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Countess of Chester Hospital NHS Foundation Trust
Appointment of the Deputy Director of Nursing & Quality
Candidate Brief
July 2013
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Contents
Letter from the Director of Nursing and Quality ............................................................................... 3
The Advert ............................................................................................................................................. 5
About out Trust ..................................................................................................................................... 7
Our Strategic Vision: Care at its Best................................................................................................ 8
Delivering the Trust‟s Vision ............................................................................................................... 9
Our Values .......................................................................................................................................... 10
Nursing and Midwifery at the Countess of Chester Hospital NHS Foundation Trust .............. 10
What is important to us ...................................................................................................................... 11
The Role .............................................................................................................................................. 15
Our Values & Behaviours .................................................................................................................. 22
Further details about the Role .......................................................................................................... 23
Recruitment Process & How to Apply ............................................................................................. 24
Recruitment Process & Timetable ................................................................................................... 24
How to Apply ....................................................................................................................................... 25
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Letter from the Director of Nursing and Quality
Dear Candidate,
Appointment of the Deputy Director of Nursing & Quality Countess of Chester Hospital NHS Foundation Trust
Thank you for your interest in this role at the Countess of Chester. I am delighted to have been appointed as the Director of Nursing & Quality in March of this year. Having been in post a few months, I feel it is now the right time to appoint into the role of Deputy Director of Nursing & Quality from a substantive perspective. I am looking for an outstanding candidate to provide visible, inspirational and professional leadership to our Nursing & Midwifery workforce and support me in ensuring our vision is delivered in an effective and compassionate way. The Countess of Chester Hospital NHS Foundation Trust consists of a 600 bed Trust, which provides its services on the Countess of Chester Health Park, and a 66 bedded Intermediate Care Service at Ellesmere Port Hospital. The Trust has almost 4,000 staff and provides a range of medical services to more than 450,000 patients per year. This is a really interesting and exciting time for the Trust and a challenging time for the Nursing & Midwifery profession. After years of growth, the NHS is now facing its biggest ever financial challenge. Against this backdrop, and together with all of our staff, we must maintain our high standards of care for patients; innovate and embrace improvements; and maintain, or in some areas set, the pace for clinical service development. To achieve this we must work collaboratively with local partners. The new Deputy Director of Nursing and Quality will be key in supporting the Director of Nursing & Quality in transforming care pathways across the whole health and social care system, to meet the challenges associated with long term conditions and increasing ageing. Together with others, we will need to overcome professional and organisational boundaries that too often have made this difficult. Although we have a very solid foundation of delivering high quality care, there is more we still need to do. One of the key opportunities for us is to build upon our foundation of excellent clinical leadership and become one of the most clinically engaged organisations within the NHS. As Deputy Director of Nursing & Quality, you will have responsibility for supporting the Director of Nursing & Quality in delivering the Nursing & Midwifery agenda at the Trust, whilst leading on Quality, Safety and Patient Experience. This is a key an pivotal appointment with the Corporate Nursing Team and I am seeking applications from exceptional individuals who have the passion and desire to ensure our Nursing & Midwifery workforce continues to deliver success.
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In the meantime, if you would like to explore this opportunity further, please feel free to call me to arrange an informal & confidential discussion, by contacting Mary Crocombe on 01244 362067. Yours faithfully Alison Kelly Director of Nursing and Quality
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The Advert
Deputy Director of Nursing & Quality The Countess of Chester Hospital NHS Foundation Trust is one of only five hospitals in the country to achieve a 40 Top Hospitals Award for the twelfth successive year. We require an outstanding individual who will provide inspirational professional leadership to our Nursing & Midwifery workforce. With an income of £190 million, and almost 4,000 staff, the Countess of Chester Hospital NHS Foundation Trust provides its services from a 600 bed general hospital on the Countess of Chester Health Park, and a 66 bedded Intermediate Care Service at Ellesmere Port Hospital. We have recently launched exciting plans to expand the high quality services we already deliver to our patients, and we are extending the range of specialist services we provide to a wider population. This is an exciting and challenging opportunity for an experienced senior nurse leader, with proven experience of leading nursing, clinical services and Trust wide quality initiatives. You will be able to demonstrate a proven track record of successfully leading clinical teams, managing change and putting safety, quality and patient experience at the heart of everything you do. This is a multi-faceted role and working closely with the Director of Nursing & Quality you will be responsible for leading the implementation of the Nursing & Midwifery Strategy, in promoting care that strives for excellence and is delivered with kindness and compassion. You will also be instrumental in leading the quality and safety agenda. Excellent interpersonal and leadership skills, which enable you to inspire, motivate and influence colleagues at all levels are essential. In addition, you will possess the drive and determination to succeed in a progressive and engaging organisation. Our Director of Nursing & Quality, Alison Kelly, will only be available for informal discussions from the 5th to the 9th of August 2013. Please contact
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Mary Crocombe on 01244 362067. Further discussion and informal visits can be arranged for shortlisted candidates. For further information relating to this post, including a candidate brief and details on how to apply, please visit the “Working with Us” section of the Countess of Chester Hospital NHS Foundation Trust website: www.coch.nhs.uj/working-with-us.aspx Closing date: 23rd August 2013. Interviews scheduled to take place on Wednesday 18th September 2013.
