Lothian NHS · PDF fileand Organisational Development Cc: Chief Executive Enc. ... MIDAS...

Lothian NHS Board =Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG =Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk

Date: 11/06/2015 Our Ref: 5225 Enquiries to : Bryony Pillath Extension: 35676 Direct Line: 0131 465 5676 [email protected]

Dear FREEDOM OF INFORMATION – JOB DESCRIPTION I write in response to your request for information in relation to the job description for the Lead Infection Prevention and Control Nurse post, NHS Lothian. I have been provided with information to answer your request by Ms Fiona Cameron, Head of Infection Prevention and Control, NHS Lothian. Question:

[Please provide] a matched job report and KSF outlines for the recent post advertised ref: IC/2015/01 Lead Infection Prevention and Control Nurse. I have been sent the job description, Role profile and person specification but I need a matched job report and KSF outline.

Answer:

I have enclosed the Lead Infection Prevention and Control Nurse Job Description, consistency report, and KSF outline.

I hope the information provided helps with your request. If you are unhappy with our response to your request, you do have the right to request us to review it. Your request should be made within 40 working days of receipt of this letter, and we will reply within 20 working days of receipt. If our decision is unchanged following a review and you remain dissatisfied with this, you then have the right to make a formal complaint to the Scottish Information Commissioner.

5225 Lead IPCN Job Description June 2015

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If you require a review of our decision to be carried out, please write to the FOI Reviewer at the address at the head of this letter. The review will be undertaken by a Reviewer who was not involved in the original decision-making process. FOI responses (subject to redaction of personal information) may appear on NHS Lothian’s Freedom of Information website at: http://www.nhslothian.scot.nhs.uk/YourRights/FOI/Pages/default.aspx Yours sincerely ALAN BOYTER Director of Human Resources and Organisational Development Cc: Chief Executive Enc.

NHS LOTHIAN LEAD NURSE

INFECTION PREVENTION & CONTROL JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title: Lead Nurse Infection Prevention & Control Responsible to: Head of Service Infection Prevention & Control Reports to: Head of Service Infection Prevention & Control Department(s): Infection Prevention & Control Services Directorate: Nursing Operating Division: NHS Lothian Job Reference: No of Job Holders: 1 WTE Last Update: 30 July 2013

2. JOB PURPOSE

Through clinical expertise and leadership, translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans. Through professional leadership and influencing skills, play a key role in shaping the development of practice in relation to infection prevention & control, supporting patient safety through the reduction in healthcare associated infection. To provide line management in accordance with relevant employment policies for Regional Leads and NHS Lothian Infection Prevention and Control Nurses. Contribute to development of local, national and international knowledge of HAI through contribution to research and specialist publications. To act as the Deputy for the Head of Service, Infection Prevention & Control in the strategic management of Infection Control within NHS Lothian.

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3. DIMENSIONS

NHS Lothian encompasses both hospitals and community sites. The geographical area includes Edinburgh, East, Mid and West Lothian. The Infection Prevention and Control Service, with a total of 29 staff comprising 25.55 WTE inclusive of this post, is responsible for providing Infection Prevention and Control advice to NHS Lothian, patients, staff and relatives there-in 7 days per week, encompassing:

• Acute, Non Acute and Paediatric Clinical Services across NHS Lothian • Allied Health Professionals on all sites • General Support Services on all sites • Estates Services on all sites • PFI partners • GP practices throughout NHS Lothian • Health Centres throughout NHS Lothian • Community dental sites throughout NHS Lothian • Podiatry sites throughout NHS Lothian • Nursing Homes • Schools/Nurseries • Scottish Prison Service

The post holder will be required to work across all sites of NHS Lothian Acute, Non acute and Community Health Care Partnerships (CHCP). The Infection Prevention & Control Service has a recurring annual budget in the region of £1.084 million. As the nominated deputy for the Head of Service across their whole portfolio, the Lead Nurse is an authorised signatory up to value of £10K. The post holder is expected to lead complex change across organisational cultural and professional boundaries working collaboratively within the organisation and with other key agencies concerned with infection prevention and control and the promotion of patient safety across Scotland.

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4. ORGANISATIONAL STRUCTURE

NHS Lothian Infection Prevention and Control Team Structure

5. ROLE OF DEPARTMENT

To provide a comprehensive Infection Prevention and Control Service across NHS Lothian. In conjunction with Health Protection/Public Health, multi disciplinary teams, and external agencies develop and maintain strategies for the prevention, surveillance and control of infection. To work collaboratively with Health Protection/Public Health, Clinical and Non-clinical services to develop and improve standards and quality of patient care across NHS Lothian by ensuring a comprehensive and individual package of support to the multidisciplinary team in relation to care of patients, carers and relatives in conjunction with agencies external to NHS Lothian. To participate in NHS Lothian Emergency Planning and Business Continuity programme to minimise the impact of outbreaks and incidents on service provision.

