CAMHS Clinical Governance Lead

South London and Maudsley NHS Foundation Trust has a rich history, well-established community links and an international reputation. We deliver specialist services in the London boroughs of Croydon, Lambeth, Lewisham and Southwark, Bexley, Bromley, Greenwich, Wandsworth and Richmond.

We are committed to providing high-quality and specialist care to our service users and we are recognised for the care and treatment we provide. The Care Quality Commission rates our services as 'good'.

We launched our five-year strategy, Aiming High; Changing Lives, in 2021 together with Our Care Improvement System as our quality management system methodology to make a positive impact on patient care, outcomes, and staff experience. By joining SLaM, all staff will have the opportunity to be part of this exciting improvement journey supported with learning and development to harness everyone's potential as change makers.

The trust recognises the unique and valuable contribution that people with lived experience of mental illness can bring to a role. We therefore welcome applications from people with lived experience and consider them as an asset to the Trust.

Our Values

We take pride in providing specialist care to our service users where our Trust values and our promise to be caring, kind, polite, prompt, honest, listen and do what I say I'm going to do are at the heart of everything we do. When you join us, you'll be part of something special.

As a Trust, we are happy to talk about flexible working.

Job Overview

At South London and Maudsley NHS Foundation Trust, we believe in providing excellent care which is delivered with pride and compassion. Everything we do is to improve the lives of the people and communities we serve and to promote mental health and wellbeing for all.

This is an exciting job opportunity to work with a directorate committed to the Trust's aims to support a spirit of candour and a culture of openness and honesty as we seek to resolve concerns, learn lessons from mistakes that may have occurred, and improve the quality of services we provide.

The Governance Lead will be responsible for ensuring best practices of complaints and incidents governance and supporting the development and implementation of governance strategies, policies, and frameworks, as well as facilitating learning and improvement across the directorate.

The post holder will be responsible for the management of the Directorate's Governance Team and lead on the application of a range of system-based approaches from the Patient Safety Incident Response Framework, ensuring compassionate engagement of those affected by patient safety incidents.

Main Duties of the Job

1. Supporting the Head of Nursing and Quality in developing and implementing governance processes within the CAMHS Directorate to ensure that there is a comprehensive framework to continuously monitor and improve the quality of care.
2. Promote a positive culture in which reporting of incidents using the Patient Safety Incident Reporting Framework is routine practice and is recognised by staff as a means of improving the quality of clinical care and reducing risks.
3. Ensure that governance forms an integral part of the operational and strategic aims of the CAMHS Directorate.
4. Ensure that lessons from incidents, claims, complaints, and inquests analysis are learned and shared, and that timely feedback of information occurs, including embedding learning across the CAMHS Directorate.
5. Provide line management responsibility for the Clinical Governance Team.

Working for Our Organisation

The services within CAMHS are spread across all key sites i.e., Southwark, Lambeth, Lewisham, and Croydon along with our National Specialist Services including Autism Services, Eating Disorder Pathway, Forensic, and DBT Pathway where our service users come from all over the country. The Directorate has a diverse and inclusive workforce that values compassion, respect, teamwork, and excellence. You will be supported in a culture that values and embeds learning and improvement.

Detailed Job Description and Main Responsibilities

Patient Safety Incident Response Framework (PSIRF)

1. The post holder will lead on the implementation of PSIRF, including teaching identified within the Directorate the facilitation skills to be able to lead Directorate PSIRF responses such as After-Action Reviews.

Quality

1. To prepare reports for the Directorate's Integrated Performance and Quality meetings including an aggregated analysis of trends and themes in patient experience, patient safety, patient outcomes, staff safety, and other safety issues.
2. To support the Heads of Nursing and Quality in developing programmes of work to ensure that the Trust meets the relevant criteria as described in the standards set by the Care Quality Commission and any other national, service-specific, or local performance frameworks.
3. Through complaints and incident analysis, identify barriers to implementing good practice or areas of concern and liaise with the Heads of Profession to agree and implement required remedial action and ongoing maintenance of good practice.
4. To support the embedding of research to improve patient outcomes and quality of care by providing evidence-based interventions and innovations.

