About this role
Job summary
This vacancy is currently only open to Herefordshire and Worcestershire NHS staff (including PCN/GP Practices).
An exciting opportunity has arisen to join the small but busy Clinical Effectiveness Team, to support the delivery of the clinical audit programme, management of key documents and implementation of best practice guidance such as NICE and NCEPOD.
Main duties of the job
Tasks will include development and support for audit activities based on national and local priorities, providing evidence for CQC inspections and other external regulatory bodies, administering the key document process and monitoring of NICE Guidance implementation.
About us
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is more than 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Being open and honest
Ensuring people feel cared for
Showing respect to everyone
We are committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
DBS Checks and Costs
Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs.
Job description Job responsibilities
Report clinical audit and effectiveness information to a wide variety of clinical and governance staff ensuring information is accurate and timely
Provide, as directed, clinical audit and key document reports and presentations, ensuring that clear, concise, evidence based rationales have been provided in support of all recommendations.
Demonstrate effective communication skills to ensure effective communication with colleagues/staff members and external agencies which facilitate and promote multi-disciplinary working
To assist in the co-ordination and facilitation of high-quality clinical audit and effectiveness programmes
Provide support to clinicians in the use of audit and improvement methodology, promoting improvements and re-design of the services as a result of audit
To assist in the development, implementation, analysis and monitoring of clinical audit based on organisational, local and national priorities, taking into account recommendations from NICE Guidance, best practice, agreed standards and contract requirements
Working with the Clinical Effectiveness Manager/Support Manager and Facilitators, ensuring the trusts annual clinical audit forward plan is supported
To assist in the co-ordination and facilitation of high-quality clinical audit and effectiveness programmes to all services
To support effectiveness work streams and to triangulate and centralise, information and improvements, to ensure the Trust has sufficient evidence to provide to external regulators such as the CQC.
Attend meetings associated with the clinical effectiveness agenda and provide guidance, expertise and administrative support as required
To provide training and supervision to colleagues in all aspects of clinical effectiveness and quality improvement methodologies
Facilitate and participate in training as required
Obtain and record clinical audit outcomes and work alongside the effectiveness facilitators and clinical staff in the implementation of agreed action plans, ensuring they are monitored using appropriate project governance documentation
Provide full documentation of projects as required in line with reporting procedures, maintaining an efficient, effective and accurate system of information storage and processing
Producing timely and accurate reports for the relevant staff groups on all effectiveness activities
Problem solving complex queries around historic key documents and using own judgement and experience to resolve and advise including dealing with sensitive information,
Process a variety of information sent to the Clinical Effectiveness team and be the point of contact within the team for all external and internal key document queries, including end users, legal teams and sourcing and providing information for FOI requests and providing advice in line with trust policies.
Supervise the workload for the administrative support post/s within the team and manage priorities and due dates
Preparing monthly KPI reports and exception data for divisional governance teams
Effectively use several software programmes and work with IT with regards to developments or adapting the systems in line with the needs of the organisation or team, or following feedback from end users
Responsible for ensuring that key documents comply with trust policy before they are approved, published and implemented.
Responsible for organising and prioritising own workload.
Use analytical skills to interpret and present complex data in a variety of options, liaising with originator to adapt and provide information required.
Participate in raising the profile of clinical effectiveness, including any changes in practice/improvements made as a result of effectiveness activities throughout the Trust, using a variety of sources: the design and upkeep of intranet pages/organising on-going trust wide feedback sessions/communications team
Work with document owners and divisional governance teams, to ensure documents are reviewed in a timely manner, in line with trust policy
To manage own workload, escalating where appropriate.
To monitor and review the quality of information inputted on the Clinical Audit Tracking System and liaising and advising with audit leads where necessary.
To train, where appropriate, new members of the team.
In line with the Trusts improvement methodology, propose & implement changes to administrative policies / processes within the department.
To use a variety of software programmes to collate data for monthly Key Performance Indicators and use this data to produce monthly exception reports for divisional governance teams
Person Specification
Experience Essential
Appropriate technical skills (use of Excel including pivot tables and analytical functions, audit software, powerpoint presentations) Previous Clinical Audit experience within the NHS Ability to demonstrate information technology skills with an excellent working knowledge of Microsoft Office Word, Excel, Powerpoint and Outlook Knowledge of inputting to data collection tools Ability to analyse/organise data, including numerical data Previous experience of supporting projects. Experience of maintaining compliance systems. Experience of formatting documents. Use of and maintaining a Document Management System
Desirable
2 years NHS experience or other relevant experience Project management experience
Skills and Knowledge Essential
Ability to explain quality improvement and clinical audit methodologies Previous experience of undertaking clinical audit project work, including audit design, data collection and analysis, report writing and presentations Ability to analyse/organise data, including numerical data. Excellent communication/ presentation skills (written and verbal). Knowledge of project management methods. Basic knowledge of statistics. Knowledge and experience of managing change. Understanding of medical terminology. Ability to work under own initiative. Ability to supervise the workload of administrative posts in the team and offer support and training where appropriate. Ability to prioritise tasks and delegate to administrative posts in the team Ability to motivate others. Ability to work to deadlines. Ability to manage aspects of projects An understanding of principles underpinning clinical audit and quality improvement
Desirable
Knowledge of services provided within an acute hospital. Knowledge of how the trust manages key documents such as policies and guidelines Evidence of having received training in clinical audit/ quality improvement
Qualifications Essential
Sound basic education (5 GCSEs or equivalent ) NVQ Level 3 ILM minimum Level 2 Quality Improvement training
Desirable
Evidence of recent and on going professional development
Internal NHS Job Vacancy Essential
This vacancy is currently only open to Herefordshire and Worcestershire NHS staff (including PCN/GP Practices). Please confirm below which NHS organisation in Herefordshire and Worcestershire you currently work for.
Employer details Employer name Worcestershire Acute Hospitals NHS Trust
Address Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
United Kingdom
Employer's website https://www.worcsacute.nhs.uk/ (Opens in a new tab)