Clinical Effectiveness Manager Band 7

Job description

Job summary

The Clinical Effectiveness Manager is a full-time (1.0 WTE) post with responsibility for providing strategic leadership and operational oversight of the Trust's clinical effectiveness agenda. The role ensures robust governance and assurance in relation to clinical audit, NICE guidance identification and implementation, supporting the delivery of high-quality, evidence-based care. Working in partnership with clinical leaders, managers and corporate teams, the post-holder will drive continuous improvement, support regulatory readiness and provide clear, reliable assurance to senior management and Trust committees, while leading and developing the clinical effectiveness function. There is a requirement for onsite working.
Main duties of the job

To actively manage the Clinical Effectiveness & Audit Agenda across the Group.

To ensure the Group is adhering to current policies and guidelines and they are updated in line with national guidance.

To support clinical teams across the Group, in identifying quality improvements from the recommendations identified in clinical audit reports, and the ability to generate reports to all levels of staff across the Group, to pre-determined time scales.

About us

Lincoln Hospital is a thriving university city and with the opening of the medical school, it provides all major specialties and a 24-hour major accident and emergency service.

United Lincolnshire Hospitals NHS Trust has been granted teaching hospital status, after demonstrating evidence to significant teaching commitment. From now on it will be known as United Lincolnshire Teaching Hospitals NHS Trust.

Pilgrim Hospital is situated in beautiful countryside and serves the communities in the South Lincolnshire area. It provides all major specialties and a 24-hour major accident and emergency service.

Grantham and District Hospital serves the communities of Grantham and the local area. It provides ambulatory paediatric and accident and emergency services.

Lincolnshire Community Health Services NHS Trust (LCHS) and United Lincolnshire Hospitals NHS Trust (ULHT) have come together in a Group arrangement, with the goal of improving the care provided to patients across the county.

This will not constitute a formal merger of the two organisations, but will bring the Trusts together under a single Board and Executive Leadership Team, with the goal of improving the care that is provided to patients both in the community and in hospitals across Lincolnshire. Both Trusts will retain their separate statutory names and legal obligations.

The Group will be known as Lincolnshire Community and Hospitals NHS Group (LCHG).

Job description

Job responsibilities

Implementing and auditing compliance with national and local clinical standards and guidelines including NICE guidelines in conjunction with clinical and non-clinical colleagues across the Group.

Ensure all required clinical audit activity is carried out; meeting both internal requirements and requirements of external agencies.

Participation in all National Clinical Audits within the National Clinical Audit and Patient Outcomes Programme (NCACOP) and Quality Account.

Analysing and synthesising data from a variety of sources to prepare complex reports for the Group.

Developing the Groups annual clinical audit programme, ensuring both national and local priorities are scheduled, and use clinical audit and quality improvement as a way to monitor effectiveness.

Overseeing and line managing the Group Clinical Effectiveness Team in the delivery of their portfolio of projects that reflect national and organisational priorities, utilising the principles of project management as a means of enhancing and improving the quality of care, treatment and services provided by the Trust.

Ensure that there is a process in place to monitor that actions arising from clinical audit are implemented.

Collaborating with staff at all levels of the organisation, linking with external agencies to develop and promote clinical effectiveness as an integral part of the working practice of all staff involved in the provision of services across the Group.

Supporting clinical teams by providing guidance on improvement methodologies and implementing the changes identified as a result of clinical audits, quality improvement projects, NICE and national guidance.

Supporting and participating in the development and delivery of the clinical audit teaching programme collaborating with the education team to ensure effective and appropriate teaching of clinical effectiveness and improvement methodologies.

Providing effective leadership and professional advice to all Group staff on clinical effectiveness, quality improvement and audit.

Overseeing the maintenance and timely update of the Trust database of audit activity, NCEPOD & NICE compliance

Producing and updating Group Policy and Guidance to support staff in the completion of their duty around the management of Audits and Best Practice..

With Divisional Audit Leads develop systems ensuring clinical audit action plans are agreed, implemented and monitored by the relevant services/clinical teams and prepare regular reports on the progress of audit projects.

Job description
Job responsibilities

Implementing and auditing compliance with national and local clinical standards and guidelines including NICE guidelines in conjunction with clinical and non-clinical colleagues across the Group.

Ensure all required clinical audit activity is carried out; meeting both internal requirements and requirements of external agencies.