Governance

1. To lead on Directorate complaints processes ensuring that these are investigated within statutory time frames. Ensuring that all complaint responses are comprehensive and formatted to accessible information standards as required.
2. To ensure that all information contained within the Directorate's Datix reporting system is managed in line with the Trust's policy including Duty of Candour and Being Open.
3. To lead on responses to the Parliamentary and Health Service Ombudsman.
4. To line manage a Band 6 Governance Officer.
5. To support clinical teams in the monitoring and thematic reviewing of adult and children's safeguarding activity across the directorate in collaboration with the Trust's Safeguarding.
6. To use the methodology of the Care Improvement System (Care IS) using complaints and incidents data to enable teams to work at their best together and create a learning environment to make improvements.
7. To lead on the identification and escalation of risk issues for the directorate and to provide expert support, decision-making, advice, guidance, and education on all aspects of governance management.
8. To identify risks from the analysis of complaints and incidents and ensure that these are included in the Directorate's risk registers in collaboration with the Directorate's Senior Leadership Team.
9. To facilitate events within the Directorate to support timely learning from incidents, complaints, claims, and inquests and support staff to develop an open, just, and fair culture where staff report.
10. Able to engage effectively and compassionately with service users, families, carers, and all stakeholders.

Person Specification

Qualifications
Essential Criteria

• Registered Mental Health Nurse or other registered Healthcare Professional e.g., Occupational Therapist, Social Worker, etc.
• Evidence of up-to-date continuous professional development.

Desirable Criteria

• Advanced courses related to Patient Safety.

Experience
Essential Criteria

• Substantial experience at a senior management level, including managing change, decision-making, and introducing new ways of working within mental health services.
• Experience of multi-professional collaboration at a senior level, including statutory and voluntary agencies and service user groups.
• Experience of investigating incidents and management of complaints.

Desirable Criteria

• Experience in implementing the Patient Safety Incident Response Framework.
• Experience of facilitating face-to-face and online teaching sessions or workshops.

Knowledge
Essential Criteria

• Broad knowledge of clinical and managerial systems and processes and clinical intervention across disciplines and service areas.
• Knowledge of Health and Social care regulations and how it applies to the role of clinical governance lead in NHS services.

Desirable Criteria

• Courses in the management of complaints.

Skills
Essential Criteria

• Ability to convey, with high levels of sensitivity and understanding, extremely distressing information to staff, patients, and carers.
• Able to identify key issues from complex documents and transpose them into concise reports with required actions.
• Highly motivated and able to work independently prioritising work and effectively dealing with competing demands.

Desirable Criteria

• Facilitation, negotiation, and influencing skills.

Values
Essential Criteria

• Able to respond to complaints from service users, family/carers, and staff with compassion and openness.
• Able to demonstrate a strong commitment to equal opportunities and equal access with a practical approach to ensure that policies are applicable to practice.
• Demonstrate a high degree of self-awareness, able to demonstrate appropriate use of authority, providing a clear and unambiguous role within the senior management team.

The Trust is committed to providing services that embrace diversity and promote equality of opportunity. We are a Disability Confident Employer, we welcome applicants from all sections of the community and people of all protected characteristics. We provide reasonable adjustments for candidates with a disability and are committed to treating people fairly with compassion, respect, and dignity and in promoting equality and human rights. We aim to put this commitment into practice by:

• Embedding our commitment to tackling inequality, eliminating discrimination and harassment; promoting equality of opportunity and fostering good relations in our everyday practice.
• Ensuring that all our services and all staff understand and support our commitment.
• We believe that people who use our services, their carers, and our staff should be treated with compassion, respect, and dignity.

Please note:

• All applications for this post will need to be made online.
• Read and understand the Job Description and Personal Specification attached to the role. Your Statement in Support should reflect the requirements specified as your application will be judged against these criteria.
• The closing date listed is a guide only and that the vacancy may close earlier should a sufficient number of applicants have been received. We advise that you submit your application as early as possible.
• Once you have submitted your application, you agree to your application being transferred to a 3rd party e-recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs.
• Should you not have heard from us within three weeks from the closing date, your application has not been successful.
• Priority consideration for applications may be given to at-risk NHS employees.
• Should you be successful and appointed, you authorise South London and Maudsley NHS Foundation Trust to confirm your previous NHS service via an Inter Authority Transfer (IAT) process.
• We are a smoke-free Trust.

SLaM is a Stonewall Diversity Champion, Stonewall is the largest Lesbian, Gay, Bi and Trans (LGBT) rights charity in Europe.

Employer Certification / Accreditation Badges

Applicant Requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.