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About out Trust The Countess of Chester Hospital NHS Foundation Trust consists of a 600 bedded District
General Hospital, which provides its services on the Countess of Chester Health Park, and a
66 bedded Intermediate Care Service at Ellesmere Port Hospital. The Trust has almost
4,000 staff and provides a range of medical services to more than 445,000 patients per year
from an area covering Western Cheshire, Ellesmere Port, Neston and North Wales.
The Board of Directors has ultimate responsibility for the leadership and direction of the
Trust. The Foundation Trust's performance and compliance is regulated by Monitor, the NHS
Foundation Trust Regulator. Compliance with national service standards is also reviewed
and rated by the Care Quality Commission.
Within the Foundation Trust, the Board is accountable to its membership through the
Foundation Trust's Council of Governors. The Council of Governors is comprised of
appointed Governors, elected Staff Governors and elected Public Governors. Governors
have an important role to play as it is through them the population served by the Foundation
Trust is directly involved in influencing the strategic direction of the Trust which has around
12000 members.
The Executive Directors are:
Chief Executive: Tony Chambers
Medical Director: Ian Harvey
Director of Nursing & Quality: Alison Kelly
Director of Operational Services: Tim Lynch
Director of Finance: Debbie O'Neill
Director of Human Resources and Organisational Development: Susan Young
The Non- Executive Directors are:
Chair: Sir Duncan Nichol CBE
Andrew Higgins
Laura Carstensen
Rachel Hopwood
Dr Elaine McMahon
James Wilkie
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Our Strategic Vision: Care at its Best
Quite simply we want to deliver the best possible care to our patients - currently 96%
of our patients rate our services as good or excellent and would recommend us to a
friend or relative, but we aim to do more in the next few years;
Providing the best possible patient experience
We believe that providing the best clinical outcomes and highest quality care in a
safe, friendly environment where a patient's dignity is fully respected will provide our
patients the best possible experience even in the often difficult circumstances many
face. That's why we intend to continuously make improvements in the patient
experience and reduce the incidence of harm.
Efficiency in delivering services
We aim to deliver streamlined, accessible services to patients, where it is most
convenient to them, with the lowest waiting times, by maximising our operational
efficiency and productivity and redesigning service provision.
Listening to our customers
Patients are not our only customers - their relatives, friends, visitors, the General
Practitioners who refer them and the bodies that commission our services are
important too. By listening to our customers and using their feedback and by working
in partnership with our commissioners we will continuously improve the services we
provide.
Pushing Boundaries
Always moving forward and changing things for the better, expanding the scope and
range of services - life-changing innovation, from the application of the very best
clinical practice, through process transformation and use of the latest technology.
People at their best
Meeting our ambitions for customers rests on our staff - engaging, empowering and
recognising our people will make sure they can give their best and continuously drive
improvement in the delivery of services.
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Delivering the Trust’s Vision
Delivering the best possible care to our patients means we need to continuously
improve and over the next three years we aim to make significant improvements
across the Trust in a range of areas, in spite of the tough challenges we face.
Our Countess Way programme combines the improvement of quality, service
development, pathway and process improvement, cultural change and cost reduction
in a „holistic‟ programme to transform the way we deliver services. Through the
programme we aim to deliver significant improvements in the quality and safety of
patient care, in the patient experience and in achieving maximum value for money in
the use of our resources.
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Our Values
At the heart of delivering this vision are our values. These are the principles that
determine the way we behave and what we believe in. They help bring us together
as a family, giving us a common culture.
Nursing and Midwifery at the Countess of Chester Hospital
NHS Foundation Trust
The Executive Director of Nursing and Quality provides the strategic and corporate
overview for the nursing and midwifery professions at the Countess. Supported by a
Deputy Director, 2 Heads of Nursing and a Head of Midwifery, the Executive Director
of Nursing develops the local nursing and midwifery strategy taking account of the
national agenda and local needs. The Deputy Director of Nursing & Quality will lead
on its implementation. As you will see from the structure chart on page 13, our
Heads of Nursing and Midwifery are embedded in our main operational divisions for
Planned and Urgent Care, ensuring that the patient is at the heart of everything we
do. The matrons in each Division ensure a whole hospital approach to delivering
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patient pathways in the most efficient and effective way, ensuring the best outcomes
for patients with a strong emphasis on “right first time”.
