Job summary
A fantastic opportunity has arisen for the right individual to join our Quality Governance and Effectiveness team on a 12 month fixed term contract or secondment opportunity, as the Clinical Audit and Effectiveness Lead. We are looking for someone who can share their passion, vision and work ethic, to make a real, positive difference and organisational impact within the quality and effectiveness agenda at our Trust.
The successful candidate will be values-driven, ambitious, enthusiastic and a self-motivating team player; this, combined with significant quality and effectiveness competencies will enable them to get effectively involved in supporting and leading on a broad range of clinical effectiveness tasks at cross-divisional and corporate level.
Working to the Head of Quality Governance and working closely with the Associate Medical Director for Governance, Mortality and Audit you will take responsibility for supporting and line-managing a range of Clinical Effectiveness functions, including the Trust's Clinical Audit and Policy Development teams to ensure the effective co-ordination and delivery of these functions to enable the Trust to achieve all objectives within these domains. In addition to the above, the successful candidate will lead on the co-ordination of a range of key clinical effectiveness activities at the Trust including but not limited to; NICE Guidance implementation, National Confidential Enquiry responses and Mortality Review.
Main duties of the job
To support the Head of Quality Governance in providing leadership to the Trust's Clinical Audit and Effectiveness service providing specialist advice on all clinical audit and effectiveness issues.
To support the delivery of the Clinical Effectiveness agenda ensuring this is integrated with the wider Quality Governance and Quality Improvement agenda.
To lead on the co-ordination of the Trust's Mortality review and oversight process in support of the Associate Medical Director for Governance, Mortality and Audit.
To lead the development of the Trust's Clinical Audit Forward Programme ensuring alignment with both local and National Priorities.
To lead on the Trust NICE guidance and National Confidential Enquiry processes and returns.
To lead the Policy and Procedure development framework for the organisation and provide line management the policy team.
To develop and implement Clinical Audit and Effectiveness policies and strategies throughout the organisation.
To develop and implement policies and procedures that support delivery of Trust's mortality review and learning from death processes.
To manage the Clinical Audit & Effectiveness Team and ensure participation in all relevant clinical audit and effectiveness projects.
To lead on Trust's clinical audit and effectiveness training activity and delivering training to both clinical and non-clinical staff as required within the Trust.
About us
Working for Blackpool Teaching Hospitals NHS Foundation Trust will provide you with lots of opportunity to develop your skills and further your career. The Trust provides services to the 440,000 residents of Blackpool, Fylde and Wyre and North Lancashire.
As a Trust we are committed to:
- Developing new roles and ways of working to ensure a flexible and innovative approach to staff.
- Real equality of opportunity.
- Continual development and learning for staff.
- Achieving a work life balance.
We are committed to the effective recruitment, retention and development for our employees, which is why we offer a great working environment, an attractive range of benefits and excellent opportunities for training and development.
The Trust is accredited as a disability Confident employer. That means we recognise our obligations to ensure people with disabilities are afforded equal opportunity to enter employment and progress if and where possible.
As a Trust, we recommend that individuals employed in patient facing roles, or those located on a ward or department where patients receive a service are fully vaccinated against COVID-19.
Job description
Job responsibilities
- Manage the timely development and appropriate management of suitable clinical audit and measurement programmes and partnerships for the Trust.
- Develop and manage the timely delivery of suitable Clinical Effectiveness programmes aligned with the National Clinical Audit Programme (NCAPOP) and advising on the appropriate use of clinical audit and effectiveness resources.
- Manage the day-to-day clinical audit and effectiveness operational tasks to ensure the effective and efficient operational management of clinical audit in Divisions.
- Support the Associate Medical Director for Governance Mortality and Audit in the co-ordination of the day-to-day mortality review process.
- Lead and develop the Trusts Clinical Audit and Effectiveness strategies, aligning to the overall Trusts overall strategic aims and objectives.
- Continue to support and deliver audit and measurement requirements including local, regional and nationally agreed programmes i.e. the Advancing Quality Programme, National PROMs and CQUIN
- Work closely with NICE, NCEPOD, HQIP and relevant agencies to maintain a clear understanding of local, regional and national policies relevant to Clinical Audit and Effectiveness.
- Policy Lead/ Author: Ensuring that Clinical Audit, NICE, Mortality and NCE policies are kept up to date and relevant, aligning with Local and national requirements
- Work in partnership with other healthcare providers where appropriate to develop work programmes and maintain a balanced portfolio of clinical audit and effectiveness activities.
- Provide corporate intelligence and reporting to the Quality and Clinical Effectiveness Committee on the Trusts clinical audit and effectiveness activities including National Audit Participation and reporting, NICE compliance and NCE participation.
- Provide the Clinical Audit and Effectiveness Summary for the Trust Quality Account, to include participation in the National Clinical Audit Programme, NCE and PROMs activity
- Work with Quality Improvement Team to ensure measurement processes support the delivery of Trust quality improvement activities in improving care standards and patient outcomes.
- Ensure that National Audit outcomes inform quality improvement requirements where relevant.
