Service Improvement Fellow by dfsiopmhy6


									                                 Job Description  

                       Service Improvement Fellow
             Yorkshire and the Humber Postgraduate Deanery
                   12 months Fixed Term Opportunity

Service Improvement Fellow

'Making change actually happen takes leadership. It is central to our expectations of
the healthcare professions of tomorrow'
Lord Darzi, High Quality of Care for All, NHS Next Stage Review Final Report, 2008

Sheffield Teaching Hospitals NHS Foundation Trust wishes to offer a unique
opportunity to a doctor to work as a key member of the multi-disciplinary Service
Improvement Team at Sheffield Teaching Hospitals under the leadership of
Professor Mike Richmond, Medical Director and Suzie Bailey, Service Improvement

We want to build clinical leadership capacity though identifying and developing new
talent and support high calibre individuals become innovative and accomplished

Reflecting the requirements of the Medical Leadership Competency Framework
(Enhancing Engagement in Medical Leadership Second Edition, May 2009), STHFT
will ensure the post holder has the opportunity to develop their leadership skills
through practical work as part of the Service Improvement Team:

   •   Being able to think analytically, conceptually and to identify where services
       can be improved
   •   To obtain and act on patient, carer and service user feedback and
   •   To assess and analyse processes using up-to-date improvement
   •   To identify healthcare improvements and create solutions through
       collaborative working
   •   To appraise options, and plan and take action to implement and evaluate
       improvements in partnership with directorate clinical teams and senior

The post holder will be offered mentoring and coaching to support them during the
role and will join a team which includes consultant medical staff.
Clinical Service Improvement Programme

The Clinical Service Improvement is central to our agenda as we endeavour to
provide services of a high quality at reduced cost. We have identified an ambitious
set of objectives for 2010/11 in collaboration with senior clinical colleagues including:

Quality Inpatient Care
Improving Outpatients
Highly Productive Theatres
Improvements to Medicines Management
Introduction of Hospital at Night (RHH)
Integrated Care working with the NHS Sheffield and key external stakeholders
Therapy capacity

   •   We cannot achieve ‘Excellence as standard’ (quality care for our patients)
       without a robust financial future.

   •   Patient safety and quality of care remain the priority. Clinical and corporate
       service improvement has to be achieved to further improve quality of services
       and deliver them in a more efficient way. ‘Quality counts – good for patients
       and good for STH.’ Delivering high quality services with less money is our
       focus for the next 3-5 years.

   •   Inevitably means we need to improve the way we deliver services and
       achieve greater flexibility in the deployment of our workforce.

General background information:

In 2008 STHFT launched an ambitious new corporate strategy ‘Excellence as
Standard’ which had at its core a vision for the Trust to become a “provider of world
class services and top quality teaching and research”. It focuses on three key aims:

       •   Clinical excellence – To achieve excellence in all clinical services at
           STH, to provide seamless, coherent care and treatment and to deliver top
           decile performance in terms of clinical quality, safety, performance and
           outcomes. To become a health sciences centre with a top quality portfolio
       •   of research, innovation and development, to be a top of the range provider
           for educating and training healthcare professionals.

       •   Being patient focused – To develop STH as ‘best in class’ nationally. To
           improve the comfort, quality, convenience and sustainability of our
           services. To deliver a step change improvement in customer service by
           responding to patient feedback. To play a greater role in the local
           community, supporting the development of the local economy, promoting
           public health and increasing public involvement. Diversifying the range of
           services provided by the Trust into new areas, establishing new services
           and creating partnerships and joint ventures with other organisations to
           develop income streams and new services that benefit patients and the

       •   Engaged staff – To fully engage with our staff in the next stage of STH’s
           development maintaining its position as the leading foundation trust in the
           country. To support our workforce so that it is equipped to provide
           excellent clinical and customer care. To engage staff in the efficiency and
           improvement agenda, to be the preferred employer of choice, to improve
           the health and well being of our staff and to ensure our governance
           arrangements are professional, robust and fit for purpose.

These key aims are underpinned by three essential enabling strategies; financial
strength and stability, the optimal configuration of clinical services and an extensive
programme of leadership development. Whilst connecting with the three aims and
the other two enabling strategies, this paper is particularly focused upon maintaining
financial strength and stability.

Whilst STH is a highly successful organisation it needs to become more efficient and
effective in its delivery of care. This means doing more for less and improving patient
pathways so that our patients receive the best clinical outcome and patient
experience whilst reducing our operating costs.

There is considerable scope for improvement in the use of our resources and in
particular in the use of our staff. Traditionally our systems have evolved as opposed
to being designed from first principles around the needs of patients. This means that
we have inadvertently built inefficiencies into our systems and analysis demonstrates
that we have higher costs in some areas than many comparable organisations.

To deliver on this challenging agenda, we need to manage and support quality and
productivity improvement as core business within the organisation and as continuous
effort rather than a temporary fix. We have provided clear direction through our
Corporate Strategy “Excellence as Standard” and now need to ensure that we
address capability, capacity and systems and processes to make our plan a reality.
We need to infect our teams with enthusiasm for these changes and place them in
charge of local delivery ensuring they are set up to succeed.

The Institute for Healthcare Improvement (IHI) uses a simple mantra to describe the
essential elements for strategic improvement: Will, Ideas, and Execution. They
maintain that you have to have the Will to improve, have Ideas about alternatives to
the status quo, and then you have to make it real — Execution. Using this model,
analysis of the current STH position is that we have much of the Will to change,
many Ideas on alternatives but that we need to significantly improve our Execution of
those ideas.

Implementing the new agenda will require creative service improvements, robust
information analysis and strong performance management and above all, strong
leadership. Engaging the workforce will be the single most important task to
guarantee success.


