This job has expired

Clinical Audit/NICE Guidance Facilitator

The Royal Orthopaedic Hospital NHS Foundation Trust
£28,407 to £34,581 Per Annum Pro-rata if part time
Closing date
27 Sep 2023

View more

Other Health Profession
Band 5
Contract Type
Full Time
The Clinical Audit and Effectiveness Team supports the development implementation and monitoring of programmes of local and national clinical audit, clinical effectiveness, quality improvement and encompasses clinical policies and National Institute for Clinical effectiveness (NICE) within the Trust. The post holder will support a wide range of work from mandatory national audits to locally identified audits. Support for compliance with national guidance (NICE guidance) will also be part of this role. The post holder will have responsibility for supporting audit for specific divisions and provide leadership, technical knowledge, and expertise to deliver an efficient clinical audit assurance service Trust Wide. The post holder may be required to contact patients to collect patients' experience from time to time. You will be a key member alongside clinical staff ensuring that all appropriate guidance is up to date with completed baselines, and audits and action plans are in place when required. You would lead on specific programmes to promote quality improvement and assurance across the Trust.

Main duties of the job

  • Monitor the implementation of new or updated National Institute for Healthcare Excellence (NICE) guidance in the Trust, liaising with clinicians to ensure that any compliance issues are highlighted and, where necessary, action plans are drawn up to ensure the Trust meets the required standards.
  • A high level of concentration is required to update and regularly monitor the Trust's Audit and NICE database (AMAT) ensuring that each time an update is received the appropriate guidance is cascaded and the evidence of assurance gathered.
  • Produce reports on the implementation and audit of NICE guidelines for Quarterly Service Line reports, the Clinical Effectiveness Committee, the Quality Assurance Committee, and others as required.
  • Collaborate with clinical/non-clinical staff in the development of Divisional/Care Group/Specialty clinical audit forward plans and the design of data collection tools using dedicated software and or Excel spreadsheets.
  • Provide project support to mandatory clinical audit projects, liaising with the Head of Clinical Audit and Effectiveness, or clinical leads, as required.

About us

The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist orthopaedic units in Europe. We offer planned orthopaedic surgery to people locally, nationally and internationally.

Our Trust is a very special hospital big enough to deliver world class services and small enough to offer exceptional patient and staff experience. We offer a working experience unique in the West Midlands and we're always on the lookout for passionate people to join our award-winning team.

The ROH is an equal opportunities employer. We employ people of difference and are committed to growing an inclusive culture, where difference is celebrated, and people feel able to bring their whole and authentic self to work.

We are a Disability Confident Leader and offer a range of inclusive, family friendly and flexible working arrangements and policies, to support our people in the workplace. Flexible working requests will be considered.

The Trust is committed to the Disability Confident Interview Scheme and will offer an interview to disabled applicants who meet the minimum criteria for a vacancy and consider them on their abilities.

If you have a disability and need any support with your application or require any reasonable adjustments to be implemented please do get in touch with the Recruiting Manager for this position so that the team can support you.

Job description

Job responsibilities

  • To manage and support clinical audits within specified Service Lines, in conjunction with the Clinical Audit and Improvement Facilitators, using recognised clinical audit methodologies. Such support may include giving advice to clinicians on complex topic selection, evidence-based standards, sampling, data collection design, data analytic skills including bar charts, percentages, averages, trends, funnel, and cluster charts and production of presentation materials and reports.
  • To promote the use of audit proposal forms and ensure that all clinical audit projects are recorded correctly and completed to the required standards.
  • To build good working relationships with the Trust Audit Lead, governance and speciality Audit Leads as well as other appropriate members of the trust and co-ordinate project meetings as required.
  • To correspond and use motivation and persuasive skills to encourage healthcare professionals to extract relevant evidence of assurance and promoting the use of incident data, risks, complaints, claims and surveys to identify audit priorities.
  • To ensure robust project planning, adjusting and escalations if targets are not met. Ensuring the safe use of equipment and medicine providing evidence of failure to support financial investment of equipment.
  • To manage an agreed portfolio of projects with agreed objectives and delivery outcomes, aimed at improving standards of healthcare across the Organisation. To have responsibility for recording and maintaining a comprehensive record of clinical audit/QIP activity for all clinical directorates via the departments database, to facilitate tracking of all clinical audit/QIP progress, accurate assurance reporting and timely escalation of any concerns.
  • To attend, where appropriate, Clinical Audit Leads meetings, speciality Audit meetings, Divisional Governance meetings, multidisciplinary Quality and Practice Development Teams (QPDT), NICE Guidance meetings and Audit-Nice conferences when required.
  • To participate in developing and delivering training packages for clinical audit/Quality Improvement project methodologies, and all related clinical effectiveness work streams as required. To partake in the individual induction programmes of relevant staff at all levels, by discussing the process and organisation of clinical audit in the Trust. Deliver the AMAT specialist audit training to all colleagues.
  • Coordinate reporting of national clinical audits including those required for the National Clinical Audit and Patient Outcome Programme/Quality Accounts and other registers. Support clinicians in the feeding back of results and action plans to Service Lines and Divisions and more widely through the Clinical Audit Group.
  • To be proficient with a range of IT applications, using department and Trust IT systems, compile clinical audit project data and produce analytical representation and reports.
  • There may also be a requirement to undertake other similar duties as part of this post to provide a quality service. These will be consistent with the level of responsibilities outlined above.
  • Contribute to carrying out work needed to ensure that the organisation meets external requirements and be confident in providing and receiving sensitive information relating to governance clinical audit within the trust.
  • Be responsible for specific departmental tasks as directed by the Clinical Effectiveness Manager.
  • Ability to work under direction but not supervised and able to work autonomously.
  • Required to use VDU equipment for a high proportion of the day producing complex written correspondence and producing monitoring tools using Microsoft office software especially Excel and Word.

Person Specification

Good communication and interpersonal skills - both written and verbal


  • Communication to colleague and agree deadlines and actions

Educated to degree level or equivelant experience


  • Educated to degree level or equvelant experience in the advertised role.

Analytical experience


  • Knowledge of analysing data calculating percentages and interpreting data.

NICE guidance baseline and background knowledge


  • Ability to assist clinicians with baseline assessments and action planning

Employer details

Employer name

The Royal Orthopaedic Hospital NHS Foundation Trust


The Royal Orthopaedic Hospital

Bristol Road South



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