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Main duties and Responsibilities

1. To collect and input clinical and non-clinical data from medical records/systems (e.g. e-health records, PACs, EDIS), proformas and inpatient areas specific to national audits.

2. To act as a point of contact for internal and external stakeholders in relation to the national audit to facilitate joined up communications and performance.

3. To be responsible for coordinating the data collection for the national audits.

4. To adapt audit database pathways, following national changes, by continual liaison with the regional Networks and Trust peers.

5. Maintaining quality control of the data input into systems and data uploaded to the National databases.

6. To develop and maintain procedures for data collection for audit metrics ensuring the process incorporates all stakeholders. 

7. To carry out breach analysis work against key performance metrics reporting findings to clinicians and senior managers.

8. To collate data for presentation at local and regional groups on Trust performance in relation to audit metrics.

9. To liaise with the relevant internal/external stakeholders to identify problems and issues that would prevent the timely and accurate entry of data into the database.

10. To monitor the Trust’s performance in relation to audit metrics and escalate any concerns/breaches to the relevant Clinical Leads or Divisional Governance, Quality & Safety Improvement Facilitator in a timely manner.

11. To attend audit User Groups, keeping up to date with relevant developments ensuring relevant communication and feedback takes place internally.

12. To communicate any changes in data collection requirements to the relevant internal stakeholders.

13. Ensure that data gathering and data storage methods comply with the principles of Caldicott and the Data Protection Act 1998.

14. To attend regional and national meetings and conferences as directed.

15. To maintain an awareness of the development of the national clinical audit, effectiveness and governance agenda

16. To arrange governance meetings as required by the Governance, Quality & Safety Improvement Facilitators and Divisional Management Teams, including preparing agendas, minute taking, production of action logs and initiating any follow-up action which may be required.

17. To be responsible for the maintenance of Divisional action logs to ensure that actions within designated areas of responsibility are progressed within agreed timeframes.

18. To attend relevant Clinical Governance meetings to report on audit data and performance metrics.

19. To undertake initial production of Divisional Performance reports to corporate committees inputting data from the relevant sources, in conjunction with the Governance, Quality & Safety Improvement Facilitator.

20. To ensure continuation of the data collection and entry of national audit data in the absence of the postholder e.g. during periods of annual leave or sickness.

21. To provide administrative support to the Divisional Clinical Governance and Compliance processes including liaising with relevant individuals to progress such issues.

22. To provide data and statistical reports as requested.

23. To undertake any other duties, which may be agreed from time to time, in consultation with the post holder.