Quality Improvement & Audit Manager in Manchester

DUTIES AND RESPONSIBILITIES

Human Resources

• Provide active first line management of departmental staff, setting work plans and priorities with the guidance of the Quality Improvement & Audit Lead; including recruitment, induction, sickness/absence monitoring, appraisal and personal development plans in line with processes.
• Lead the departmental team to implement, deliver and adhere to national, regional and Trust initiatives, guidelines, policies and procedures such as quality improvement, confidentiality, health & safety.
• Develop and implement training and development opportunities for departmental staff.

Physical and Financial Resources

• To be aware of budgetary controls and monitoring and support the budget holder in this.
• Contribute towards the procurement and maintenance of all physical assets, including IT equipment and software.
• To be responsible for the safe and proper use by users of IT equipment and software such as Office 365, Microsoft Forms, Snap, Tableau, monday.com.

Service

• To contribute to and implement the quality improvement and clinical audit plan in line with the Trust Quality Strategy and produce policies for the department in line with national and local clinical governance priorities.
• To co-ordinate the development of the Trust quality improvement and clinical audit 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.
• 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 quality improvement and clinical audit programme to confirm compliance.
• To support individual leads and managers to assess and implement guidance, including carrying out risk assessments.
• To oversee the project management of the quality improvement and clinical audit programme, delegating and prioritising work as appropriate within departmental resources.
• To develop and oversee the Trust clinical audit database to support regular reports, archive, classification and management of projects.
• To provide regular reports of quality improvement and clinical audit activity and findings to divisions, governance committees and the Trust Board, including the trust's annual Quality Accounts and annual clinical audit and improvement reports.
• To work closely with a wide range of healthcare professionals to ensure that appropriate quality improvement and clinical audit tools are designed to measure standards of care and deliver improvements where indicated.
• To communicate efficiently with staff at all levels, including the presentation of the results of complex projects to small and large groups.
• 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 Trust's EPR.

Data Collection

• Use tools provided to retrieve information from the EPR when it 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 Microsoft Forms, Snap 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).

To resolve conflicting situations about complex queries arising from projects and raise issues with data quality appropriately. To attend committees as required to provide quality improvement and clinical audit advice and promote a quality improvement culture as appropriate. To contribute to supporting arrangements for managing quality improvement and clinical audit within Divisions. To undertake the provision of training to Health Care Professionals and other staff as required in quality improvement and clinical audit, including on Trust induction. To oversee the maintenance of the quality improvement and clinical audit intranet pages as an information and training resource for the trust.

Professional Requirements

• To develop professional and personal skills through continual professional development and training in quality improvement, clinical audit and clinical governance.
• 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

The postholder has significant discretion to work within a set of defined parameters. Work autonomously, prioritising own workload.

Qualifications

• Essential criteria: Degree or equivalent level of experience; Evidence of continuing professional development.
• Desirable criteria: Recognised qualification in quality improvement and clinical audit.

Experience

• Essential criteria: Experience of managing quality improvement and clinical audit projects; Line management experience; Evidence of effective people management and leadership skills; Extensive IT knowledge across a range of areas including Microsoft Office, and clinical systems; Experience of data management (design, data abstraction, analysis, and presentation); Exposure to national frameworks, including NICE guidance and the modernisation agenda; Developing and delivering quality improvement training programmes that include QI coaching using PDSA, driver diagrams, process mapping, measurement for improvement and SPC.
• Desirable criteria: Use of relevant software (e.g Snap, Tablo, Microsoft 365 inc Forms).

Skills

• Essential criteria: Excellent communication skills; Effective project management skills to meet deadlines; Ability to present written and verbal information effectively; Strong analytical skills and ability to interpret and manage large volumes of complex, sensitive or contentious information; Well-developed time management skills with an ability to deliver to multiple and conflicting deadlines; Ability to work flexibly as part of a multi-disciplinary team.
• Desirable criteria: Ability to critically appraise relevant literature.

Knowledge

• Essential criteria: Detailed knowledge of quality improvement and clinical audit tools and methodologies (e.g. QI coaching, PDSA, driver diagrams, process mapping, measurement for improvement and SPC.); Extensive knowledge of the NHS including current initiatives relating to quality and improvement; Clear understanding of the principles of clinical governance; Understanding of General Data Protection Regulation and confidentiality.
• Desirable criteria: An understanding of clinical terminology.

Values

• Essential criteria: Ability to demonstrate the organisational values and behaviours.

Other

• Essential criteria: Ability to think creatively with excellent problem-solving skills; A self-starter with the strength of character to influence others; Organised and logical approach to work and high-level attention to detail.

The closing date for this post may be extended if there are insufficient applicants or brought forward if there is a high volume of applicants.

Sponsorship Information - We are an approved sponsoring organisation. Applications will be considered from applicants requiring sponsorship alongside all other applications. Please be aware, not all roles are eligible for sponsorship. You can review the list of eligible role and requirements on the government website.

Pre-Employment Checks - To confirm your suitability for the role, we will carry out pre-employment checks in line with NHS Employment Check Standards. These include: Identity verification; Right to work check; Disclosure and barring service (DBS)/Criminal record check (dependent on role, payment of this will be the applicant's responsibility); Professional registration and/or qualification check; Occupational health assessment; Employment history and reference validation.

All applicants external to The Christie NHS Foundation Trust will be required to provide their HMRC employment history to cover the most recent three years employment. This information will be used to validate employment history and references. If you require sponsorship, we will assess your eligibility based on current government guidance. If the role is not eligible and you cannot demonstrate your right to work, your conditional offer may be withdrawn.

If You're Offered the Role - you will be agreeing to The Christie NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job information will also be transferred into the national NHS Electronic Staff Records system. Please note, all communication regarding your application will be made via email, please ensure you check your junk/spam folders as emails are sometimes filtered there.

The Inter-Authority Transfer (IAT) process is a critical and beneficial component of ESR and will form part of the recruitment process. In the event that you are successful following interview your previous NHS employment data, if applicable will be transferred from your current / most recent employer.

No Smoking Policy - You should be aware the Trust operates a No Smoking Policy and therefore employees are not permitted to smoke at work.

Additional Information - We want to ensure that everyone who works at the Christie or uses our services is welcomed, valued and treated with dignity and respect. The Christie values diversity and is committed to ensuring equal opportunities for all and fair representation across the organisation at all levels. In support of these commitments, we particularly welcome applications from Black, Asian and other ethnic minority people and people with disabilities for this post. Appointment will be only on merit. We are committed to creating a balanced and diverse workforce. As such we welcome and encourage applications from people of all backgrounds. Together we will foster inclusion and tackle inequity and health inequalities in cancer care.

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy. The Christie NHS Foundation Trust is committed to the highest standards of ethical conduct and integrity in all our activities. We have a zero-tolerance approach to modern slavery in any of its forms, including slavery, servitude, forced or compulsory labour, and human trafficking. We are fully committed to acting ethically and with transparency in all our business dealings and relationships, and to implementing and enforcing effective systems and controls to ensure modern slavery is not taking place anywhere in our organisation or supply chains.