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Clinical Audit, Effectiveness & Mortality Facilitator

Great Western Hospitals NHS Foundation Trust
£28,407 to £34,581 per annum pro rata
Closing date
7 Mar 2024

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Other Health Profession
Band 5
Contract Type
Full Time
An exciting opportunity has arisen to join the Clinical Audit and Effectiveness Team with Great Western Hospitals NHS Foundation Trust based at Swindon. We are looking for a highly motivated full time Clinical Audit, Effectiveness and Mortality Facilitator who will promote Clinical Audit and Mortality processes within the organisation, engage with clinical teams to encourage and identify improvement related projects and provide a supporting role to all members of staff to ensure current clinical practice reflects evidence based standards. For an informal discussion or further information please contact Sharon Edwards, Clinical Audit, Effectiveness & Mortality Manager on 01793 605567.

Main duties of the job

This role focuses on providing advice, guidance and audit expertise to divisions, clinical leads and services, that will support the implementation of audit and mortality processes whilst identifying and formulating improvement plans in line with clinical governance priorities and trust objectives.

This role requires providing specific support for project leads establishing and creating appropriate systems and processes for the collection of data, analysis of complex data, preparation of written and verbal reports, dashboards and presentations. The role also requires the individual to be able to interpret national reports, identify areas for quality improvement, promote a multi-disciplinary approach to clinical audit, and ensuring clinical audit and mortality standards reflect best practice as defined by research, national frameworks, peer reviews or through patient feedback.

The post holder will require excellent technical, analytical and organisational skills. Previous clinical audit or quality improvement knowledge and experience is desirable but not essential.

About us

We are a small team who are responsible for the facilitation of the Trust's Clinical Audit and Effectiveness Programme, and Mortality and Morbidity processes. Providing specialist advice and support to those undertaking various improvement projects and mortality reviews, working collaboratively with the wider quality team in the corporate services, our contribution supports the trust's quality and safety agenda, by understanding the level of healthcare delivered across the Trust and identifying where improvements could to be made.

We pride ourselves on being a highly motivated team who are friendly and supportive with a 'can do' philosophy. This busy role will bring exciting opportunities to build new professional relationships, and become involved in projects that bring about positive change to improve patient care and experience.

Job description

Job responsibilities

To facilitate with the development of the organisational Clinical Audit & Effectiveness and Mortality activity plans, assisting the Clinical Audit, Effectiveness and Mortality Manager in that process.

Working with specific divisions, leads or specialties to ensure the annual audit programme incorporates audit, effectiveness and mortality projects that meet the organisations governance objectives. This will include using national benchmarking data and frameworks e.g., Royal College Guidelines, NICE recommendations, NCEPOD, Dr Foster and CQC outcomes and regulations, and Learning from Deaths Framework.

To consult and provide specialist advice to clinical staff on the design and development of proposed audit and improvement projects including mortality reviews. This may include advice on selecting topics to audit, carrying out literature searches, advising on the appropriate methodology in order to promote the completion of the clinical audit and improvement cycle and to ensure projects are undertaken seamlessly by the deadlines as directed.

To provide appropriate support where required in order to facilitate the Clinical Audit, Effectiveness and Mortality activity, including surveys, reviews, and other identified improvement projects.

To establish and create appropriate systems and processes for the collection of the data required for audit projects using Microsoft applications.

To collate and provide analysis of complex clinical data, for review and interpretation of results for respective audit projects.

To prepare comprehensive reports, dashboards and presentations for completed audit projects including suggested recommendations and actions where appropriate.

To support project leads in the monitoring of action implementation and maintaining associated audit and mortality records accordingly.

To interpret and summarise findings from national reports in preparation for relevant project leads.

To establish, with other audit team members, appropriate schemes for disseminating clinical audit and mortality results and information.

To appraise the relevant Divisions, Leads and Specialities of their on-going Clinical Audit, Effectiveness and Mortality activities.

To maintain local systems held within the Clinical Audit and Effectiveness Department, including Mortality records and NICE guidelines.

To assist with the design and creation of electronic databases and dashboards as required by the Clinical Audit Effectiveness and Mortality Manager.

To work with and support the Clinical Audit Effectiveness and Mortality Manager. to undertake other identified duties as required.

Person Specification



  • Educated to A level in health or science related subjects or equivalent qualification in health profession or health management related subject.
  • Evidence of relevant continuing professional development.
  • IT and Microsoft Office software packages


  • Educated to degree level
  • Qualification related to audit and/or information management.



  • Experience of providing clinical audit expertise and advice to clinical divisions, leads or specialties
  • Experience in clinical audit and improvement methodologies
  • Experience in the design and creation of data collection tools
  • Experience in analysing and interpreting complex clinical data


  • Experience of working in the NHS
  • Experience of designing and delivering training packages



  • Good knowledge of clinical audit processes and procedures
  • Good standard of written and spoken English


  • Working knowledge of the Great Western Hospitals NHS Foundation Trust.

Employer details

Employer name

Great Western Hospitals NHS Foundation Trust


Commonhead Offices

Great Western Hospitals NHS Foundation Trust



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