Clinical Audit Facilitator- Band 5

United Lincolnshire Hospitals; Boston; Hybrid; GBP 40,000 - 55,000; Full time

Benefits offered by this job

NHS Pension

Training opportunities

Job summary

United Lincolnshire Hospitals NHS Trust in Lincolnshire is seeking a Clinical Audit Facilitator to support its robust audit programme across Care Groups and services. You will provide expert advice on audit methodology, data collection and reporting, train staff, and help develop measurable action plans to drive improvements in patient safety and clinical effectiveness.

This role requires degree-level education, CPD, clinical audit qualification and substantial healthcare experience; the Trust

Qualifications

• Educated to degree level or equivalent vocational experience.
• Evidence of Continual Professional Development.
• Clinical Audit qualification or equivalent.
• Healthcare and/or relevant professional qualification.

Responsibilities

• Coordinate and support the delivery of the Trust’s clinical audit programme.
• Provide specialist advice on audit methodology, sampling, data collection and analysis.
• Develop clear, measurable action plans in response to audit findings.
• Monitor progress against audit plans and escalate risks as required.
• Prepare and present regular audit reports and manage documentation.
• Train, coach and support staff undertaking clinical audits.

Skills

Data extraction

Data analysis

Microsoft Office

Communication skills

Regulatory knowledge

Clinical audits

Education

Degree-level education

Continual Professional Development

Clinical Audit qualification

Healthcare qualification

Tools

MS Excel

PowerPoint

Word

Job description

We are committed to developing a workforce that reflects the community it serves and welcome applicants from all sectors of the community.

We recognise that outstanding care can only be delivered through our people. We want to attract people who can help us deliver our vision. We want in return to help people achieve what they wish in their careers in the NHS at ULTH.

We are always keen to welcome highly skilled, committed and compassionate individuals to our hospitals – people who put patients at the heart of everything they do and are ready to help us achieve our vision.

Our Group values guide everything we do. They are:

• Compassionate - We care about people - Compassionate is the act of showing empathy, kindness, and respect to others, recognising their individual needs and circumstances. It involves listening, understanding, and supporting others in a way that makes them feel valued, safe, and cared for.
• Collaborative - We work together as a team - Collaborative is working inclusively and respectfully with others to achieve shared goals. It involves open communication, valuing diverse perspectives, and building trust to create a supportive and effective team environment.
• Innovative - We strive to improve - Innovative is the process of exploring new ideas, approaches, and technologies to improve care, services, and working practices. It involves creativity, curiosity, and a willingness to take risks in a safe and supportive environment.

If you believe in them too, then you are ready to join the ULTH team.

We’ve taken great pride in building working environments where staff always feel valued, cared for and part of a team. Without doubt this is a challenging yet very rewarding job that is at the centre of health and care in Lincolnshire - making a positive difference to our patients.

Our Trust is situated in the beautiful county of Lincolnshire and is one of the biggest acute hospital trusts in England, serving a population of more than 700,000 people. We provide acute and specialist services to people in Lincolnshire and neighbouring counties. We have an annual income of £710 million (22/23) and we employ nearly 8,600 people.

Our Group Board have recently agreed a new vision statement – “Caring and building a healthier future for all” – stating their ambition for our Trust and the wider group to be among the best.

We also have a five year Integrated Improvement Plan setting out how we will achieve our strategic objectives, for patients, services, people and partners, the last recognising that our future success depends on our ability to ensure the Lincolnshire healthcare system is successful in achieving its ambition to help people live healthier lives and provide care closer to where people live.

Our latest CQC report increased our ratings for being effective and well-led from ‘Requires Improvement’ to ‘Good’. Our rating for caring remained as ‘Good’.

This is in recognition of the huge amount of work that our amazing staff have done to improve the quality of care for our patients in recent years.

We are committed to helping our staff balance their work and home lives and ensure they feel supported, valued and appreciated.

So,what is in it for you?

• Flexible working: Depending on the needs of your role, we will consider requests for flexible and/or part-time working for whatever reason you should need it. We recognise flexible working will not look the same for everyone, because it depends on the nature of the role and the needs of the individual.

Types of flexibility could include:

• Part-time - less than 37.5 hours per week.
• Off-site/remote working - working from home or other sites for part or all the week.
• Compressed hours – usually full-time hours but over fewer days or shifts.
• Staggered hours – having different start and finish times.
• Set shift patterns – to allow for predictability
• NHS Pension:A generous and flexible pension scheme with contributions from us as your employer fully protected against inflation and guaranteed by the government
• Annual Leave: Starting at 27 days a year, rising to 33 days after 10 years plus eight bank holidays (for staff covered by Agenda for Change) For Medical Workforce positions (Consultant and Specialty Doctor), the full-time entitlement commences from 32 days per annum. For all other Medical Workforce positions, the full-time entitlement commences from 27 days per annum.
• Bank working:The chance to work extra hours at enhanced rates and we will pay you weekly too, ideal if your income needs a quick boost.

