Contents Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: Section 7: Section 8: Section 9: Introduction to Appointment Person Specification Job Description NHS Lothian Values General Information for Candidates Working in Edinburgh and the Lothians Workplace Equality Monitoring Equal Opportunities Policy Statement Code of Conduct for Healthcare Support Workers

Section 1: Introduction to Appointment Reference Number: RIE/STAG/B6/1718/409 Job Title: STAG Co-ordinator Grade: Band 6 Location: The Royal Infirmary of Edinburgh Contract Duration: Permanent Hours: Full and Part-Time Hours available Closing Date: 12 April 2018 Salary Scale: 26,830-35,933 pro rata per annum Apply on-line www.jobs.scot.nhs.uk Please note the e-mail address you provide on the application form will be used to communicate any further correspondence relating to this vacancy therefore please check your TRASH and SPAM folders This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post. **Please note: we anticipate a high level of interest in this position and may close the vacancy early once a sufficient amount of applications are received. Therefore, please make sure you complete and submit your application at an early stage.**

Section 2: Person Specification NHS LOTHIAN Post: STAG Coordinator PERSON SPECIFICATION In order to be shortlisted you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist. Criteria Essential Desirable How assessed Personal Traits Self motivated Enthusiasm for innovation Ability to work independently and within a multidisciplinary environment Attention to detail Flexible approach to workingrequirement Demonstrate a keen interest in clinical audit and quality improvement Diplomatic and calm under pressure Negotiation and diplomacy skills A, I, R Qualifications and Training Registered General Nurse or Allied Health Professional Educated to degree level or equivalent experience Evidence of continuing professional development High Standard of Education Advance keyboard and IT skills. Current ICH GCP Certification A, C, I Experience and Knowledge Skills and/or Abilities Understanding of patient advocacy Evidence of teaching and supervising others Recent continuous post Registration practice across a broad range of clinical settings. Evidence of highly developed clinical and technical skills Excellent written and verbal communication skills Experience of clinical audit and/or research Experience of delivering presentations to multidisciplinary groups or individuals A, I, R A, I, C, R

Specific Job Requirements Excellent team working skills with ability to work using own initiative Excellent organisation skills Ability to work under pressure/meet deadlines with priorities constantly changing including resource challenges Excellent degree of accuracy and ability to concentrate for long periods of time, willingness to resolve work related issues. Understanding of health care procedures and patient confidentiality. Excellent time management/prioritising skills A, I A = Application form C = Copies of certificates P = Presentation Key how assessed I = Interview T= Test or exercise R = References

Section 3: Job Description 1. JOB IDENTIFICATION Job Title: Responsible to (insert job title): Department(s): Directorate: Operating Division: Job Reference: STAG Coordinator Clinical Nurse Manager Emergency Department Acute, Surgical Services & Emergency Medicine RIE Lothian University Hospitals Service RIE/STAG/B6/1718/409 No of Job Holders: 2. JOB PURPOSE To improve the management of patients by the collection and prompt dissemination of prospectively collected high quality clinical data. Provision of a comprehensive clinical audit data management service ensuring the collection, maintenance and submission of high quality clinical data for audit purposes. To utilise information gathered through ongoing audit and/ or sprint audits to influence clinical practice leading to streamlined and improved services and outcomes for patients. 3. DIMENSIONS The post is to provide facilitation of the Scottish Trauma Audit Group (STAG) for relevant sites across NHS Lothian. NHS Lothian principle acute hospitals are the Royal Infirmary of Edinburgh, the Western General Hospital, St John s Hospital and the Royal Hospital for Sick Children. The post holder will be expected to collect and enter data relating to approximately 130 000 p.a. or 350 per day to be included in the audit/ register for STAG following agreed national guidelines and protocols. The Royal Infirmary is a university teaching hospital, operating in the acute division of NHS Lothian. The Department is the major Emergency Department and is the designated receiving hospital in the event of major, chemical, biological, nuclear or radiation incident for Lothian and the Borders. Patient attendance is approximately 130 000 p.a. or 350 per day and presentations range from minor injuries or illnesses to those who require immediate resuscitation either in hospital or in the pre-hospital setting. Performance indicators are continually assessed and used to drive service improvement.

