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Clinical Effectiveness Administrator Full Time

at Nottingham University Hospitals NHS Trust Nottingham in Nottingham (Published at 02-10-2021)

Job overview

This role is part of Nottingham University Hospital's Corporate Clinical Effectiveness Team. This is a full time administrative role supporting the Quality Governance agenda.

Main duties of the job

You will coordinate up to five elements of the Trusts Clinical Effectiveness Programme of work in support of the delivery of the Trusts Clinical Effectiveness agenda, to include:

  • Clinical Audit and Quality Improvement.

  • NICE.

  • Response to and Participation in Best Practice (such as NCEPOD).

  • Clinical Guidelines.

  • CQUIN administration.

The post holder will bring key organisational skills and the ability to work effectively in a small team and with Divisional Teams.

Office based administration work. This includes but not limited to database management, regular communication with trust colleagues to improve quality governance, admin support to quality committees and working groups including minuting the meeting, supporting CE team colleagues in their admin duties.

Working for our organisation

You are expected to follow TEAM NUH values.

Clinical Effectiveness is a small corporate team based at City Hospital, Nottingham. You will join a friendly team who is highly motivated to meet the Clinical Effectiveness agenda in the trust; and in the process help to provided good quality of care to patients. To meet CQC requirements.

There will be regular interaction with governance colleagues across the 6 divisions and also interactions with junior doctors, nurses and Consultants.

It is predominantly an office based role. However, there will be occasions where you will have to travel between sites for meetings. Occasionally, the job can be demanding based on trust priorities and you will be well supported with required training to perform your duties.

Detailed job description and main responsibilities


In addition to the below summary you need to familiarise yourself with full Job Description and person specification documents attached to this advert.

Clinical Audit

To support the implementation of clinical audit, Quality Improvement and other clinical effectiveness processes throughout the Trust as a mechanism for improving the quality of care.

Have oversight of the Clinical Audit Plan, ensuring priority projects are agreed and delivered in a timely manner.

Support the coordination and completion of mandatory audits for inclusion in the Trusts Clinical Audit Plan.

Design audits and Quality Improvement Capture forms.

Provide basic analysis from submitted audit data in MS Excel and in word reports.

In liaison with the lead Clinical Effectiveness Facilitator for National Clinical Audits (NCA) ensure all NCA for a given Division(s) are tracked on a central NCA portal.


In liaison with the lead Clinical Effectiveness Facilitator for NICE ensure NICE processes are robustly implemented and monitored, prioritising interventional procedure guidance (ensuring Divisional Leadership Teams respond to these requests in a timely manner).

Provide monitoring reports to the Divisional team(s) in regard to NICE guidance, escalating non-compliance to the Clinical Effectiveness Facilitator.

Response to and Participation in Best Practice (such as NCEPOD)

Liaise with the lead Clinical Effectiveness Facilitator for NCEPOD/External Best Practice (EBP) to ensure a given Division(s) appropriately responds to publications and participates in studies. Monitor participation and escalate non returns to the Clinical Effectiveness Facilitator.

Provide tools to Division(s) and monitor completion of compliance assessments with regard to NCEPOD/EBP studies.

Clinical Guidelines

Liaise with the lead, Clinical Effectiveness Facilitator for Clinical Guidelines in order that Clinical Guidelines within a given Division(s) are managed in a timely way (including chasing guidelines due, escalating out of date guidelines and ensuring guidelines are published and accessible via the internet, intranet and app).

Mortality Indicators

Support the Head of Patient Safety by ensuring requests for case note reviews/audits are supported with clinical audit capture forms.

Other responsibilities

Work with the Clinical Effectiveness Facilitator and Head of Clinical Effectiveness to ensure monthly cycles of clinical effectiveness performance data is made available to DLTs (to include clinical guidelines, NICE, Clinical Audit and response / participation in best practice).

To inform the Head of Clinical Effectiveness of any significant risks (15 or above) highlighted in any areas of the Clinical Effectiveness agenda.

Work with the Patient Safety Improvement Lead to support future integration of quality improvement methodology into clinical audit and effectiveness.

To support the collation of materials relevant to the Clinical Effectiveness agenda in the context of the Trusts annual Quality Account.

To provide materials relevant to the Clinical Effectiveness agenda in support of the Trusts Quality Contract and Quality Assurance Committee.

Write clear and well-structured draft reports.

Provide administrative and coordinating support including minute taking to key Trust groups/committees and workstreams including but not limited to seven day services and CQUIN.

Educational Responsibilities

Contribute to the design, co-ordination and delivery of clinical effectiveness education/training programmes.

Communication and relationship skills

Deal with staff, patients, relatives, managers and external organisations in a professional and courteous manner maintaining effective communication on behalf of the Clinical Effectiveness Team.

Exercises discretion and confidentiality at all times when dealing with information of a highly sensitive nature. Ensure information is communicated to the correct departments and staff at appropriate times using negotiation, persuasive and empathetic skill.

Person specification


Essential criteria

  • ? RSA III word-processing/text processing or equivalent ? Educated to Diploma level e.g. NHD/HNC or equivalent relevant experience ? Highly proficient in the use of Microsoft Office

Desirable criteria

  • ? Further IT qualification including CLAIT / ECDL ? Relevant Diploma ? Professional secretarial/administrative management qualification. ? Knowledge and competency in Statistical Process Control


Essential criteria

  • ? Proven experience in an appropriately related or administrative role at a senior level ? General knowledge of the NHS, key patient safety initiatives and its key challenges ? Proven Knowledge and skills in the management of data ? Ability to manage information ? Ability to produce graphs charts and cross tabulations ? Have up to date knowledge and be able to promote ?best practice? of clinical audit ? Knowledge and experience of Clinical Audit Process Data capture techniques ? Basic Data analysis ? Project Planning and implementation ? NICE Guidance

Desirable criteria

    • Understanding of Clinical Risk

Bring your whole self to work for us at NUH. We love diversity and we value your difference, your unique skills, knowledge and experience. Becoming one of our people may realise your potential, helping us to raise our performance in delivering world class healthcare to the diverse patient populations we serve.

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are currently under-represented at NUH.

Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.

Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.

Easy read application: if you have a disability and find it difficult to complete our online application form, you can apply via our easy read application which you can find on the intranet https://www.nuh.nhs.uk/easy-read-job-application

Salary: The quoted salary will be on a pro rata basis for part time workers.

Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.

At Risk of redundancy: NHS employees within the East Midlands who are ?at risk? of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.

Skilled Workers Visa: We welcome applications from individuals who require a skilled worker visa in line with the Home Office regulations. NON-UK/NON SETTLED candidates may not be appointed, if a suitably qualified and skilled UK/SETTLED candidate is successful at interview stage as it is unlikely that the Trust is able to satisfy the Home Office Visa requirements

ID and Right to work checks: NUH authenticate all ID and right to work documentation such as passports, visa?s and driving license through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.


  • Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.

  • Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£45 for enhanced and £28 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month?s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.

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