Clinical Lead Laboratory Medicine/ Microbiology

Head of Service, Infection Prevention and Control

(1WTE)

HAI Executive Lead

Lead Infection Prevention and Control Nurse (1 WTE)

Infection Prevention &

Control Improvement

Facilitator (1 WTE)

Cleanliness Champions Programme Facilitator

(1 WTE)

Regional Lead Infection Prevention & Control

Nurse Specialist (4 WTE)

Infection Prevention and Control Nurse

(12.95 WTE)

Director of Nursing

Clinical Scientists

(2 WTE)

Administration Team

(2.6 WTE)

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6. KEY RESULT AREAS

Expert Practice (20%) • Analyze and synthesize information from the various expert agencies, authorities and

professional policy/strategy documents to identify priorities for NHS Lothian. • In association with the Executive Lead HAI, Head of Service, Director of Public Health,

Infection Control Doctor, ensure the timely development of an achievable annual infection prevention & control work programme to meet identified priorities

• Through exemplary clinical leadership create clarity and identify links between the extensive policy directives and initiatives in relation to infection prevention & control and translate these into effective strategies for the prevention and management of infection including HAI.

• Provide expert clinical advice to the Head of Service on all policy and professional matters specific to infection prevention & control, HAI and related issues in the patient safety programme.

• Maintain and promote a responsible approach to confidentiality, particularly in relation to national policies (Data Protection Act, Freedom of Information (Scotland) Act, Fair for All) and the business of NHS Lothian.

Leadership and Consultancy ( 50%) • Designated deputy for the Head of Service for Infection Prevention & Control. • Responsible for management of Infection Prevention and Control Nurses including sickness

absence management, appraisal and performance management • Provide operational and professional leadership and management for regional leads

ensuring teams are managed in accordance with relevant employment policies • Liaise and collaborate with key policy leads at Scottish Government and other key

stakeholders (e.g. Health Improvement Scotland, Health Protection Scotland) to contribute to the development and implementation of national strategy and policy in relation to infection prevention & control

• Translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans

• Be responsible for the development of specific improvement programmes whilst maintaining engagement with clinical services resulting in the implementation of outputs from the HAI Taskforce, Scottish Patient Safety Programme, Healthcare Improvement Scotland and Health Protection Scotland guidance and standards specifically in relation to infection prevention & control

• Contribute to the development of clinical practice relating to infection prevention and control and patient safety by providing expert clinical knowledge in order to support developments and improvements in clinical practice and patient experience

• Take a lead role in communicating on the implementation of infection prevention & control policy, standards and guidance within NHS Lothian ensuring that NHS Lothian directors, their relevant staff are informed. The information will be on occasion highly complex involving several elements of clinical services and impacting on whole organisation.

• Represent NHS Lothian on national committees to develop and maintain strategic alliances and inter-agency co-operation to maximize resources and provide a cohesive approach to addressing issues requiring a multi-agency response to infection prevention & control and prevention and management of HAI.

• In accordance with NHS Lothian Standing Financial Orders and Scheme of Delegation

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support the Head of Service to develop, plan, and manage the department’s budget including delegated responsibility for approving budgetary expenditures and authority for purchasing.

• Contribute to NHS Lothian Emergency Planning and Business Continuity programme to minimise the impact of outbreaks and incidents on service provision.

The post holder will have a key role in driving improvement linking with and supporting the work of the Scottish Patient Safety Programme. In addition the post holder will work with the multidisciplinary team to ensure that all aspects of clinical governance for infection control are being met. Education and Training (15%) Supported by NHS Lothian Education and Employee Development lead an integrated and cohesive approach to the provision of relevant educational and training initiatives for staff, using a range of methods ensuring that these programmes are reflective of current evidence based practice, research and policy in keeping with clinicians’ continuous professional development needs. • Develop and participate in the delivery of under-graduate and post-graduate

programmes of education for Nursing, Midwifery, Allied Health Professionals and Medical staff in partnership with NHS Lothian Education & Employee Development and NHS Education Scotland thus ensuring that educational curriculum prepares the qualified professional for their responsibility in infection prevention and control

• Work collaboratively with NHS Lothian Education and Employee Development to monitor the impact of educational programmes in relation to healthcare associated infection on practice and outcomes and make the necessary amendments to educational programmes within the organisation to ensure continuous improvement

• Lead the continuing professional development of NHS Lothian infection prevention & control nursing team ensuring a skilled and knowledgeable workforce to support the implementation of strategies in clinical areas.

• Provide clinical supervision and / or mentoring for infection prevention & control nurses and others as requested

Research and Development (15%) • Play a key role in the development of standards, guidelines and best practice statements

based on a sound evidence base. • Support where appropriate other individuals in the conduct of research and promote

dissemination and implementation of findings. • Develop and implement a range of innovative strategies to support the implementation of

evidence based HAI practice and associated patient safety initiatives across NHS Lothian. • Promote an organisational culture that encourages and supports research in infection

prevention and control. • Lead on the audit of service delivery against key performance indicators of NHS QIS HAI

Standards utilising outcomes to develop the quality improvement strategy for NHS Lothian relating to infection prevention & control practices.

