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ACW ICSU Quality and Risk Manager

Band 6 (To be confirmed)

Main area
ACW ICSU Quality and Risk Manager
Band 6 (To be confirmed)
  • Full time
  • Part time
37.5 hours per week
Job ref
Whittington Health NHS Trust
Employer type
Whittington Hospital
£32,306 - £39,027 Per Annum + HCAs
Salary period
20/10/2021 23:59

For our current apprenticeship vacancies, please go to https://www.gov.uk/apply-apprenticeship and use Keyword ‘Whittington’

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers.



Job overview

This post will be an integral part of the Acute Patient Access, Clinical Support Services and Women's Health Quality, Risk and Governance Team and will play an essential role in developing and implementing Risk Management and Clinical Governance Processes with  the ICSU (Integrated Clinical Service Unit)to ensure that there is a comprehensive framework to continuously monitor and improve the quality of care provided across the main Clinical Service Delivery areas within the ICSU .

Main duties of the job

The post holder is to be the risk management and governance advisor within ACW ICSU.  They will support the ICSU Quality and Risk Leadership (Chief Pharmacist & Director of Midwifery) to develop and implement risk management and clinic governance processes within ACW ICSUs to ensure that the ICSU have a comprehensive framework to continuously monitor and improve the quality of care provided across the following main areas:

  • Women's Health
  • Pharmac
  • Imaging
  • Pathology
  • Acute Patient Access.

Key relationships will be with:

  • Corporate Quality and Risk Team
  • CSU Management teams
  • Clinical staff across the ICSU


Working for our organisation

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff.  We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief.  The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work

Detailed job description and main responsibilities

Incident management and Serious Incident investigations

  • Support the ICSU Quality and Risk Leadership to ensure that all ACW ICSU’s adverse incident investigations are appropriately investigated and acted upon to improve patient/staff safety.
  • Design and deliver training in collaboration with the Risk Management Team relating to incident and risk management for dissemination across ACW ICSU. Support the ICSU Leadership to develop a ‘no blame’ culture from which learning and improvements can be derived.
  • Support risk leads within the ICSU in the investigation of serious incidents via Root Cause Analysis (RCA).
  • Work with the ICSU Risk Leads to ensure action plans arising from serious incidents are completed within agreed timescales and that evidence is submitted to the relevant committees.
  • Monitor compliance with the Duty of Candour in respect of patient safety incidents, providing support for clinical staff and ensuring that the duties of the Trust are met.
  • In collaboration with the Quality & Risk Leadership, promote a culture where staff are confident in reporting adverse incidents and investigating them using root cause analysis.
  • To accompany clinicians and section specific risk leads when meeting with patients and/or their relatives to outline the processes for investigation and discussing investigation findings.
  • To validate and quality check all incidents, reported on the Trust’s risk management system (Datix) ensuring that areas of high risk and high patient impact are addressed and escalated immediately to Risk Leads within the relevant section.

Risk Management

  •  Support the ICSU Quality and Risk Leadership to analyse risk and compliance data and develop recommendations to ACW and other ICSU committees to address identified deficits in safety and/or compliance and ensuring agreed actions are followed through
  • Support ICSU Quality and Risk Leadership to ensure that ACW ICSU’s risk registers are up-to-date and reviewed regularly
  • Support staff with completing risk assessments and provide training on risk management as required.
  • Work collaboratively with other ICSU’s to enable the identification of safety risk through adverse incidents, complaints, legal claims, H & S risk assessment, risk registers and other methods of risk identification (e.g. safety alerts, NICE etc) and ensure that any actions to mitigate identified risk are implemented.

