work of associate investigators and advisory panels.
The post holder will support Chairs (Executive Director and Non-Executive Directors) during the lifetime of a level three adverse inclined review.
The post holder will develop an expertise in investigation techniques through attendance at national courses, through analysing the outcomes of local investigations and considerationhow improvements could be undertaken and by the reading of specialist articles /reports.
The post holder will ensure that deadlines set by commissioning are met or those requestsfor extensions are requested in a timely manner and with sufficient rationale to be accepted.
To undertake and actively participate in the mortality review process, identifying individual learning points and thematic trends.
Provide advice and support to those affected by serious untoward events and their carers (meeting with managers/practitioners/clinicians/relatives following serious incidents to consider issues arising, learning resulting and service responses required).
Responsible for planning the process of reviews, within the parameters set by external guidance and the case specific terms of reference, organising and arranging own work andcoordinating the work of others.
Based upon the findings and recommendations arising from the review of serious incidents the post-holder will inform changes to practice and policy of the service area subject to review and other service areas, both within the directorate and across the Trust.
Thefindings and recommendations will impact upon audit activity; initiating or amending audit processes.
Liaise with Directorate and Trust staff to ensure lessons learnt from reviews are acted upon and used positively to improve and develop services.
Attend Directorate and Trust Governance meetings, and support training and development days/ sessions throughout the year.
Support the communication of follow on actions, after consulting with the line manager, other senior managers/clinicians, and recommendations from groups or committees.
Provide clinical support to the identification of incidence, themes, trends, recurrence and lessons learned from analysis of RCA, clinical audit and effectiveness data ( regular reports to Safety and Risk and Quality and Safety Committees).
The post holder may be called to give evidence to Coroners Courts relating to their investigation findings and to Trust board/ Divisional board meetings.
Facilitate Oxford Model Learning Events with the aim of sharing the findings of serious untoward incidents with staff.
Communicate effectively on a range of levels, developing and maintaining good working relationships with: -a.
Senior managers, practitioners/clinicians in service areas of the Trust subject to Safety and Risk Manager, Head of Quality and Compliance, Deputy Director of Nursing and Heads of Profession, Clinical Directors and the Executive External agencies ( Safeguarding Boards, other providers).
Deliver RCA Training with the aim of providing staff with the skills and knowledge to undertake investigations into Complaints and Adverse Incidents using Root Cause Analysis techniques.
Ensure information in relation to RCA/SIRIS and audit and lessons learnt are effectively communicated within the Trust and to external stakeholders, including patients, relatives and carers as appropriate and what actions are required of individual practitioners/clinicians and teams).
The post holder will maintain a RCA case load; and co-ordinate other external reviews such as domestic homicide reviews ensuring Trust representation and completion of casework requirements as necessary.
Undertake the training process in relation to all deaths that occur in the Trust.
Implement the mortality policy.
Undertake, in association with clinical colleagues, mortality reviews as per national guidance.
Undertake, in association with clinical colleagues, Level 2 and 3 Root Cause Analysis reviews.
Undertake, in association with clinical colleagues, thematic reviews.
Provide advice and guidance on how to review deaths and identify learning.
Develop mortality reports for various committees in the organisation.
Liaise with families as Duty of Candour lead, sharing information from incident reviews with them and supporting them through the coronial process.
Liaising with staff and families as part of the root cause analysis process.
Feedback review reports in a style that is conducive to learning.
Writing root cause analysis reports in the agreed Trust style and to the agreed standard.
Participate in Trust validation of root cause analysis reports.
Person Specification Qualifications Essential oProfessional qualification within relevant clinical discipline (degree level or equivalent).
oMasters degree in relevant clinical discipline or equivalent knowledge and skills demonstrably gained through a combination of training and experience Knowledge/Experience Essential oDetailed working knowledge of best practice relating to any of the services provided by the Trust oAwareness of Human Rights Act and Equality and Diversity Issues, Mental Health and Mental Capacity Acts, Health and Safety legislation, Information Governance requirements, Data Protection Act.
oWorking knowledge of Root Cause Analysis and/or other frameworks for review of serious incidents.
Substantial experience working in a clinical/practitioner role applicable to services provided by Mersey Care Significant experience in a management/leadership role Desirable oDetailed working knowledge of Trust policies and procedures pertaining to patient safety and risk management.
oQuality governance experience in relation to Patient Safety/Clinical Risk (including review of serious incidents).
Values Essential oContinuous Improvement oAccountability oRespectfulness oEnthusiasm oSupport oHigh professional standards oResponsive to service users oEngaging leadership style oStrong customer service belief oTransparency and honesty oDiscreet oChange oriented Skills Essential oGood communication skills, including an approach which is supportive, sensitive and empathic with those involved in, or affected by, death in tragic circumstances, serious incidents and near misses.
oGood communication skills with all levels of staff across professions and with partner agencies oConfident and effective when dealing with difficult issues with staff in a group setting.
oAbility to influence key stakeholders within complex organisational structures.
oSkills in teaching and enabling colleagues to learn oExcellent analytical skills required in relation to reviewing assessment, service responses and all aspects relating to serious incidents, clinical effectiveness and quality governance.
oAbility to prioritise competing demands on a daily basis and respond accordingly.
oAbility to plan, implement and monitor own workload and supervise and coordinate the work of others.
oProactive and able to work under own initiative without direct supervision oAbility to work under pressure and to tight deadlines as required oGood computer skills (including word and excel) oReport writing experience