Job summary
The purpose of the role is to support the Clinical Audit Manager to develop, implement and monitor an agreed programme of clinical audit and quality improvement, including relevant action planning and supporting evidence. The role will provide a comprehensive clinical audit and clinical effectiveness support service to clinicians and health professionals within the Trust.
To support the delivery of a high quality, safe and compassionate healthcare services, and act as a role model to others in all aspects of their work and consistently demonstrate the Trust values.
Main duties of the job
The post holder will work alongside multidisciplinary clinical teams to effectively implement the principles and practice of clinical audit across all its component parts, within a framework which uses information to guide reflection, leading to clinical and organisational action and outcomes monitoring and providing information analysis and advice and support.
To facilitate and co-ordinate a rolling programme of Clinical Audit projects based on Trust priorities in line with National Service Frameworks and specialty specific requirements, including an agreed programme of Divisional clinical audit activity.
Work in partnership with identified leads from the acute provider system partners (Norfolk and Norwich University Hospital and James Paget University Hospital) to develop and maintain joint procedural documents, where appropriate, across all three Trusts.
About us
The Queen Elizabeth Hospital (QEH) King's Lynn is located near some of the most beautiful scenery in the UK, along the north Norfolk coast, and not far from Sandringham House.
We provide a comprehensive range of specialist, acute, obstetrics and community-based healthcare services to around 331,000 people across west and north Norfolk, in addition to parts of Breckland, Cambridgeshire and South Lincolnshire.
We have more than 4,000 staff and volunteers, approximately 530 beds, and a helipad for air ambulances. We work with neighbouring hospitals for the provision of tertiary services, including as part of regional partnership and network models of care, such as the trauma network.
In February 2022 the significant progress that has been made at QEH was recognised by the Care Quality Commission who rated the Trust as 'Good' in all of the core services they inspected. They recommended the Trust moves out of the recovery support system (formerly special measures).
Job description
Job responsibilities
- To facilitate and co-ordinate a rolling programme of Clinical Audit projects based on Trust priorities in line with National Service Frameworks and specialty specific requirements, including an agreed programme of Divisional clinical audit activity.
- To provide support and co-ordination of Clinical Audit and other Clinical Governance activities as required, to achieve effective implementation of the Trusts key strategic objectives, clinical and operational priorities and work programmes.
- To assemble and analyse quantitative and qualitative information regarding Governance issues in ways that help healthcare professionals to reflect on their service and clinical practice.
- To monitor, review and report on changes which are implemented as part of the individual Divisional clinical governance work programmes.
- Facilitate & coordinate additional unplanned national audits not facilitated elsewhere within the team when resources allow.
- Manage and monitor the departmental audit register (index) in relation to national and local audit activity, ensuring that outcomes are recorded accurately.
- Complete additional ad-hoc duties as specified by the Clinical Effectiveness Manager to ensure the smooth running of the department, e.g., minutes for meeting.
For further information about this post, please see the attached job description and persona specification.
Job description
Job responsibilities
- To facilitate and co-ordinate a rolling programme of Clinical Audit projects based on Trust priorities in line with National Service Frameworks and specialty specific requirements, including an agreed programme of Divisional clinical audit activity.
- To provide support and co-ordination of Clinical Audit and other Clinical Governance activities as required, to achieve effective implementation of the Trusts key strategic objectives, clinical and operational priorities and work programmes.
- To assemble and analyse quantitative and qualitative information regarding Governance issues in ways that help healthcare professionals to reflect on their service and clinical practice.
- To monitor, review and report on changes which are implemented as part of the individual Divisional clinical governance work programmes.
- Facilitate & coordinate additional unplanned national audits not facilitated elsewhere within the team when resources allow.
- Manage and monitor the departmental audit register (index) in relation to national and local audit activity, ensuring that outcomes are recorded accurately.
- Complete additional ad-hoc duties as specified by the Clinical Effectiveness Manager to ensure the smooth running of the department, e.g., minutes for meeting.
For further information about this post, please see the attached job description and persona specification.
Person Specification
Qualifications/training and professional development
Essential
- Education to a degree level or higher and/or relevant professional or clinical qualification or equivalent experience
- Previous training in clinical audit processes and procedures
Desirable
- Qualification to include statistical analysis
Experience
Essential
- Thorough knowledge and understanding of the principles and practice of Clinical Governance systems, required outputs and their use to improve clinical practice
- Understanding of, and commitment to, using comparative information to stimulate clinical quality improvement
- Clear understanding of the NHS modernisation agenda
- Experience in undertaking audit/survey work
- Experience in statistical analysis
Desirable
- Responsible management and/or clinical role in a complex operational environment
- Evidence of implementing change management in a clinical setting
- Experience of working with clinical teams in the NHS
Skills, abilities, and knowledge
Essential
- Ability to assess and influence effective decision making under pressure in a complex clinical situation
- Good leadership and communication skills with proven record of managing and working as part of a team
- Evidence of project management experience and ability to manage multiple projects and deliver objectives
- Strong communication skills - including report writing and presentation of information
- Capacity to identify problems in order of importance, and develop actions to address these
- Experience of using quantitative information to stimulate performance improvement using Microsoft Word, Access, Excel, PowerPoint, and other software packages as appropriate.
Person Specification
Qualifications/training and professional development
Essential
- Education to a degree level or higher and/or relevant professional or clinical qualification or equivalent experience
- Previous training in clinical audit processes and procedures
Desirable
- Qualification to include statistical analysis
Experience
Essential
- Thorough knowledge and understanding of the principles and practice of Clinical Governance systems, required outputs and their use to improve clinical practice
- Understanding of, and commitment to, using comparative information to stimulate clinical quality improvement
- Clear understanding of the NHS modernisation agenda
- Experience in undertaking audit/survey work
- Experience in statistical analysis
Desirable
- Responsible management and/or clinical role in a complex operational environment
- Evidence of implementing change management in a clinical setting
- Experience of working with clinical teams in the NHS
Skills, abilities, and knowledge
Essential
- Ability to assess and influence effective decision making under pressure in a complex clinical situation
- Good leadership and communication skills with proven record of managing and working as part of a team
- Evidence of project management experience and ability to manage multiple projects and deliver objectives
- Strong communication skills - including report writing and presentation of information
- Capacity to identify problems in order of importance, and develop actions to address these
- Experience of using quantitative information to stimulate performance improvement using Microsoft Word, Access, Excel, PowerPoint, and other software packages as appropriate.
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
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).
