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A healthcare organization is seeking a Clinical Compliance Officer to oversee the annual program of clinical audits and ensure quality improvement measures are implemented effectively. The successful candidate will handle administrative tasks for clinical governance, create and manage quality accounts and reports, and work collaboratively with various clinical teams. Ideal for candidates with a strong background in clinical auditing and a passion for patient care, this role offers opportunities to make meaningful contributions to health outcomes.
We are seeking a Clinical ComplianceOfficer to manage the annual programme of clinical audits and, together with the clinical teams, drive forward quality improvement work.
St Elizabeth Hospice improves life for people in the east Suffolk, Great Yarmouth and Waveny areas living with a progressive or life-limiting illness. Our work is centred on an individual's needs, which means specialist support, whenever and wherever it is needed, whether at home, in the community or at the hospice. Our most recent Care Quality Commission report rated the hospice as Outstanding.
Established in 1989, the hospice has built a reputation for delivering high-level care to patients and the community it serves. Last year the charity supported over 4,000 patients and their families.
Are you a team player with excellent communication and administration skills? If you are looking for a job where you can make a real difference, come and join our team!
The role will involve providing administrative support for clinical governance activities, coordinating the review of care-related policies and procedures, and supporting the production of the annual Quality Account.
To thrive in this role you will need exceptional IT skills, including the use of excel, and be able to produce concise reports and presentations.
St Elizabeth Hospice is committed to safeguarding and protecting the adults and young people that we work with and has a zero-tolerance approach to abuse, neglect and discrimination of any person. As such, all posts are subject to a rigorous safer recruitment process, including the disclosure of criminal records and vetting checks. We have a range of robust safeguarding policies in place which promote safeguarding across the hospice and staff are expected to undertake regular, mandatory safeguarding training to equip them with the knowledge and skills to identify and respond to potential risks.
The hospice offers a generous benefit package, including:
JOB SUMMARY
To manage the annual programme of clinical audits and together with the Matron for bedded care drive forward quality improvement work. The post holder will support individual staff members in carrying out audits, carry out their own audits, and work to drive forward the Hospices quality improvement agenda.
Will provide administrative support for clinical governance activities, coordinate the review of care-related policies and procedures, and support the production of the annual Quality Account.
KEY ACCOUNTABILITIES
Provide administrative support to the clinical governance function, including agenda preparation, accurate minute taking, action and decision log maintenance, and meeting follow up.
Responsible for the coordination of the review and approval of carerelated policies and procedures, supporting policy owners with the production of revised policies, using the agreed template, and coordinating approval of policies in a timely manner.
Coordinate the production of the annual quality account, working with identified leads to produce their content for the report including quality account priority leads.
Develop a thorough understanding of the Vantage system and, in particular, the modules which support incidents, risks and complaints.
Ensure patient safety information is displayed on the patient safety boards in a timely manner.
To work with the Matron for bedded care, Director of Care and the Care team leads and other individual staff members to ensure that the annual clinical audit programme is, in a timely manner, formulated, carried out, and accurately reported.
To work with the leadership of the Care Directorate to use clinical incident and clinical outcomes data to inform the creation and design of clinical audit and quality improvement work.
To support clinical audit at the design, data collection, analysis, reporting, and recommendation stages.
To support and advise individual staff members carrying out particular audits and other quality improvement work, including with reporting and data visualisation.
To be able to present data and findings, both verbally and in writing, to diverse audiences in a manner that is intelligible, concise, accurate, and accessible.
To monitor and promote compliance with actions, escalating concerns where necessary.
To ensure clinical audit reports are of an acceptable standard.
To present completed clinical audits to the Quality Assurance and Improvement Group
Support production of quarterly care and clinical governance reports and annual quality accounts
To support the patient experience agenda, including gathering, analysing, and reporting as required and the Hospice Engagement Group.
To support participation in national and regional audits, as required.
To manage and coordinate the updating of all care related policies and procedures.
To assist in administering the Vantage incident, complaints, policies and risk management system.
To develop and manage the Vantage Clinical Audit module.
To liaise with the SystmOne support Officer and business intelligence team to extract clinical data for audit purposes.
To have a working understanding of Care Quality Commission regulations.
To stay current with clinical audit best practice and quality improvement in general.
To participate, where appropriate, in the formulation and revision of policies and procedures relating to quality and audit.
To support the Hospice with CQC Provider Information Requests and any other work relating to inspection.
To manage the CQC Compliance Vantage module.
To support care directorate staff with clinical governance processes, as required.
Promote a safeguarding is everyone's business culture.
Ensure adherence with relevant Infection Prevention and Control policies and procedures.
GENERAL
Where you are a member of a professional body you are required to conform to the professional standards set by that body. You are required to ensure your registration is current and practice continuous professional development.
Because of the special nature of the hospice and its work the post holder may on occasion be asked to undertake other duties to help maintain our high standard of care; to uphold the hospice values at all times.
THIS JOB DESCRIPTION IS NOT NECESSARILY EXHAUSTIVE AND MAY BE SUBJECT TO REVIEW BY THE DIRECTOR OF CARE IN CONJUNCTION WITH THE POST HOLDER
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.