Job summary
Clinical effectiveness and CQC compliance manager Band 8A
Are you talented and motivated person?
This is an exciting job opportunity to work within the quality and safety directorate.
This is a busy and demanding senior role, requiring excellent organisational skills, the ability to work under pressure and to meet tight and changing deadlines. A pivotal skill is the ability to balance the regular compliance requirements with adhoc, and sometimes urgent, requests and needs for data and support from colleagues.
Main duties of the job
You will be responsible for the operational management of the Clinical Effectiveness Team and the CQC compliance coordinator and provide support to the quality and safety committee, a sub board committee. You will do this by day to day management of the team and ensuring the smooth running of the committee, including the writing of formal minutes and the development of the action plan, chasing up on actions taken before the next meeting.
The post holder oversees the trusts approach to clinical effectiveness, including working with clinical leads, committee chairs and managerial staff to ensure the development and co-ordination of clinical effectiveness, with the clinical effectiveness team and across the trust in order to improve the quality of patient care.
About us
University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.
We provide first-class acute and specialist services across eight sites:
- University College Hospital (incorporating the Elizabeth Garrett Anderson Wing)
- National Hospital for Neurology and Neurosurgery
- Royal National ENT and Eastman Dental Hospitals
- University College Hospital Grafton Way Building
- Royal London Hospital for Integrated Medicine
- University College Hospital Macmillan Cancer Centre
- The Hospital for Tropical Diseases
- University College Hospital at Westmoreland Street
We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.
At UCLH, we have a real 'One Team' ethos, and our values - safety, kindness, teamwork and improving, are central to the way we work. This is supported by our staff, who voted us as the #1 NHS Acute Trust to work for in the whole of England.
Job description
Job responsibilities
For more information regarding the main responsibilities of the role, please refer to the attached Job Description.
We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.
Job description
Job responsibilities
For more information regarding the main responsibilities of the role, please refer to the attached Job Description.
We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.
Person Specification
Qualifications / Education
Essential
- Educated to Masters level (in a relevant discipline) or equivalent level, or equivalent experience of working at a senior level.
- Post-graduate management, leadership or specialist qualification or previous experience
- Management qualification or equivalent experience of leading and developing individuals and teams.
Desirable
- Quality Improvement qualification experience
- Evidence of a clinical background e.g., first level nursing qualification
Knowledge and Experience
Essential
- Extensive experience working in the NHS, in relevant fields e.g., audit, guidelines, project management, policy strategy and development.
- Detailed knowledge and understanding of the Care Quality Commission regulations.
- Experience and knowledge of the components of clinical governance, incident response, risk management and assurance function; current NHS national policies, standards, requirements and directions that relate to measuring and improving the quality and safety of patient care.
- Experience of working in a large and complex health environment at corporate level
- Demonstrable knowledge and experience of clinical effectiveness, principles and practice of clinical audit methodologies and clinical guideline development/ implementation and monitoring
Desirable
- Knowledge and experience of developing, delivering & evaluating training programmes.
Skills / Capability / Attributes
Essential
- Ability to interpret complex information (including multiple diverse sources of safety intelligence, administrative data, mortality data) that may conflict and where expert opinion may differ.
- Ability to communicate effectively with clinical, academic and all levels of staff.
- Ability to provide senior leadership and work with senior leaders.
- Highly effective people and project management skills.
- Use advanced analytical and judgement skills including understanding and the meaningful application of large volumes of qualitative data and complex statistical and numerical data.
- Ability to develop and communicate a vision, and convert that into plans, objectives and deliverables working to tight and often changing deadlines.
- Ability to develop and maintain collaborative relationships and deal confidently with staff at all levels of an organization.
- Ability to compassionately and meaningfully communicate and collaborate with patients, families, carers and staff at all levels.
- Ability to develop, maintain and monitor information systems to support innovation initiatives.
- Ability to make decisions autonomously, when required, on difficult issues.
- Ability to manage time effectively and to prioritise.
- Ability to use informed persuasion to influence others.
- Able to negotiate and influence at an organisational level and externally with a range of stakeholders.
- Demonstrates sound judgement in the absence of clear guidelines or precedent, seeking advice as necessary from more senior management when appropriate.
- High quality presentation skills and ability to provide and effectively communicate highly complex, sensitive and contentious information where a potentially antagonistic or highly emotive atmosphere may present significant barriers to acceptance.
- Excellent interpersonal, communication (written, oral, presentation, facilitation), networking and negotiation skills with a track record in consistently delivering performance targets and writing complex business cases, policies and change.
- High level analytical skills and the ability to utilise qualitative and quantitative data from a wide range of sources to draw meaningful and appropriate conclusions and present in a clear concise manner.
- IT literate, including competency in MS Office programmes and in particular in Excel and MS Project.
Desirable
- Ability to use established networks and create new ones to share good practice and facilitate engagement with a wide range of stakeholders
- Ability to use PowerBI or other software to support advanced analytics and visualization
Personal Qualities
Essential
- Well organised, methodical and analytical
- Ability to plan and organise a varying workload effectively to meet deadlines in the short and long term.
- Understanding of confidentiality
- Creative, lateral thinker and has an ability to generate solutions.
- A flexible approach to work with the ability to react accordingly to changing demands and work priorities
Additional information
Essential
- A commitment to partnership working, inclusion of a diverse workforce and service integration.
- Actively develops themselves and supports others to do the same.
Person Specification
Qualifications / Education
Essential
- Educated to Masters level (in a relevant discipline) or equivalent level, or equivalent experience of working at a senior level.
- Post-graduate management, leadership or specialist qualification or previous experience
- Management qualification or equivalent experience of leading and developing individuals and teams.
Desirable
- Quality Improvement qualification experience
- Evidence of a clinical background e.g., first level nursing qualification
Knowledge and Experience
Essential
- Extensive experience working in the NHS, in relevant fields e.g., audit, guidelines, project management, policy strategy and development.
- Detailed knowledge and understanding of the Care Quality Commission regulations.
- Experience and knowledge of the components of clinical governance, incident response, risk management and assurance function; current NHS national policies, standards, requirements and directions that relate to measuring and improving the quality and safety of patient care.
- Experience of working in a large and complex health environment at corporate level
- Demonstrable knowledge and experience of clinical effectiveness, principles and practice of clinical audit methodologies and clinical guideline development/ implementation and monitoring
Desirable
- Knowledge and experience of developing, delivering & evaluating training programmes.
Skills / Capability / Attributes
Essential
- Ability to interpret complex information (including multiple diverse sources of safety intelligence, administrative data, mortality data) that may conflict and where expert opinion may differ.
- Ability to communicate effectively with clinical, academic and all levels of staff.
- Ability to provide senior leadership and work with senior leaders.
- Highly effective people and project management skills.
- Use advanced analytical and judgement skills including understanding and the meaningful application of large volumes of qualitative data and complex statistical and numerical data.
- Ability to develop and communicate a vision, and convert that into plans, objectives and deliverables working to tight and often changing deadlines.
- Ability to develop and maintain collaborative relationships and deal confidently with staff at all levels of an organization.
- Ability to compassionately and meaningfully communicate and collaborate with patients, families, carers and staff at all levels.
- Ability to develop, maintain and monitor information systems to support innovation initiatives.
- Ability to make decisions autonomously, when required, on difficult issues.
- Ability to manage time effectively and to prioritise.
- Ability to use informed persuasion to influence others.
- Able to negotiate and influence at an organisational level and externally with a range of stakeholders.
- Demonstrates sound judgement in the absence of clear guidelines or precedent, seeking advice as necessary from more senior management when appropriate.
- High quality presentation skills and ability to provide and effectively communicate highly complex, sensitive and contentious information where a potentially antagonistic or highly emotive atmosphere may present significant barriers to acceptance.
- Excellent interpersonal, communication (written, oral, presentation, facilitation), networking and negotiation skills with a track record in consistently delivering performance targets and writing complex business cases, policies and change.
- High level analytical skills and the ability to utilise qualitative and quantitative data from a wide range of sources to draw meaningful and appropriate conclusions and present in a clear concise manner.
- IT literate, including competency in MS Office programmes and in particular in Excel and MS Project.
Desirable
- Ability to use established networks and create new ones to share good practice and facilitate engagement with a wide range of stakeholders
- Ability to use PowerBI or other software to support advanced analytics and visualization
Personal Qualities
Essential
- Well organised, methodical and analytical
- Ability to plan and organise a varying workload effectively to meet deadlines in the short and long term.
- Understanding of confidentiality
- Creative, lateral thinker and has an ability to generate solutions.
- A flexible approach to work with the ability to react accordingly to changing demands and work priorities
Additional information
Essential
- A commitment to partnership working, inclusion of a diverse workforce and service integration.
- Actively develops themselves and supports others to do the same.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
