Job Summary
Expected Shortlisting Date: 24/03/2025
Planned Interview Date: 31/03/2025
The Quality Governance Team at Leeds Teaching Hospitals is seeking a new Quality Governance Analyst for Mortality to join the team for twelve months to cover a period of maternity leave. This is a fantastic opportunity to work with clinical and non-clinical staff at all levels across the entire organisation to support the Trust to continuously improve and strive for excellence, to support Clinical Services to understand their Mortality data and identify areas for further investigation.
The role is a full time band six post at 37.5 hours a week, mostly based at St Jamess University Hospital, with some opportunity for remote working.
Main duties of the job
The postholder will be responsible for the extraction and analysis of data from different systems, production of reports and relaying complex information, understanding key mortality indicators, and using advanced analysis techniques. The postholder will liaise with staff at all levels and roles within the organisation and organise responses to key external stakeholders such as the CQC.
The postholder will also be responsible for the organisation and administration of the Mortality Improvement Group, including preparing agendas, writing minutes, and producing assurance reports.
The post holder will be able to access a wide variety of internal and external training to develop in the role, and the opportunity to attend virtual conferences relevant to the role as they arise. The team fosters an environment where staff can develop and thrive.
About Us
The Quality Governance Team empowers healthcare professionals to strive to provide the best patient care, at the right time and in the right place: by embracing Quality Improvement Methodology; Identifying areas for improvement; Promoting innovative working; Making every interaction positive. We support CSUs in the delivery of high quality care to patients through a robust quality governance framework: Demonstrating the links between quality governance and patient interactions, sharing learning from mortality review and capturing positive changes. The Mortality analyst post will contribute to the Clinical Effectiveness portfolio by co-ordinating the learning from deaths process and developing a more robust framework to learn from and investigate mortality data.
Working in partnership with healthcare professionals to engage with the quality framework through engagement events, feedback forums, dashboards, and encouraging learning.
Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.
Date posted: 04 March 2025
Pay scheme: Agenda for change
Band: Band 6
Salary: £37,338 to £44,962 a year
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time, Flexible working
Reference number: C9298-MDI-0141
Job locations: Leeds General Infirmary, Great George Street, Leeds, LS1 3EX
Job Description
Job responsibilities
Job Purpose/Summary
The post holder is responsible for leading on a variety of Mortality projects; including undertaking complex Trust wide analysis and review to support Clinical Services to understand their Mortality data and identify areas for further investigation.
The post holder will manage the Learning from Deaths process and oversee the implementation of the Mortality Review Policy. They will support the work of the Mortality Improvement Group.
The post holder will have a high level of expertise in utilising data from a variety of sources including Hospital Episode Statistics (HES) and Dr Foster Mortality Tools, in order to provide reports to the Mortality Improvement Group, and senior service managers.
The post holder will work as part of the Quality Governance Team within the Clinical Effectiveness portfolio, co-ordinating the learning from deaths process supported by the Quality Governance Facilitators. The post holder will provide information and analysis support to Clinical Service Units in relation to their Mortality data and support them to understand their data. The post holder will support the Clinical Effectiveness and Compliance Manager in the management of the Mortality Improvement Group, and deputise as required in relation to the Mortality portfolio. The post holder will work with the Coding team, Informatics, the Medical Examiner Office, Bereavement, and the Associate Medical Director to implement the Mortality Review Policy.
PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY
1. Extracting and analysing data from different systems
2. Analysing Hospital Episode Statistics and of Mortality data sources such as Dr Foster.
3. Manipulation of spreadsheets and databases to an advanced technical level
4. Producing complex written, verbal, tabular and graphical information.
5. Understanding of Medical terminology, anatomy and epidemiology to a basic level.
6. Understanding key mortality indicators such as SHMI and HSMR and associated monitoring processes
7. Understanding Mortality datasets and National Study/ Audit submission on mortality
8. Identify and resolve complex data problems.
9. Project Management
10. Using advanced analytical and/or statistical techniques to support performance management and service improvement.
11. Training and mentoring junior staff.
12. Ability to co-ordinate junior staff to support the Mortality Review Process
13. Summarise and present complex information
14. Liaise with senior managers and consultants offering guidance and interpretation on complex information.
15. Prioritise, schedule and monitor to completion, all workload, meeting deadlines and maintaining a consistent high quality output.
16. Understand and Monitor CQC Outlier Alert process and requirements for external Mortality Reporting
17. To liaise with Clinical Coding and have an understanding of coding
18. To support the Mortality Improvement Group and Project Group and set the agenda for discussion, supported by the Clinical Effectiveness and Compliance Manager
19. To attend the Regional Mortality Group
20. To oversee the Learning from Deaths process and to support CSUs to capture and share Learning from Deaths and Structured Judgement Review.
21. Provide timely and accurate information to managers in a format that is readily understood and relevant to the decision making process.
