DDaT Clinical Change Manager

Royal Berkshire Hospital are pleased to announce that following our CQC inspection we have been rated 'Good' with inspectors reporting that we have made significant improvements. The Trust's overall rating has also improved to 'good'. This is a great opportunity to join our clinical or non-clinical teams to create a positive and motivating environment within our trust. Come and join our team in this exciting time of change as we pride ourselves, our staff and our services on excellence.

At the Royal Berkshire NHS Foundation Trust we put our patients at the heart of every element of health and care that we provide. The Trust works together as a community to deliver its vision which is "Working together to provide outstanding care for our community."

We are Compassionate in our thoughts, words and actions

We are Aspirational and have a true desire to be dynamic and to innovate

We are Resourceful and responsible in the way we work and live

We are Excellent in our development, fairness and sharing best practice

Amazing things happen at the Royal Berkshire NHS Foundation Trust; delivered by amazing people so why don't you come and join us. We offer a range of learning and development for all employees may you be clinical or non-clinical., An exciting opportunity has arisen for a fixed term 2 year role as a senior clinician with systems implementation experience, this role is to provide a bridge between clinical stakeholders and colleagues within the DDaT project team(s).

As the intermediary, this role will provide clinical insight to the project team and validate the proposals impacting clinical processes and patient care. The post holder will provide clinical leadership; championing sustainable clinical process change.

This DDaT Clinical Change Manager role will have substantial nursing and management expertise, being a Registered Nurse/ midwife with a keen understanding of national and local nursing strategies, policies and best practice.,

• With experience of working within a project team to implement clinical information systems within an acute hospital, to work within the IM&T Programme Delivery team to implement systems and the supporting processes.


• As a senior clinician with an appreciation of clinical and operational settings, to guide departments/team managers through business change and transformation; performing impact analysis and planning of the new systems and technologies; and assessing changes to their processes, organisation and information (electronic and paper reporting).


· With good experience of business benefits realisation within a project environment:

Ø To be the owner of project benefits realisation documents (from benefits identification, analysis & planning, to transition and realisation).

Ø To work with local benefit owners (who work within a department) to ensure that systems are in place; practices and cultural changes are imbedded to enable benefits to be realised.,
• To utilise highly developed communications skills to deliver presentations, written and verbal communications, sensitive to the target audiences.


• With highly developed negotiation and conflict management skills, to ensure the best outcomes are achieved for the Trust, its patients and staff. This is a key skill for a role introducing change, where change may be perceived as a threat.


• To build strong relationships with the Clinical Chief Information Officer (CCIO), the DDaT Strategic Change Consultant, and the Nursing Director (and team), to ensure that the post holder relays current thinking and future clinical strategies within the DDaT project(s).


• To develop internal and external networks with peers to share good practice.


• To represent DDaT project(s) within Trust, Care Group, and Departmental meetings, ensuring clear and positive communication flows between Trust areas.


• To receive highly complex information then to communicate this clearly and concisely to clinicians, managers and other groups of staff across the organisation.


• To use effective communications to build the engagement, understanding and commitment of to the project from clinical stakeholder groups (wards, departments, multi-disciplinary groups).


• With excellent listening skills, to capture user 'business' and clinical requirements, which is a key input into a solution design phase, and to lead clinical colleagues towards a consensus and clinical sign-off of plans, policies and procedures.


• As a skilled communicator, to ensure clear communications with fellow project team members and DDaT colleagues (Informatics, Applications Support etc).


• Throughout the project delivery phase, to regularly provide updates and forecasts to the project manager, for areas of responsibility.


Analytical Skills


• To use strong problem solving skills and techniques for a range of problem types: process, technical, financial, and softer skills areas, so needing to be highly articulate and numerate.


• To collect, analyze and document the business requirements together with existing and new clinical processes. The post holder must assimilate clinical information in a complex and rapidly changing situation.