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7a. EQUIPMENT AND MACHINERY

• Personal computer and multiple associated software packages’ • Multi-media presentation equipment • Inter-site transport

7b. SYSTEMS

• Computer software packages for routine work activities eg ICNET, TRAK • Regular use of internet and intranet to access relevant data to inform specific projects • Analysing the reviews and reports to plan project delivery • Access and utilise epidemiological, health and surveillance data to plan practice

developments for infection control nursing eg QiDs, MIDAS • Risk management systems eg DATIX • Maintaining and reviewing databases in relation to best practice in HAI • Project management system in order to prepare Project Initiation Documents, monitor project

progress and assess the effectiveness of development and dissemination strategies for all practice development activity

8. ASSIGNMENT AND REVIEW OF WORK

• The post holder is accountable to the Head of Service for all administrative line management issues such as annual leave, sick leave and study leave.

• The post-holder is professionally accountable to the Head of Service • The post holder will initiate and lead a programme of work in relation to infection prevention

and control which will be agreed by the Head of Service and Executive Lead for HAI. • Progress will be reviewed at meetings with the Head of Service and through annual

department and personal development reviews in accordance with NHS Lothian policy • In addition to the Head of Service the Executive Lead HAI and the Infection Control

Committees may delegate work. • Post holder will be expected to deputise for the Head of Service and Executive Lead HAI as

appropriate

9. DECISIONS AND JUDGEMENTS

• The Post holder will have a high degree of autonomy working within NHS Lothian strategic and operational framework

• The post holder will be accountable for an annual programme of work and as such will work autonomously within a framework of annually agreed objectives.

• The post holder is accountable for all decision-making relating to the agreed work programme. • The post holder will be expected to anticipate problems, changing needs and emerging issues

identifying and initiating actions required. • Will independently advise partner organisations in relation to healthcare associated infection.

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10. MOST CHALLENGING / DIFFICULT PARTS OF THE JOB

• Managing and prioritising the diverse and challenging workload within a multidisciplinary national organisation whilst responding to the wide-ranging demands of the Scottish Government and healthcare services both within and out with NHS Scotland.

• Dealing with conflict and managing competing professionals’ views in the development, implementation and adherence to the national strategy and standards required for the prevention and control of healthcare associated infection.

• Leading and influencing changes in practice in relation to HAI and patient safety without having any direct authority over the staff affected by the change.

• Adapting and changing delivery plans in light of new information, direction, developments and deadlines.

• Responding to demands for advice, reports and briefs with short timeframes from the Corporate Management Team and the Scottish Government.

11. COMMUNICATIONS AND RELATIONSHIPS

The post holder will demonstrate a wide range of interpersonal and communication skills including tact, negotiation, sensitivity and empathy to: • Understand, interpret and communicate highly complex information to a wide audience

including corporate management and clinical teams. • Handle sensitive information where individual patient information is involved. • Give presentations to a variety of groups and lectures / seminars to trainees and students. • Communicate at times in a hostile, antagonistic or highly emotive atmosphere, • Overcome barriers to understanding issues related to healthcare associated infection • Investigate and answer complaints, Freedom of Information enquiries and parliamentary

questions. • Be required to communicate using variety of methods including written and verbal reports • Collaborative working and communication links with internal and external individuals, groups

and agencies e.g. • Head of Services Infection Prevention & Control • Clinical Lead Infection Prevention & Control • Infection Prevention & Control Teams • Corporate Management Team • Public Health & Health Policy • Healthcare Planning Directorate • Finance Directorate • Health Protection • Laboratory services • Scottish Government Departments • Health Protection Scotland • NHS Education Scotland • NHS Healthcare Improvement Scotland • Healthcare Environment Inspectorate

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• Local authorities • Scottish Audit Office • Institutes of higher education • Patient Public Forums

The post holder will support the Head of Service in communications with all Directorates, Directors, Board members and the Chief Executive within NHS Lothian in order to maintain awareness of all matters relating to HAI and ensure a cohesive approach to the NHS Lothian work programme.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical • Keyboard skills. • Sitting at VDU for long periods of time. • Carry training equipment to and from various venues e.g. laptop, projector, documentation

etc. • Regular visits to internal and external sites for meetings which necessitate travel throughout

Lothian and Scotland.

Mental • Frequent extended periods of intense concentration on highly specialised issues and must

be able to assimilate complex scientific, technical and research based information e.g, HAI prevalence and statistical analysis.

• Must analyse, interpret, compare and make judgements on options which may be conflicting, or where the information is incomplete and then summarise and present information in a manner easily understood by the target audience e.g. HAI Scribe.

• The work pattern can be unpredictable and the post holder must be able to respond to changing and developing situations, maintaining accuracy.

• Expected to meet tight deadlines at short notice set by internal and external stakeholders, such as Directors, committees, Health Protection Scotland and the Scottish Government.

• Responding to incidents and outbreaks of healthcare associated infection incidents or urgent enquiries that take priority and require immediate action; however the post holder must be able to refocus and reprioritise existing work commitments.

• Preparation for, chair and follow up on meetings, including production of detailed reports and briefings.

• Public speaking both prepared in advance and spontaneously as required.

