Patient Safety Incident and Inquest Manager

Job summary

The implementation of the Patient Safety Incident Response Framework (PSIRF) has transformed how the Trust and the NHS responds to patient safety incidents, introducing a more flexible, transparent, and learning-focused approach. Concurrently we have seen increasing involvement and scrutiny with our coronial processes.

These changes have created substantial new responsibilities for the Patient Safety Team (PST), including urgent case reviews, family engagement, and coordination with legal and coronial services.

Are you looking for a new exciting challenge where you can help shape and strengthen these processes, to meet the demands and ensure compliance, learning, and reputational protection in particular relation to the coronial aspect?

Do you have a keen interest in all things relating to patient safety and compassionate engagement with our patient families, with the driving focus of 'how can we improve our care / service'?

Do you have experience related to inquest processes within the remit of healthcare and are keen to use this knowledge and insight to support the trust, the teams and relatives of patients? Are you adaptable, quick thinking and proactive?

If yes, then this post is for you - We are excited to offer a new post, Band 7 Patient Safety Incident and Inquest Manager role.

It is a part-time (22.5 hours week),fixed term contract but we would also consider a secondment position.

Main duties of the job

The post supports the Patient Safety Team, the Head of Patient Safety and works with Divisional Governance Teams. It provides leadership, oversight and expert advice to ensure effective reviews of inquests.

Monitor and support processes to ensure timely reports/documents ready for inquests, with appropriate actions, learning and completion through required governance. Undertake and participate in investigations as needed to review patient safety events and identify learning.

Support learning from a wide range of patient safety information sources (e.g. mortality reviews, incidents, complaints), identifying themes and trends and linking them to current improvement activity and identifying new quality improvement areas.

Establish effective communication, ensuring sensitive, contentious and complex information is handled appropriately when shared with staff, patients, families and colleagues. Liaise with patients, service users, carer's and families after a patient safety incident and throughout response processes, supporting active engagement.

Liaise with the legal team on upcoming inquests that may present complications (e.g. neglect verdicts or regulations) for the Trust or staff and escalate issues to the Head of Patient Safety.

Support the Head of Patient Safety to ensure learning from inquests is fed back to the Trust for wider learning and monitor Prevention of Future Deaths regulations issued by the coroner, ensuring the required process is followed.

About us

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Being open and honest

Ensuring people feel cared for

Showing respect to everyone

The Patient Safety Team are driven, enthusiastic staff who look at all incidents as ways we can learn and improve our system wide approach of caring for patients. The team help to ensure we are not focusing on individuals but that we seek to understand what has led to staff being in the situations they found themselves in and that we communicate this effectively to our relatives of patients.

DBS Checks and Costs

Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs.

Details

• Date posted: 01 June 2026
• Pay scheme: Agenda for change
• Band: Band 7
• Salary: £49,387 to £56,515 a year
• Contract: Fixed term
• Duration: 18 months
• Working pattern: Part-time
• Reference number: C9365-26-0423
• Job locations: Charles Hastings Way, Worcester, Worcestershire, WR5 1DD, United Kingdom

Job responsibilities

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 esclalate potential delays or concerns to the Head of Patient Safety.

Support the Head of Patient Safety with facilitating the learning from inquest is fed back in to the trust for wider learning

Where appropriate and if required with the support of the Head of Patient Safety represent the trust at inquest

Monitor prevention of future deaths regulations issued by the coroner to the trust, supporting the Head of Patient Safety to ensure process is followed.

Key Duties

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 and 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, inquests.

Support the Head of Patient Safety and Complaints and Associate Director of clinical Governance and Risk, to ensure educational programs reflect the learning acquired from complex investigations (including inquests and claims), influencing the Learning and Development of all staff.

To 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 (ie. 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 Trusts 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.

To 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.

Supports 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.

To support the Head of Patient Safety and Complaints and the Associate Director of Clinical Governance and Risk 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.