Clinical Governance and Effectiveness Facilitator

Northampton General Hospital; Nottingham; On-site; GBP 40,000 - 48,000; Full time

Job summary

University Hospitals of Northamptonshire in the UK is seeking a Clinical Governance and Effectiveness Facilitator to coordinate audit and governance across services, driving quality improvement and assurance. The role supports the Trust's clinical effectiveness and governance agenda and provides expert advice on audit methodologies.

You will lead on coordination of national standards, prepare governance dashboards and ensure robust systems, with cross-site collaboration and deputising for the

Qualifications

• Educated to degree level or equivalent level of education, training or experience.
• Qualification related to Clinical Audit.
• Teaching training qualification or experience.
• Project Management and Change Management.

Responsibilities

• Coordinate and lead delivery of Trust-wide Clinical Audit and Effectiveness Strategy.
• Manage corporate clinical audit programmes including planning, data analysis and reporting.
• Oversee NICE Guidance, Quality Standards and other national best practice requirements.
• Provide system administration and reporting for digital systems supporting clinical effectiveness and governance.

Skills

Communication

Decision making

Organisational skills

Teamwork

Interpersonal skills

Analytical ability

Problem solving

Education

Degree level

Audit qualification

Teaching qualification

Project management

Tools

Power BI

Microsoft Office

Audit management systems

Clinical systems

Job description

Clinical Governance and Effectiveness Facilitator

An exciting opportunity has arisen for a motivated and highly organised Clinical Governance and Effectiveness Facilitator to join the Clinical Effectiveness and Governance Team across UHN.

This pivotal role supports the delivery of the Trust's Clinical Audit and Effectiveness Strategy as well as the Clinical Governance agenda working across services to strengthen governance, quality, assurance and compliance arrangements. The post holder will play a key role in coordinating Trust-wide clinical audits, supporting the implementation and assurance of NICE guidance, and promoting continuous quality improvement through the effective use of audit, benchmarking and assurance activities.

Working closely with stakeholders, you will lead on the coordination and reporting of clinical effectiveness and governance programmes. You will also provide operational oversight of the digital systems for clinical effectiveness and clinical governance, ensuring effective monitoring, reporting and follow‑up of audit and assurance actions.

The role requires excellent analytical, organisational and communication skills, with the ability to interpret complex information, influence stakeholders and work collaboratively across organisational boundaries. You will support and facilitate meetings, provide specialist advice on audit and clinical effectiveness methodologies, and contribute to the development of a culture of learning, assurance and continuous improvement across the organisation.

Main duties of the job

• Coordinate and support the delivery of the Trust's Clinical Audit and Effectiveness Strategy.
• Lead and manage Trust-wide and corporate clinical audit programmes, including planning, data analysis, reporting and monitoring of improvement actions.
• Coordinate the implementation, monitoring and assurance of NICE Guidance, Quality Standards and other national best practice requirements.
• Provide operational oversight of the digital systems for clinical effectiveness and clinical governance, providing system administration, user support, compliance monitoring and reporting.
• Provide specialist advice and support to clinical and non-clinical teams on clinical audit, clinical effectiveness, quality assurance and governance processes.
• Lead the preparation and production of governance, audit and assurance reports, dashboards and performance information for committees and senior management groups. Coordinate and support the effective operation of the Clinical Audit and Effectiveness Group (CAEG), including agenda management, reporting, action tracking and assurance processes.
• Monitor compliance with audit recommendations, NICE guidance and quality standards, ensuring risks and gaps in assurance are appropriately escalated.
• Support organisational preparedness for inspections, external reviews and regulatory assessments through evidence gathering, gap analysis and assurance reporting.
• Deputise for the Clinical Effectiveness Manager as required.

About us

University Hospitals of Northamptonshire (UHN) brings together Kettering General Hospital NHS Foundation Trust and Northampton General Hospital NHS Trust. As a group, we are committed to improving services for our communities through collaboration, modernising care delivery and striving for excellence. Working together enables us to share expertise, strengthen services and create greater opportunities, and there may be a requirement to work across sites depending on service needs.

Our Excellence Values are Compassion, Accountability, Respect, Integrity and Courage. UHN welcomes applications from all backgrounds and is committed to an inclusive working environment. We are proud signatories of the Armed Forces Covenant and hold the Gold Award under the Employer Recognition Scheme. Candidates who identify as members of the Armed Forces community and meet the essential criteria will be guaranteed an interview.

