Go to a more accessible version of this jobs board
Please wait, loading

Clinical Audit and Effectiveness Facilitator - Internal Only

NHS AfC: Band 4

Main area
Corporate Governance
Grade
NHS AfC: Band 4
Contract
Permanent
Hours
Part time - 25 hours per week (25.00)
Job ref
331-B11350321
Site
FGH
Town
Barrow
Salary
£21,892 - £24,157 Pro rata
Salary period
Yearly
Closing
18/04/2021 23:59

''A great place to be cared for; a great place to work''

University Hospitals of Morecambe Bay has been nationally recognised as the UK’s most inclusive NHS organisation. As such we have a firm commitment to strengthening the diversity of our workforce, and therefore welcome and encourage applications from likeminded people who can support our ambition to become effortlessly inclusive. We are particularly keen to hear from protected groups – including BAME, LGBT+ and people with a disability.


Job overview

An exciting opportunity has arisen in Morecambe Bay to join the Clinical Audit Team within University Hospitals of Morecambe Bay NHS Foundation Trust.

Clinical Audit is a multi-disciplinary activity that enables healthcare professionals to review patient care and identify opportunities for improvement in a wide variety of clinical conditions. It is also used to influence change and improvement within systems of care, or to confirm that current practice meets the expected level of performance. An exciting opportunity has arisen for a Clinical Audit and Effectiveness Facilitator  who has excellent organisational, I.T and interpersonal skills to join the Clinical Audit Department. Induction, supervision and support will be provided for the successful candidate.

Anyone newly appointed to the trust will be subject to the completion of a satisfactory 6 month probationary period (this includes bank staff). This will give the new staff member an opportunity to become familiar with the role and working environment.

Main duties of the job

To support staff undertaking a clinical audit from inception to completion by all or any of the following:

  • Advising on clinical audit design and methodology, ensuring the clinical audit aims and objectives are viable and achievable
  • Advising on data collection, collation and validation
  • Create an information database/spreadsheet and, as appropriate, enter data from audit proformas
  • Data analysis and interpretation of findings
  • Compilation of the clinical audit report

Design and delivery of the clinical audit presentation for junior clinical staff this will include a significant element of teaching and education about the clinical audit process and its component skills.

Ensure clinical audits are completed and presented within the agreed timescale, reporting progress on a regular basis to the Clinical Audit and Effectiveness Team Leader. The post holder is expected to work independently and persuade/influence clinical staff to complete work on schedule and to an acceptable quality.

Support the monitoring of NICE guidance within the Care Groups and service specific departments.

Support the Clinical Audit and Effectiveness Team Leader in the monitoring and management of NCEPOD reports working and negotiating with leads.

Support national clinical audits including by working with Care Group leads in the data collection, inputting and management of the audit process.

Notify the Clinical Audit and Effectiveness Team Leader of any significant failure of clinical practice identified during a clinical audit.

Manage the liaison between internal and external staff in inter-Trust and National clinical audits.

Identify the medical records to be used in a clinical audit and manage the process for obtaining, keeping secure and using the records. This will involve close liaison with medical records staff on each site and clinical staff.

Discuss the clinical audit results with clinical staff and agree the actions to be recommended as a result of the clinical audit.

Maintain the Clinical Audit Register (Ulysses) with accurate detail of completed and ongoing audit projects.

Maintain confidentiality of patient information throughout the clinical audit process and advise staff on the implications of Caldicott and ethical implications. Also maintain appropriate staff confidentiality throughout the clinical audit process.

Maintain documentation and related working papers, to a professional standard. Archive or dispose of paper based or electronically held clinical audit information as appropriate.

Maintain an awareness of NHS developments.

Assist the Clinical Audit and Effectiveness Coordinator / Educator in the following:

  • Preparation of reports as required.
  • Training and development of junior staff within the Clinical Audit Team.
  • Training workshops held by the Clinical Audit Department.
  • Maintenance and development of quality control systems used within the clinical audit department.
  • The dissemination of clinical audit findings within the Trust and externally. E.g. poster presentations

Develop knowledge of clinical processes within any allocated area of clinical audit specialisation.

Work, when required, in any of the clinical audit offices. The post holder may also work flexibly to meet deadlines or reflect clinical staff shift patterns.

Training and development 

To support the Clinical Audit Coordinator / Educator in delivering audit training programs for all staff

Take responsibility for own learning and development by recognising and taking advantage of all opportunities to learn, including full participation in appraisal, supervision, action learning and by maintaining a professional/personal portfolio of learning 

 

Working for our organisation

TERMS AND CONDITIONS

This post will be subject to the terms and conditions of the University Hospitals of Morecambe Bay NHS Foundation Trust.

CONFIDENTIALITY

Information relating to patients, employees and business of the Trust must be treated in strictest confidence. Under no circumstances should such information be discussed with any unauthorised person(s) or organisations. All staff must operate within the requirements of the Freedom of Speech policy.

SAFEGUARDING & PROTECTING CHILDREN

Everyone shares  responsibility for  safeguarding and promoting the welfare of children and young people, irrespective of individual roles. As an employee of the trust you will need to be aware of your responsibility in relation to safeguarding and protecting children. You will need to be aware of trust/local LSCB procedures and know how to contact named professionals, within the safeguarding team for advice and support.