What is important to us
To ensure that patient safety is at the very top of our agenda. We are
currently reviewing our nursing care metrics ensuring we are measuring and
monitoring care effectively. We are committed to delivering the 6Cs at all
times and this is fundamental in the development our of Nursing & Midwifery
Strategy,
To ensure patient care is delivered to the highest standard we aim for an
excellent experience for our patients. By developing smooth and efficient
pathways we ensure that our patients are not in hospital any longer than they
need to be. We monitor their experience through national and local patient
surveys, and we have recently started to develop our 6Cs Nursing &
Midwifery Strategy (Care, Compassion, Commitment, Communication,
Courage and Competence). A strong focus is placed upon the Patient
Experience agenda and in particular to gaining real time feedback from
patients.
Providing excellent care for patients with Dementia is very important to us and
with the development of an inspirational Dementia Team, we have seen the
focus of this important element of care raised both internal and external to the
Trust. We are working closely with the Alzheimer‟s Society and are proud of
our Dementia education programme.
A key aspect of the role is to work with colleagues across the trust to develop
a clinical workforce plan, which reflects the need for a multi-disciplinary
approach to patient care. We have introduced our own programme for the
development of 15 Advanced Practitioners in preparation for the new
enhanced nursing roles in the hospital. We have identified our actions from
the Francis report and these have been integrated into our strategy.
We have an impressive record of reducing hospital acquired infections
including MRSA and Clostridium Difficile.
Nurse development is also underway to support the trust‟s new developments
in vascular surgery, bariatrics and the new integrated critical care unit, which
will be due to open in early 2014.
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We are also working collaboratively with colleagues outside the hospital to
redesign pathways which better reflect the patients‟ needs. This involves
working with the nearby mental health trust, and other health and social care
providers including the local authority. We play a key role in the Cheshire
West and Chester initiative. “All Together Better” which takes a “whole
system” approach to a wider range of community needs. We are particularly
involved in the work stream “Ageing Well” concentrating initially on the over
65s.
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NURSING MANAGEMENT STRUCTURE
Director of Nursing & Quality
Chief Executive
Deputy Director of Nursing & Quality Head of Nursing Urgent Care
Head of Nursing Planned Care
Head of Midwifery
Matrons
x3
Lead Nurse Critical Care
Clinical Nurse
Manager
Ward/Unit/Department
Senior Clinical Nurse Specialists with extra managerial responsibilities/Advanced Practitioner skills
Se
Matron x1 Lead
Nurse ED
Named Midwife/Professional
Safeguarding Children
Pathway Manager
Urgent Care
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CORPORATE NURSING & QUALITY STRUCTURE
Director of Nursing & Quality
Deputy Director of Nursing & Quality Lead Cancer Nurse/
Macmillan Palliative Care CNS
Head of Complaints & PALS
Head of Patient Safety Lead Infection Prevention & Control Nurse
Lead Specialist Nurse,
Tissue Viability
Team
Team
Team
Team
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The Role The Deputy Director of Nursing & Quality is primarily responsible for the provision of
a safe and high quality nursing service as well as leading on the Quality, Safety and
Patient Experience agenda at the Countess of Chester Hospital NHS Foundation
Trust. The post holder is a member of the Senior Nursing Team. This will involve
professional leadership to nurses and midwives, providing expert professional
advice, contributing to the development of policy and strategy in relation to the
nursing and midwifery service, and implementing and monitoring measures to assure
the quality and safety of nursing and midwifery practice. The post holder will work in
close partnership with managers and other healthcare professionals to facilitate the
delivery of a high quality service.
The post holder will lead on a number of initiatives as described within the job
description.
Key Responsibilities:
1. Professional Leadership
Provides professional leadership to all nursing and midwifery staff fostering a culture which values continuing professional development and strives for excellence in the delivery of patient care and quality improvement in line with the 6C‟s.
Ensure a culture of nursing and midwifery leadership, development and living the Trust values is embedded and promoted and act as a professional role model for all nurses and midwives at all times.
Leads on the development and implementation of nursing and midwifery aspects of the Trust‟s strategy, with particular reference to current national policy and statutory obligations.
Provides advice as required on nursing, midwifery and patient experience issues, in accordance with local and national policy.
Works collaboratively with other professional leads in developing a culture which embeds clinical quality and patient safety, and monitors its effectiveness to ensure continuous improvement.