Emotional • Deal with conflict between public / media perceptions and realistic expectations. • Deal with difficult situations in multidisciplinary arenas which are severely challenging and

where a great deal of tact, diplomacy and negotiation is required to achieve positive outcomes such as influencing changes in clinical teams established practices.

• Managing challenge and conflict situations and confrontational persons where there may be significant barriers to communication.

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• Respond to unpredictable requests for assistance in dealing with incidents or outbreaks of healthcare associated infection.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Educational Qualifications • First Level Registered Nurse • Post graduate diploma in Infection Prevention & Control • Educated to degree level & demonstrate progress towards Masters

Experience • Wide ranging experience in the field of infection prevention & control at a senior level • Participating in national working groups • Publications, conference / seminar presentation etc. locally and nationally • Directing policy development • Promoting patient safety, risk management, quality improvement and practice development

approaches

Skills • Efficient and effective management of projects, utilising a recognised project management

approach, to ensure efficient working and timeous achievement of objectives • Excellent oral and written communications skills • Advanced level influencing and negotiation skills demonstrable in a range of situations • People skills, with the ability to engage people at all levels and in a wide range of situations

e.g. workshops, conferences, board meetings etc. • Computer literate

Knowledge • Understanding of political, economical, legal, ethical and professional issues and their

context within the Scottish health care system • Understanding of epidemiology and surveillance • Knowledge of methods of developing clinical quality assurance and evidence based practice • Extensive knowledge of infection control

14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom the job description applies. Job Holder’s Signature: Head of Department Signature:

Date: Date:

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Matched Job Report

565

Job Title

Job ID

Score

Band

Status

Matched To

Job Statement

Lead Nurse Infection Prevention & Control

Sco13/U-CN-LAB-INF-LICN(RR

Band 8a

Band Matched

Modern Matron

Through clinical expertise and leadership, translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans.

Through professional leadership and influencing skills, play a key role in shaping the development of practice in relation to infection prevention & control, supporting patient safety through the reduction in healthcare associated infection.

To provide line management in accordance with relevant employment policies for Regional Leads and NHS Lothian Infection Prevention and Control Nurses.

Contribute to development of local, national and international knowledge of HAI through contribution to research and specialist publications.

To act as the Deputy for the Head of Service, Infection Prevention & Control in the strategic management of Infection Control within NHS Lothian.

NationalProfile

Profile Factor Status ScoreRelevant Job Information

1. Communication & Relationship Skills

Meets Level: 5a/bRef Section: 11Understand, interpret and communicate highly complex information to a wide audience including corporate management and clinical teams.Handle sensitive information where individual patient information is involved.Communicate at times in a hostile, antagonistic or highly emotive atmosphere.Overcome barriers to understanding issues related to healthcare associated infection.Ref Section: 12Deal with difficult situations in multidisciplinary arenas which are severely challenging and where a great deal of tact, diplomacy and negotiation is required to achieve positive outcomes such as influencing changes in clinical teams established practices.

5(a)(b) 5 Matched 45

2. Knowledge, Training & Experience

Meets Level: 7Ref Section: 13First Level Registered Nurse Post graduate diploma in Infection Prevention & ControlEducated to degree level Wide ranging experience in the field of infection prevention & control at a senior levelPublications, conference / seminar presentation etc. locally and nationallyDirecting policy development Promoting patient safety, risk management, quality improvement and practice development approachesUnderstanding of political, economical, legal, ethical and professional issues and their context within the Scottish health care system Understanding of epidemiology and surveillance Knowledge of methods of developing clinical quality assurance and evidence based practiceExtensive knowledge of infection control

7 7 Matched 196

3. Analytical & Judgemental Skills

1 of 5Produced on: 11/11/2013 10:26

Meets Level: 4Ref Section: 6Analyze and synthesize information from the various expert agencies, authorities and professional policy/strategy documents to identify priorities for NHS Lothian.Provide expert clinical advice to the Head of Service on all policy and professional matters specific to infection prevention & control, HAI and related issues in the patient safety programme.Ref Section: 12Must analyse, interpret, compare and make judgements on options which may be conflicting, or where the information is incomplete and then summarise and present information in a manner easily understood by the target audience e.g. HAI Scribe.

4 4 Matched 42

4. Planning & Organisational Skills

Meets Level: 4Ref Section: 6Translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plansBe responsible for the development of specific improvement programmes whilst maintaining engagement with clinical services resulting in the implementation of outputs from the HAI Taskforce, Scottish Patient Safety Programme, Healthcare Improvement Scotland and Health Protection Scotland guidance and standards specifically in relation to infection prevention & controlIn accordance with NHS Lothian Standing Financial Orders and Scheme of Delegation support the Head of Service to develop, plan, and manage the department’s budget including delegated responsibility for approving budgetary expenditures and authority for purchasing.Contribute to NHS Lothian Emergency Planning and Business Continuity programme to minimise the impact of outbreaks and incidents on service provision.

4 4 Matched 42

5. Physical Skills

Meets Level: 2Ref Section: 12Keyboard skills.

