About this role
Job summary
Working within the Quality and Safety Directorate, you will support the Team Manager, Claims in the effective management of Clinical Negligence and Personal Injury Claims. Managing your own caseload, you will investigate complex claims, assess risk and liability, liaise with legal representatives and clinical teams, and ensure cases are progressed in line with legal requirements and organisational policies.
You will play a key role in identifying learning from claims, promoting a culture of openness and continuous improvement, and ensuring that lessons are shared across services to reduce future clinical and financial risk.
Working closely with clinicians, managers and external partners, you will provide specialist advice, contribute to policy development, support training and education, and help prepare reports for senior leaders and governance forums.
The successful candidate will be highly organised, able to manage competing priorities and complex information, and committed to delivering high standards of patient safety, quality and service improvement. This role is well suited to an experienced legal services, claims, governance or risk professional who can influence change and support the delivery of safe, effective care.
Main duties of the job
o Support and update the Team Manager - Claims in the day to day management of Clinical Negligence, Personal Injury Claims and Inquests to ensure that claims are managed in accordance with Health Board's policies, and in accordance with Welsh Office Circular Welsh Health Circular (97) 17 and the Civil Procedure Rules or
o Manage a caseload of Inquests, from commencement to conclusion, liaise directly with the Coroner's Office, support staff, draft and amend witness statements, action plans and work to strict deadlines.
o Prepare staff who are called to give evidence and inform and guide staff on Inquest process and to attend Inquests, and report back to senior staff the outcome of inquests and advise on remedial action if required.
o Provide expert legal advice on medico-legal issues e.g. consent on a frequent basis to staff at all levels in the organisation, including very senior managers and Executive Directors
o Ensure that lessons from Claims are identified and addressed by senior members of staff and escalate when necessary to senior members of staff e.g. Medical Director.
o Inform and update the Team Manager - Claims in the production of reports for directorates and Claims Panel.
o Draft template letters for senior members of staff and letters for Chief Executive.
o Work closely and collaboratively with other members of the Concerns team, to facilitate an integrated and comprehensive response.
About us
Cwm Taf Morgannwg (CTM) University Health Board, part of NHS Wales, serves a large population across a diverse and beautiful region, steeped in history and heritage. With nearly 13,500 staff, our health board is one of Wales's largest employers.
Together, we are Team CTM; a workforce dedicated to offering excellent patient care and support to the 450,000 people across our three regions, Bridgend, Merthyr Tydfil, and Rhondda Cynon Taf. We operate three District General hospitals, several community hospitals, primary and community care facilities.
CTM's location offers the best of South Wales, just 20 minutes from Cardiff's vibrant city life, the natural beauty of the Brecon Beacons, and the serene coastline at Ogmore. Whether you enjoy lively urban amenities, peaceful countryside, or seaside escapes, our location makes an ideal setting for both work and personal life.
Our CTM 2030 Strategy--Our Health, Our Future--focuses on uniting our region around shared health and wellbeing goals. Our values guide us daily:
o We listen, learn, and improve
o We treat everyone with respect
o We work together as one team
CTM employees enjoy benefits including; a leading pension, generous leave, flexible work, career growth, and access to ongoing learning and development.
At CTM, you'll find a welcoming, team-oriented workplace that values diversity and compassion, where you can take pride in your work and the difference it makes.
Job description Job responsibilities
You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.
Help shape safer healthcare by ensuring lessons learned from claims lead to meaningful improvements in patient care across the UHB.
Person Specification
Qualifications Essential
Educated to Degree level or equivalent experience Current Chartered Legal Executive qualification or equivalent legal qualification.
Desirable
Diploma in Claims Management.
Experience Essential
Experience of working with complex and sensitive information within a large organisation. Specialist in-depth knowledge & experience in the legal speciality of Clinical Negligence and Personal Injury Claims. Significant experience of managing own caseload. Professional credibility.
Desirable
Implementation of related Policies and Procedures. Risk management. Contributing to service improvements. Multi-professional partnership working. Significant experience of working within the NHS.
Skills Essential
Highly developed verbal and written communication skills; ability to communicate effectively in written and oral form with staff, patients and their families. Excellent interpersonal skills and ability to communicate highly complex information in a manner suited to the audience. Ability to articulate and escalate important issues in a clear and logical way. Ability to analyse complex medico-legal issues, identify necessary action and make recommendations. Ability to make balanced and sound judgements. Ability to adapt to changing circumstances and adjust plans responsively. Good organisational skills. Decision making skills. Evidence of meeting challenging deadlines on time. Computer skills, with working knowledge of databases, spreadsheets and presentation packages.
Desirable
Skills to successfully present information to a wide audience.
Knowledge Essential
Expert knowledge of relevant literature, research and legislation relating to claims management. Clear understanding of responsibilities relating to relevant aspects of the Data Protection Act and Freedom of Information Act. Detailed understanding of the health service and clear understanding of the concept and working arrangements of diverse clinical areas. Good knowledge of risk assessment tools and methodologies and Clinical Governance in general. Clear understanding of the concept of evidence based practice and clinical effectiveness. Knowledge of the NHS Redress Measures. Knowledge of a range of complex internal processes to a degree level equivalent.
Desirable
Knowledge and experience of the administration and use of the Datix system. Expert knowledge of relevant literature, research, and legislation relating to Claims management.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Employer details Employer name Cwm Taf Morgannwg University Health Board
Address Ynysmeurig House
Navigation Park
Abercynon
CF45 4SN
United Kingdom
Employer's website https://joinctm.wales/ (Opens in a new tab)