ENVIRONMENTAL IMPACT

It is the responsibility of all staff to minimise the Trust’s environmental impact by recycling wherever possible, switching off lights, computers, monitors and equipment when not in use and it is safe to do so, minimising water usage and reporting faults promptly. 

HEALTH AND SAFETY

The Health and Safety at Work Act stipulates that it is the responsibility of each employee to observe all rules governing safety and conduct and as such safety equipment and Personal Protective Equipment provided must be used.

INFECTION CONTROL

The Trust is committed to protecting the health of all staff, patients and visitors to the Trust. As such all staff is personally responsible for compliance with all Trust and department infection prevention and control policies. Failure to comply with such policies and associated procedures is likely to lead to disciplinary action and may result in dismissal.

MANUAL HANDLING

The post holder will be provided with adequate training in correct lifting techniques by a recognised lifting instructor.

NO SMOKING POLICY

A No Smoking Policy operates across all Trust sites.

QUALITY OF SERVICE

The trust is committed in its use of available resources to obtaining the best possible service for patients and staff. The Post holder must share this objective and seek to maintain and improve the quality of service provided.

EQUAL OPPORTUNITIES

The Trust is pledged to equal opportunities for all and is committed to ensure that no job applicant or employee receives less favourable treatment on the grounds of gender, marital status, age, race, colour, sexual orientation, creed, nationality, ethnic or national origin or disability. We promote flexible working opportunities wherever possible to enable staff to balance their work with their private lives.

TRAINING AND DEVELOPMENT

Maintain your professional standards in respect of education and training and ensure that you are aware of your specific area specialty training and needs analysis.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detailed job description and main responsibilities

To support staff undertaking a clinical audit from inception to completion by all or any of the following:

  • Advising on clinical audit design and methodology, ensuring the clinical audit aims and objectives are viable and achievable
  • Advising on data collection, collation and validation
  • Create an information database/spreadsheet and, as appropriate, enter data from audit proformas
  • Data analysis and interpretation of findings
  • Compilation of the clinical audit report

Design and delivery of the clinical audit presentation for junior clinical staff this will include a significant element of teaching and education about the clinical audit process and its component skills.

Ensure clinical audits are completed and presented within the agreed timescale, reporting progress on a regular basis to the Clinical Audit and Effectiveness Team Leader. The post holder is expected to work independently and persuade/influence clinical staff to complete work on schedule and to an acceptable quality.

Support the monitoring of NICE guidance within the Care Groups and service specific departments.

Support the Clinical Audit and Effectiveness Team Leader in the monitoring and management of NCEPOD reports working and negotiating with leads.

Support national clinical audits including by working with Care Group leads in the data collection, inputting and management of the audit process.

Notify the Clinical Audit and Effectiveness Team Leader of any significant failure of clinical practice identified during a clinical audit.

Manage the liaison between internal and external staff in inter-Trust and National clinical audits.

Identify the medical records to be used in a clinical audit and manage the process for obtaining, keeping secure and using the records. This will involve close liaison with medical records staff on each site and clinical staff.

Discuss the clinical audit results with clinical staff and agree the actions to be recommended as a result of the clinical audit.

Maintain the Clinical Audit Register (Ulysses) with accurate detail of completed and ongoing audit projects.

Maintain confidentiality of patient information throughout the clinical audit process and advise staff on the implications of Caldicott and ethical implications. Also maintain appropriate staff confidentiality throughout the clinical audit process.

Maintain documentation and related working papers, to a professional standard. Archive or dispose of paper based or electronically held clinical audit information as appropriate.

Maintain an awareness of NHS developments.

Assist the Clinical Audit and Effectiveness Coordinator / Educator in the following:

  • Preparation of reports as required.
  • Training and development of junior staff within the Clinical Audit Team.
  • Training workshops held by the Clinical Audit Department.
  • Maintenance and development of quality control systems used within the clinical audit department.
  • The dissemination of clinical audit findings within the Trust and externally. E.g. poster presentations

Develop knowledge of clinical processes within any allocated area of clinical audit specialisation.

Work, when required, in any of the clinical audit offices. The post holder may also work flexibly to meet deadlines or reflect clinical staff shift patterns.

Training and development 

To support the Clinical Audit Coordinator / Educator in delivering audit training programs for all staff

Take responsibility for own learning and development by recognising and taking advantage of all opportunities to learn, including full participation in appraisal, supervision, action learning and by maintaining a professional/personal portfolio of learning 

Person specification

Essential

Essential criteria
  • Educated to GCSE level c or equivalent in English and Maths
  • Experience of working with and analysing data
  • Competent and confident working with IT systems
  • Knowledge of Clinical Governance
Disability Confident - two yearsNo smoking policyDisability confident employerInclusive Top 50 LogoArmed Forces Covenant (Silver Award)Stonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Morecambe Bay - Inclusive EmployerStep into health

Documents to download

Apply online now

Further details / informal visits contact

Name
Donna Morgan
Job title
Clinical Audit Coordinator & Educator
Email address
Donna.morgan@mbht.nhs.uk