- Represent the Trust on local, regional and national committees and similar groups, and in discussions with other stakeholders, e.g. to develop co-ordinated clinical audit and effectiveness strategies or programmes to support the overall Trust strategic aims and objectives.
- Manage, develop and maintain the Trusts audit register and database to ensure capture of all on-going audit activity and ensure compliance with NICE quality standards and other relevant guidance (Royal College, NPSA etc.)
- Manage the Clinical Audit and Effectiveness Team, setting clear targets and goals to ensure delivery of a high-quality audit and effectiveness service.
- To ensure an annual work programme/forward plan for the Clinical Audit and Effectiveness Team is in place and agreed and that this is implemented across the organisation.
- Have overall responsibility for all personnel issues within the Clinical Audit and Effectiveness Team. This includes recruitment and selection, appraisals, personal development reviews, sickness/absence, performance review, grievances and disciplinary reviews where appropriate.
- Identify and maintain standards for the Clinical Audit and Effectiveness Team and to be the innovator of new working practices.
- Develop and implement annual business plans/standard operating procedures and co-ordinate the delivery of and produce the Clinical Audit and Effectiveness Annual Report for the Trust.
- Ensure systematic monitoring reports are provided to the Trust Quality and Clinical Effectiveness Committee and its subcommittees as required by those committees.
- Ensure the Clinical Effectiveness team is a pro-active member of the Quality Governance Team, promoting clinical audit methodology as a tool for assessing quality of care within working practice in and across the Trust.
- Ensure that Trust and divisional Clinical Audit and Effectiveness meetings have support and organisation, including development of an annual calendar Audit & Effectiveness Meetings, informing appropriate teams.
- Lead the policy and procedure development framework for the Trust and ensure robust and responsive systems are in place across the organisation.
- Provide line management to the policy team.
- Ensure that there are effective Information Technology arrangements to meet the needs of the department i.e. suitable access to Clinical Information Systems to obtain data for national audit projects and national confidential enquiries.
- Ensure that national priorities/requirements are delivered in relation to Clinical Audit and Effectiveness issues; these include Care Quality Commission.
- Ensure support for the development and maintenance of systems to distribute NICE guidance ensuring the database is kept up to date.
- Organise Clinical Audit and Effectiveness Participation, staff inductions and seminars for safe patient care, to maintain understanding and education of Clinical Effectiveness.
- Support the Trust in the training, design and conduct of Clinical Audit and Effectiveness methodologies. To include involvement in doctors Induction, medical student education, nursing leadership and other educational activities as required.
- Encourage greater involvement in clinical / multidisciplinary / multi-agency audit and encourage external partnership organisations for joint audit practices.
- Develop systems for the implementation, monitoring and review of national standards/external recommendations or reviews (such as CQC).
Job description
Job responsibilities
- Manage the timely development and appropriate management of suitable clinical audit and measurement programmes and partnerships for the Trust.
- Develop and manage the timely delivery of suitable Clinical Effectiveness programmes aligned with the National Clinical Audit Programme (NCAPOP) and advising on the appropriate use of clinical audit and effectiveness resources.
- Manage the day-to-day clinical audit and effectiveness operational tasks to ensure the effective and efficient operational management of clinical audit in Divisions.
- Support the Associate Medical Director for Governance Mortality and Audit in the co-ordination of the day-to-day mortality review process.
- Lead and develop the Trusts Clinical Audit and Effectiveness strategies, aligning to the overall Trusts overall strategic aims and objectives.
- Continue to support and deliver audit and measurement requirements including local, regional and nationally agreed programmes i.e. the Advancing Quality Programme, National PROMs and CQUIN
- Work closely with NICE, NCEPOD, HQIP and relevant agencies to maintain a clear understanding of local, regional and national policies relevant to Clinical Audit and Effectiveness.
- Policy Lead/ Author: Ensuring that Clinical Audit, NICE, Mortality and NCE policies are kept up to date and relevant, aligning with Local and national requirements
- Work in partnership with other healthcare providers where appropriate to develop work programmes and maintain a balanced portfolio of clinical audit and effectiveness activities.
- Provide corporate intelligence and reporting to the Quality and Clinical Effectiveness Committee on the Trusts clinical audit and effectiveness activities including National Audit Participation and reporting, NICE compliance and NCE participation.
- Provide the Clinical Audit and Effectiveness Summary for the Trust Quality Account, to include participation in the National Clinical Audit Programme, NCE and PROMs activity
- Work with Quality Improvement Team to ensure measurement processes support the delivery of Trust quality improvement activities in improving care standards and patient outcomes.
- Ensure that National Audit outcomes inform quality improvement requirements where relevant.
- Represent the Trust on local, regional and national committees and similar groups, and in discussions with other stakeholders, e.g. to develop co-ordinated clinical audit and effectiveness strategies or programmes to support the overall Trust strategic aims and objectives.
- Manage, develop and maintain the Trusts audit register and database to ensure capture of all on-going audit activity and ensure compliance with NICE quality standards and other relevant guidance (Royal College, NPSA etc.)
