Job summary
Employer heading
Clinical Governance Facilitator
NHS AfC: Band 5
Calderdale and Huddersfield NHS Foundation Trust (CHFT) are committed to equal opportunities and welcome applications from all sections of the community, regardless of any protected characteristics.
We are committed to recruiting to our values. Leading One Culture of Care underpins our values by creating an environment, tone and behaviours across all parts of the Trust that are fundamentally rooted in compassionate care.
We are open to considering a wide range of flexible working arrangements. There are opportunities to flex the days of the week, hours and times of work and place of work including: part-time, job-share, flexible working hours and the possibility to work from home when appropriate. Please talk to us during the interview process to discuss any flexibility that you may require.
We received our Silver Award from the Defence Employer Recognition Scheme which is helping actively promote SaBRE - Supporting Britain’s Reservists and Employers. This means that we provided its statement of intent to support all Defence personnel and we welcome application to work for us. Find out more - Why Choose CHFT?
Our Future Plans
The Department of Health and Social Care has awarded capital funding to invest in local health services at both Calderdale Royal Hospital and Huddersfield Royal Infirmary. This is a significant investment and an opportunity to enhance services for our populations in Calderdale and Huddersfield and West Yorkshire for generations to come. To find out more, please visit https://future.cht.nhs.uk/
Job overview
An exciting opportunity has arisen for a self-motivated and enthusiastic person to join the Clinical Audit Department. This post would provide an excellent development opportunity for someone wishing to broaden their experience in an area of quality improvement. Whilst not essential, a clinical background would be advantageous.
Clinical audit is an essential part of the Trust’s clinical governance programme and we are looking for someone to play an active part in the ongoing development of clinical audit & improvement and the promotion of evidence based practice.
Main duties of the job
The main component of the role will be to manage a number of clinical audit projects, producing work to a high standard, with the ability to support, advise and facilitate healthcare professionals in the planning and design of robust projects. Your duties will involve liaising with clinicians and managers at all levels, and assisting in the design, data collection, analysis, reporting and presentation of clinical audit projects and identifying opportunities where improvement programmes can be introduced. You should be able to work under pressure, meet agreed deadlines, and be capable of organising your own workload.
Working for our organisation
We employ more than 6,500 staff who deliver compassionate care from our two main hospitals, Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, health centres and in patients’ homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children’s and young people’s services; end of life care and outpatient and diagnostic imaging services.
We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.
We continue to modernise and invest in our health services to build on our strong reputation. Foundation trusts are public leaders in improving quality in health services. They are part of the NHS – yet decisions about what they do and how they do it are driven by independent boards. Boards listen to their Council of Governors and respond to the needs of their members – patients, staff and the local community.
Foundation trusts provide what the health service wants, yet are also free to invest quickly in the changes to the local community needs, in striving to be the best, and in putting their patients first.
Detailed job description and main responsibilities
- o ensure completion of timely, accurate, valid and reliable effectiveness & audit projects in line with the clinical audit programme and other requirements.
- Assist with the development of clinical effectiveness & audit across the Organisation.
- To work with Divisional colleagues to ensure clinical audit work programmes are in place and completed.
- Co-ordinate and lead on clinical audit projects to meet external requirements e.g. CQC, National Clinical Audit and Patient Outcomes Programme.
- Co-ordinate and lead on clinical audit projects to meet Trust priorities.
- Work closely with the Clinical Governance Team Leader to embed processes and completion of clinical audits within Divisions/Specialties.
- Ensure high quality records are maintained within the central clinical audit database and produce reports for various Trust Groups/Committees (i.e.Clinical Audit and Effectiveness Group, Divisional meetings, Quality Committee, Clinical Improvement Group) and within Trust publications (i.e. Annual Quality Report).
- Work with the Clinical Governance Team Manager to develop and implement clinical audit projects, including action planning, using Trust approved processes.
- Co-ordinate the review and assessment of NICE guidance.
- Undertake/facilitate various aspects of the audit process:
- Completion of project plan and summary report
- identification of standards
- define aims & objectives
- audit methodology and sample using the most appropriate method
- design of data collection tools and surveys
- data collection
- database design
- data analysis
- reporting and presentation of results
- action planning
- change implementation
- re-audit
- Ensure Clinical Audit representation at designated Divisional audit/Clinical Governance meetings as appropriate.
- Contribute to Trust clinical audit training.
Person specification
QUALIFICATIONS / TRAINING
Essential criteria
- Educated to Hons degree level or equivalent in risk or governance, or equivalent experience
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential criteria
- Experience in clinical audit or a related field. Knowledge and practical experience of all stages of the audit cycle and experience of change management.
- Presenting information to committees and senior management
- Proven ability to analyse complex problems and to develop and successfully implement practical and workable solutions to address them.
- Experience of working in a complex changing environment and the ability to prioritise
- Experience of dealing with service wide policy implementation or change management projects
- Understanding of Confidentiality & Data Protection Act
- Good understanding of information analysis, techniques and tools and the ability to present concepts clearly
- Excellent written skills to produce formal, informal and technical documents/material to meet delivery needs
- Responsible for contributing to the planning and organisation of forward programme of clinical audit.
- Understanding of the quality standards applicable to the NHS (eg: CQC / FT / -, commissioner requirements)
- Knowledge of legislation and standards relating to health & safety, security, complaints, claims and incidents.
- Required to co-ordinate the involvement of clinicians in facilitating the implementation of National Standards/Guidelines
- Required to co-ordinate the involvement of clinicians in planning and facilitating the National Audits for Trust
- Excellent analytical and report writing skills
- Good working knowledge of Microsoft word, Excel, Powerpoint
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential criteria
- Staff and team leadership skills
- Plan, organise and deliver clinical audit training and teaching
- Planning /chairing meetings to initiate the development of projects, to provide feedback on project progress and to present and discuss the results of the audits
- Excellent inter-personal and communication skills and good listening skills. The ability to establish effective working relationships and credibility with senior managers and professionals
- The ability to work under pressure, prioritise workload and meet tight timescales
- Enthusiasm, ability to work independently and within a team
- Strong sense of commitment to openness, honesty and integrity.
- Good negotiating skills
- Presentational skills using a variety of formats
Documents to download
Further details / informal visits contact
- Name
- Shelley Rochford
- Job title
- Head of Risk & Compliance
- Email address
- [email protected]
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