We are looking for specialist trainees at ST3, candidates will be motivated to become
the medical leaders of the future. Applicants must have attained a successful ARCP
at CT2/ST3 level prior to taking up appointment to one of these posts, which are
expected to commence from August 2010.

Eligibility will be assessed against the person specification.

For informal enquiries please contact:

Andrew Gibson, Director of Postgraduate Medical Education

Closing date:                  21st June 2010
                              CLINICAL EDUCATION LEADERSHIP FELLOW
                                  GENERIC PERSON SPECIFICATION
                               FOR THE FOLLOWING 12 MONTHS OPPORTUNITIES

                                    ENTRY CRITERIA FOR SPECIALTY TRAINEES
                                        ESSENTIAL                                   DESIRABLE
Qualifications   •   MBBS or equivalent medical qualification                 •   Distinction, prizes or   Application form
                 •   Successful completion of MRCS or equivalent at               honours during
                     time of application                                          Postgraduate training
                                                                              •   ALS/APLS/ATLS
                                                                                  instructor status
Experience       •                                                Clinical    • Well presented log         Application
                     experience in acute healthcare other than within           book or professional       form/Interview/
                     main specialty                                             portfolio                  Selection centre

Eligibility      •   Eligible for full registration with the GMC at time of                                Application form
                     appointment and hold a current licence to practice.
                 •   Evidence of achievement of postgraduate medical
                     training in line with GMC standards/Good Medical                                      Application
                     Practice.                                                                             form/Interview/
                                                                                                           Selection centre
                 •   Satisfactory completion of clinical training
                 •   attachments (RITA C or ARCP1) both in central
                     (Teaching) and peripheral (District General) acute                                    Application form
                 •   Hold an NTN at ST3 and above from 1.08.2010
                 •   Eligibility to work in the UK
Teaching         •   Enthusiastic and experienced in teaching clinical        •   Experience of            Application
                     skills in the workplace or training environment              simulation based         form/Interview/
                                                                                  teaching                 Selection centre
                                                                              •   Has successfully
                                                                                  completed a ‘training
                                                                                  the trainers’ or
                                                                                  ‘teaching skills’
                                                                              •   Presentations at
                                                                                  l meetings
Fitness To       Is up to date and fit to practise safely                                                  Application form
Health           Meets professional health requirements (in line with                                      Application Form
                 GMC standards/ Good Medical Practice)                                                     Pre-employment
                                                                                                           health screening
                                    ESSENTIAL                                  DESIRABLE
Career        •   Ability to provide a complete employment history       Completion of one year’s     Application Form
Progression   •   Evidence that career progression is consistent with    experience in general
                  personal circumstances                                 surgery by the start time
                                                                         of appointment (for the
              •   Evidence that present achievement and
                                                                         Hull and East Yorkshire
                  performance is commensurate with totality of period
                  of training
              •   • At least 24 months’ experience in specialist
                  training (not including Foundation modules)

Academic/     Research Skills:                                           •   Evidence of relevant     Application Form
Research      •   Demonstrates understanding of the basic principles         academic & research      Interview/Selection
Skills            of audit, clinical risk management & evidence-based        achievements, e.g.       centre
                  practice                                                   degrees, prizes,
                                                                             awards, distinctions,
              •   Understanding of basic research principles,                publications,
                  methodology & ethics, with a potential to contribute       presentations, other
                  to research                                                achievements
              •   Audit: Evidence of active participation in audit       •   • Evidence of
              •   Teaching: Evidence of contributing to teaching &           participation in risk
                  learning of others                                         management and/or

Personal      Judgement Under Pressure:                                  •   Motivated and able to    Application Form
Skills        • Capacity to operate effectively under pressure &             work unsupervised as
                  remain objective In highly emotive/pressurised             well as within a small
                  situations                                                 team under
              • Awareness of own limitations & when to ask for help          appropriate guidance
              Communication Skills:                                      •   Experience of using
              • Capacity to communicate effectively & sensitively            statistical data
                  with others                                                analysis tools( e.g.
              • Able to discuss treatment options with patients in a         SPSS)
                  way they can understand
              • Excellent written and verbal communication skills
              Problem Solving:
              • Capacity to think beyond the obvious, with analytical
                  and flexible mind
              • Capacity to bring a range of approaches to problem
              Situation Awareness:
              • Capacity to monitor and anticipate situations that
                  may change rapidly
              Decision Making:
              • Demonstrates effective judgement and decision-
                  making skills
              Organisation & Planning:
              • Capacity to manage time and prioritise workload,
                  balance urgent & important demands, follow
              • Understands importance & impact of information

                                     ESSENTIAL                                DESIRABLE
Personal        •   Excellent interpersonal skills
Skills contd…   •   Evidence of ability to present oneself in an
                    organised, professional manner
                •   Evidence of understanding of the importance of
                    team work
                •   Experienced with Microsoft Word including
                    PowerPoint, word-processing and spreadsheet
                •   Able to travel within Yorkshire and the Humber and
Leadership      •   Evidence of leadership experience                    Evidence of previous   Application form
                •   Clear vision of role of leadership fellow            leadership roles

Safety &        •  Experience of quality & safety improvement in                                Application form
Quality            training                                                                     Interview
improvement     • • Ability to understand safety and quality processes
                   and improve these
Probity         Professional Integrity:                                                         Application Form
                • Takes responsibility for own actions                                          Interview/Selection
                • Demonstrates respect for the rights of all                                    centre
                • Demonstrates awareness of ethical principles,                                 References
                   safety, confidentiality & consent
                • Awareness of importance of being the patients’
                   Advocate, clinical governance & responsibilities of
                   an NHS Employee

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