Key Task and Responsibilities Clinical Audit: To develop (with the Clinical Effectiveness Lead) and manage the Trust Annual Clinical Audit Programme, supporting directorates to undertake and benefit from clinical audit. To support and project manage the delivery of the annual clinical audit programme for national and trust audits. To further develop and manage the Trust audit and information management system to ensure oversight of approved clinical audit and service evaluation activity across the Trust, monitoring to ensure that each project is delivered within the agreed timescales. To co-ordinate the participation in applicable national audits, dealing with registration, supporting directorates with data collection and ensuring reports are shared and feedback is provided. Ensuring actions stemming from the recommendations are logged and completed. To liaise and collaborate with external bodies, e.g. Royal Colleges, as coordinator for national audit projects. To provide specialist training in clinical audit for a range of audiences. To promote awareness, understanding and best practice in clinical audit across the directorates supporting clinicians to undertake audits effectively using the audit and information management system. Working with directorates, the post-holder will help coordinate clinician involvement in clinical audit projects. This will include empowering clinicians to use audit and data to support and change practice. To enable and encourage clinical staff to participate in auditing their clinical practice according to local and national standards. To have an in-depth and comprehensive knowledge and understanding of local, trust and national audit and effectiveness priorities and initiatives and communicate them effectively to the team and clinical directorates. To ensure the Trusts clinical audit policies are implemented and updates disseminated to clinical teams and directorates, and to contribute to the development of local clinical audit protocols. To collate, provide and analyse qualitative and quantitative information when required. This will include presenting data in a variety of formats, bar charts, statistical process control charts. To provide assistance to complete clinical audit projects. Including advising on planning audit projects, developing audit tools and methodologies, evaluation methods, statistical analysis and interpretation of audit results, and presentation of data. To protect the confidentiality of patient records and completed clinical effectiveness projects. To be an expert in designing effective and reliable data collection tools or surveys using the audit and information management system. To recommend changes or developments based on findings. NICE: To manage the implementation of NICE guidelines by supporting directorates to review guidance and embed learning.Working with the Clinical effectiveness lead the post-holder will manage the process of reviewing NICE guidance and ensuring implementation of best practice via actions being closed on the audit and information management system. To provide a progress report to governance committees and local directorate clinical effectiveness groups. To provide a report regarding directorate relevance to the Clinical Senate and responding to any actions, sharing information with directorates when required. To implement the Implementation of national guidance policy and contribute to the development of local NICE processes. To provide support to help staff develop effective clinical audit or service evaluation projects and consider the outcomes including the development of action plans. To ensure the organisation continues to learn from national, trust and local audit projects. To be an expert in the functionality of the audit and information management system, using the role of Super User to oversee the clinical effectiveness activity and support the administration of the system. To manage and prioritise own workload within the team including effective project planning. To support the Medical Director with the organisation, administration and development of the Trusts Clinical Effectiveness Group. To maintain a flexible attitude and response to change in job content or organisation in order to maintain or improve the quality of service provided to patients, the Trust and to other stakeholders. To undertake any other duties as requested by the Head of Quality Management within the scope of the job profile as required. To ensure maintenance of a portfolio of evidence through attendance and participation in ongoing internal and external training programmes. To use a range of specialist theoretical knowledge gained through training, qualification and practical experience. To support the Trusts quality assurance cycle as it relates to the ongoing compliance with CQC regulation as well as other relevant regulation. To be kept abreast with current and upcoming national policy issues with regards to the clinical effectiveness agenda through proactive horizon scanning and ensuring that relevant groups and individuals are kept informed. To comply with both the Trust and departmental policies and procedures. To support the Quality Management Team in ensuring that clinical audit is an essential part of quality assurance for internal and external purposes. To liaise with the Clinical Effectiveness Lead and Head of Quality Management on all aspects of clinical effectiveness and provide information as required satisfying the Trustwide Clinical Effectiveness Group that the audit and effectiveness component of quality is being met. There is a need to respond to unexpected deadlines and deal with unpredictable requests. The post holder will be required to meet deadlines and supply information at short notice. To manage complex requests, to solve problems, take responsibility and think independently; to respond to sudden unexpected demands appropriately, ensuring guidelines are adhered to within the context of the role. To work within a pressurised and busy environment whilst maintaining high levels of concentration with continuous interruption, as some requests need immediate attention and decision making. To work with staff of all levels to ensure that the actions arising from clinical effectiveness projects are implemented, monitored and updated on the audit and information management system. To contribute to the annual quality reports for clinical audit as well as reporting to the Trust clinical effectiveness group. To ensure recommendations from clinical effectiveness projects are followed up and reviews are carried out within appropriate timescales. To encourage clinical teams to use quality improvement methodology as a basis for continuous improvement in patient care. To encourage clinical teams to submit clinical audit and service evaluation projects for publication or presentation at local, regional and national meetings or conferences, supporting clinical staff with this where required. This is not an exhaustive list of duties and responsibilities and in discussion with the manager the postholder may be required to undertake other duties which fall within the Banding of the post. The job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.