The post holder is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands. 4. ORGANISATIONAL POSITION General Manager Surgical Services RIE Medical Director (Acute Services) Clinical Nurse Manager Service Manager Associate Medical Director Major Trauma Centre Clinical Lead Clinical Lead Acute Trauma Rehabilitation STAG Coordinator (THIS POST) 5. ROLE OF DEPARTMENT The role of the management team is to: Provide visible leadership and direction Deliver effective and efficient clinical services Manage all resources within designated clinical service Achieve all quality and performance targets Benchmark all services ensuring they provide value for money Ensure compliance with all governance standards 6. KEY RESULT AREAS Working as part of a multi-disciplinary team the main duties of the post holder will be to contribute to the

aims of STAG. This will involve ensuring that complete, accurate, and timely data are available on an ongoing basis. This is required to monitor the quality of care provided to patients and associated outcomes of care, and to enable improvements in care to be identified and implemented. 1. To be responsible for developing and implementing methods of comprehensive case ascertainment to identify patients eligible for inclusion in the audit/ register using data provided from other sources e.g. IT systems, case notes, ward records and attendance at multidisciplinary meetings etc. and according to agreed national inclusion/ exclusion criteria. 2. Be responsible for the accurate and reliable data collection and input of audit data information via standard proformas to the STAG. 3. Develop relationships with clinicians and other relevant staff to ensure that all appropriate patients are included in the audit/ register and that guidance can be sought for clarification of specific clinical conditions/ terminology. 4. In addition to reports produced centrally by the national audit/ registry team there may be a requirement to prepare and present audit reports locally in a variety of formats (e.g. written reports, tables, charts, formal presentations). 5. To disseminate audit reports enabling inter-hospital comparisons and improvements in performance by measuring progress against local and national targets, reporting as necessary and taking appropriate action in resolving problems. 6. Ensure that members of the multidisciplinary team are aware of the results and recommendations from STAG on a monthly basis (or otherwise arranged). 7. Assist in promoting compliance with local protocols, SIGN guidelines and national clinical standards or key/ quality performance indicators informing the lead clinician/ lead nurse of progress achieved. 8. To manage sensitive clinical data on a daily basis in a manner which ensures confidentiality and security as required by local Health Board policies and legally according to the Data Protection Act 1998. 9. To liaise regularly with the national audit/ registry team to ensure that national guidance is adhered to locally. This will involve attending National Audit Coordinator meetings in order to network with colleagues from across Scotland and participate in the further development of the audit/ register. 10. Liaise with other hospitals and providers of care in order to complete required national audit/ register requirements, e.g. rehabilitation services, Scottish Ambulance Service, Allied Health Professionals etc. 11. Responsible for the quality assurance of the audit data submitted to the national audit/ register team working closely with them to correct any validation queries. 12. To attend formal and informal meetings at a variety of levels local, regional, national where the audit data are discussed.

13. Assist in promoting audit/ register to all members of the multidisciplinary team in a proactive manner. 7a. EQUIPMENT AND MACHINERY Personal computer/ lap top entering of data electronically may be a requirement of the national audit/ registry, but in addition to this communication will be required by email and there will be a requirement of the use of other IT systems, e.g. patient management systems, picture archiving systems etc. Photocopier/ scanner Printer Phone communication will be required both internally and externally 7b. SYSTEMS Good understanding and use of a variety of systems and packages is required, e.g.: National audit/ registry database (as appropriate) Microsoft packages such as Word, Excel, PowerPoint and Outlook. NHS mail systems. NHS patient management systems (will vary by hospital specific systems should be added) Internet There will be a requirement to adhere to agreed IT security policies when accessing the various systems and managing the use of usernames and passwords. 8. ASSIGNMENT AND REVIEW OF WORK The post holder will report to Clinical Nurse Manager and work will be directed by Clinical Lead and Clinical Nurse Manager. The post holder will also liaise closely with the lead clinician(s), and with other key clinical and nonclinical staff within the service(s) concerned. The post holder is subject to annual objective setting and appraisal. Personal objectives and a personal development plan will be agreed and reviewed within the same cycle. 9. DECISIONS AND JUDGEMENTS The post holder works in relative isolation with occasional supervision from their line manager. The post holder will work within clearly defined guidelines and protocols development by the national audit/ registry team and with the support of the central audit/ registry team and the local multidisciplinary team.

