Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Person Specification and General Conditions of Service Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk 1710CP- Cancer Audit Facilitator Page 1 of 11 NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title Tayside Cancer Audit Facilitator Department(s)/Location Cancer Audit Number of Job Holders 3 2. JOB PURPOSE The Cancer Audit Facilitator will will work with Cancer clinicians and other NHS staff in the Tayside and North East Fife Region to: Develop, implement and sustain timely mechanisms for audit of all newly diagnosed cases of Cancer – integrating methods into routine clinical practice where possible. Collect, Extract, Collate and Report complete and accurate data to meet timescales and deadlines Provide expertise to services using the results of audit to improve patient care and outcomes Analyse, present and report data to measure services against national, regional and local standards The Cancer Audit Team provides audit services and expertise to tumour-specific groups, within hospitals across Tayside to ensure the implementation of routine and sustainable methods of cancer audit, the collection of complete datasets, and the analysis and reporting of routine datasets on complex and sensitive data. Prospective audit aims to ensure that data is available for quality assurance monitoring of cancer services and that it is complete, nationally comparable and timely Participation in prospective audit is an essential requirement of the national standards disseminated by the NHS Quality in Scotland With good quality data NHS Boards and Hospitals can review cancer services and their practices against guidelines, and make changes where necessary. It allows for monitoring of core clinical indicators and outcomes. It provides data on waiting times, it can identify bottlenecks, support service redesign and development. It also provides data for assessing capacity and demand and enable planning for future requirements 1710CP- Cancer Audit Facilitator Page 2 of 11 3. ORGANISATIONAL CHART Cancer Information Manager Cancer Audit Team Leader Cancer Patient Pathway Co-ordinator Cancer Audit Facilitators Cancer Information Officer MDT Co-ordinators 4. SCOPE AND RANGE Cancer services within NHS Scotland are obligated to ensure the availability within tight deadlines of complete and accurate data for analysis and reporting of the measurement of National clinical effectiveness targets and standards,for monitoring and improving patient care This requires the ongoing recording, analyzing and reporting to tight timescales of high-quality accurate and complete datasets for all newly diagnosed cancer patients. It is essential that the data on individual patients be handled fully within the requirements of data protection and confidentiality. The results of data analysis are sensitive and may prove contentious, with issues about appropriate dissemination Cancer care is provided for a population of 516,000 across Tayside/North East Fife. As a part of the Access Directorate Business Unit the Cancer Audit department has specific responsibility for auditing all cancers diagnosed within this area. A detailed knowledge and understanding of the complete patient pathway for Cancer includes: Complex and variable pathways of referral, medicine, surgery, oncology, pathology etc.; this requires tracking data between hospitals and other care sites in the region Data fields are collected for Cancers including patient details, investigations, diagnosis, treatment, surgery, pathology, radiotherapy, chemotherapy and follow-up and recurrence information Detailed nationally published definitions for each individual data field, these require knowledgeable non clinical interpretation The Audit databases and IT systems used link within the organization, and across the region, aiming to ensure efficiency and accuracy of data capture 1710CP- Cancer Audit Facilitator Page 3 of 11 5. MAIN DUTIES/RESPONSIBILITIES The Tayside Cancer Audit Team combines provision of direct cancer audit support and the coordination, collection, collation and reporting of complex and sensitive audit data across Tayside. They provide audit support, and expertise, to tumour-specific groups to ensure the implementation of routine and sustainable methods of cancer audit, and the analysis of routine and ad hoc reports. The Cancer Audit team is managed within the Access Directorate. SIGN and Quality Performance Indicators (QPI) provide the framework for data collection. Subject to suitable provisions the data forms the basis for population-based clinical research, providing a complete, quality assured database for all patients diagnosed with specific types of cancer. The main duties of the post will be to contribute to the aims of NHS Tayside to ensure availability of complete, accurate and timely data on the care of cancer patients on an ongoing basis. This is to enable quality assurance of the care given to cancer patients and the outcomes of care and to enable improvements in care to be identified and implemented. Establish and maintain good relationships with lead cancer clinicians and other clinical and nonclinical NHS staff, at all levels across the Tayside region, to encourage clinicians and other NHS staff to participate in, and have confidence in, ongoing collection, analysis and reporting of high quality data in accordance with nationally agreed datasets Using database skills and electronic sources to capture data, to be responsible for developing, implementing and sustaining data capture processes, aiming to integrate these into routine clinical practice Responsible for ensuring data collected across Tayside and North East Fife is complete and accurate in line with nationally agreed data definitions Prepare and present audit reports in a variety of formats (e.g written reports, tables, charts, formal presentations) to enable the service to assess their performance against national, regional and local standards and targets, ensuring that reports are available according to agreed dealines Participate in external national Quality Assurance Programme in accordance with published timetables to maintain confidence in the quality and reliability of data provided. Develop detailed knowledge and understanding of the Cancer patient pathway, as well as national datasets and field definitions to be able to: o extract and analyse patient data, and