Band 8c CPG Programme Manager - Women's and Children's CPG

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Our trust has around 10,000 staff serving 1.6 million patients. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers' money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

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Job overview

The Royal Free London NHS Foundation Trust is leading clinical pathway improvement across the organisation and its clinical partners to improve the sustainability of high value services for our patient population. This is achieved through the Clinical Practice Group CPG programme aiming to standardise clinical with the aim of reducing unwarranted variation in pathways. The CPG team is a dynamic and highly motivated team that is integral to implementing delivering high performing clinical pathways that deliver both financial and non-financial outcomes for patients across the group and wider system.

Main duties of the job

Key responsibilities:

To work with the clinical chair of the Clinical Practice Group (CPG)

To programme manage the Women's and Children CPG across the RFL Group

To lead the development and maintain of measurement plans for the Women's and Children's CPG

To lead, communicate, facilitate and manage multi-professional pathway development teams

To use the agreed CPG quality improvement (model for improvement) methodology in pathway development teams

To work with information system to embed the clinical pathway into hospital IT monitoring system

To lead and support the building of capability and capacity in CPG methodology

To lead and support the development of CPG methodology, evaluation and research

Working for our organisation

The Royal Free London NHS Foundation Trust is leading clinical pathway improvement across the organisation and its clinical partners to improve the sustainability of high value services for our patient population. This is achieved through the Clinical Practice Group CPG programme aiming to standardise clinical with the aim of reducing unwarranted variation in pathways. The CPG Team is a dynamic and highly motivated team that is integral to implementing delivering high performing clinical pathways that deliver both financial and non-financial outcomes for patients across the group and wider system.

Detailed job description and main responsibilities

1. Clinical Practice Group Development

• Lead, develop and establish trust wide multi-year programme for the Clinical practice group
• To lead with the Clinical lead for the Clinical Practice Group to define, design, develop and implement standardised pathways for the specialty across the group.
• Define the pathway model through collection of data and analysis to understand the current variation.
• Review current literature and external evidence base.
• To lead the patient codesign by establishing patient panels to support design of the pathways.
• Build and nurture clinical consensus from across the organisations within the Group.
• Lead the development of pathway models including clinical protocols, decision rules, referring criteria, workforce model and IT workflows.
• Appraise and select technologies relevant to pathway.
• Work with clinicians and operations across the group to identify best practice, clinical and ensure it aligns with the service line business plan.
• Work closely with the pathway development teams to adapt pathway from recommendations from a local context to group standardised pathways.
• Gather external expertise and data as required.
• Capture and identify learning from the pathway design to implementation

2. Clinical Practice Group Programme Management

• Develop programme plans for each clinical pathways development team with in the CPG including milestones, communication strategies, risks and mitigation plans while minimising disruption to existing services and ensuring these are consistent with overall Trust and NHS strategy This will entail managing the programme from inception to completion and developing short, medium and long term strategies for reducing unwarranted variation through the digitisation of pathways.
• Lead and work with others to understand and track complex interdependencies and delays between different parts of the service across the sector.
• Lead the development of clinical pathway teams based on sharing information and learning.

• Lead the pathway teams with credibility and make progress in a time of tremendous change and uncertainty.
• Have a high level of autonomy, self-drive, and able to manage multiple competing priorities and provide direction to teams.
• Work in a matrix arrangement to enable delivery of a Group wide standardised pathways.
• Manage and mitigate against risks that directly or indirectly on delivery of standardised pathway.
• Leading and managing pathway development to standardise pathways across the group and clinical partners
• Lead the delivery of value (improved quality and productivity resulting value )working with the finance and data analyst and clinical pathway team.