22. Provide proactive analyses of performance through the use of measures of activity, efficiency and data accuracy.
23. Provide proactive analyses of issues raised by the Trust Integrated Performance Report and performance meetings.
24. Provide technical support and advice to clinical & corporate teams on the advanced use of Excel and the application of modelling and statistical tools.
25. Monitor and forecast progress against internal Trust, local and national targets.
26. Ensure a timely and accurate response to any queries, both internal and external.
27. Propose new developments in reporting
28. Interpret complex data issues for non-information staff
29. Assist in developing activity capacity plans, providing guidance to directorates on methodology, monitoring actual progress over time and investigating discrepancies.
30. Represent information reporting aspects on formal project management boards as required.
31. Data Quality
32. Identify, monitor and report on data quality issues.
33. Support the ongoing development of Trust information systems.
34. Audit of systems
35. The post will develop and will need to incorporate other duties to meet the changing needs of the organisation and these changes will be agreed between the post holder and their line manager
The NHS
Appreciation of and compliance with the Data Protection Act, Freedom of Information Act and Caldicott guidance.
Specialist knowledge of NHS national targets, performance/clinical indicators, CQC standards.
A good knowledge of the Patient Administration Systems and associated processes.
Broad knowledge of Trust services, structure, objectives and policies e.g. clinical coding & patient administration.
An understanding of Hospital Mortality Statistics.
Technical Knowledge
1. Advanced skills in the use of Excel
2. Understanding of Dr Foster systems and data flow
3. Skilled in bringing together data from a range of disparate sources and an awareness of the associated pitfalls
4. Clear understanding of the importance of data quality issues and the impact of this on any analyses.
5. Specialist understanding of the complexity associated with using performance and clinical indicators.
6. Advanced knowledge of trust information systems
7. Understanding of the Trusts financial and commissioning systems and processes.
THE LEEDS WAY VALUES
Our Values Are Part Of What Make Us Different From Other Trusts, So We See This As a Strength, As Well As a Responsibility. They Have Been Developed By Our Staff And Set Out What They See As Important To How We Work. Our Five Values Are:
1. Patient-centred
2. Collaborative
3. Fair
4. Accountable
5. Empowered
All our actions and endeavours will be guided and evaluated through these values.
Additionally, the following are core values which relate specifically to this post:
1. Professionalism - acquiring, applying and sharing knowledge, skills and best practice to meet objectives and promote high standards
2. Excellence - consistently providing high quality work and seeking to improve their own performance
3. Flexibility - responding positively to change and seeking innovation in working practices
4. Commitment - a firm commitment to achieving departmental objectives
5. Partnership - working with others both internally and externally with mutual respect, understanding and trust; building good relationships with all contacts
6. Integrity - to act with integrity in all dealings with Trust data
7. Data Quality - a firm commitment to improving data quality
8. Customer Focus - a strong customer focus
Abide by the Trust policy on standards of business conduct.
Logical approach to problem solving and ability to be objective.
Able to identify and appraise options, accounting for risks and longer-term strategic ramifications.
Honest, open and tactful.
Strong organisational skills.
Ability to work to a high degree of accuracy within tight deadlines.
An effective oral and written communicator able to summarise and convey complex information, often to non-technical staff.
Ability to keep team members informed of progress, changes and deadlines.
Adaptable approach to changing priorities, such as maintenance of ongoing projects while dealing with urgent ad-hoc requests.
Ability to develop good relationships with all professional contacts, internal and external to the organisation.
Strong and motivational leadership and ability to work as part of a team.
Work independently, looking for innovative opportunities for the future and acting upon them.
Accountable for own work and work of the team.
Application of Human Resources policies and procedures.
COMMUNICATION & WORKING RELATIONSHIPS
Internal
1. Quality Governance colleagues
2. Informatics colleagues
3. Assistant Directors of Operations (ADOPs)
4. Clinical Directors and Lead Clinicians
5. CSU General Managers & Business Managers
6. Patient Services & Administration Staff
7. Clinicians & senior nursing staff.
8. Finance and Income Managers
9. Planning Managers
10. Bereavement
11. Clinical Coding
12. Medical Examiner Office
External
1. Clinical Commissioning Groups
2. Department of Health
3. NHS England
4. NHS Digital
5. NHS Improvement
6. Dr Fosters
7. Care Quality Commission
Other As Required
SPECIAL WORKING CONDITIONS
Physical Effort: Extensive use of computer keyboard and mouse for input and manipulation of data. Very occasional moving of equipment e.g. projector, laptops.
Mental Effort: Daily prolonged periods of a working day carrying out complex calculations and analyses.
Emotional Effort: Occasional case note audits where you may come across some distressing information.
Working Conditions: Extended and frequent use of VDU equipment for most of a working day.
As the post has a citywide remit, there is a requirement to be able to attend meetings and events both on and off site.
#J-18808-Ljbffr