use judgment to accurately record data relating to complex patient pathways where interpretation is not straightforward o provide advice and expertise to clinical and non-clinical staff on national datasets and definitions to ensure recording of good quality data Responsible for developing and implementing methods of comprehensive case ascertainment to ensure the quality of data, utilising databases and electronic systems as far as possible Responsible for negotiating with clinicians on cancer groups to ensure agreement on appropriate clinical effectiveness measures, these include national standards and targets Responsible for detailed and high quality analysis of data in accordance with agreed clinical effectiveness measures, providing accurate and readily comparable results across the region Responsible for analysing data and reporting results according to agreed deadlines and in the formats required by the Scottish Government, ISD Scotland , NOSCAN, Cancer Groups, NHS Boards and local services, ensuring that clinicians are confident in and have ownership of the reports provided, and that reporting is in line with policies and legal requirements for publication Provide expertise to services who use the results of audit to decide on steps to be taken, to improve patient care and outcomes. To work with clinicians in researching/investigating variation in practice and performance between different parts of the cancer network. To contribute to analysis of patterns of care for purposes of redesigning services 1710CP- Cancer Audit Facilitator Page 4 of 11 Attend and contribute expertise to formal and informal meetings at a variety of levels i.e. local, national and regional Use high standards of care in ensuring that data is handled at all times within the legal requirements of data protection and confidentiality Cover for other members of the Cancer Audit Team, when required, during periods of absence or sickness. Undertake any other appropriate tasks as designated by the line managers. Induction Standards & Code of Conduct Your performance must comply with the national “Mandatory Induction Standards for Healthcare Support Workers in Scotland” 2009; and with the Code of Conduct for Healthcare Support Workers. 6. COMMUNICATIONS AND RELATIONISHIPS The Cancer Audit Facilitator works collaboratively across the Tayside region to implement prospective audit. It is crucial to communicate and work with a wide range of clinical and non-clinical staff at all levels across the Tayside region involved, and in other agencies listed below Communication may relate to choices in methods of data capture, methods of analysis, methods of reporting, utilization of data and quality of data. Expectations are high and clinical and other staff may feel that data capture is an unwelcome burden or that the analysis shows unwelcome results. The Audit Facilitator must establish good relations without compromising the demands of accurate and complete data capture and analysis The postholder is in regular communication with clinical and non-clinical colleagues in order to ensure data capture, quality and validity. This is via e-mail, telephone, individual and group meetings. Participation is also required at local, regional and national meetings where cancer audit data is discussed. The postholder must acknowledge the sensitive and confidential nature of the topics discussed and the skills of tact, diplomacy and persuasion. Information ranges from details of individual patient’s medical conditions through to compilation and presenting of anonymised reports. Local Level Site specific focus groups, especially Clinical Leads in relation to data capture and validity Clinical and nursing staff in relation to investigation and treatment details Clinical group/team managers and associated A&C staff Medical records staff Information departments IM&T Lead cancer clinicians NHS Staff at all levels Regional Level Members of the NoSCAN Audit Team or the wider Cancer Audit group within the region Clinicians and other members of local and North Scotland managed clinical network groups Management staff within NOSCAN Other agencies/national groups Personnel within ISD Scotland Audit and other staff from all parts of Scotland e.g. the membership of the National Prospective Cancer Audit Working Group Personnel within other agencies e.g. NHS Quality improvement Scotland Personnel within the Scottish Government Cancer Group 1710CP- Cancer Audit Facilitator Page 5 of 11 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Degree-level qualification or evidence of equivalent experience of ability HND or evidence of equivalent experience or ability Positive and flexible Ability to work as a team member Confident and Assertive Motivated and determined Able to negotiate and persuade clinical staff Able to work to tight deadlines and timescales Excellent interpersonal skills Excellent communication skills (written and oral) Excellent computer skills (experience in use of databases for collection, analysis and reporting of data) Knowledge of Medical Terminology Able to travel within N E Scotland Experience of working within the NHS an advantage Experience of health/research clinical audit/health information an advantage Good communication skills, both written and oral 8. SYSTEMS AND EQUIPMENT Excellent computer skills are essential for this post, especially demonstrated experience in use of l databases for collection, analysis and reporting of data Understanding of a variety of clinical systems would be advantageous but training will be given Microsoft Packages: Microsoft Access – update, maintain, analyse and report; including writing queries Microsoft Word Microsoft Excel Microsoft PowerPoint ECASE – Database that contains all patient information TOPAS – Outpatient Clinic Management System WISDOM – Oncology database INSITE – Tayside Surgical patient management system CRIS – Radiology management system Internet – NHS Intranet, NHSNet, Email ERS – Electronic Referral System UNISOFT – Gastroenterology reporting system EFILM – Radiological imaging system SWIFT – Scottish Cancer Waiting Times System Teleconferencing Equipment – Multi-site, regional and national meetings SCI Store, SCI Gateway 1710CP- Cancer Audit Facilitator Page 6 of 11 RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. 