Detailed job description and main responsibilities

• Prepare reports for committees and meetings ensuring they are ready for review prior to the submission date.
• Create, publish and present monthly reports on progress of NICE guidance compliance, highlighting the departmental adherence to key performance indicators in order to fulfil requirements for Clinical Audit and Effectiveness Steering Group, Performance Meetings, Quality Committee meetings and Quality Committee Dashboard, escalating areas of concern appropriately and timely, presenting findings and items for escalation to the attendees.
• To implement a system for the Trust-wide dissemination of information and recommendations from bodies including the National Institute for Health and Care Excellence and National Confidential Enquiries, collating and record responses from clinical teams, based on interpretation of the national requirements.
• To lead on raising the profile of clinical effectiveness throughout the Trust, working with care groups/department leads to ensure a completion of NICE guidelines.

• Participation in the Learning to Improve Group in order to furnish appropriate information in relation to audit requirements and sharing of findings
• Participate in regional and national initiatives as appropriate to the trust, e.g. NICE feedbacks panels etc., and raise the profile of the University Hospital of Morecambe Bay Foundation Trust.
• To oversee and provide assurance to the Trust Board on the Implementation of Regulatory Action Plans arising from inspections, reviews and reports undertaken by regulatory bodies.
• To provide expert advice around a variety of external quality and assurance frameworks including Risk Management Standards, CNST Maternity Standards, CQC quality and risk standards.

 Management and Leadership

• To support and mentor the Governance Apprentices and Clinical Audit Department if required, including appraisal and mid-term reviews, sickness absence, disciplinary and grievance issues.
• Responsible for the selection and recruitment in accordance with the Trust Recruitment policy and procedures, including permanent, bank and agency staff if required.
• To manage and monitor departmental KPI’s and ensure that actions are taken to address any gaps.
• To lead on the implementation of NICE guidelines working and negotiating with NICE Guideline Leads to ensure NICE compliance is evidenced via robust consultation, implementation of action plans and completion of clinical audit tools.
• To identify and develop areas for collaboration on effectiveness with other external bodies such as NICE and NPSA.
• To represent the University Hospital of Morecambe Bay Foundation Trust at regional and national network meetings; participating and presenting as necessary in order to share information and lead innovation.
• Responsibility of highlighting and submitting of shared learning to increase the Trust profile.

Responsibilities for financial and physical resources

• Responsible for the purchase of some physical assets or supplies
• Contributes to the drawing up of department/service budgets or
  financial initiatives

NICE

• Provide day to day coordination of the Trust NICE Guidance assessment and compliance process; requesting that Clinical Directors advise on the conducting of assessments, monitoring compliance, coordinating any further assessments and monitoring progress against resulting actions.
• Have significant organisational skills as well as the ability to communicate effectively with all levels of staff and provide a high level of content knowledge about all aspects of NICE and is able to act as an approachable source of knowledge to all staff.
• Be able to communicate sensitive or complex information about performance or change with a high level of sensitivity and diplomacy.
• To contribute to the development and continual improvement of the processes and systems of work within quality improvement.
• Review clinical and non-clinical data, including presenting data in a variety of formats, and provide interpretation and recommendations against a range of options. Track data continuously to quickly resolve failures to meet requirements and act accordingly to inform team members and escalate appropriately.
• To ensure the effective running of the Trust Clinical Effectiveness Group and NICE Leads meetings and to ensure reports are presented in a timely manner and actions followed up appropriately.
• To collaborate with other groups both internally and externally to the Trust to ensure that Clinical Effectiveness is represented appropriately in other quality initiatives, risk management programs and Research, Development and Educational activities.
• Attend external meetings and groups, e.g. CCG’s, NICE, CQC, Public Health and others as and when necessary on behalf of the Trust, liaising with other external stakeholders as required to facilitate shared data across healthcare organisations.

Training and development

• To assess the training needs of individual team members and ensure that these needs are met within available resources.
• 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.
• Formulate and produce training and information packages, including e-learning tools, in all aspects of the clinical effectiveness process. 

 This job description is not exhaustive and will be reviewed and amended, with the post holder, when necessary.