Job Purpose: The post holder will work as part of the 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. 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, and monitoring of NICE Guidance implementation.
Duties of the post:
1. Report clinical audit and effectiveness information to a wide variety of clinical and governance staff ensuring information is accurate and timely.
2. 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.
3. Demonstrate effective communication skills to ensure effective communication with colleagues/staff members and external agencies which facilitate and promote multi-disciplinary working.
4. Assist in the co-ordination and facilitation of high-quality clinical audit and effectiveness programmes.
5. 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.
6. 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.
7. Work with the Clinical Effectiveness Manager/Support Manager and Facilitators, ensuring the trusts annual clinical audit forward plan is supported.
8. 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.
9. Attend meetings associated with the clinical effectiveness agenda and provide guidance, expertise and administrative support as required.
10. Provide training and supervision to colleagues in all aspects of clinical effectiveness and quality improvement methodologies.
11. Facilitate and participate in training as required.
12. 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.
13. Provide full documentation of projects as required in line with reporting procedures, maintaining an efficient, effective and accurate system of information storage and processing.
14. Produce timely and accurate reports for the relevant staff groups on all effectiveness activities.
15. Problem solve complex queries around historic key documents and use own judgement and experience to resolve and advise including dealing with sensitive information.
16. 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.
17. Supervise the workload for the administrative support post/s within the team and manage priorities and due dates.
18. Prepare monthly KPI reports and exception data for divisional governance teams.
19. 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.
20. Responsible for ensuring that key documents comply with trust policy before they are approved, published and implemented.
21. Organise and prioritise own workload.
22. Use analytical skills to interpret and present complex data in a variety of options, liaising with originator to adapt and provide information required.
23. 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 ongoing trust wide feedback sessions/communications team.
24. Work with document owners and divisional governance teams, to ensure documents are reviewed in a timely manner, in line with trust policy.
25. Manage own workload, escalating where appropriate.
26. Monitor and review the quality of information inputted on the Clinical Audit Tracking System and liaising and advising with audit leads where necessary.
27. Train, where appropriate, new members of the team.
28. In line with the Trust's improvement methodology, propose & implement changes to administrative policies/processes within the department.
29. 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.
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