9. PHYSICAL DEMANDS OF THE JOB Physical: Advanced keyboard skills required; prolonged period using mouse and VDU Handling of heavy casenotes Requirement to move and work between departments in the hospital Travel requirement to attend meetings locally, regionally and nationally. Mental: Long periods of intense concentration e.g. reading and interpreting case notes, checking data against definitions, checking data quality, analysis of data against agreed measures, preparing reports Problem-solving to ensure smooth-running of data co-ordination and MultiDisciplinary Team meetings Highly intellectual content – requires knowledge and expertise combined with intelligence to manipulate and analyse data Preparing reports in a variety of formats – English, creating tables and charts Heavy workload – highly deadline driven, need to balance conflicting demands. May be disrupted by urgent unexpected requests for ad-hoc data requests from senior sources or external organizations, this typically entails them refocusing their immediate attention and re-scheduling their workload to accommodate such demands Requirement to balance output against ensuring quality of data and data analysis Results may be unwelcome and challenged by senior clinical staff Emotional: Difficult subject matter – exposure to sometimes distressing information, eg discussion of treatment options at an MDT Resilience for dealing with challenge by senior staff, eg consultants disputing data being presented and need to be confident and assured of own figures. 10. DECISIONS AND JUDGEMENTS The Cancer Audit Facilitator prioritises their workload to meet local and national deadlines, and to adjust priorities dependent on demand. Support can be sought from ISD, other members of the Cancer Audit team, with appropriate expertise or experience. After training, the postholder will demonstrate a high degree of initiative within the guidelines agreed by the relevant Site Specific Focus Group and the Tayside Cancer Network. They need to play a key role in development and maintenance of data capture and show considerable self-motivation in ensuring the quality and integrity of the data held, in managing the workflow, in carrying out accurate analysis and meaningful reporting, and in providing expertise in use of the data to improve services. 1710CP- Cancer Audit Facilitator Page 7 of 11 11. MOST CHALLENGING /DIFFICULT PARTS OF THE JOB Development of effective working relationships with a wide range of clinicians and other staff is of prime importance in implementing successful audit processes. Skills in persuasion, negotiation, and motivation will all be required to ensure participation of key personnel. This will be coupled with a willingness on occasion to stand your ground when challenged by senior staff. A highly organised and responsible approach is required to ensure that capture of data becomes a sustainable process, preferably integrated into routine clinical practice, so that data is complete, accurate, and up-to-date despite large numbers of patients to be recorded. Accurate and meaningful analysis within tight deadlines requires a highly intelligent approach to manipulation of data Reporting of data requires expertise in presenting data in a variety of formats, as well as an excellent command of English. High standards of care are required to ensure that data is handled and reported in ways which meet legal requirements for data protection and confidentiality. Expectations for availability of data at national, regional, health board, and service level are high and pressures in terms of quality and timeliness of work are substantial. Able to stay calm and work effectively under pressure Meeting short timescales 1710CP- Cancer Audit Facilitator Page 8 of 11 Person Specification POST REF NO: P/HC/67A JOB TITLE/BAND: Cancer Audit Facilitator – Band 4 LOCATION: Cancer Audit Team, Ninewells Hospital, Dundee HOURS: 37.5 hours per week CRITERIA EXPERIENCE: ESSENTIAL DESIRABLE Medical Terminology Databases / data entry NHS Clinical Systems Patient’s casenotes QUALIFICATIONS: (Training; Research; Publications) Numerical / Analytical qualification ECDL KNOWLEDGE & SKILLS: PERSONAL QUALITIES: Excellent Keyboard skills Flexible Good communicator – oral and written OTHER: (eg travel across Tayside) 1710CP- Cancer Audit Facilitator Able to travel locally and nationally Page 9 of 11 General Conditions of Service POST REF NO: P/HC/67A JOB TITLE/GRADE: Cancer Audit Facilitator – Band 4 LOCATION: Cancer Audit Team, Ninewells Hospital, Dundee Conditions of Service Remuneration Hours of Duty The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £18,838 to £22,016 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid Monthly by Bank Credit Transfer. The hours of the post are 37.5 per week. Pay points under £21,000 will receive an additional nonconsolidated non-pensionable sum to raise basic pay by a total of £250 pro rata for part-time staff. This addition will be divided into 12 equal monthly payments, will cease on 31 March 2014 and will be noted separately on payslips Superannuation Start and finish times will be determined by the needs of the service. Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances). The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses. Contribution rates with effect from 01.04.13 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,278 £15,279 to £21,175 £21,176 to £26,557 £26,558 to £48,982 £48,983 to £69,931 £69,932 to £110,273 £110,274 and over Annual Leave Contribution 5% 5.3% 6.8% 9.0% 11.3% 12.3% 13.3% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay. On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year 1710CP- Cancer Audit Facilitator Page 10 of 11 References Occupational Health Clearance Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 Disclosure Scotland Immigration, Asylum and Nationality Act 2006 Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form. Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated. Not required. It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. Professional Registration/ Internal candidates will be required to comply with the Code of Induction Standards & CodeConduct for HCSWs. of Conduct Smoking Policy Smoking is prohibited within NHS premises and grounds. Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or Human Resources, Management Offices, Perth Royal Infirmary, Taymount Terrace, Perth PH1 1NX By closing date of Tuesday, 3 September 2013 1710CP- Cancer Audit Facilitator Page 11 of 11