Job summary
- Are you looking for a secondment/development opportunity
- Are you a team player, flexible, resourceful, but also able to work independently
- Able to manage your own workload / time
- Pride yourself with accuracy / attention to detail of your work
- An interest in Patient Safety and Quality and ways to improve
An opportunity has arisen for a highly motivated and enthusiastic individual to undertake the role of Clinical Audit Facilitator within the Clinical Audit Team to cover a 12 month period of maternity leave. The post holder will be required to work trust wide and should be adaptable to working in a variety of environments. This is a fantastic opportunity for either a Nursing or an administration person to develop experience in a corporate team to enhance knowledge and skills in other areas
The position offers the opportunity to utilise your analytical and project management skills to play an active part in the promotion and delivery of best practice in clinical audit, to contribute to continuous improvement in patient safety and quality of clinical care. You will be responsible for provision of expert advice regarding all aspects of local and national clinical audit management with an emphasis on change management through robust action planning. An ability to manage a number of projects, priorities and deadlines simultaneously is required, as is significant experience of developing information systems that enable capture and analysis of data.
Main duties of the job
The main component of the
role will be to manage a number of clinical audit projects, producing work to a
high standard, with the ability to support, advise and facilitate healthcare
professionals in the planning and design of robust projects. Your duties will involve influencing
clinicians and managers at all levels to ensure that projects are focussed on
agreed priorities, carried out to a high standard, and completed and presented
in a way that facilitates the implementation of improvements in clinical
practice. You should be able to work
under pressure, meet agreed deadlines, and be capable of organising your own
workload. IT skills and good knowledge of IT software as well as clinical systems would be an advatage.
About us
We provide care and support to over a million people in
Wakefield and Kirklees in their homes, community settings and across our
three hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).
Always striving for excellence, we are at the forefront of
innovation and research, and we invest in teaching and the development of our
workforce.
We live by our values of caring, improving, being respectful
and maintaining high standards. We listen and learn because we aim to make Mid
Yorkshire the best place to work and receive care.
We value diversity and welcome talent and enthusiasm
irrespective of age, disability, neurodivergence, sex, gender identity and
gender expression, race or ethnicity, religion or belief, sexual orientation,
or other personal circumstances including providing unpaid carers support to
someone with a health and care need. As ethnic minority groups, members of the
LGBTQ+ community, and people with a disability/neurodivergence are currently
under-represented across the organisation, we encourage applications from
members of these groups. We have policies and procedures to ensure all
applicants are treated fairly and consistently.
We are proud of our staff networks - who offer valuable
guidance and feedback from those with lived experience.
We have a clear vision and you could be part of this! If
you share our values and you want to make a difference to the lives of our
patients and their families and carers, we would love to hear from you.
Job description
Job responsibilities
- To implement Trust wide/departmental policies, procedures and guidelines
- Maintain a professional appearance in line with the Trust dress code
- Uphold the Trusts values and behaviours (available on the Trust web site) and behave in a manner fitting with the responsible position of the post holder, maintaining the public confidence
- Maintain professional and courteous working relationships with staff and respect the equality and diversity of each and every person he/she comes into contact within the course of his/her business
- Uphold the privacy and dignity of the patient and respect the equality of patients at all time
Audit Project Management
- Provide expert advice (to include literature searching, critical appraisal, appropriate project methodology and sampling techniques, design of data collection forms, data analysis, report writing and action planning) to all levels of healthcare professionals regarding best practice in clinical audit methodology.
- Negotiate best audit practice with the lead clinical member of staff, influencing effectively the design and implementation of the project.
- Lead on quality assurance of ongoing projects, by monitoring good audit practice and ensuring that audit projects are completed to agreed timescales.
- Ensure audit findings are presented to appropriate groups to agree practice improvements and monitor the implementation of agreed changes in practice through re-audits as appropriate.
- Agree with the clinical audit manager the level of support required from the audit department for each project. This will be guided by the workload priorities determined from the annual audit priority program as agreed by the Trust Quality Committee.