In addition, there ismore.

• Family & Childcare: Including on-site nurseries at Lincoln County Hospital and Pilgrim Hospital Boston, maternity, paternity, adoption & shared parental leave following a set period of employment.
• Health & Wellbeing including counselling, mental health first aid, physiotherapy, eye tests.
• Learning & Development including Lincolnshire Talent Academy, leadership training, medical education, clinical education, Lincolnshire clinical research
• Financial support and benefits including Cycle2Work, car lease scheme, home electronics. Free on-site parking and free tea and coffee and the ability to save and borrow through your salary.
• Rewards & Recognition including staff awards, long service awards, retirement awards, examples of excellence and staff lottery.

Enjoy a better quality of life in one of the UK’s most welcoming counties. Whether you’re taking the first exciting steps in your career, itching for a new challenge or searching for a better place to raise a family, Lincolnshire welcomes everyone. Discover a range of rewarding health and social care careers in a county that’s friendly, fascinating, affordable and brimming with everything you need to live a happy life.

Job overview

This post is available at the Pilgrim Site.

The Clinical Audit Facilitator plays a key role in supporting the Trust to deliver safe, effective and high‑quality care through a robust and well‑governed clinical audit programme. The post holder will work closely with clinical teams across all services to plan, coordinate and deliver local, national and statutory audits, ensuring that audit activity is aligned to priorities such as patient safety, clinical effectiveness and regulatory compliance. They will provide specialist advice on audit methodology, support the collection and analysis of high‑quality data, and assist services to develop meaningful, measurable action plans that drive improvement. The role also includes monitoring progress, identifying risks or delays, and escalating issues where required to ensure timely completion and delivery of assurance to Care Groups, CEG and the Quality Committee. This is a key role in strengthening learning, supporting evidence‑based practice, and ensuring the Trust meets its obligations.

Main duties of the job

The Clinical Audit Facilitator will:

• Coordinate and support the delivery of the Trust’s clinical audit programme, including local priority audits and participation in agreed national audit programmes.
• Provide specialist advice to clinical teams on audit methodology, sampling, data collection and analysis to ensure audits are completed to a high standard.
• Work with services to develop clear, measurable action plans in response to audit findings, ensuring actions support improvements in patient care, safety and clinical effectiveness.
• Monitor progress against audit plans and action plans, identifying delays or barriers, and escalate risks to Care Groups and the Clinical Audit Group as appropriate.
• Prepare and present regular audit reports, updates and summaries for Care Groups, Clinical Audit Group and Clinical Effectiveness Group.
• Maintain accurate records of audit activity within the Trust’s audit management system, ensuring all information is up to date and meets governance and reporting requirements.
• Support the identification of themes, trends and learning from audit findings to inform quality improvement initiatives and strengthen governance.
• Provide training, coaching and day‑to‑day support to staff undertaking clinical audits, helping to build capability and consistency across services.
• Work collaboratively with clinical, operational and corporate teams to ensure audit outcomes inform service development, patient safety work and the wider quality improvement agenda.

Working for our organisation

Lincoln Hospital is a thriving university city and with the opening of the medical school, it provides all major specialties and a 24-hour major accident and emergency service.

United Lincolnshire Hospitals NHS Trust has been granted teaching hospital status, after demonstrating evidence to significant teaching commitment. From now on it will be known as United Lincolnshire Teaching Hospitals NHS Trust.

Pilgrim Hospital is situated in beautiful countryside and serves the communities in the South Lincolnshire area. It provides all major specialties and a 24-hour major accident and emergency service.

Grantham and District Hospital serves the communities of Grantham and the local area. It provides ambulatory paediatric and accident and emergency services.

Lincolnshire Community Health Services NHS Trust (LCHS) and United Lincolnshire Hospitals NHS Trust (ULHT) have come together in a Group arrangement, with the goal of improving the care provided to patients across the county.

This will not constitute a formal merger of the two organisations, but will bring the Trusts together under a single Board and Executive Leadership Team, with the goal of improving the care that is provided to patients both in the community and in hospitals across Lincolnshire. Both Trusts will retain their separate statutory names and legal obligations.

The Group will be known as Lincolnshire Community and Hospitals NHS Group (LCHG).

Detailed job description and main responsibilities

Supporting and coordinating the development of the Group’s Clinical Audit Annual Work Programme and future clinical audit activities.

