Patient Safety Incident and Inquest Manager in Worcester

Inquest Management Activity

• Liaise with the legal team about upcoming inquests that could represent complications (neglect verdicts or regulations) for the trust and/or staff representing the trust and escalate any issues to the Head of Patient Safety.
• Liaise and coordinate with the legal team to ensure all relevant information has been obtained for upcoming inquests and escalate potential delays or concerns to the Head of Patient Safety.
• Support the Head of Patient Safety with facilitating the learning from inquests to be fed back into the trust for wider learning.
• Where appropriate, and if required with the support of the Head of Patient Safety, represent the trust at inquests.
• Monitor prevention of future deaths regulations issued by the coroner to the trust, supporting the Head of Patient Safety to ensure processes are followed.
• Establish and maintain appropriate and effective lines of communication, ensuring that sensitive, contentious, and highly complex information is managed effectively when communicated to staff, patients, their families, and colleagues in the wider health community.
• Liaise with patients, service users, carers, and their families following a patient safety incident and throughout response processes, encouraging and supporting active engagement.
• Liaise with external colleagues and appraise them (as required) of quality assurance in relation to patient safety incidents, reviews, and inquests.
• Support the Head of Patient Safety and Complaints and Associate Director of Clinical Governance and Risk, to ensure educational programmes reflect the learning acquired from complex investigations (including inquests and claims), influencing the Learning and Development of all staff.
• Assist in providing line management to existing patient safety team staff as delegated.
• Provide expert advice, guidance, and support to all staff on matters related to patient safety incident investigations and responses.
• Ensure compliance at all times with local and national guidance.
• Support the team with the learning from a wide variety of Patient Safety related information sources (i.e. mortality reviews, incidents, complaints, litigation cases), drawing themes and trends, matching this to existing or previous improvement activity.
• Work autonomously as an investigator and in conjunction with subject matter experts and clinical colleagues, escalating any identified risks to the Head of Patient Safety and Complaints.
• Assist with the development, implementation, and delivery of the Trust's Patient Safety Strategy, the Patient Safety Incident Response Framework, and Patient Safety Incident Response Plan.
• Base all decision making upon knowledge of applicable codes of practice and quality standards.
• For all investigations, support the production of comprehensive reports on new, closed, and investigations in progress and thematic trends for review by different audiences as directed and analyse data for trends and learning opportunities, in month, quarterly and annually, as directed.
• Undertake thematic reviews/trends analysis (as required) leading to involvement and implementation of quality improvement projects with the clinical teams/services.
• Signpost staff involved in incidents to the appropriate support network internally and externally.
• Support the patient safety and clinical teams and services in the development of SMART action plans to ensure learning is embedded and sustained into clinical practice working collaboratively with clinical and operational partners.
• Work with clinicians and managers to identify significant risk (related to PSII) and areas for improvement across clinical and non-clinical areas.
• Ensure PSIIs are conducted for the sole purpose of learning and identifying improvements which prevent or significantly reduce recurrence.

Leadership & Engagement

• Develop close working relations and provide supervision as appropriate to delegated staff including the Patient Safety Administration Assistant.
• Support patient safety campaigns and be part of the leadership team guiding these, especially those related to higher level risks.
• Support the development of key performance indicators with the Head of Patient Safety and Associate Director of Clinical Governance & Safety that demonstrate correlation between incidents, learning, and improving the quality of care for patients.
• Support the presentation of reports and key learning points to a wide variety of committees and groups, covering complex information and potential contentious issues, providing a compelling discussion/rationale for change.
• Support the Head of Patient Safety and Complaints and the Associate Director of Clinical Governance and Risk to identify Trust wide & Divisional (local) trends and themes, producing reports that identify key learning and actions, working with the Patient Safety Learning & Improvement Lead, the corporate & divisional teams on the progression and closure of actions with particular reference to those related to Regulations from the Coroner.