2-3(a)b 2 Matched 15

6. Patient / Client Care

Meets Level: 6cRef Section: 2Through professional leadership and influencing skills, play a key role in shaping the development of practice in relation to infection prevention & control, supporting patient safety through the reduction in healthcare associated infection.To provide line management in accordance with relevant employment policies for Regional Leads and NHS Lothian Infection Prevention and Control Nurses.Ref Section: 6Provide expert clinical advice to the Head of Service on all policy and professional matters specific to infection prevention & control, HAI and related issues in the patient safety programme.Contribute to the development of clinical practice relating to infection prevention and control and patient safety by providing expert clinical knowledge in order to support developments and improvements in clinical practice and patient experience. Develop and participate in the delivery of under-graduate and post-graduate programmes of education for Nursing, Midwifery, Allied Health Professionals and Medical staff in partnership with NHS Lothian Education & Employee Development and NHS Education Scotland thus ensuring that educational curriculum prepares the qualified professional for their responsibility in infection prevention and control. Lead the continuing professional development of NHS Lothian infection prevention & control nursing team ensuring a skilled and knowledgeable workforce to support the implementation of strategies in clinical areas.

6(c) (d) 6 Matched 39

2 of 5Produced on: 11/11/2013 10:26

a skilled and knowledgeable workforce to support the implementation of strategies in clinical areas.

7. Policy & Service

Meets Level: 4Ref Section: 6Translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans.Take a lead role in communicating on the implementation of infection prevention & control policy, standards and guidance within NHS Lothian ensuring that NHS Lothian directors, their relevant staff are informed. The information will be on occasion highly complex involving several elements of clinical services and impacting on whole organisation. Play a key role in the development of standards, guidelines and best practice statements based on a sound evidence base.

4 4 Matched 32

8. Financial & Physical

Meets Level: 3a/cRef Section: 3The Infection Prevention & Control Service has a recurring annual budget in the region of £1.084 million. As the nominated deputy for the Head of Service across their whole portfolio, the Lead Nurse is an authorised signatory up to value of £10K.Ref Section: 6In accordance with NHS Lothian Standing Financial Orders and Scheme of Delegation support the Head of Service to develop, plan, and manage the department’s budget including delegated responsibility for approving budgetary expenditures and authority for purchasing.

3(a)(b)(c) 3 Matched 21

9. Human Resources

Meets Level: 4a/bRef Section: 2To provide line management in accordance with relevant employment policies for Regional Leads and NHS Lothian Infection Prevention and Control Nurses.Ref Section: 6Responsible for management of Infection Prevention and Control Nurses including sickness absence management, appraisal and performance management.Provide operational and professional leadership and management for regional leads ensuring teams are managed in accordance with relevant employment policies. Lead the continuing professional development of NHS Lothian infection prevention & control nursing team ensuring a skilled and knowledgeable workforce to support the implementation of strategies in clinical areas.Support where appropriate other individuals in the conduct of research and promote dissemination and implementation of findings.

4(a) (b) 4 Matched 32

10. Information Resources

Meets Level: 1 Updates records.

1 1 Matched 4

11. Research & Development

Meets Level: 2Ref Section: 6Play a key role in the development of standards, guidelines and best practice statements based on a sound evidence base.Support where appropriate other individuals in the conduct of research and promote dissemination and implementation of findings.Develop and implement a range of innovative strategies to support the implementation of evidence based HAI practice and associated patient safety initiatives across NHS Lothian.Promote an organisational culture that encourages and supports research in infection prevention and control. Lead on the audit of service delivery against key performance indicators of NHS QIS HAI Standards utilising outcomes to develop the quality improvement strategy for NHS Lothian relating to infection prevention & control practices.

1 2 Variation 12

3 of 5Produced on: 11/11/2013 10:26

supports research in infection prevention and control. Lead on the audit of service delivery against key performance indicators of NHS QIS HAI Standards utilising outcomes to develop the quality improvement strategy for NHS Lothian relating to infection prevention & control practices.

12. Freedom To Act

Meets Level: 5Ref Section: 2Through clinical expertise and leadership, translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans.Ref Section: 6Analyze and synthesize information from the various expert agencies, authorities and professional policy/strategy documents to identify priorities for NHS Lothian.Liaise and collaborate with key policy leads at Scottish Government and other key stakeholders (e.g. Health Improvement Scotland, Health Protection Scotland) to contribute to the development and implementation of national strategy and policy in relation to infection prevention & control Translate policy directives and initiatives in relation to infection prevention & control into operational procedures and implementation plans.Take a lead role in communicating on the implementation of infection prevention & control policy, standards and guidance within NHS Lothian ensuring that NHS Lothian directors, their relevant staff are informed. The information will be on occasion highly complex involving several elements of clinical services and impacting on whole organisation.

5 5 Matched 45

13. Physical Effort

Meets Level: 1Ref Section: 12Sitting at VDU for long periods of time.Carry training equipment to and from various venues e.g. laptop, projector, documentation etc.Regular visits to internal and external sites for meetings which necessitate travel throughout Lothian and Scotland.