3. Lead the development of the Measurement Plan for Clinical Practice Group

• Lead the development of the an outcome measurement plan to:
  • Determine appropriate monitoring regime, specific to the process and outcome metrics.
  • Regularly review metrics and data sets.
  • Review variance from standardised pathway.
  • Manage and assess a complex range of data and make informed recommendations which are focussed on the clinical pathway outcomes .
  • Collaboratively determine key performance indicator to enable monitoring of clinical pathway.
  • Use statistical measurement methodology to understand variation in the current clinical processes.
• Devise and implement strategies/systems for highly complex information collection, analysis and presentation that meets the specification of the end user/client. This will include information gathering where data is difficult to get and interpret.
• Manage and analyse a highly complex range of sensitive data and making informed recommendations which are focused on continuous improvement outcomes that meet external and internal customers' and patient needs.
• Use data to present evidence and recommendations for service change to a number of audiences including clinical leads and staff, directors, and users. Use data-driven presentations to challenge existing work practices and beliefs for varying audiences.
• Ensure pathway remodelling is assessed for financial benefits and risks.
• Lead on the development of the measurement for the digital pathway to support the benefits realisation monitoring process.

4. Communication

Lead on stakeholder management within the group and external partners

• Work with all stakeholders, from internal staff to external agencies, to agree the patient pathways, from scope, size and timings of piloting pathways to change models of care; and the relevant project management and support required.
• Facilitate and mediate discussion in areas where there are differences of clinical and professional opinion and provide information to support this process.
• Work closely with service users to listen to concerns, complaints and experiences and support them to work with appropriate staff to identify and implement improvements.
• Hold user events throughout continuous projects to inform priorities and systems.
• Communicate very complex and sometimes contensious information to what may often be hostile audiences.
• Lead and support a collaboration of services users and staff to devise strategic local plans for services improvement in line with the needs of users and staff. These plans should result in a change to clinical care provided to patients.
• Determine and deliver the key performance indicators as agreed by the specific programme steering group.
• Produce monthly update reports to ensure continued engagement and progress throughout the process of pathway standardisation.
• Design, facilitate and lead project management meetings and regular meetings with stakeholders.
• Manage, motivate, persuade and influence multiple stakeholders and partners to ensure timely completion of work across the sector
• Responsible for mediating and advising in areas where there are differences of opinion
• Producing written documentation, including status reports, information/data/reports as required for organisation at divisional and executive level
• Ensure communication is appropriate for the target audience
• Making recommendations and present findings at level throught out the trust
• Lead and influence exiting opinion in order to launch and sustaine change and improvement of clinical pathways

5. Lead on the application of the Clinical Practice Group Methodology in Pathway Development Teams

• Ensure that trust wide quality improvement methodology, model for improvement is used to test improvement and other credible tools, including lean processes, are used to evaluate and analyse highly complex and contentious issues, which adversely affect current organisational performance in clinical and administrative processes.
• Use robust problem-solving skills to find and understand root causes of underperformance

• Devise and provide training in continuous improvement principles / lean techniques for a range of audiences / staff disciplines in order to transfer improvement skills across the Academic Health and Science Centre (AHSC) and enable a culture of sustainable change and continuous improvement.
• Transfer improvement skills via other forms of development such as mentoring, peer-coaching and team development sessions.

• Maintain, contribute to and share understanding of healthcare policy development throughout the hospital sites including policy, ideas and tools associated with health service development and improvement.
• Select from and translate healthcare policy, tools and techniques into materials and ideas relevant to the priorities and context of the group and AHSC services.
• Ensure pathway is built into the patient costing system (PLCS) by working in close partnership with the PLCS team.

6. Embedding the Clinical Pathway into Information System for monitoring

• In conjunction with the Divisional Information Partner ensure that clinical pathway development is tested and embedded into a digitial process
• Engage the central IT systems team support design, development and enable delivery of digitalised pathways supported by protocols and automated algorithms.
• Ensure all reports on agreed outcomes are supported by high-quality, well-presented and relevant data reports on:
• Operational efficiency
• Performance against national and local targets
• Activity and Cost data on the hospital patient level costing systems (PLCS)
• Clinical outcomes

7. Building Capability and Capacity

• Design and deliver bespoke, tools and techniques training programmes for pathway development teams supported by training materials across the group.
• Facilitate informal and formal training/workshops in improvement science for multi-professional groups to share and transfer knowledge on CPG methodology and tools.
• Keep up to date through continuous professional development.
• Apply improvement methodologies to own practice

8. Clinical Practice Group Methodology Development and Research

• Capture, identify and spread learning from pathway implementation.
• Ensure systematic coverage of academic literature relevant to the the pathway.
• Identify subject mater experts for consultation on pathway development and subsequent improvements.
• Monitor academic literature to bring in new research insight relevant to pathway.
• Undertake research and evaluation in order to contribute to the body of research in CPG methodology through quality improvement (QI).
• Promote and support the publication of improvement work eg research papers, conference posters/presentations.
• Share and publish work and innovations in quality improvement.
• Represent the trust at external events, including international conferences

9. Financial Budgetary Management

• Hold budget for CPG chair.
• Manage delegated budget effectively and within the resource constraints agreed during budget setting.
• Ensure all pathways have a cost benefit analysis to enable tracking of value.

Person specification

Royal Free World Class Values

Essential criteria

• Demonstrable ability to meet the Trust Values

Qualifications

Essential criteria

• Evidence of Masters degree, or other post graduate qualifications, or equivalent by virtue of experience.
• Evidence of significant continuing professional development in service improvement.
• Qualification in organisational change or continuous improvement
• Coaching qualification
• Qualification in facilitation, training or teaching

Desirable criteria

• Programme and agile project management qualification
• Clinical registration

Experience

Essential criteria

• Previous NHS experience
• Proven management and leadership skils including the ability to lead and empower and motivate others
• Experience of training and facilitating group development and delivering training, education and development opportunities
• Considerable experience of working in an autonomous way, working within defined parameters to meet defined objectives
• Considerable experience of scoping the programme including stakeholder management, programme design and identifying the relevant resources required.
• Understanding / Experience of providing specialist service change and modernisation advice to a range of professionals and in various environments
• Experience of working in a complex changing environment across multiple organsiationisational boundaries and services with multiple stakeholders organisational boundaries and multiple services
• Experience of influencing staff at all levels to ensure programme objectives are owned by all members of the teams including users and stakeholders
• Experience of developing, monitoring and managing budgets
• Evidence of successful delivery of financial and quality benefits within agreed timescales
• Experience of line management

• Covid-19 Vaccination

  Getting vaccinated, and getting a booster, remains the best defence against COVID-19.
  We encourage and support staff to get COVID-19 vaccine and a booster dose as and when they are eligible.

• AT* - Apprenticeship Training. Where AT* is entered next to the job title indicates that this vacancy is for an apprenticeship role.
• By applying for this role, you accept if successful, that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we require you to complete your stat and Man e-learning modules prior to joining our organisation.
• If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
• Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
• If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a "selfie" using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit www.trustid.co.uk
• The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.
• The Trust will request a DBS (CRB) if post involves regulated activities. The Trust is compliant with the Disclosure and Barring Service Codes of practice and the Rehabilitation of offenders act.
• By applying for this post you are agreeing to Royal Free London NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.
• Please be aware of scams - unless specified above, we will only communicate with you via @recruit.trac.jobs or nhs.net e-mails and we will never ask you for any payments.

Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.

Please note:

• Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification
• Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
• Interview arrangements will be communicated via email so please check your email regularly following the closing date.

Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.

Employer certification / accreditation badges

Applicant requirements

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

• Job Description (PDF, 454.9KB)
• Person Specification (PDF, 80.7KB)
• Functional Requirements (PDF, 27.3KB)
• Corporate, Admin & Clerical, Other - benefits, about RFL, values and governing objectives (PDF, 935.8KB)