Supporting participation in all National Clinical Audits within the National Clinical Audit and Patient Outcomes Programme (NCACOP) and Quality Account.

Ensuring all required clinical audit activity is carried out; meeting both internal requirements and requirements of external agencies.

Encouraging healthcare professionals to actively lead and participate in clinical audit by providing advice and support on the clinical audit process, the interpretation of clinical audit results and the identification of changes to practice.

Contributing to the development and delivery of training courses and materials for clinical audit.

Maintaining a database of clinical audit projects and provide progress reports on projects as required.

Ensuring that the best use is made of IT systems to support the generation of data collection proformas, data analysis, reporting and dissemination of results.

Completing quality assurance of data for clinical audit projects, checking for accuracy of data entered and ensuring completeness.

Performing electronic data extraction, analysis and reporting of clinical audit data.

Writing and disseminating audit reports and the wider dissemination of findings through posters and formal presentations at conferences and meetings internally and externally to the Group.

Monitoring the implementation of actions arising from clinical audit and ensure appropriate evidence is in place.

Maintaining an awareness of local and national developments that will have impact in clinical audit and effectiveness.

Facilitating the reporting mechanisms for clinical audit and to seek to develop further opportunities to share good practice.

Manging and implementing multiple projects at any one time and prioritise own time and workload effectively and to meet deadlines.

Acting as the clinical audit representative at meetings.

With Care Group Audit Leads ensuring systems are established to ensure clinical audit action plans are agreed, implemented and monitored by the relevant services/clinical teams and prepare regular reports on the progress of audit projects.

Preparing and proof reading audit reports and summaries where necessary, and to assist clinicians in this role to ensure completed reports are submitted to agreed timescales.

Organising clinical audit site meetings where audit findings are disseminated and discussed

Participating in recruitment, supervision, training and development of staff as required, including annual performance reviews.

Person specification

Qualifications

• Educated to degree level or equivalent vocational experience.
• Evidence of Continual Professional Development.
• Clinical Audit qualification or equivalent.
• Healthcare and/or relevant professional qualification.

Skills

• The ability to extract and analyse complex data from business management IT systems and databases.
• Skilled in the use of Microsoft Windows based applications including Word, Excel and Powerpoint
• Strong administrative and organisational skills including accurate records management.
• Good verbal and written communication skills.
• An understanding of the regulatory framework applicable to the delivery of healthcare services in an acute hospital Trust.

Knowledge

• Knowledge and or experience creating/designing and implementing Data systems.
• Knowledge and or Experience of completing data audits
• Be familiar with Data Protection Act and freedom of information act.
• Knowledge of medical & legal terminology
• Knowledge of information governance regulations and requirements as they relate to healthcare service providers.

Experience

• Ability to analyse data and make judgements.
• Extensive experience of working with business management IT systems and databases.
• Knowledge and or Experience of completing data audits.
• Experience working in a healthcare setting.

Personal Qualities

• Self-motivated and committed to improving the quality and safety of healthcare services within the Trust.
• Understanding of and commitment to the Trust’s values

ULTH recognises that everyone is different, and values the unique contribution that individual experiences, knowledge and skills make in delivering quality healthcare and becoming a model employer. We are committed to transforming our organisational culture by actively committing to implementing the Trust Single Equality Scheme, and other policies, such as the Dignity in Care policy and the Dignity at Work policy. We will continue to promote equality and challenge discrimination in all service provision, recognising and meeting the needs of the diverse communities we serve. We will strive to provide an environment in which people want to work and to be a model employer leading in good employment practice.

Due to the high volume of applications we receive, ULTH reserves the right to close this advert prior to the closing date.

We welcome applications from the UK Armed Forces Community. On the application form please tick “Member of the Armed Forces Community” if the below applies to you.

You are:

• A Veteran
• A Military Reserve
• Partner/Spouse of those Serving NB: partners/spouses are only eligible whilst their partner is serving in the Armed Forces

All new employees will be subject to a charge for the DBS check that is required for the post. The Disclosure & Barring Service application form (formerly CRB) will be provided by ULTH and the fee will be deducted from your salary over a 3 month period.

Candidates are advised to read the attached guidance on using AI technology. When you complete your application, you are required to declare that the information in your application form is true and complete.

Please note, for applicants with previous NHS service: If successful at interview, we will initiate an Inter Authority Transfer (IAT) via the Electronic Staff Record (ESR). This retrieves key data from your current or previous NHS employer to support onboarding, including competency status, Continuous Service Dates (CSD), and annual leave entitlement.

Employer certification / accreditation badges

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.

Name Bernadine Gallen Job title Ass Dir Clinical Effectiveness & Complaints Email address [e-mail] Telephone number 07740780837