1-2 (b)(d) 1 Matched 3

14. Mental Effort

Meets Level: 3bRef Section: 12Frequent extended periods of intense concentration on highly specialised issues and must be able to assimilate complex scientific, technical and research based information e.g, HAI prevalence and statistical analysis.Expected to meet tight deadlines at short notice set by internal and external stakeholders, such as Directors, committees, Health Protection Scotland and the Scottish Government.Responding to incidents and outbreaks of healthcare associated infection incidents or urgent enquiries that take priority and require immediate action; however the post holder must be able to refocus and reprioritise existing work commitments.Preparation for, chair and follow up on meetings, including production of detailed reports and briefings.Public speaking both prepared in advance and spontaneously as required.

3(a) 3 Matched 12

15. Emotional Effort

Meets Level: 3bRef Section: 2To provide line management in accordance with relevant employment policies for Regional Leads and NHS Lothian Infection Prevention and Control Nurses.Ref Section: 12Deal with difficult situations in multidisciplinary arenas which are severely challenging and where a great deal of tact, diplomacy and negotiation is required to achieve positive outcomes such as influencing changes in clinical teams established practices.Managing challenge and conflict situations and confrontational persons where there may be significant barriers to communication.

2-3(b) 3 Matched 18

4 of 5Produced on: 11/11/2013 10:26

are severely challenging and where a great deal of tact, diplomacy and negotiation is required to achieve positive outcomes such as influencing changes in clinical teams established practices.Managing challenge and conflict situations and confrontational persons where there may be significant barriers to communication.

16. Working Conditions

Meets Level: 2aOccasional unpleasant; occasional highly unpleasant exposure to unpleasant conditions.

2a-3ab 2 Matched 7

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of 14

Profile Label: Modern Matron Job Statement: 1. Manages and provides leadership for ward managers and specialist nurses/midwives and other

staff 2. Ensures patient/client/carer involvement in development of services and standards of cleanliness 3. Provides specialist education and training to other staff 4. Maintains compliance with, and develops, policies, procedures and guidelines.

Factor Relevant Job Information JE Level 1. Communication & Relationship Skills

Provide and receive highly complex, sensitive or contentious information, agreement or co-operation required; present complex, sensitive or contentious information to large groups Communicates service-related information to senior managers, staff, patients, carers, external agencies: requires negotiating, persuasive, motivational, reassurance skills; gives formal presentations

5(a) (b)

2. Knowledge, Training & Experience

Highly developed specialist knowledge, underpinned by theory and experience Professional knowledge acquired through degree/diploma supplemented by specialist training or equivalent experience to master’s level equivalent

7

3. Analytical & Judgemental Skills

Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for analysis of `service, patient /client, organisational, staffing issues

4

4. Planning & Organisational Skills

Plan and organise broad range of complex activities, formulates, adjusts plans or strategies Planning of strategies which impact across the service, business planning. Strategies for infection control

4

5. Physical Skills Physical skills obtained through practice/ developed physical skills, manipulation of people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools or materials Driving, keyboard skills/ skills needing accuracy and/ or speed required for relevant professional practice

2-3(a) (b)

6. Responsibility for Patient/Client Care

Provide highly specialised advice concerning care; accountable for delivery of subdivision of service Delivers highly specialised advice on care and training; accountable for service delivery

6(c) (d)

7. Responsibility for Policy/Service Development

Responsible for policy implementation & development of a service Develops and implements policies; may be involved in development of trust policies

4

8. Responsibility for Financial and Physical Resources

Authorised signatory for financial payments; responsible for the purchase of some physical assets; monitors budgets Signs off expenses; orders office supplies; oversees management of budget e.g. for domestic services

3(a) (b) (c)

9. Responsibility for Human Resources

Line manager for a single function or department; teach, devise training and development programmes, major job responsibility Manages staff, including recruitment, development, performance; devises training packages and teaches other groups of staff.

4(a) (b)

10. Responsibility for Information Resources

Record personally generated information Updates records

1

11. Responsibility for Research & Development

Undertakes surveys or audits, as necessary to own work Undertakes audits of complaints, clinical incidents; trials of equipment

1

12. Freedom to Act General policies, need to establish interpretation Responsible for establishing how policies should be interpreted

5

13. Physical Effort Combination of sitting, standing, walking/ frequent light effort for short periods; occasional moderate effort for several short periods Light physical effort/ effort required for clinical duties

1-2 (b)(d)

14. Mental Effort Frequent concentration, work pattern un predictable Concentration for writing reports, meetings, patient/client assessment, interruptions to deal with service issues

3(a)

15. Emotional Effort Occasional distressing/highly distressing or emotional circumstances Deals with staff problems, patient complaints, conveys unwelcome news/unexpected deaths

2-3(b)

16. Working Conditions Occasional /frequent unpleasant; occasional highly unpleasant exposure to unpleasant conditions Conditions related to clinical duties

2(a)-3(a) (b)

JE Score/Band JE Score 551-579 Band 8a

August 01, 2013

Postoutline: Lead Infection Control Nurse Band 8a [G1059]

Created On: 23/03/2011

Originating Organisation: NHS Lothian

Post Outline is Approved

Assigned To: Rona Broom

Purpose: : The postholder will lead and manage the Partnership Infection Control service. The post holder will be a clinical expert in the specialist clinical

field of infection control. They will practice at an advanced level and exercise a high level of judgement, discretion and decision making in clinical care

through NHS Lothian Partnerships.