Job responsibilities

The Clinical Governance and Effectiveness Facilitator will provide specialist leadership and operational support to the Clinical Effectiveness and Governance function, supporting the delivery of the Trust's quality, clinical effectiveness, audit, assurance and compliance agendas.

The post holder will work closely with clinical, operational and corporate teams to ensure robust systems are in place to support the implementation, monitoring and assurance of national standards, NICE guidance, clinical audit programmes and organisational quality priorities. They will play a key role in strengthening governance arrangements by supporting services to identify areas of risk, monitor compliance, evidence improvement and deliver high-quality patient care.

A significant aspect of the role involves coordinating and delivering Trust-wide and corporate clinical audit programmes. The post holder will provide expert advice on audit methodology, support clinical teams in the development and delivery of audit projects and ensure that audit findings are translated into measurable improvements in practice. They will analyse and interpret complex qualitative and quantitative information, producing meaningful reports, dashboards and assurance information to support decision-making at all levels of the organisation.

The post holder will lead the Trust's processes for monitoring and assuring compliance with NICE Guidance, Quality Standards and other national best practice recommendations. This will include working with services to undertake gap analyses, develop action plans, monitor progress and provide assurance through established governance frameworks. Where required, they will support the assessment and management of risks associated with non‑compliance.

The role will be pivotal in the support of UHN achieving a Good rating from CQC and will support assurance actions and evidence gathering from a variety of sources.

The post holder will support the digital system for clinical effectiveness and assurance actions by overseeing system administration, user support, compliance monitoring, action tracking and the production of organisational reports to support governance and assurance processes.

The Clinical Governance and Effectiveness Facilitator will support and facilitate meetings, provide specialist advice on audit and clinical effectiveness methodologies, and contribute to the development of a culture of learning, assurance and continuous improvement across the organisation.

The post holder will support the preparation of corporate governance, assurance and compliance reports, presenting information in a clear and accessible format for a range of audiences including senior leaders, committees and external stakeholders. They will support organisational preparedness for inspections, external reviews and regulatory assessments through evidence gathering, compliance reviews and assurance reporting.

The role requires strong relationship‑building and stakeholder management skills. The post holder will work collaboratively with clinicians, managers, governance professionals and corporate teams to promote a culture of continuous quality improvement, shared learning and evidence‑based practice across the Trust.

The post holder will line manage designated members of staff, providing leadership, supervision, professional support and performance management. They will contribute to the development of team objectives, service improvement initiatives and workforce development activities within the department.

As a member of the team, the Clinical Governance and Effectiveness Facilitator will deputise for the Clinical Effectiveness Manager as required, representing the service at internal and external meetings and supporting the operational leadership of the Clinical Effectiveness and Governance function.

The role requires the ability to manage competing priorities, work independently and exercise sound judgement whilst maintaining a focus on quality, assurance and continuous improvement. Regular cross‑site working across University Hospitals of Northamptonshire NHS Group sites will be required.

Educations, Training and Qualifications

• Educated to degree level or equivalent level of education, training or experience
• Qualification related to Clinical Audit
• Teaching training qualification or experience
• Project Management and Change Management

Knowledge and Experience

• Experience of working with clinical teams in the NHS
• Knowledge of the NHS audit and effectiveness agenda including clinical audit, clinical effectiveness, NICE, HQIP, Dashboards, Quality Account, Local Quality Requirements
• Knowledge and understanding of the principles and practice of quality governance, patient safety and clinical effectiveness principles and how these can improve clinical practice and improve patient safety
• Proven experience of undertaking presentations
• Experience of working in a multi‑disciplinary environment
• Knowledge and experience PSIRF Framework and associated investigation tools and demonstrate experience of their application in practice

Skills

• Excellent communication skills including first class verbal and written communication skills and the ability to communicate effectively with professionals at all levels
• Sound decision making and judgement skills
• Excellent organisational skills and ability to manage workload and work to deadlines.
• Proven track record of effectively working as part of a team as well as the ability to work autonomously
• Ability to work on own initiative
• Well‑developed interpersonal and influential skills with an ability to work with a range of professionals at all levels
• Capacity to identify problems in order of importance and develop actions to address these
• Experience of using quantitative information to stimulate information performance improvement including Microsoft Packages including Word, Excel, PowerPoint, Teams and Power BI
• Experience of clinical systems and audit management systems

Disclosure and Barring Service Check

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.

University Hospitals of Northamptonshire

Head of Clinical Effectiveness and Assurance

£39,959 to £48,117 a yearper annum (pro rata if part time)

Contract

Permanent

Reference number

265-8374348

Job locations

University Hospitals of Northamptonshire