Participation in all National Clinical Audits within the National Clinical Audit and Patient Outcomes Programme (NCACOP) and Quality Account.

Analysing and synthesising data from a variety of sources to prepare complex reports for the Group.

Developing the Groups annual clinical audit programme, ensuring both national and local priorities are scheduled, and use clinical audit and quality improvement as a way to monitor effectiveness.

Overseeing and line managing the Group Clinical Effectiveness Team in the delivery of their portfolio of projects that reflect national and organisational priorities, utilising the principles of project management as a means of enhancing and improving the quality of care, treatment and services provided by the Trust.

Ensure that there is a process in place to monitor that actions arising from clinical audit are implemented.

Collaborating with staff at all levels of the organisation, linking with external agencies to develop and promote clinical effectiveness as an integral part of the working practice of all staff involved in the provision of services across the Group.

Supporting clinical teams by providing guidance on improvement methodologies and implementing the changes identified as a result of clinical audits, quality improvement projects, NICE and national guidance.

Supporting and participating in the development and delivery of the clinical audit teaching programme collaborating with the education team to ensure effective and appropriate teaching of clinical effectiveness and improvement methodologies.

Providing effective leadership and professional advice to all Group staff on clinical effectiveness, quality improvement and audit.

Overseeing the maintenance and timely update of the Trust database of audit activity, NCEPOD & NICE compliance

Producing and updating Group Policy and Guidance to support staff in the completion of their duty around the management of Audits and Best Practice..

With Divisional Audit Leads develop systems ensuring clinical audit action plans are agreed, implemented and monitored by the relevant services/clinical teams and prepare regular reports on the progress of audit projects.

Person Specification

Qualifications

Essential

• Management or Professional qualification at postgraduate level or equivalent relevant experience.
• Evidence of ongoing learning and development

Desirable

• Qualified to Masters level or equivalent experience
• Formal training in complaints management

Skills/competencies

Essential

• Skilled in the use of Microsoft Windows based applications including Word, Excel and Powerpoint.
• Strong administrative and organisational skills including accurate records management
• Good verbal and written communication skills

Knowledge

Essential

• The ability to extract and analyse complex data from business management IT systems and databases.
• Good understanding of quality improvement processes.

Desirable

• Knowledge of information governance regulations and requirements as they relate to healthcare service providers.

Experience

Essential

• Experience of working within a Clinical Effectiveness role including clinical audit both local and national.
• Demonstrable track record of achievement in a senior clinical role.
• Line management experience.
• Experience of managing staff as part of a team
• Extensive experience of working with business management IT systems and databases.

Desirable

• Experience of working at senior level in the NHS.

Special attributes/specific requirements

Essential

• Understanding of and commitment to the Trust's values
• Self-motivated and committed to improving the quality and safety of healthcare services within the Trust.

Desirable

• An understanding of the regulatory framework applicable to the delivery of healthcare services in an acute hospital Trust.

Person Specification
Qualifications

Essential

• Management or Professional qualification at postgraduate level or equivalent relevant experience.
• Evidence of ongoing learning and development

Desirable

• Qualified to Masters level or equivalent experience
• Formal training in complaints management

Skills/competencies

Essential

• Skilled in the use of Microsoft Windows based applications including Word, Excel and Powerpoint.
• Strong administrative and organisational skills including accurate records management
• Good verbal and written communication skills

Knowledge

Essential

• The ability to extract and analyse complex data from business management IT systems and databases.
• Good understanding of quality improvement processes.

Desirable

• Knowledge of information governance regulations and requirements as they relate to healthcare service providers.

Experience

Essential

• Experience of working within a Clinical Effectiveness role including clinical audit both local and national.
• Demonstrable track record of achievement in a senior clinical role.
• Line management experience.
• Experience of managing staff as part of a team
• Extensive experience of working with business management IT systems and databases.

Desirable

• Experience of working at senior level in the NHS.

Special attributes/specific requirements

Essential

• Understanding of and commitment to the Trust's values
• Self-motivated and committed to improving the quality and safety of healthcare services within the Trust.

Desirable

• An understanding of the regulatory framework applicable to the delivery of healthcare services in an acute hospital Trust.

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.

Employer details

Employer name

United Lincolnshire Hospitals NHS Trust
Address

United Lincolnshire Teaching Hospitals

Lincoln County Hospital

Lincoln

LN2 5QY

United Kingdom

Employer's website