Pay Band: Band 8a

Increment Date: Wednesday, Jun 11, 2014

Pay Point: 38

Reporting To: Line Manager

KSF Dimensions, Levels And Indicators

Dimension

Type

Level Indicator IndicatorLevel

Dimension NameDimension

Number

Foundation Gateway

(Subset Outline)

Second Gateway

(Full Outline)

COMMUNICATIONCore C1 4 A,B,C,D,E,F4 A,B,C,D,E,F

PERSONAL AND PEOPLE DEVELOPMENTCore C2 3 A,B,C,D,E,F,G4 A,B,C,D,E,F,G,H

HEALTH, SAFETY AND SECURITYCore C3 3 A,B,C,D,E3 A,B,C,D,E

SERVICE IMPROVEMENTCore C4 3 A,B,C,D,E,F,G3 A,B,C,D,E,F,G

QUALITYCore C5 3 A,B,C,D,E,F,G3 A,B,C,D,E,F,G

EQUALITY AND DIVERSITYCore C6 2 A,B,C,D2 A,B,C,D

PROTECTION OF HEALTH AND WELLBEINGSpecific HWB3 4 A,B,C,D,E,F,G,H,I4 A,B,C,D,E,F,G,H,I

INFORMATION COLLECTION AND ANALYSISSpecific IK2 3 A,B,C,D,E,F,G,H3 A,B,C,D,E,F,G,H

SERVICES AND PROJECT MANAGEMENTSpecific G5 3 A,B,C,D,E,F,G3 A,B,C,D,E,F,G

PEOPLE MANAGEMENTSpecific G6 3 A,B,C,D,E,F,G,H3 A,B,C,D,E,F,G,H

Lead Infection Control Nurse Band 8a [G1059] -

Second Gateway (Full Outline)

COMMUNICATION - Level: 4

Foundation Gateway (Subset Outline)

COMMUNICATION - Level: 4

Level Indicators:

a) identifies:

- the range of people involved in the communication

- potential communication differences

- relevant contextual factors

- broader situational factors, issues and risks

b) communicates with people in a form and manner which:

- is consistent with their level of understanding, culture, background and

preferred ways of communicating

- is appropriate to the purpose of the communication and its longer term

importance

- is appropriate to the complexity of the context

- encourages effective communication between all involved

- enables a constructive outcome to be achieved

c) anticipates barriers to communication and takes action to improve

communication

d) is proactive in seeking out different styles and methods of communicating

to assist longer term needs and aims

e) takes a proactive role in producing accurate and complete records of the

communication consistent with legislation, policies and procedures

f) communicates in a manner that is consistent with legislation, policies and

procedures.

Level Indicators:

a) identifies:

- the range of people involved in the communication

- potential communication differences

- relevant contextual factors

- broader situational factors, issues and risks

b) communicates with people in a form and manner which:

- is consistent with their level of understanding, culture, background and

preferred ways of communicating

- is appropriate to the purpose of the communication and its longer term

importance

- is appropriate to the complexity of the context

- encourages effective communication between all involved

- enables a constructive outcome to be achieved

c) anticipates barriers to communication and takes action to improve

communication

d) is proactive in seeking out different styles and methods of communicating

to assist longer term needs and aims

e) takes a proactive role in producing accurate and complete records of the

communication consistent with legislation, policies and procedures

f) communicates in a manner that is consistent with legislation, policies and

procedures.

Produced at https://www.e-ksf.org Page 2 of 20

https://www.e-ksf.org


Examples of Application: Examples of Application

a) Communicate with a wide range of groups on issues relating to the prevention and

control of infection. These include: Directors; Senior Managers; Multidisciplinary NHS staff

of all grades; Non-NHS staff; Patients; Visitors; External agencies e.g. SEHD, QIS. Identify

the most appropriate method of communicating complex prevention and control of infection

policy, guidance and advice, taking into account the other party’s level of familiarity with

infection control processes as well as their knowledge & skills.

b) Provide guidance, advice and instruction on infection prevention and control in a manner

that is appropriate an easily understood by the other party. This includes The production of

policies, guidelines, reports and information leaflets; Training/education sessions; Face to

face or via communication aids to individual staff

c) Use a range of forms of communication including: E-mail, Written ,Verbal, Telephone

,Presentations including PowerPoint , Discussion Groups,

Meetings, Electronic reporting systems. Identifies barriers to communication that may arise

as a result of multidisciplinary and multi-agency working within the organisation by:

Constantly evaluating own practice and approaches to communication using reflection

Improving communication through evaluation of culture, the environment and methods of

communication as well as providing feedback

Enables a culture to develop where the communication is open, honest and direct.

