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Clinical audit and improvement manager
| Posting date: | 04 March 2025 |
|---|---|
| Salary: | £46,148.00 to £52,809.00 per year |
| Additional salary information: | £46148.00 - £52809.00 a year |
| Hours: | Full time |
| Closing date: | 17 March 2025 |
| Location: | Manchester, M20 4BX |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9413-25-0162 |
Summary
Human resources: 1. Provide active first line management of departmental staff including recruitment, induction, sickness/absence monitoring, appraisal and personal development plans in line with processes. 2. Lead the departmental team to implement, deliver and adhere to national, regional and Trust initiatives, guidelines, policies and procedures such as confidentiality, health & safety. 3. Develop and implement training and development opportunities for departmental staff. Physical and financial resources 1. To be aware of budgetary controls and monitoring and support the budget holder in this. 2. Contribute towards the procurement and maintenance of all physical assets, including IT equipment and software. 3. To be responsible for the safe and proper use by users of IT equipment and software such as Snap, Tableau. Service 1. To contribute to and implement the clinical audit and improvement strategy and produce policies for the department in line with national and local clinical governance priorities. 2. To co-ordinate the development of the Trust clinical audit and improvement programme, reflecting national, regional and local priorities including the requirements of NICE, national audit programme, PSIRF, quality improvement priorities and CQC outcomes. To maintain a database of all types of projects to ensure there are accurate records, communication and planning. 3. To coordinate the process for reviewing, monitoring and reporting progress with national guidance in the Trust. To maintain a database of responses ensuring that relevant guidance is included in the Clinical audit and improvement programme to confirm compliance. To support individual guidance leads and managers to assess and implement guidance, including carrying out risk assessments. 4. To oversee the project management of the clinical audit and improvement programme, delegating and prioritising work as appropriate within departmental resources. 5. To act as the QICA lead within the Clinical Outcomes & Data Unit, contributing to the implementation of the Clinical Outcomes Data Strategy, the functioning of the unit via the CODU Steering Group and the triage of projects. 6. To develop and oversee the Trust clinical audit database to support regular reports, archive, classification and management of projects. 7. To provide regular reports of audit and improvement activity and findings to divisions, governance committees and the Trust Board, including the trusts annual Quality Accounts and annual clinical audit and improvement reports. 8. To provide evidence and act as lead for relevant CQC outcomes (clinical audit & national guidance). 9. To work closely with a wide range of healthcare professionals to ensure that appropriate clinical audit and improvement tools are designed to measure standards of care and deliver improvements where indicated. 10. To communicate efficiently with staff at all levels, including the presentation of the results of complex projects to small and large groups. 11. To promote good practice at all stages of projects, requiring advice and technical support: project planning: To ensure appropriate use of the local project proposal process To organise meetings with relevant participants to establish clear aims and objectives of the project and responsibilities of staff taking part design and methodology: Undertaking fieldwork as necessary including population and sample definition Design and co-ordinate questionnaires and other data collection tools as required, including encouraging and supporting data requests from the Trusts EPR data collection: Use tools provided to retrieve information from the EPR when is cannot be extracted Occasional review of patients records to support audit processes To support data quality and use of electronic information sources Analysis/Interpretation: Design databases/spreadsheets to prepare statistical analysis using relevant software including Snap, Access and Excel Undertake analysis of data and produce preliminary reports for interpretation with participants Reports and action plans: Produce detailed reports integrating all information extracted from data analysis To advise on recommendations and improvement planning To facilitate the change process to ensure maximum benefit to patient care Presentation and dissemination: Organise presentation seminars to disseminate results of audits (Trust wide) Produce comprehensive presentation slides (Powerpoint) Present reports to participants, interested groups and committees. To support clinicians to submit projects for publication through appropriate media (journals, posters and conference presentations) 12. To resolve conflicting situations about complex queries arising from projects and raise issues with data quality appropriately. 13. To act as a core member of the Clinical and Research Governance Committee, to attend and facilitate pre-meetings and committee meetings to ensure NICE guidance implementation is supported and monitored, opportunities for clinical audit and improvement are identified and concerns from QICA are escalated 14. To attend committees as required to provide clinical audit and improvement advice and promote a quality improvement culture as appropriate. 15. To contribute to supporting arrangements for managing clinical audit and improvement within Divisions. 16. To undertake the provision of training to Health Care Professionals and other staff as required in clinical audit and improvement, including on Trust induction. 17. To oversee the maintenance of the Clinical Audit and improvement intranet pages as an information and training resource for the trust. Professional Requirements 1. To develop professional and personal skills through continual professional development and training in clinical audit and improvement, clinical governance and quality improvement activities. 2. Participate in meetings and activities at local, regional and national level; specifically, the National Quality Improvement and Clinical Audit Network (NQICAN) and NICE managers forum. Freedom to act 1. The postholder has significant discretion to work within a set of defined parameters. 2. Work autonomously, prioritising own workload.