• Throughout the project to identify and analyze clinical risks, enlisting the appropriate clinical and DDaT colleagues to agree on risk management strategies.


• Working with the project team to assess business requirements and current processes, against the software capabilities and processes options to achieve a solution design covering

+ Configuration of the systems
+ Supporting processes
+ Additional requirements such as reporting and information migration
+ Resolutions for gaps in software capability (altered processes, changed configuration, request to supplier for change).

Development & Innovation of Information Systems


• Provide clinical advice when investigating various new technological devices and how they may impact on clinical staff.


• To provide advice to clinician managers regarding options for systems adoption ensuring that they understand the impacts, benefits and risks associated with each option.


• To oversee user acceptance testing (UAT) for a project, developing UAT plans, ensuring the appropriate scenarios are tested to agreed priorities and that the right clinical and operational staff are involved in the testing.


• To perform system and UAT testing as required, using an in depth knowledge of the systems and the associated clinical processes.


• To assess a system's 'go live' readiness and achieve sign off from relevant clinical stakeholders.


• In particular, to be the owner of the project's Benefits Realisation documents, from benefits identification, analysis & planning to transition and realisation.


• For benefits realisation, to capture and track anticipated (and unexpected) benefits. Measure progress, through capture of baseline statistical and non-statistical information. Design reporting for capture and presentation of key information to project board and other forums.


• To assist configuration analysts as required, with system's configuration and configuration testing.


Planning and Organisational Skills

For each project

• During Project Initiation phase, to work with the project manager for project planning; providing input relating to business change, communications, stakeholder management, user acceptance testing(UAT), transformation and benefits realisation.


• To assist with project estimates for time, costs and resources relating to areas of expertise.


• Work to deadlines and complete agreed deliverables to the quality standard and timescales agreed within the project.


• Detailed planning and organisation of UAT phase.


• To anticipate and plan for operational changes to 'business as usual' staffing profiles for clinical and operational staff.


• Once a project has delivered the planned outputs/capability, to continue to work with the clinical stakeholders to realise the anticipated benefits (which may continue for a considerable time). Plan for formal reviews of performance against plans.


Patient Care


• To demonstrate specialist clinical knowledge and apply this to the decisions regarding patient care and safety.


• Present and participate in the development of Trust systems in accordance to Nursing & Midwifery Council (NMC) standards and other professional standards.


• Ensure patient confidentiality in accordance to NMC Code of Conduct and Data protection Act/Caldicott Guidance.


• Demonstrate patient advocacy when appropriate.


• Throughout the project phases, to identify and analyze clinical risks, enlisting the appropriate clinical colleagues (medical & allied professions) and DDaT colleagues for management of those risks.


Policy

• To adhere to policies, procedures and guidelines that govern practice at national and local level.


• To oversee monitoring of adherence to policy and procedures working with responsible managers.


• With an in-depth knowledge of healthcare workflows & underlying business requirements to be responsible for the development of new policies and procedures relating to specific projects.


Financial

• To work with clinical, operational, finance colleagues to forecast benefits (financial and soft benefits) and to track and report upon the progress towards full realisation.


Management Structure

• Managerial reporting line to the Associate Director of DDaT, Programme Delivery and 3rd Line Support.


• Professional Reporting line to an Assistant Director of Nursing.


• Project reporting to either the Programme or Project Manager.


• To report within the appropriate structure when working on out of hours call rota for DDaT or Nursing.


Decision Making

• To assess complex scenarios and lead on decision making in relation to

+ Systems configuration for clinical users
+ Clinical processes
+ Clinical devices
+ Change management
+ Benefits management

• Having reached a consensus among clinicians, to make related decisions that represent that group's consensus.


• To take responsibility for personal decision making and review outcomes in order to refine and develop clinical practice.


• Working within wider project plans, to plan and organise own work on day-to-day, week-to-week and month-to-month basis.


• To review and 'sign off' training material for a project in advance of training delivery.


