Detailed Job Description and Main Responsibilities:
To facilitate and manage an annual programme of clinical audits allocated to the post holder, ensuring the programme meets local and national requirements for assigned specialities.
Work with Care Groups to ensure clinical audit work programmes are in place and completed, and recommendations are embedded to improve practice.
Co-ordinate and lead on clinical audit and improvement projects to meet external requirements e.g. CQC, National Clinical Audit etc.
Co-ordinate and lead on clinical audit and improvement projects to meet Trust priorities e.g. record keeping, mortality.
Work closely with Clinical Audit Leads to embed processes and completion of clinical audits within Care Groups, escalating where projects are failing to progress or have been abandoned without formal closure.
Support Care Groups in the development and implementation of clinical audit projects, including action planning, using Trust approved processes.
Liaise and communicate with all levels of healthcare professionals including managers ensuring opportunities for clinical audit are identified, pursued and supported.
Facilitate multi-disciplinary groups within specialities to plan and oversee clinical audit projects.
Analyse and interpret a range of complex data and facts and report the findings in a variety of formats suitable for the particular audience associated with the individual audit projects.
Demonstrate the ability to employ a range of alternative methods, including the use of modern technology, to deliver well planned and effective clinical audit projects.
Assist assigned specialities to identify improvements to patient care through the clinical audit programme.
Participate in the development and delivery of education programs to inform Trust staff about clinical audit and improvement.
Ensure compliance with the Trust's Risk Management Policies and Procedures.
Collaborate across the Clinical Audit Team to share learning and identify trends and themes for future focus.
Maintain records within the central clinical audit database and produce reports for various Trust Groups/Committees (i.e. Clinical Audit and Effectiveness Committee, Care Group meetings, Quality and Safety Committee, IAGC) and within Trust publications (Annual Quality Report, RiskWise).
Co-ordinate the review and implementation of NICE guidance.
Undertake/facilitate various aspects of the audit and improvement process:
1. Identification of standards
2. Define aims & objectives
3. Audit methodology and sample
4. Design of data collection tools and surveys
5. Data collection
6. Database design
7. Data analysis
8. Reporting and presentation of results
9. Action planning
10. Change implementation
11. Re-audit
Attend designated Care Group audit/Clinical Governance meetings as appropriate.
Support Trust clinical audit training and fully participate in seminars and workshops to enhance clinical audit across the Trust.
Keep up to date with NHS policies and guidance.
Respond to new NICE guidance contacting relevant clinicians to determine whether the Trust is compliant if the service/care is provided.
Person Specification:
Qualifications:
* Educated to Degree level or relevant experience.
Experience:
* Experience in project management.
* Desirable criteria: Experience of clinical audit, research or other quality improvement processes.
Knowledge:
* Essential criteria: Awareness of current NHS strategies and initiatives; numerate with understanding of basic statistics.
* Desirable criteria: Computer literate with knowledge of word processing and data handling; knowledge of change management strategies.
Skills:
* Essential criteria: Computer skills - e.g. Microsoft Office.
* Desirable criteria: Negotiation skills.
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