- Provide the agreed support to audit projects such as research, collection, and appraisal of literature relating to clinical audit projects; sampling, randomisation, design of questionnaires or data collection forms, development of databases, data entry, statistical analysis, report writing, action planning and presentation of findings.
- Delegate selected tasks to other department staff where appropriate. Such as but not limited to data collection, data input and basic data analysis.
- Where tasks are delegated, to be responsible for the quality assurance of those tasks.
Communication
- Work closely with the Clinical Audit Manager and other Clinical Audit Facilitators to support the continuous improvement of clinical practice.
- Develop effective relationships with Directorate and Speciality clinical audit / clinical governance leads, to enable the post holder to influence the development of directorate and speciality audit programmes.
- Liaise with clinical audit leads within directorate and specialities and agree the audit activity. This will include audits required to support the Trusts Annual Health Check e.g. compliance with NICE guidance, professional record keeping standards, consent policy, cancer standards, National Confidential Enquiries into Patient Outcome and Death, etc.
- Produce, or support the production of, written or electronic reports to reflect the outcome of projects, using agreed templates where appropriate.
- Support the Trusts participation in National clinical audit projects.
- Participate in the provision of quarterly reports to the Associate Medical Director on the activity of the Department of Clinical Audit
- Provide information for the Clinical Audit Performance Management System to ensure that it is updated with details of projects that s/he is responsible for.
- Receive and deal with all queries relating to clinical audit and offer appropriate advice and support.
Information Resources
- Carry out full statistical analysis of audit data through use of the various software packages available within the Department, e.g. Excel.
- Carry out, or supervise where appropriate, project related activities such as word processing and data entry, using either paper based or electronic data entry systems as required for the specific project. This will regularly require the creation, formatting and interrogation of electronic databases and spreadsheets.
- Interrogate clinical records, clinical information systems and other data sources to extract information specified by the audit and accurately interpret results for such information in accordance with the audit design and protocols.
- Support healthcare professionals in undertaking clinical audit by providing data generated by Patient Administration Systems (e-Camis) and offering appropriate advice and practical support e.g. additional data capture.
- Ensure data safety by appropriate use of storage and backup systems and devices and data security by appropriate use of passwords and encryption.
Training and Education
- Provide ad hoc education to individuals and groups on best practice in clinical audit methodology and design, on a regular basis.
- Contribute to formal training sessions for larger groups of clinical staff, including the design and presentation of training material as required.
- Assist in the production of general guidance and training materials for clinical audit and clinical governance, including regular review and updating of resource packs.
General
- Support the planning and management of occasional events at venues within or outside the Trust. This may include engaging with clinical staff to maximise participation, ensuring the quality of presentations and posters, collating material and being available to deal with organisational matters on the day.
- Maintain and enhance own relevant professional and personal skills through participation in continuing education in clinical audit and other clinical governance issues, e.g. attending conferences, local network meetings and clinical audit training sessions.
3. RESOURCES AND FINANCE
- Critical examine working practices within the department to identify cost improvements and effective measures, develop and implement action plans
- To maintain the record of premium rate activity on the definitive list
- To validate all claims for premium rate work against the relevant record in the definitive list
- The post holder will ensure the proper use of the Trusts resources such as stationery, telephone usage, photocopying and other consumables in the course of business, ensuring minimal waste and minimal cost
4. ORGANISATIONAL RESPONSIBILITIES
- To maintain the confidentiality of the Trust in respect of patient and staff information obtained at all times, and use such information only as authorised for specific purposes. Report any concerns about the use of such information to the senior manager.
5. PERSONAL RESPONSIBILITIES
- The post-holder is responsible for taking reasonable care with regard to himself/herself as well as for any colleagues, patients or visitors who might be affected by any act or failure to act by the post-holder in accordance with the Trusts policies on Health and Safety at Work.