• To gain sign off from clinical user for UAT.


• To assess readiness and gain 'sign off' from users for 'go live' for a new system and processes, and to represent the users' decisions (and criteria).


• To assess complex issues and facilitates decision making.


• The DDaT Programme Delivery Team also provides a 3rd Line Support Service (software solution expert advise), for problems with 'production' software systems.

+ On occasion, to provide ad-hoc support and advice during working day.
+ To provide on-call DDaT cover out of hours, as part of an existing rota. This will use the systems and business knowledge.
+ For 3rd line support of live systems, to represent clinical priorities and draw upon the appropriate clinical colleagues, to make decisions regarding system down time and workaround processes.
+ Liaise with EPR system suppliers to represent the Trust's issues or requirements.

Teaching and Training

• To work with DDaT training colleagues to develop training material, developing their clinical knowledge and ability to deliver successful project training across a wide range of users within the Trust.


• Where appropriate teach and coordinate other project team members and clinicians who closely involved with a project implementation.


• Prior to and follow a release of a new system and processes to clinical users, to be 'on the ground' giving support, guidance, and in-situ training to end users; resolving issues and making decisions regarding interim workarounds.


. Personal development


• To take responsibility for maintaining own personal development plan, appraisal timetable and supporting documentation. To pro-actively seek the feedback of others.


• To keep abreast of national and local nursing (and wider clinical) strategies, policies and best practice., 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.
  
  Highly advanced interpersonal and influencing skills, with the ability to identify & overcome resistance to change.


Highly developed negotiation & conflict management skills.

Able to work under pressure, dealing with peaks and troughs in workload, managing unpredictable demands.

Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace.

Able to develop, establish and maintain positive relationships with others both internal and external to the organisation.

Excellent interpersonal and communication skills

Highly motivated and reliable

Has a strong degree of personal integrity; able to adhere to standards of conduct based on a culture of equality and fairness

Willingness to work on rotas for DDaT or Nursing,
• Evidence of post graduate education to Masters level or significant equivalent experience relevant to the role.


• Professional clinical qualification, with clinical experience at a senior level of a minimum of two years.


• In depth knowledge of healthcare workflows & underlying business requirements across all component of an acute NHS Trust


Desirable criteria


• Evidence of working at a Band 8 level


• Willingness to work to a flexible working pattern if necessary and where possible i.e. to support a new system go live, Highly articulate and numerate with skills in analysing & evaluating information to stimulate performance and financial improvements via the use of technological solutions, You must have appropriate UK professional registration.
  
  By applying for this post you are agreeing to Royal Berkshire NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are appointed to a post information will also be transferred into the national NHS Electronic Staff Records system.


Appointment to any position is conditional on the satisfactory completion of the core NHS Employment Checks Standards. Information disclosed in your application will be checked and any offer of appointment may be withdrawn if you knowingly withhold information or provide false or misleading information. All new appointments to the Trust, with the exception of executive positions, are subject to a 6 month probationary period.

The Trust may close any vacancy prior to the advertised closing date due to the high level of responses we receive for some of our vacancies.

Royal Berkshire NHS Foundation Trust is committed to improving the health of its staff, patients and the wider community by providing a smoke free environment. A smoke free policy is in operation and smoking is not permitted on any of the Trust's sites.

Staff Benefits

• Flexible working opportunities and a strong emphasis on your work, life balance


• Annual leave - 27 days for new starters, plus bank holidays. Increasing to 29 days after 5 years and 33 days after 10 years NHS service. Pro rata for part time staff


• NHS pension scheme


• Employee Assistance Programme


• Money Advice Service


• Generous maternity, paternity and adoption leave for eligible staff


• On-site nursery (based at RBH)


• Full educational library services


• Cycle to work scheme, lockable storage for cycles


• Bus to work scheme


• Excellent rail and bus links


• A huge range of Health Service Discounts at hundreds of big brands from holidays to gadgets and restaurants to retail.