Governance and Quality

  •  To support completion of the performance indicator dashboard and individual reports for ACW ICSU for local & Trust
  • To support the ICSU Quality & Safety Leadership to review and analyse internal patient safety data and intelligence identifying themes and trends and inform on organisation projects/initiatives as directed that produce change and learning reducing clinical risk.
  • In conjunction with the Corporate Quality and Risk Team, to develop and produce comprehensive reports for ACW ICSU which enable an aggregated analysis of trends and themes in patient and other safety issues and lead the process of developing mitigating actions and identifying areas for improvement.  This includes complaints, incidents, H&S issues, risk and litigation.   
  • To Support ACW ICSU leads with tracking implementation of CAS alerts, reporting on progress to the Quality and Risk team
  • Provide advice and act on support on all matters relating to risk and patient safety within ACW ICSU’s.
  • To work with the Trust Clinical Audit Lead to facilitate mandatory national audits being completed to timeframes, that reports are reviewed and to ensure that actions arising from audits are suitably monitored and completed.
  • To link with the corporate risk and quality team ensuring that information and learning  is shared across the various disciplines e.g. Health & Safety, PALS, Complaints, Litigation as well as Audit and Clinical Effectiveness
  • To supervise any volunteers related to the post
  • Facilitate Duty of Candour and Serious Incident meetings

Education & Training/Self-development

  • Identify own training development needs and undertake appropriate training/education as required
  • Participate in an annual individual performance review process where objectives will be agreed, performance monitored and personal development needs discussed
  • Act responsibly in respect of colleague’s health, safety and welfare following safe work practices and complying with the Trust’s health and safety policies.
  • Adhere to all Trust policies as applicable.


Person specification

Education / Qualifications

Essential criteria
  • • Degree (or currently studying towards degree) or equivalent
  • • Qualification in risk management such as Capsticks/Open University Diploma. Or equivalent experience in a risk management role
Desirable criteria
  • • Clinical qualification

Skills & Abilities

Essential criteria
  • • Excellent written and verbal communication skills enabling complex aspects of governance to be communicated in as style that colleagues can comprehend and implement
  • • Ability to build and maintain effective working relationships with staff at all levels
  • • Computer literate and knowledge of databases
  • • Analytical skills
Desirable criteria
  • Negotiating and influencing skills with proven experience in influencing change
  • • Ability to develop and implement policy

Knowledge & Experience

Essential criteria
  • • Experience of working as a member of a multi-disciplinary clinical team
  • • Experience in monitoring practice
  • • Evidence of initiating change and implementing projects
Desirable criteria
  • • In-depth understanding and working knowledge of Clinical Governance
  • • Teaching practice in classroom and/or clinical placement
  • • Experience in developing and implementing a risk management strategy
  • • Knowledge of Root Cause Analysis techniques

Personal Qualities

Essential criteria
  • • Ability to work autonomously
  • • Ability to motivate and enthuse staff on clinical governance matters
  • • Ability to co-ordinate and liaise effectively with in a multidisciplinary team
Desirable criteria
  • Ability to demonstrate clinical credibility
  • • Effective leadership skills
No smoking policyPositive about disabled peopleInvestors in PeopleImproving working livesCare quality commission - GoodDisability confident committed

Applicant requirements

Applications from job seekers who require sponsorship to work in the United Kingdom (UK) are welcome and will be considered alongside all other applications. Please note that from January 2021, to work in the UK all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship unless you have permission to work via another route. Non UK / RoI candidates wishing to apply can self-assess the likelihood of obtaining a Certificate of Sponsorship here. It is vital that you provide full and accurate details of your current immigration status on the application form. Overseas applicants applying for entry clearance into the UK must present a criminal record certificate from each country they have resided in continuously or cumulatively for 12 months or more in the past 10 years. Guidance can be found here. Not everyone needs a ‘Skilled Worker’ visa. If you are applying for a vacancy in health or adult social care, check if you’re eligible to apply for the Health and Care Worker visa instead. It’s cheaper to apply for and you do not need to pay the annual immigration health surcharge

Documents to download

Apply online now

Further details / informal visits contact

Stuart Richardson
Job title
Chief Pharmacist
Email address

If you have problems applying, contact

Whittington Health NHS Trust
Magdala Avenue
N19 5NF
0207 288 5925