Job summary
The post holder will oversee the trusts approach to clinical audit and effectiveness, including working with clinical leads, committee chairs and managerial staff to ensure the development and co-ordination of clinical audit and effectiveness, with the clinical audit and effectiveness team and across the trust in order to improve the quality of patient care.
Manage the Clinical Audit and Effectiveness Department, the clinical audit budget, project management of all local and national audits (including NICE guidance) and the preparation of the annual clinical audit report.
To assist the Chair of the Clinical Audit and Effectiveness group with the co-ordination and delivery of the Trust's Clinical Audit Plan.
To direct and supervise staff to deliver allocated audit reviews on time, to budget and to quality standards.
Influence and manage clinical audit and effectiveness activity throughout the Trust. Consult with clinical audit leads and ensure the delivery of a clinical audit programme which is linked to projects that lead and can evidence improvements in patient care.
Main duties of the job
Key responsibilities:
Provide line management and effective supervision for the clinical audit teamtake responsibility for the day-to-day management of the department's human and financial resources as well as its equipment; ensuring that the role develops with set objectives and there is a regular appraisal with each team member.
To work with theKEY Chair of the Clinical Audit and Effectiveness group and senior team members to formulate an annual audit plan based on the strategic goals and any emerging themes that have been identified. Support colleagues in developing, implementing, monitoring, and reporting on clinical audit and effectiveness plans, programmes, and initiatives. The post holder will incorporate both short term and longer-term planning and will work with the divisions on the Trust and the Divisional strategic objectives to ensure that they are in the workplans.
Function as an expert resource for enquiries concerning clinical audit, liaise regularly and effectively with the clinical audit leads to share information and encourage collaborative audit projects. Work with clinicians to identify clinical audit topics based on knowledge of clinical governance priority areas for the Trust.
Provide specialist support and advice on audit methodology to a wide range of staff and health professionals, including criteria and standard setting, data collection, form designing, undertake literature searches and reviews, data analysis and report writing.
About us
We employ more than 6,500 staffwho deliver compassionate care from our two main hospitals,Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, healthcentres and in patients' homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.
We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.
We continue to modernise and invest in our health services to build on our strong reputation.Foundation trusts are public leaders in improving quality in health services. They are part of the NHS- yet decisions about what they do and how they do it are driven by independent boards. Boardslisten to their Council of Governors and respond to the needs of their members - patients, staff andthe local community.
Foundation trusts provide what the health service wants, yet are also free to invest quickly in thechanges to the local community needs, in striving to be the best, and in putting their patients first.
Job description
Job responsibilities
Responsible for ensuring written reports are produced for all clinical audit and effectiveness projects; support the dissemination of findings. Produce and disseminate internally and where necessary externally, reports, action plans relating to clinical audit and effectiveness, such as annual reports, audit activity reports for the Quality and Safety Committee and the Clinical Audit and Effectiveness group.
Participate and support in the updating or development of Trust and Departmental good practice guides, policies, and procedures, in relation to clinical audit and effectiveness, this will include supporting the research of current evidence and good practice, analysing of information, and drafting of documents.
Act in an advisory, faciliatory and communication capacity on behalf of Quality and Safety both inside and outside the Trust, this will include attending regional, and local clinical audit and information governance meetings when appropriate.
Assist clinical governance by maintaining and improving quality in all areas of work, ensuring that an integrated clinical audit forward plan is part of continuing processes to improve the quality of clinical services.
Work collaboratively with clinical, non-clinical, corporate, and managerial colleagues at all levels within the organisation to identify quality improvement opportunities and provide Qi support to enable services to take forward their ideas.
Ensure personal professional development by awareness and knowledge of current clinical audit and effectiveness practices and methods.
Job description
Job responsibilities
Responsible for ensuring written reports are produced for all clinical audit and effectiveness projects; support the dissemination of findings. Produce and disseminate internally and where necessary externally, reports, action plans relating to clinical audit and effectiveness, such as annual reports, audit activity reports for the Quality and Safety Committee and the Clinical Audit and Effectiveness group.
Participate and support in the updating or development of Trust and Departmental good practice guides, policies, and procedures, in relation to clinical audit and effectiveness, this will include supporting the research of current evidence and good practice, analysing of information, and drafting of documents.
Act in an advisory, faciliatory and communication capacity on behalf of Quality and Safety both inside and outside the Trust, this will include attending regional, and local clinical audit and information governance meetings when appropriate.
Assist clinical governance by maintaining and improving quality in all areas of work, ensuring that an integrated clinical audit forward plan is part of continuing processes to improve the quality of clinical services.
Work collaboratively with clinical, non-clinical, corporate, and managerial colleagues at all levels within the organisation to identify quality improvement opportunities and provide Qi support to enable services to take forward their ideas.
