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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.