Participates in meeting the Trust‟s obligations to safeguard all individuals who the organisation comes into contact with (e.g. children, adults, learning disabilities and mental health).
2. Quality
To take lead responsibility for performance of clinical care and professional standards across the Countess of Chester Hospital.
To lead on CQUINs, Clinical Indicators and QIPP agendas, ensuring communication of performance reaches all staff.
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To work in partnership with the CCG Quality Lead in monitoring safe and effective care to patients.
To be Trust lead for all external quality audits and reviews related to patient care and nursing practice.
To lead on clinical metrics as a method of monitoring quality, safety and patient experience, providing assurance on data quality in conjunction with the Director of Information & Technology.
3. Safety
To lead on risk management arrangements that ensure full compliance with internal and external governance and best practice requirements.
Ensure the implementation of infection control policies and procedures to ensure they meet the CQC standards for safety and NHSLA standards.
Lead on development of the annual Quality Account Report. 4. Patient Experience
To lead on the development, monitoring and evaluation processes by which public perceptions of the service can be measured and incorporated into service development and improvement.
Lead trend analysis of complaints, concerns, compliments and comments and ensure that this is reported back to the Divisions to reduce risk and improve quality, safety and patient experience.
Participate in the Trust‟s Patient Experience strategy and develop mechanisms to ensure that learning from patient feedback results in improvements in service provision.
Take a lead on ensuring compliance with CQC and other standards with regards to patient experience.
5. Strategy
To take a lead on the programme of activity and lead on specific initiatives on related nursing and midwifery matters.
To take a lead on the implementation and evaluation of the Trust‟s Nursing and Midwifery 6C‟s strategy and service improvements, paying special attention to the clinical standards and service improvements that will enhance patient care, within and outside the organisation.
To assist the clinical leads in balancing the challenges of providing high quality, safe services, with excellent outcomes and in a way that delivers efficiencies and meets the expectations of patients and the public.
Deliver improvements in patient experience through making the patient central to all activities of the Trust and „championing‟ the patient experience with compassion.
To lead on the preparation for any external quality assessments.
Lead the Trust‟s responses to consultations as appropriate.
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To ensure relevant actions from the Francis Report are fully integrated into strategies going forward.
6. Management
To lead the senior nursing team, which promotes leadership attitudes and capability at all levels.
To line manage key members of the Corporate Nursing Team as required within a specified area.
To provide clinical leadership capability in nursing at the CoCH.
To take responsibility for issues outside immediate sphere of responsibility as required.
7. Delivery
To lead on the delivery of an annual Quality Strategy.
To lead on the review of workforce plans for nursing and midwifery.
To lead on bi-annual nursing & midwifery staffing level reviews.
8. Resources
To appropriately utilise the revenue budgets as required ensuring expenditure and income is within financial plans and budget and to ensure compliance with Standing Financial Instructions.
To work with Finance leads on managing the financial implications and risks of underperformance against quality targets.
To be a signatory for designated budgets where appropriate.
To contribute to the achievement of the Trust‟s efficiency plans. 9. Service Improvement
To contribute to local service improvement projects and/or participate in Divisional or Trust-wide development of programmes that contribute to modernisation of services providing both professional and clinical advice as necessary.
Work collaboratively with external partners in the development of patient pathways and services in relation to the services provided at CoCH.
Work effectively with the Divisional Heads of Nursing/Midwifery, Divisions and other agencies to design and implement innovative methods of service delivery to promote improved patient care and a more responsive service ensuring patient and public involvement is an integral part of service development.
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10. Education and Training
To lead on the strategic development and implementation of programmes of education across the Trust, working in collaboration with academic partners.
To lead on the development and provision of a portfolio of educational programmes which include accelerated development programmes, return to practice, adaptation and other programmes as identified by service requirements.
To lead on the development and implementation of the Trust‟s agenda, strategy and delivery of multi-disciplinary programmes, integrating these to the maximum extent possible with the programmes of academic partners.
Provide support and advice to ensure that there is an appropriate and effective correlation between service and training needs.
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The Candidate
Candidates who are considering this role should be able to demonstrate the criteria,
skills and experience as outlined in the Person Specification below:
PERSON SPECIFICATION
Essential Desirable Method of Assessment
QUALIFICATIONS
Degree or equivalent relevant experience
Relevant Master‟s degree or equivalent relevant experience
Management qualification or equivalent relevant experience
Registered General nurse/midwife with specialist knowledge covering a wide range and more than one relevant discipline e.g. clinical services, finance, personnel, IT, gained through significant proven experience
Evidence of continuing personal and professional development
Application
KNOWLEDGE AND EXPERIENCE
Broad career history across a variety of clinical and managerial functions
Extensive experience in a senior management role within the NHS
Manage and deliver strategic Clinical Governance
Demonstrate extensive management experience within an operational environment, including clinical service provision, finance, HR, change management & service improvements.