- To report any accident, untoward incident or loss relating to staff, patients or visitors according to Trust policies.
- To undertake in-service training relevant to the post.
- Comply with Trust Policies and Procedures.
6. AREA OF WORK
- The post holder will be required to undertake training events at any site across the Trust
- The post holder may be required to work on other wards/ departments within the Trust at short notice to cover unplanned sickness or to cover planned sickness or annual leave on other wards/departments
7. STAFF DEVELOPMENT TRAINING AND EDUCATION
- The post holder will be required to undertake mandatory training and is responsible for keeping this training up to date
- The post holder will have an appraisal of performance each year and will be responsible for agreeing a development plan in line with the Trusts (KSF) Knowledge & Skill Framework, in agreement with their manager or immediate supervisor. The development plan will be reviewed each year
- The Trust will provide assistance and agreed development to enable the post holder to achieve their objectives and standards in line with the development plan
- If the post holder feels he/she is not achieving their objective as agreed in the development plan they will bring it to the attention of their supervisor or manager at the earliest opportunity
8. HEALTH AND SAFETY
- Work in accordance with Health and Safety regulations at all time
- Report any incidents of breaches of Health and Safety and report any dangerous acts or omissions that are seen in the course of duty that compromise the Health and Safety of staff or patients using the Trust Health and Safety policy
- Comply with audit recommendations and risk assessment recommendations to make the workplace and work practice safer
Assist when required to do so, in any risk assessment activity undertaken.
Job description
Job responsibilities
- To implement Trust wide/departmental policies, procedures and guidelines
- Maintain a professional appearance in line with the Trust dress code
- Uphold the Trusts values and behaviours (available on the Trust web site) and behave in a manner fitting with the responsible position of the post holder, maintaining the public confidence
- Maintain professional and courteous working relationships with staff and respect the equality and diversity of each and every person he/she comes into contact within the course of his/her business
- Uphold the privacy and dignity of the patient and respect the equality of patients at all time
Audit Project Management
- Provide expert advice (to include literature searching, critical appraisal, appropriate project methodology and sampling techniques, design of data collection forms, data analysis, report writing and action planning) to all levels of healthcare professionals regarding best practice in clinical audit methodology.
- Negotiate best audit practice with the lead clinical member of staff, influencing effectively the design and implementation of the project.
- Lead on quality assurance of ongoing projects, by monitoring good audit practice and ensuring that audit projects are completed to agreed timescales.
- Ensure audit findings are presented to appropriate groups to agree practice improvements and monitor the implementation of agreed changes in practice through re-audits as appropriate.
- Agree with the clinical audit manager the level of support required from the audit department for each project. This will be guided by the workload priorities determined from the annual audit priority program as agreed by the Trust Quality Committee.
- Provide the agreed support to audit projects such as research, collection, and appraisal of literature relating to clinical audit projects; sampling, randomisation, design of questionnaires or data collection forms, development of databases, data entry, statistical analysis, report writing, action planning and presentation of findings.
- Delegate selected tasks to other department staff where appropriate. Such as but not limited to data collection, data input and basic data analysis.
- Where tasks are delegated, to be responsible for the quality assurance of those tasks.
Communication
- Work closely with the Clinical Audit Manager and other Clinical Audit Facilitators to support the continuous improvement of clinical practice.
- Develop effective relationships with Directorate and Speciality clinical audit / clinical governance leads, to enable the post holder to influence the development of directorate and speciality audit programmes.
- Liaise with clinical audit leads within directorate and specialities and agree the audit activity. This will include audits required to support the Trusts Annual Health Check e.g. compliance with NICE guidance, professional record keeping standards, consent policy, cancer standards, National Confidential Enquiries into Patient Outcome and Death, etc.
- Produce, or support the production of, written or electronic reports to reflect the outcome of projects, using agreed templates where appropriate.
- Support the Trusts participation in National clinical audit projects.