Ensure personal professional development by awareness and knowledge of current clinical audit and effectiveness practices and methods.
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Management qualification or equivalent experience of leading and developing individuals and teams.
- Demonstrable knowledge and experience of clinical effectiveness, principles and practice of clinical audit methodologies and clinical guideline development/ implementation and monitoring
- Knowledge of different methods of audit and quality improvement
- Knowledge and experience in the application of the audit process
- Experience in clinical governance in a health care setting in acute and community services
- Evidence of continuing professional development to support the delivery Clinical Audit and Effectiveness
- Degree level / equivalent experience
- Professional clinical qualification, post graduate qualification or relevant professional field management or associated topic
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- The post holder should be a subject matter expert and have: ? Substantial/significant experience ? Recent relevant experience ? Demonstrable experience ? Evidence of practical experience
- Experience in leading and managing organisational activity Clinical Audit and Effectiveness
- Knowledge and experience of national regulatory frameworks, national quality agenda and current clinical/professional issues
- Significant demonstrable knowledge and experience quality improvement process
- Experience of writing and presenting reports
- Detailed understanding of current healthcare policy and appreciate the implications of this on the Trust relevant local and national policy
- Demonstrable knowledge of CQC compliance, the Health and Social Care Act and NHS regulatory frameworks
- Ability to work in a complex environment - politically aware.
- ability to interpret requests and focus on ensuring effective response
- Ability to think clearly, facilitate and challenge appropriately to ensure reputation risk to the Trust is managed
- Able to balance competing priorities and meet personal and service targets within a fluctuating and demanding workload.
- Required to understand, interpret, and implement the knowledge generated from complex data
Desirable
- Appreciation of the Performance agenda with the NHS
- Knowledge of safeguarding and the legal duties expected of NHS organisations
- Understanding and experience of change methodology with a track record of delivering major change programme to transform services
- Facilitation skills /coaching skills
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Skilled at communicating and working with a range of stakeholders, service users and carers.
- Experience of effective negotiation and influencing skills to drive change and performance with staff / services without direct line management.
- Experience of effective partnership working with a range of agencies and stakeholders
- Experience of managing and supervising staff
- Experience of managing and supervising staff
- Able to demonstrate/provide evidence of leadership ability and experience
Person Specification
QUALIFICATIONS / TRAINING
Essential
- Management qualification or equivalent experience of leading and developing individuals and teams.
- Demonstrable knowledge and experience of clinical effectiveness, principles and practice of clinical audit methodologies and clinical guideline development/ implementation and monitoring
- Knowledge of different methods of audit and quality improvement
- Knowledge and experience in the application of the audit process
- Experience in clinical governance in a health care setting in acute and community services
- Evidence of continuing professional development to support the delivery Clinical Audit and Effectiveness
- Degree level / equivalent experience
- Professional clinical qualification, post graduate qualification or relevant professional field management or associated topic
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
- The post holder should be a subject matter expert and have: ? Substantial/significant experience ? Recent relevant experience ? Demonstrable experience ? Evidence of practical experience
- Experience in leading and managing organisational activity Clinical Audit and Effectiveness
- Knowledge and experience of national regulatory frameworks, national quality agenda and current clinical/professional issues
- Significant demonstrable knowledge and experience quality improvement process
- Experience of writing and presenting reports
- Detailed understanding of current healthcare policy and appreciate the implications of this on the Trust relevant local and national policy
- Demonstrable knowledge of CQC compliance, the Health and Social Care Act and NHS regulatory frameworks
- Ability to work in a complex environment - politically aware.
- ability to interpret requests and focus on ensuring effective response
- Ability to think clearly, facilitate and challenge appropriately to ensure reputation risk to the Trust is managed
- Able to balance competing priorities and meet personal and service targets within a fluctuating and demanding workload.
- Required to understand, interpret, and implement the knowledge generated from complex data
Desirable
- Appreciation of the Performance agenda with the NHS
- Knowledge of safeguarding and the legal duties expected of NHS organisations
- Understanding and experience of change methodology with a track record of delivering major change programme to transform services
- Facilitation skills /coaching skills
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Skilled at communicating and working with a range of stakeholders, service users and carers.
- Experience of effective negotiation and influencing skills to drive change and performance with staff / services without direct line management.
- Experience of effective partnership working with a range of agencies and stakeholders
- Experience of managing and supervising staff
- Experience of managing and supervising staff
- Able to demonstrate/provide evidence of leadership ability and experience
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.
Employer details
Employer name
Calderdale and Huddersfield NHS Foundation Trust
Address
Calderdale and Huddersfield Sites
Calderdale & Huddersfield
HD3 3EB
Employer's website
https://www.cht.nhs.uk (Opens in a new tab)