Demonstrate successful management of change within a large complex organisation
Multi-agency working at strategic level
Application/ Presentation/ Interview
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Demonstrate thorough understanding of the service and the impact on service provision of current Department of Health Strategy and Foundation Trust status
Experience of developing business plans which support/deliver corporate objectives and board level reports
Proven performance management of services and delivery of targets within agreed timescales
Significant proven experience in developing Quality targets and other key performance measures e.g. CQUIN, with commissioners.
Knowledge of key performance indicators and compliance against quality/risk/governance agendas
Demonstrate sound financial management across multiple services
Demonstrate thorough knowledge of the NHS and the modernisation agenda particularly in relation to service delivery
Experience of delivering to tight deadlines Experience of staff development and appraisal
including performance management
PERSONAL SKILLS / ATTRIBUTES
Well developed leadership and motivational skills
Excellent interpersonal skills
Patient focused
Excellent planning and organisational skills
Political awareness
Judgement and analytical skills
Application form / presentation/ interview / references
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Ability to influence, persuade and negotiate at all levels
Conflict resolution
Ability to prioritise own and others‟ workloads effectively to meet tight deadlines whilst managing conflicting priorities
Enthusiastic and self-motivated
Ability to work independently as well as part of a team
Capacity to build and develop teams and maintain constructive working relationships at all levels
Ability to prioritise own and others workload and a flexible approach to changing priorities
Ability to communicate effectively at all levels
IT literate – Proficient in using Microsoft office applications and other software applications
Self-motivated
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Our Values & Behaviours
VALUES BEHAVIOURS
We put patients at the heart of everything
we do
I recognise that there is a patient behind everything we do.
I will strive to provide a quality service at every stage of the patient journey.
I will deliver the service and care I would expect to receive myself.
I will listen carefully to what patients tell me, I will act on it and I will keep the patient informed.
We have a ‘can do’ attitude
I will look for solutions to issues rather than accepting that nothing can be done.
I will strive to do my best at all times and assist others in, and outside my service area.
I will offer to participate where my skills and experience will be of value.
I will take responsibility for making things happen.
We take pride in the service we provide
I will promote our service positively to others and stand up for the service if it is unfairly criticised.
I will take personal responsibility for my role in the service.
I will do my job to the best of my ability. I will take pride in my surroundings and
appearance.
We strive for improvement
I will keep an open mind to new ideas, make the most of opportunities and accept when change is necessary.
I will continually look for ways to improve how we work.
I will use feedback to identify improvement opportunities.
I will use effective communication to keep everyone informed.
We are welcoming, friendly and caring
I will treat all patients, visitors and staff with respect and dignity.
I will make a good and lasting impression. I will be approachable. I will acknowledge you when you arrive and
make time to understand your needs.
We respect each other
I will respect your opinion even if it is different to my own.
I will treat everyone as an equal. I will respect the role of everyone and their
contribution to the Trust. I will take responsibility for my timekeeping and
absences, understanding the impact it has on the service and others.
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Further details about the Role
On Call
The post holder will be expected to participate in the on-call arrangements for Senior
Managers.
Notice Period
The minimum notice period is 3 months.
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Recruitment Process & How to Apply
Recruitment Process & Timetable
Confidential discussions can be undertaken with Alison Kelly, Director of Nursing &
Quality between 5th and the 9th August. Please contact Mary Crocombe on 01244
362067 if you require further information or would like to arrange a confidential
discussion.
Stage of the Recruitment Process Date
Advert Live on NHS Jobs Friday 2nd August
2013
Advert closing date Friday 23rd August
2013
Shortlist Meeting W/comm 2nd
September 2013
Selection Process Wednesday 18th
September 2013
A short listing exercise will be undertaken and shortlisted candidates will be invited to
participate in a selection process, which will comprise of the following:
Q& A with focus group
Psychometric Testing
A presentation and a formal panel interview
Interviews are scheduled for Wednesday 18th September 2013.
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How to Apply
To apply for this role, please submit the following information by email to:
[email protected] with a copy to [email protected]
A detailed CV, including the details of two referees who may be contacted at
shortlist stage (please confirm if references can be obtained in advance), and
current salary. Your CV should include your full career history and provide
details of any associated responsibilities and key achievements.
A covering or supporting statement which briefly highlights your experience
and skills against the requirements of the role.