- Participate in the provision of quarterly reports to the Associate Medical Director on the activity of the Department of Clinical Audit
- Provide information for the Clinical Audit Performance Management System to ensure that it is updated with details of projects that s/he is responsible for.
- Receive and deal with all queries relating to clinical audit and offer appropriate advice and support.
Information Resources
- Carry out full statistical analysis of audit data through use of the various software packages available within the Department, e.g. Excel.
- Carry out, or supervise where appropriate, project related activities such as word processing and data entry, using either paper based or electronic data entry systems as required for the specific project. This will regularly require the creation, formatting and interrogation of electronic databases and spreadsheets.
- Interrogate clinical records, clinical information systems and other data sources to extract information specified by the audit and accurately interpret results for such information in accordance with the audit design and protocols.
- Support healthcare professionals in undertaking clinical audit by providing data generated by Patient Administration Systems (e-Camis) and offering appropriate advice and practical support e.g. additional data capture.
- Ensure data safety by appropriate use of storage and backup systems and devices and data security by appropriate use of passwords and encryption.
Training and Education
- Provide ad hoc education to individuals and groups on best practice in clinical audit methodology and design, on a regular basis.
- Contribute to formal training sessions for larger groups of clinical staff, including the design and presentation of training material as required.
- Assist in the production of general guidance and training materials for clinical audit and clinical governance, including regular review and updating of resource packs.
General
- Support the planning and management of occasional events at venues within or outside the Trust. This may include engaging with clinical staff to maximise participation, ensuring the quality of presentations and posters, collating material and being available to deal with organisational matters on the day.
- Maintain and enhance own relevant professional and personal skills through participation in continuing education in clinical audit and other clinical governance issues, e.g. attending conferences, local network meetings and clinical audit training sessions.
3. RESOURCES AND FINANCE
- Critical examine working practices within the department to identify cost improvements and effective measures, develop and implement action plans
- To maintain the record of premium rate activity on the definitive list
- To validate all claims for premium rate work against the relevant record in the definitive list
- The post holder will ensure the proper use of the Trusts resources such as stationery, telephone usage, photocopying and other consumables in the course of business, ensuring minimal waste and minimal cost
4. ORGANISATIONAL RESPONSIBILITIES
- To maintain the confidentiality of the Trust in respect of patient and staff information obtained at all times, and use such information only as authorised for specific purposes. Report any concerns about the use of such information to the senior manager.
5. PERSONAL RESPONSIBILITIES
- The post-holder is responsible for taking reasonable care with regard to himself/herself as well as for any colleagues, patients or visitors who might be affected by any act or failure to act by the post-holder in accordance with the Trusts policies on Health and Safety at Work.
- To report any accident, untoward incident or loss relating to staff, patients or visitors according to Trust policies.
- To undertake in-service training relevant to the post.
- Comply with Trust Policies and Procedures.
6. AREA OF WORK
- The post holder will be required to undertake training events at any site across the Trust
- The post holder may be required to work on other wards/ departments within the Trust at short notice to cover unplanned sickness or to cover planned sickness or annual leave on other wards/departments
7. STAFF DEVELOPMENT TRAINING AND EDUCATION
- The post holder will be required to undertake mandatory training and is responsible for keeping this training up to date
- The post holder will have an appraisal of performance each year and will be responsible for agreeing a development plan in line with the Trusts (KSF) Knowledge & Skill Framework, in agreement with their manager or immediate supervisor. The development plan will be reviewed each year
- The Trust will provide assistance and agreed development to enable the post holder to achieve their objectives and standards in line with the development plan
- If the post holder feels he/she is not achieving their objective as agreed in the development plan they will bring it to the attention of their supervisor or manager at the earliest opportunity
8. HEALTH AND SAFETY
- Work in accordance with Health and Safety regulations at all time
- Report any incidents of breaches of Health and Safety and report any dangerous acts or omissions that are seen in the course of duty that compromise the Health and Safety of staff or patients using the Trust Health and Safety policy
- Comply with audit recommendations and risk assessment recommendations to make the workplace and work practice safer
Assist when required to do so, in any risk assessment activity undertaken.
