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Job summary

Main area
Clinical Governance
Grade
NHS AfC: Band 4
Contract
Permanent: Can be flexible hours if requested
Hours
  • Part time
  • Flexible working
  • Home or remote working
  • Compressed hours
30 hours per week
Job ref
177-EMER-6171586
Employer
James Paget University Hospitals NHS Foundation Trust
Employer type
NHS
Site
James Paget University Hospitals NHS Foundation Trust
Town
Great Yarmouth
Salary
£25,147 - £27,596 per annum
Salary period
Yearly
Closing
12/07/2024 23:59

Employer heading

James Paget University Hospitals NHS Foundation Trust logo

Clinical Governance and Audit Coordinator

NHS AfC: Band 4

The James Paget University Hospitals NHS Foundation Trust serves a population of around 250,000 people in the Great Yarmouth, Lowestoft and Waveney areas. The Trust provides an integrated hospital and community children’s service. 
Patent and staff experience is important to us and these are the behaviours we live by: 
 
  • Putting patients first
  • Aiming to get it right 
  • Recognising that everybody counts
  • Doing everything openly and honestly

 
‘Prior consideration will be given to NHS At Risk staff within East of England'

Job overview

We are looking to appoint an enthusiastic, caring and motivated individual to join our team of Clinical Governance and Audit Coordinators within the Division of Medicine, Diagnostics & Clinical Support. 

The team supports the administration of compliance and assurance processes across the Division, in addition to coordinating data collation and submission to a number of national audit programmes.

If you are an organised, self-motivated team-player who approaches their work with a positive attitude, we would like to hear from you. 

 

Main duties of the job

  • Responsible for developing and maintaining a procedure for the audit data collection and input process involving all stakeholders responsibilities.
  • Responsible for coordinating the data collection for the national audits. To act as a point of contact in relation to audit in order to facilitate joined up communications and performance.
  • As an integral part of the Division of Medicine, Diagnostics & Clinical Support Governance team to be responsible for the administration of compliance and assurance processes.

Working for our organisation

JPUH is a vibrant university hospital providing the best possible care to the people of east Norfolk & north Suffolk. Situated on the coast with beautiful beaches & the Broads National Park on the doorstep we are within commuting distance of Norwich City. 

Service improvement: The Integrated Therapy Department is positive & forward thinking, always striving to improve services particularly in current challenging times with the COVID pandemic. Our links with the Research Department is growing with joint projects being worked on. Our therapists represent the Trust at CSP, RCOT, BOA and BGS conferences.

Personal & professional development is key. We are developing our research & innovation strategy in line with the national AHP Strategy. We will support you in achieving your career goals through our well-structured supervision & appraisal system, actively encouraging utilisation of training courses (clinical, non-clinical & leadership skills) with use of CPD funding. We also have a Band 5 peer support group with a newly established training programme.

Development of others: You’ll be supported to provide education to your team but also to our wider workforce. We also support development of our future workforce through our close links with the University of East Anglia, Suffolk College & City College Norwich.

Detailed job description and main responsibilities

Main duties and Responsibilities

  1. To collect and input clinical and non-clinical data from medical records/systems (e.g. e-health records, PACs, EDIS), proformas and inpatient areas specific to national audits.
  1. To act as a point of contact for internal and external stakeholders in relation to the national audit to facilitate joined up communications and performance.
  1. To be responsible for coordinating the data collection for the national audits.
  1. To adapt audit database pathways, following national changes, by continual liaison with the regional Networks and Trust peers.
  1. Maintaining quality control of the data input into systems and data uploaded to the National databases.
  1. To develop and maintain procedures for data collection for audit metrics ensuring the process incorporates all stakeholders. 
  1. To carry out breach analysis work against key performance metrics reporting findings to clinicians and senior managers.
  1. To collate data for presentation at local and regional groups on Trust performance in relation to audit metrics.
  1. To liaise with the relevant internal/external stakeholders to identify problems and issues that would prevent the timely and accurate entry of data into the database.
  1. To monitor the Trust’s performance in relation to audit metrics and escalate any concerns/breaches to the relevant Clinical Leads or Divisional Governance, Quality & Safety Improvement Facilitator in a timely manner.
  1. To attend audit User Groups, keeping up to date with relevant developments ensuring relevant communication and feedback takes place internally.
  1. To communicate any changes in data collection requirements to the relevant internal stakeholders.
  1. Ensure that data gathering and data storage methods comply with the principles of Caldicott and the Data Protection Act 1998.
  1. To attend regional and national meetings and conferences as directed.
  1. To maintain an awareness of the development of the national clinical audit, effectiveness and governance agenda
  1. To arrange governance meetings as required by the Governance, Quality & Safety Improvement Facilitators and Divisional Management Teams, including preparing agendas, minute taking, production of action logs and initiating any follow-up action which may be required.
  1. To be responsible for the maintenance of Divisional action logs to ensure that actions within designated areas of responsibility are progressed within agreed timeframes.
  1. To attend relevant Clinical Governance meetings to report on audit data and performance metrics.
  1. To undertake initial production of Divisional Performance reports to corporate committees inputting data from the relevant sources, in conjunction with the Governance, Quality & Safety Improvement Facilitator.
  1. To ensure continuation of the data collection and entry of national audit data in the absence of the postholder e.g. during periods of annual leave or sickness.
  1. To provide administrative support to the Divisional Clinical Governance and Compliance processes including liaising with relevant individuals to progress such issues.
  1. To provide data and statistical reports as requested.
  1. To undertake any other duties, which may be agreed from time to time, in consultation with the post holder.

 

Person specification

Education

Essential criteria
  • 5 GCSE’s grades A-C (or equivalent) to include English
  • NVQ3 in relevant subject (or equivalent relevant measurable experience)
  • OCR 3/RSA III or equivalent measurable level of keyboard skills

Skills

Essential criteria
  • Excellent keyboard skills with the ability to accurately input data
  • Accurate minute taking skills
  • Ability to manage and maintain databases
  • Ability to independently produce data/statistical reports

Experience/Knowledge

Essential criteria
  • Extensive experience in an administrative role with a proven track record of achievement
  • Experience of minuting meetings
Desirable criteria
  • Previous experience of clinical audit or data D

Employer certification / accreditation badges

Apprenticeships logoNo smoking policyPositive about disabled peopleAge positiveInvestors in People: GoldImproving working livesDefence Employer Recognition Scheme (ERS) - SilverMindful employer.  Being positive about mental health.CTP The Ministry of Defence partnering with Right ManagementCare Leaver CovenantCare Quality Commission - Requires improvementStep into healthArmed Forces Covenant

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

Apply online now

Further details / informal visits contact

Name
Kerry Nicholls
Job title
Lead Nurse
Email address
[email protected]
Telephone number
01493453512
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