This job has expired

Clinical Audit and Effectiveness Manager

Liverpool Heart and Chest Hospital NHS Foundation Trust
£43,742 to £45,996 a year
Closing date
25 Nov 2023

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Other Health Profession
Band 7
Contract Type
Full Time
We are looking for a enthusiastic, dynamic person with great management skills to lead our Clinical Audit department.The Clinical Audit and Effectiveness Manager is responsible for leading on and delivering our Clinical Audit agenda across Liverpool Heart and Chest Hospital.

This post is critical to ensuring the quality of LHCH services are delivered against agreed standards. As a Clinical Audit and Effectiveness for Liverpool Heart and Chest, you'll spearhead crucial improvements in patient care. This role offers a chance to make a real impact, leading audits and driving practice enhancements based on the latest evidence.

Main duties of the job

The post holder will be responsible for ensuring that the trust follows a comprehensive clinical audit annual plan. They will need to be able to analyse and interpret complex data and advise senior leaders and clinicians across the organisation on appropriate actions to take to ensure delivery and standards are met. The post holder will need to demonstrate knowledge and expertise across clinical audit and effectiveness and have excellent written and verbal communication skills.

The post holder will work with the Deputy Director of Nursing with delivery of the Quality contract, CQUINs and Quality Accounts as well working alongside the Deputy Director of Research and Innovation to develop and execute the Clinical Audit & Effectiveness Strategy.

About us

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

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Job description

Job responsibilities


Main job purpose
  • Assisting the Deputy Director of Research and Innovationin compiling the annual clinical audit & effectiveness report for the Trust Board and other external bodies as required
  • Operational management of the Clinical Audit and Effectiveness function to deliver Trust objectives
  • Supervisory responsibilities, line-managing Research, Audit and Effectiveness Officers/analysts in delivery of the Trusts Clinical Audit and Effectiveness programme.
  • Support / Direct / Oversee the team in utilising a range of structured and unstructured data from the Trust's clinical systems, delivering it to end users in an accurate, digestible and timely manner.
  • Support the Director of Nursing with delivery of the Quality Contract, CQUINs and Quality Accounts.
  • Interpret and analyse complex information, facts or situations, and communicate them comfortably to Trust Leadership, clinicians, and colleagues.
  • Report and present on Clinical Quality to Divisional Board & Governance meetings, update on changes in relevant NICE guidance, New Technology, service evaluations, local and national clinical audit

Clinical Audit & Effectiveness duties:
  • Operational management of the Trusts clinical audit & effectiveness programme by:
    • Assisting the Deputy Director of Research and Innovationin compiling the annual clinical audit & effectiveness report for the Trust Board and other external bodies as required
    • Supporting the Deputy Director of Research and Innovationinthe development of the Trusts annual clinical audit & effectiveness programme (Robust Trust hierarchy of priorities for national, regional and local audit)
    • Contributing to the reviews of the Clinical Audit & Effectiveness Strategy, Policy and other key departmental protocols/ policies.
    • Overseeing the Research, Audit and Effectiveness Officers/Analysts in delivering the Clinical audit and effectiveness audit forward plan
    • Providing day to day supervision, mentoring and coaching of the RAE Officers/ Analysts within the Clinical Quality Department to support individuals in achieving their objectives

    Working in collaboration with the Deputy Director of Research and Innovationto develop ways to ensure patient engagement within the clinical audit process
    • Being responsible for monitoring compliance with the Trusts Clinical Audit & Effectiveness Policy, New Technology policy,
    • Identifying information requirements and developing appropriate audit proformas /data collection systems.
    • Annually review the Clinical Audit budget with Deputy Director of Research & Innovation, ensuring budget is in line with departmental requirements.
    • Supporting Trust staff in conducting audits, service evaluations and surveys, reporting findings and implementing change
    • Liaising with Divisions and senior medical staff in promoting and advising on planning, developing and implementing clinical audits across the Trust
    • Communicating clinical audit & effectiveness activity and progress orally and in writing by:

    - Providing monthly reports for Divisional Board meetings and Quality, Safety and Experience Committee

    - Attending Divisional Board meetings,
    • Organising and being responsible for the administration and monitoring function of the Clinical Audit and Effectiveness Group
    • Being responsible for monitoring compliance with:

    - Protocol for the review and implementation of nationally agreed best practice

    - Introduction of New Technology policy

    - ToR for the Clinical Audit and Effectiveness Group

    - New Technology introduction oversee the full process as per the Trust policy. Supporting and advising outside of the CAEG meeting

    - Local reporter for NCEPOD
    • Literature searching in order to identify published best practice guidances for review at the Clinical audit and Effectiveness Group
    • Maintain tracking tool for the monitoring of new technology within the Trust

    Attending Regional clinical audit and NICE network meetings and other relevant forums to bring valuable knowledge and skills to the department

    Clinical Quality duties:
    • Creativity and problem-solving skills will be pivotal to the continuous improvement of the Department's work streams, as you help to close gaps automation and digitisation

    Coordination, collation and submission of Trust information to achieve the reporting expectations timely for the Quality Schedule and CQUINs supporting the Deputy Director of Nursing and Quality. Updating CQUIN dashboard and attendance at the CQRM meetings.

    Support the Deputy Director of Research and Innovationon the compilation of the Trusts Quality Accounts

    Represent and deputise for the Deputy Director of Research and Innovationwhen required

    Education and Training
    • Provide Clinical Audit & Effectiveness training to staff, trust wide, as required for undertaking clinical audit, service evaluation projects, surveys and completing gap analyses
    • Providing a supportive and advisory role to Trust staff undertaking clinical audit, service evaluation projects and surveys
    • Maintaining and updating the quality section of the Trusts intranet

Person Specification



  • Degree level or equivalent knowledge and skills in a numerate discipline.
  • Must be computer literate with experience of all Microsoft packages.
  • Team leader/supervisory skills
  • Demonstrable experience in management of small teams

Skills & Abilities


  • Be highly proficient in SQL, have a strong grasp of database concepts, and have demonstrable experience of web-based reporting and data visualisation
  • Excellent organisational skills including the ability to work to the demanding deadlines of concurrent tasks whilst maintaining a high degree of accuracy and attention to detail.
  • Possess excellent communication skills. Be comfortable adapting your communication style to effectively convey complex information to non-technical colleagues
  • Creativity and problem-solving skills
  • Ability to work across organisational boundaries, effectively linking activities in different Divisions to achieve quality requirements.
  • Ability to work as part of a team in a busy department, maintain relationships and use interpersonal skills in persuading others to carry out actions


  • Demonstrable experience of teaching /education skills



  • Experience of working closely with clinicians and multi-disciplinary staff and confidence in interacting with senior members of an organisation.
  • Experience of report writing for internal and external bodies
  • Experience of clinical audit work including, data collection, analysis, report writing and presentation skills at local and regional level
  • Familiar with database concepts possessing knowledge / experience of web related technologies and the development of web-based reports.
  • Must have an understanding of the background to and aims of current healthcare policy with a knowledge of National Audit priorities including CQUIN
  • Experience in the management of others' workloads and delegation of work items


  • Knowledge of fundamental statistical methods and experience of applying them to structured data, e.g. via statistical process control

Employer details

Employer name

Liverpool Heart and Chest Hospital


Liverpool Heart and Chest Hospital

Thomas Drive



L14 3PE

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