Jonathan Carruthers Email & Phone Number

Oxford, England, United Kingdom

Working closely with the Head of Clinical Governance and colleagues from across the organisation to assist the Trust in achieving the strategic goals set out in the Quality Strategy. Play a key role in the design and delivery of effective processes of clinical governance in order to provide the Trust Board with assurance as to the clinical quality of services that are provided across the organisation and to ensure the organisation continually strives to improve the quality of services provided. Have an in-depth understanding of all areas of clinical governance, and have a portfolio responsibility and a leadership role for clinical outcomes. Operationally deliver and embed the Trust’s clinical governance agenda with particular focus on the clinical outcomes process and learning from deaths, ensuring that effective linkages are made across the Trust and with stakeholders and partners to increase engagement and awareness of the governance agenda.Clinical Outcomes are quantifiable measures of changes in the health of patients which are attributable to an intervention or series of interventions at OUHFT and which can be benchmarked against similar measures nationally or with a relevant peer group of Trusts.The following sources are used to monitor and review data on clinical outcomes:• Dr Foster: Hospital Standardised Mortality Ratio (HSMR); alerts for mortality, length of stay and readmissions• NHS Digital: SHMI, Patient Reported Outcome Measures (PROMs), NHS Clinical Indicators• OUH internal data on mortality• Care Quality Commission mortality outlier alerts• NHS England; Specialised Services Quality dashboards• National Clinical Audits (NCA) commissioned by Healthcare Quality Improvement Partnership (HQIP) on the Quality Account and National Clinical Audit and Patient Outcomes Programme (NCAPOP)/Clinician Outcome Review Programmes• National Confidential Enquiry into Patient Outcome and Death• Getting it Right First Time programme

Stratford-Upon-Avon, England, United Kingdom

Key role in leading all aspects of Risk and Governance, including clinical audit, quality improvement projects, serious incident investigation with a human factors emphasis, staff debriefs, liaison with CCGs across the country, Datix system management and training to staff.

Oxford, England, United Kingdom

Working closely with resources at a Divisional level to provide support, facilitation and guidance for all Clinical Governance Activities, that are in line with the strategic view and intent of Oxford University Hospitals NHS trust.The role encompassed risk management, clinical audit and clinical effectiveness programmes. Also work in the area of staff involvement, staff and clinician engagement in key Clinical Governance processes and programs, relationship building within the division and education & training (in relation to clinical governance, risk, patient safety, clinical audit, and continuous quality improvement).Liaison with the Clinical Governance Trainer to identify education requirements and assist with delivering these programmes. Co-ordinate investigations, write investigation reports, and support colleagues within the division to drive the clinical governance agenda locally. Ensure that actions arising from incident investigations are completed within the division and that learning is shared across the organisation where appropriate. Further responsibilities include:- Duty of Candour requirements and liaison with patients/families.- Risk registers- Preparation of initial summary reports for the weekly serious incident meeting.- Co-chair at governance meetings.- Datix investigator training and system administration.- Themes and learning from Datix incidents for ward areas.- Regular meetings with ambulance service and CCG.- Audit support.- Relevant support to CQUIN initiative.- Investigation report writing.- Mortality review support.- Completion of structured mortality reviews.- Attendance at monthly mortality review meeting.- Presenting completed mortality reviews on behalf of the division of MRC.- Review of Dr Foster and SHMI data.- Providing Divisional level response to Dr Foster alerts.- Attendance and support for mortality leads within the directorates of MRC Division.

Oxford, England, United Kingdom

- Daily 'triage' of medication related Datix incidents (checking of coding, harm levels and allocated investigators etc.).- Maintenance of the office board of incidents and actions resulting from serious incident investigations.- Dispensary support- Ward support- Preparation of papers for pharmacy governance meeting.- Preparation of papers for trust board/trust quality account.- Internal dispensary error monitoring.- Policy review/writing.- Liaison with external bodies (external dispensing errors etc.).