The post holder will practice at all times within the Nursing and Midwifery Council code of professional practice. The post holder uses their initiative to manage day to day workload with the minimum of supervision prioritising on a daily/ weekly basis adjusting priorities dependent on demand and working in a flexible manner as required. The post holder shows considerable self-motivation in ensuring the quality and integrity of the data held, managing the workflow, ensuring accurate analysis and meaningful reporting, and providing data to improve services. The post holder will check data for accuracy/ completeness and will identify any anomalies highlighting them to clinical staff for clarification as appropriate. 10. MOST CHALLENGING/ DIFFICULT PARTS OF THE JOB Main difficulties are managing the collection of prospective audit data, ensuring that all appropriate patients are included. Being available in person or by telephone to alleviate or assist with any problems relating to the collection of the audit/ register data. Having the ability to co-ordinate monitor and prioritise multiple tasks. Managing workload to tight deadlines whilst ensuring that information provided is of a high quality. Working at computer for long spells and keeping up to date with changes to IT systems. Ensuring that robust systems are in place to ensure data completeness. 11. COMMUNICATIONS AND RELATIONSHIPS The post holder will be required to communicate effectively to establish good working relationships with colleagues, members of the central audit/ register team and patients. NHS Lothian Regular face to face and telephone contact with: Relevant clinicians, nurses and other multidisciplinary team members and service managers Radiology colleagues/ Allied Health Professionals IT staff Medical Records and secretarial staff Administrative staff within relevant clinical groups Managed Clinical Network [as appropriate] Patients/ carers/ family/ general public External organisations

Maintain contact with: Scottish Trauma Audit Group Other Local Audit Coordinators across Scotland 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical: Manual dexterity required for use of mouse and keyboard. Prolonged periods sitting at work station and looking at computer screen. Manual handling of multi-volume case notes. Requirement to move and work between hospitals in region. Requirement to attend meetings across the region/ nationally. Mental Long periods of concentration e.g. reading and interpreting case notes, entering data onto forms and/ or into databases, checking data against definitions and ensuring data quality. Working in busy clinical/ office environments with regular interruptions when required to concentrate as above. Requirement to balance output against ensuring quality of data. Working independently of others. Emotional Difficult subject matter exposure to sometimes distressing information. Frustration when IT systems become unavailable. Presenting clinical audit findings in a formal environment. 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB ESSENTIAL: Qualifications: Registered clinician, e.g. registered nurse/ AHP with evidence of current registration. Post registration experience at band 5 or equivalent in relevant clinical area. Experience of health research/ clinical audit/ data management/ health information. Key personal attributes: Well developed organisational skills Consistent attention to detail Positive and flexible approach with good time management Able to work as a team member and autonomously Self-motivated and determined Able to work to tight deadlines Special skills: Effective listening and interpersonal skills

Well developed communications skills (written and verbal) Good numeracy and computer skills (especially demonstrated experience in use of MS Office packages). Report writing and presentation skills. Medical terminology DESIRABLE Work experience: Statistical awareness 14. JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each job holder to whom the job description applies. Job Holder s Signature: Date: Head of Department Signature: Date:

Section 4: NHS Lothian Values into Action NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are: Quality Dignity and Respect Care and Compassion Openness, Honesty and Responsibility Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk Section 5: General Information for Candidates Data Protection Legislation Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with Data Protection Legislation. Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.auditscotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application. NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following: For posts in regulated work Protection of Vulnerable Groups Scheme membership For all other posts which are subject to a criminal conviction record check A Police Act check

For posts not subject to a criminal conviction record check A self-declaration For further information please visit our careers site: /HelpAndAdvice/Recruitmentofexoffenders/FAQsdisclosurescotlan dandselfassessmentform/pages/default.aspx Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: /HelpAndAdvice/Recruitmentofexoffenders/Pages/default.aspx Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/overseasworkers/pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.) Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV s as a form of application.

For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/helpandadvice/applyingforposts/pages/default.aspx Section 6: Working in Edinburgh and the Lothians NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/aboutnhslothian/location/relocatingtolothian/pages/default.as px Section 7: Workplace Equality Monitoring NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally. Section 8: Equal Opportunities Policy Statement NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination.

The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/aboutnhslothian/equalopportunities/pages/default.aspx Section 9: Code of Conduct for Healthcare Support Workers If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf