The main purpose of this role is to provide intense support to the audit and quality improvement work across the organisation. Supporting the facilitation of audit and quality improvement work across the regions. Providing advice guidance and support to staff undertaking audit and quality improvement projects. Supporting with the delivery of the organisational audit and quality strategy whilst ensuring that audits and projects comply with the principles of good practice striving for excellence across the organisation.

Within this role your main responsibilities will be working alongside the Clinical Lead to ensure services are meeting regulatory requirements driving quality to achieve outstanding across the organisation.

The role requires exceptional organisation skills, ability to work to strict deadlines and a passion for improving quality and compliance across the company. 

Main Responsibilities and Duties

Key Responsibilities:

To work as part of team within the Quality and Compliance Department with specific responsibility to provide effective and efficient administration support.

• Ensuring that audits and projects are undertaken in line with organisational priorities, national and professional standards.
• Provide regular progress reports for senior managers
• Contribute to the monthly Governance meeting and reporting, providing exception reports that feed into Governance.  Facilitate Governance meetings when required
• Working with service managers to prioritise and submit the annual clinical audit plan and quality improvement plans for each site
• Management of the clinical audit and quality improvement process and reporting on progress against clinical audit and project plans
• Undertaking analysis of audit and quality improvement project results and developing associated reports and action plans
• Producing power point presentations to illustrate results and recommendations
• Typing of letters, questionnaires, agendas, minutes, and distribution of same
• Monitor progress against site improvement plans and any action plans and provide operational teams and other senior managers with progress against action plans.
• Develop and publish a clinical audit and quality improvement newsletter and other literature to demonstrate learning and changes as a result of the audit and quality improvement outcomes.
• General administration duties and organisation of meetings
• Collection of literature pertinent to the audit and quality improvement projects
• Collation of activity in relation to workload across the department
•  Participate in internal events and conferences which promote safe and effective standards of care where appropriate
• Contribute to policy formation/business planning/strategy development related to audit and any clinical standards
• The post holder shall perform such duties and observe and conform to such reasonable instructions as the Department or Board, or person duly authorised by the Department or Board, may from time to time give.
• Be able to motivate and lead to implement change and embed practice.  Have confidence to lead change following external and internal inspections or change in evidence base and best practice.
• Contribute to the watch site process for any services not meeting quality or compliance requirements
• Ensure training is planned to meet regulatory compliance figures for allocated geographical region. Work within training budget.  Identify and plan any further training or contribute to change and modification of current training programmes
• To work with services to support management of incident reporting system to ensure system is used to its full potential, incidents are reported correctly, and learnings shared through the service and wider organisation 
• Provide training, facilitate, and contribute to changes and new audits.  

Other roles / General Administration:

• Support with closed culture reviews and investigations for the opposing regions
• Participate in meetings and forward planning for the department and wider company.
• Provide administrative support to Clinical Lead and Directors where requested.
• To assist with the general administration.

Health, Safety and Security

• To comply with Northern Healthcare’s policies and procedures.
• To contribute to the maintenance of safe and secure learning and care environments. This includes taking the appropriate action in the event of an emergency.
• A duty exists (under Health & Safety legislation) to take reasonable care for the health and safety of yourself and that of others. This implies taking positive steps to understand the workplace hazards and evaluate and take action to reduce the risks.  You are expected to comply with safety rules and procedures and ensure that nothing you do or fail to do puts yourself or others at risk.