Person Specification
Qualifications
Essential
- Educated to degree level or equivalent experience in the NHS
- A Level/NVQ Level 3
- Knowledge and understanding of NHS systems
- A background in either clinical practice or relevant administration environment
- Experience of working in an acute hospital environment
- Experience of managing audit/research or quality improvement projects
- Experience of working with people at all levels in a busy/demanding environment
- Experience of working to targets and deadlines
- Project management experience
- Interpreting data/results
- Knowledge of clinical governance principles and the role of clinical audit within these
- Knowledge of the NHS and/or knowledge of research
- Knowledge of clinical terminology
- Ability to communicate effectively when working with clinical and other staff at all levels
- Ability to develop good communications with all clinical areas within the Trust and the wider Health agencies
- Excellent oral and written communication skills
- Ability to work to frequent deadlines
- Ability to project manage several projects at one time
- Ability to develop and create spreadsheets to capture clinical data/extract from clinical systems
- Ability to do comprehensive data analysis, interpretation and reporting
- Ability to engage and motivate others
- Excellent computer skills to include: Word, Excel, PowerPoint, Internet Explorer, e-mail and MS teams
- Excellent administrative and organisational skills
- Awareness of own limitations
- Able to establish effective working relationships
- Effective and supportive team player
- Attention to detail, thorough and rigorous approach to data quality and report writing
- Self-motivated with ability to work on own initiative, making decisions where appropriate and organising own workload
- Flexible working approach and adaptable to change
- Strong attention to detail and accuracy
- Professional appearance
- Professional image and positive approach to problem solving
- Commitment to own personal and professional development of others within the team
Desirable
- Diploma or certificate in clinical audit
- Experience of developing action plans/identifying areas for improvement
- Knowledge/use of Hospital Information systems
- Able to handle data and information confidently and in a variety of media (numerical, verbal/written, electronic)
- Report writing
Person Specification
Qualifications
Essential
- Educated to degree level or equivalent experience in the NHS
- A Level/NVQ Level 3
- Knowledge and understanding of NHS systems
- A background in either clinical practice or relevant administration environment
- Experience of working in an acute hospital environment
- Experience of managing audit/research or quality improvement projects
- Experience of working with people at all levels in a busy/demanding environment
- Experience of working to targets and deadlines
- Project management experience
- Interpreting data/results
- Knowledge of clinical governance principles and the role of clinical audit within these
- Knowledge of the NHS and/or knowledge of research
- Knowledge of clinical terminology
- Ability to communicate effectively when working with clinical and other staff at all levels
- Ability to develop good communications with all clinical areas within the Trust and the wider Health agencies
- Excellent oral and written communication skills
- Ability to work to frequent deadlines
- Ability to project manage several projects at one time
- Ability to develop and create spreadsheets to capture clinical data/extract from clinical systems
- Ability to do comprehensive data analysis, interpretation and reporting
- Ability to engage and motivate others
- Excellent computer skills to include: Word, Excel, PowerPoint, Internet Explorer, e-mail and MS teams
- Excellent administrative and organisational skills
- Awareness of own limitations
- Able to establish effective working relationships
- Effective and supportive team player
- Attention to detail, thorough and rigorous approach to data quality and report writing
- Self-motivated with ability to work on own initiative, making decisions where appropriate and organising own workload
- Flexible working approach and adaptable to change
- Strong attention to detail and accuracy
- Professional appearance
- Professional image and positive approach to problem solving
- Commitment to own personal and professional development of others within the team
Desirable
- Diploma or certificate in clinical audit
- Experience of developing action plans/identifying areas for improvement
- Knowledge/use of Hospital Information systems
- Able to handle data and information confidently and in a variety of media (numerical, verbal/written, electronic)
- Report writing
Additional information
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).
