Clinical Effectiveness and Compliance Manager
Herefordshire and Worcestershire Health and Care NHS Trust
Due to an internal promotion, we have an exciting role to fill in Clinical Effectiveness. The post is to support the management and implementation of a coordinated approach to clinical audit, NICE guidance, mortality and regulatory work, supporting clinical teams to achieve key standards of care for their services. The post holder will work to support governance processes of the organisation ensuring meaningful action closures and reporting for clinical effectiveness activity. You will work closely with colleagues in the wider Quality and Patient Safety Team using data from each of the patient safety, clinical effectiveness and patient relations workstreams to identify themes leading to potential improvement work. The role requires networking with all services across the organisation which brings interest and variety, and you are guaranteed to acquire new knowledge continuously. If you enjoy learning, are curious and always have best practice patient care at the heart of your work, this is a great role to harness those skills. We have a highly supportive team who work collaboratively encouraging each other's personal development and actively support everyone's well-being. The team works a hybrid model with some home working but also travel to bases across the counties.
The post is full time, 37.5 hours over 5 days; however, flexibility across the week can be explored. Do come and visit us or ring to find out more about the team and the work we do.
Main duties of the job
1. Supporting the creation, delivery and monitoring of clinical audit plans across the Trust, in line with national and Trust priorities for benchmarking and clarifying current status for what care is actually like.
2. Involvement in a coordinated approach to assessment against NICE standards and supporting the organisation to make improvements to increase compliance.
3. Contributing to presenting Quality Reports, sharing and interpreting data.
4. Supporting services through training for clinical audit, quality improvement projects and training and supporting in the use of Ulysses reporting system.
5. To support the team in reporting for the Board Patient Safety and Quality and Safety Committee and Mortality Oversight Group.
6. Lead peer reviews, coordinating the review process and collating feedback from reviewers to produce meaningful reports that celebrate good practice and identify areas for improvement.
7. Support the team in continuing to develop and implement governance and clinical policies and protocols for the Trust.
8. Support the team with ensuring robust clinical policies strategy including monitoring their compliance with NICE guidance and audit mechanisms.
About us
At Herefordshire and Worcestershire Health and Care NHS Trust, we are working together to deliver outstanding care. We run community hospitals and community health services across Worcestershire and provide mental health and learning disability services across both Herefordshire and Worcestershire.
Our people (all 4500+ of them) provide services for people of all ages, experiencing both physical and/or mental health conditions from over 100 sites.
We will support you to thrive; offer flexible working options for a great work-life balance, help you fulfil your ambitions, and empower you to make positive changes within your team or service. It's why we were named Large Apprenticeship Employer of the Year award at the 2022 Worcestershire Apprenticeship Awards. We value diversity and encourage applications from people of all backgrounds, cultures, and ethnicities.
What we offer
1. 27 days leave plus bank holidays, increasing up to 33 days with long service.
2. Generous NHS pension and enhanced pay when you work unsocial hours.
3. Flexible and agile working opportunities.
4. Great maternity, paternity, and adoption support.
5. Wide range of staff networks such as LGBT+ and ENRICH (Equality Network for Race Inclusion and Cultural Heritage).
6. Health service discounts and online benefits including excellent cycle to work and car salary sacrifice schemes.
7. Health and wellbeing opportunities.
If you would like to know more, please visit our careers website.
Job responsibilities
For full details of the duties and criteria for the role please refer to the job description and person specification attached.
Person Specification
Qualifications
* Educated to degree level or equivalent training and experience in Compliance, Quality Improvement and Clinical Effectiveness.
* Evidence of continuing professional development.
* Professional qualification in health or social care.
Skills and Abilities
* Ability to communicate clearly and effectively in English in both verbal and written formats.
* High level investigative and analytical skills.
* Skilled negotiator with staff at all levels, with individuals and in groups.
* Able to work independently.
* Fully computer literate.
* High level inter-personal skills, both written and verbal.
Knowledge
* Working knowledge of CQC regulations, national guidance and legislation.
* Extensive knowledge of the NHS and national initiatives related to the requirements of governance and performance related issues.
* Good knowledge of data analysis.
* Evidence of involvement in clinical research/audit.
* Understanding of ethical practice and patient confidentiality.
Experience
* Experience in health or social care health services.
* Track record of influencing and challenging.
* Conducting investigations within a healthcare setting.
* Significant experience at a senior level.
* Significant experience of working with other multi-disciplinary teams and agencies.
* Evidenced experience of the management of change.
* Understanding and experience of investigative and audit techniques.
* Experience of analysing complex data and sources of information.
* Experience of writing reports and papers for healthcare setting committees/meetings.
* Proficient user of Microsoft Office suite (including Word, Excel, and PowerPoint) and Ulysses system.
* Experienced internet user, able to search for and compile complex information from internet sources, referencing accurately.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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