John Radcliffe Hospital, Oxford

After a short break away to another NHS Trust and also a primary care setting I returned to the Oxford University Trust.Initially, I re-accredited as a Technician Checker and began regaining experience of the dispensary services and robot. Following this I began undertaking the SWMIT Medicines Management accreditation. This began with a 2 day induction course followed by evidence gathering and completing reflective diary logs. I was then assessed both internally and externally before receiving my accreditation for: POD (patient's own drugs) checking, transcribing orders and completing medicines reconciliation in the ward based environment.Since completing the course I am now able to visit the ward myself and assist the ward pharmacist with ward cover, this includes - checking the ward pharmacy diary for items that need to be ordered for specific patients, ordering ward stock and topping up the ward TTO dispensing cupboard, confirming with nursing staff and the ward co-ordinator patients that are due for discharge that day, completing medicines reconciliation for newly admitted patients to ensure their medication is aligned during their stay in hospital and order anything they may need for their stay. The trust has also recently implemented Electronic Prescribing and I have now gained a solid understanding of how to use the system from an MMT point of view.In this role I am also responsible for supplying high cost drugs to the Oxford Eye Hospital (Eylea, Lucentis, Ozurdex, Jetrea and Bevacizumab) and ensuring they are issued correctly to patients so the trust can be reimbursed appropriately. I am also responsible for creating clinic lists for Lucentis pre filled syringes which are then prescribed and screened before sending on to our CTASU department for manufacture.

During my time at Arden Commissioning support unit I supported both the Primary and Secondary care prescribing teams with the following:Primary Care: Production and ongoing support of yearly variance reports for local practices under our care commissioning groups which highlighted areas of expenditure and opportunities for cost saving. Assisting local practices with drug switches for patients that over time would reduce expenditure and total budget spending. Assisting local pharmacies with eternal monitoring and destruction of their Controlled drugs. Production of policies and procedures with the Controlled drug's accountable officer for Warwickshire to ensure best practice across the county.Secondary Care: I was responsible for maintaining and monitoring the secondary care prior approval system for High Cost drugs (BLUETEQ), this system was used by the main NHS Trusts in our area (SWIFT hospital, UHCW and George Elliot Hospital, Nuneaton) and covered multiple specialities (Ophthalmology, Rheumatology, Dermatology, Cancer drug fund etc.). Duties included - creating/uploading and maintaining prior approval forms in line with NICE guidance, providing full time support to NHS colleagues within the hospitals if they encountered any problems, running audit reports for senior colleagues within the CSU and CCG's to highlight High cost drug's usage and expenditure. The role also included maintaining the structure of our system and training of staff within my organisation as well as staff in the hospital's prior to going 'live' (these included: consultant's, doctors, nursing staff and clerical staff).

During my time at Milton Keynes Hospital I participated in providing a full pharmacy service to in-patients and out-patients, this included receiving and validating prescriptions, booking in, labelling, preparing and tagging out prescriptions before a final check is made, drug supplies to the wards and departments including “top-up” service. Extemporaneous dispensing of non sterile products, preparation of emergency drug boxes and care of emergency cupboard. Maintaining temperature records and completing audits of work related figures. Purchasing when required and receiving stock from suppliers. Counselling patients on prescribed medication, keeping neat and accurate records of controlled drug supplies. Regularly performing stock and expiry date checks. Participating in early and late technician rota duties, weekend rotas, evening and bank holiday working. Use of computers and appropriate software such as the JAC pharmaceutical system. During my time here I re-accredited as a technician checker in line with procedure, gained experience of procedure writing, management of clinical trials and experience of aseptic manufacturing.

Oxford, England, United Kingdom

I began my career as a Pharmacy Technician at the Horton Hospital in Banbury, Oxfordshire. I was provided with full in house training and completed both the NVQ level 3 and technical certificate during the two year pre-registration contract.Following completion of the course I was able to secure a permanent position as a dispensary based band 4 Technician. During this role I participated in providing a full pharmacy service to in-patients and out-patients, this included receiving and validating prescriptions, booking in, labelling, preparing and tagging out prescriptions before a final check is made, drug supplies to the wards and departments including “top-up” service. Extemporaneous dispensing of non sterile products, preparation of emergency drug boxes and care of emergency cupboard. Maintaining temperature records and completing audits of work related figures. Purchasing when required and receiving stock from suppliers. Counselling patients on prescribed medication, keeping neat and accurate records of controlled drug supplies. Regularly performing stock and expiry date checks. Participating in early and late technician rota duties, weekend rotas, evening and bank holiday working. I also gained experience of using pharmacy computers and appropriate software such as the Bedford system. During my time here I also completed the: Accredited checking technician course (Completed in January 2012).