- Manage the Clinical Audit and Effectiveness Team, setting clear targets and goals to ensure delivery of a high-quality audit and effectiveness service.
- To ensure an annual work programme/forward plan for the Clinical Audit and Effectiveness Team is in place and agreed and that this is implemented across the organisation.
- Have overall responsibility for all personnel issues within the Clinical Audit and Effectiveness Team. This includes recruitment and selection, appraisals, personal development reviews, sickness/absence, performance review, grievances and disciplinary reviews where appropriate.
- Identify and maintain standards for the Clinical Audit and Effectiveness Team and to be the innovator of new working practices.
- Develop and implement annual business plans/standard operating procedures and co-ordinate the delivery of and produce the Clinical Audit and Effectiveness Annual Report for the Trust.
- Ensure systematic monitoring reports are provided to the Trust Quality and Clinical Effectiveness Committee and its subcommittees as required by those committees.
- Ensure the Clinical Effectiveness team is a pro-active member of the Quality Governance Team, promoting clinical audit methodology as a tool for assessing quality of care within working practice in and across the Trust.
- Ensure that Trust and divisional Clinical Audit and Effectiveness meetings have support and organisation, including development of an annual calendar Audit & Effectiveness Meetings, informing appropriate teams.
- Lead the policy and procedure development framework for the Trust and ensure robust and responsive systems are in place across the organisation.
- Provide line management to the policy team.
- Ensure that there are effective Information Technology arrangements to meet the needs of the department i.e. suitable access to Clinical Information Systems to obtain data for national audit projects and national confidential enquiries.
- Ensure that national priorities/requirements are delivered in relation to Clinical Audit and Effectiveness issues; these include Care Quality Commission.
- Ensure support for the development and maintenance of systems to distribute NICE guidance ensuring the database is kept up to date.
- Organise Clinical Audit and Effectiveness Participation, staff inductions and seminars for safe patient care, to maintain understanding and education of Clinical Effectiveness.
- Support the Trust in the training, design and conduct of Clinical Audit and Effectiveness methodologies. To include involvement in doctors Induction, medical student education, nursing leadership and other educational activities as required.
- Encourage greater involvement in clinical / multidisciplinary / multi-agency audit and encourage external partnership organisations for joint audit practices.
- Develop systems for the implementation, monitoring and review of national standards/external recommendations or reviews (such as CQC).
Person Specification
Qualifications
Essential
- Degree level qualification or equivalent knowledge, experience & skills
- Evidence of Continuing Professional Development
Desirable
- Relevant Clinical or management qualification
- Higher degree qualification
Experience
Essential
- Experience of working in a management or supervisory position in the NHS, ideally in a clinical effectiveness/audit/mortality role
- Experience of working to tight deadlines, setting priorities and dealing with a varied workload
- Ability to work on own initiative and make independent, complex decisions
Desirable
- Experience of reviewing and improving systems within an NHS organisation
- Understanding of and working experience of process mapping
- Project management experience and delivery to deadline
- Experience of Policy and Procedure development and organisational responsibility for processes
Knowledge and Skills
Essential
- Thorough understanding of the principles of clinical audit, effectiveness and mortality
- Experience of working within a multi-disciplinary team at operational and strategic level within the NHS or other Healthcare organisation
- The ability to devise and implement a rigorous and analytical approach to information collection and presentation
- Experience of developing project plans and work programmes, working independently and as part of a team
- Strong interpersonal skills with ability to work with a wide range of professionals; fostering collaboration and a participatory approach; strong communication skills - including report writing and presentation of information
Desirable
- Ability to research and retrieve information Production of monitoring reports
- Methodical, organised, attention to detail
- Production of monitoring reports
Person Specification
Qualifications
Essential
- Degree level qualification or equivalent knowledge, experience & skills
- Evidence of Continuing Professional Development
Desirable
- Relevant Clinical or management qualification
- Higher degree qualification
Experience
Essential
- Experience of working in a management or supervisory position in the NHS, ideally in a clinical effectiveness/audit/mortality role
- Experience of working to tight deadlines, setting priorities and dealing with a varied workload
- Ability to work on own initiative and make independent, complex decisions
Desirable
- Experience of reviewing and improving systems within an NHS organisation
- Understanding of and working experience of process mapping
- Project management experience and delivery to deadline
- Experience of Policy and Procedure development and organisational responsibility for processes
Knowledge and Skills
Essential
- Thorough understanding of the principles of clinical audit, effectiveness and mortality
- Experience of working within a multi-disciplinary team at operational and strategic level within the NHS or other Healthcare organisation
- The ability to devise and implement a rigorous and analytical approach to information collection and presentation
- Experience of developing project plans and work programmes, working independently and as part of a team
- Strong interpersonal skills with ability to work with a wide range of professionals; fostering collaboration and a participatory approach; strong communication skills - including report writing and presentation of information
Desirable
- Ability to research and retrieve information Production of monitoring reports
- Methodical, organised, attention to detail
- Production of monitoring reports
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.
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).
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).
