Clinical Governance Facilitator

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.

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.