Supports the organisation to develop appropriate communication strategies for exchanging

infection control information that meets legislative requirements.

d) Reviews Infection Control Team communication systems and methods and makes

changes where necessary to ensure that they remain effective

Lead working groups and chair meetings and Problem Assessment Groups in a manner that

encourages the effective participation of all involved and that a constructive outcome is

achieved. Clearly communicate the outcome of Working Groups and meetings to relevant

personnel within and without NHS Lothian.

Provide feedback to staff on the provision of relevant information provided to the Infection

Control Team. This will include the quality of information provided during outbreaks of

communicable disease and investigation of infection prevention and control related

incidents.

e & f) Maintains effective systems of communication between the Infection Control Team,

NHS Lothian and external agencies by: Produce and maintain a written record of infection

control advice/instruction given to staff.

Accurately document all relevant information pertaining to outbreaks of communicable

diseases and where required produce written reports on the outbreaks.

Produces and maintains accurate records of meetings at all levels, consistent with

legislation, policy and procedure e.g. confidentiality

Ensure that all incidents are notified in line with NHS Lothian incident reporting procedures

e.g. Datix reporting

Contribute to the preparation of responses to press statements, complaints and provide and

keep a written record of action.

Examples Of Application: Examples of Application

a) Communicate with a wide range of groups on issues relating to the prevention and control of

infection. These include: Directors; Senior Managers; Multidisciplinary NHS staff of all grades;

Non-NHS staff; Patients; Visitors; External agencies e.g. SEHD, QIS. Identify the most appropriate

method of communicating complex prevention and control of infection policy, guidance and

advice, taking into account the other party’s level of familiarity with infection control processes as

well as their knowledge & skills.

b) Provide guidance, advice and instruction on infection prevention and control in a manner that is

appropriate an easily understood by the other party. This includes The production of policies,

guidelines, reports and information leaflets; Training/education sessions; Face to face or via

communication aids to individual staff

c) Use a range of forms of communication including: E-mail, Written ,Verbal, Telephone

,Presentations including PowerPoint , Discussion Groups,

Meetings, Electronic reporting systems. Identifies barriers to communication that may arise as a

result of multidisciplinary and multi-agency working within the organisation by: Constantly

evaluating own practice and approaches to communication using reflection

Improving communication through evaluation of culture, the environment and methods of

communication as well as providing feedback

Enables a culture to develop where the communication is open, honest and direct.

Supports the organisation to develop appropriate communication strategies for exchanging

infection control information that meets legislative requirements.

d) Reviews Infection Control Team communication systems and methods and makes changes

where necessary to ensure that they remain effective

Lead working groups and chair meetings and Problem Assessment Groups in a manner that

encourages the effective participation of all involved and that a constructive outcome is achieved.

Clearly communicate the outcome of Working Groups and meetings to relevant personnel within

and without NHS Lothian.

Provide feedback to staff on the provision of relevant information provided to the Infection Control

Team. This will include the quality of information provided during outbreaks of communicable

disease and investigation of infection prevention and control related incidents.

e & f) Maintains effective systems of communication between the Infection Control Team, NHS

Lothian and external agencies by: Produce and maintain a written record of infection control

advice/instruction given to staff.

Accurately document all relevant information pertaining to outbreaks of communicable diseases

and where required produce written reports on the outbreaks.

Produces and maintains accurate records of meetings at all levels, consistent with legislation,

policy and procedure e.g. confidentiality

Ensure that all incidents are notified in line with NHS Lothian incident reporting procedures e.g.

Datix reporting

Contribute to the preparation of responses to press statements, complaints and provide and keep

a written record of action.





PERSONAL AND PEOPLE DEVELOPMENT - Level: 3


PERSONAL AND PEOPLE DEVELOPMENT - Level: 4

Level Indicators:

a) evaluates the currency and sufficiency of own knowledge and practice

against the KSF outline for the post and identifies own development needs

and interests

b) develops and agrees own personal development plan with feedback from

others

c) generates and uses appropriate learning opportunities and applies own

learning to the future development of practice

d) encourages others to make realistic self assessments of their application

of knowledge and skills challenging complacency and actions which are not

in the interest of the public and/or users of services

e) enables others to develop and apply their knowledge and skills

f) actively promotes the workplace as a learning environment encouraging

everyone to learn from each other and from external good practice

g) alerts managers to resource issues which affect learning , development

and performance

h) develops others in a manner that is consistent with legislation, policies

and procedures.

Level Indicators:

a) reflects on and evaluates how well s/he is applying knowledge and skills

to meet current and emerging work demands and the requirements of the

KSF outline for his/her post

b) identifies own development needs and sets own personal development

objectives in discussion with his/her reviewer

c) takes responsibility for own personal development and maintains own

personal development portfolio

d) makes effective use of learning opportunities within and outside the

workplace evaluating their effectiveness and feeding back relevant

information

e) enables others to develop and apply their knowledge and skills in practice

f) contributes to the development of others in a manner that is consistent

with legislation, policies and procedures

g) contributes to developing the workplace as a learning environment.





a, b & c) Critically appraise own knowledge and performance prior to PDPR. and identify

knowledge and skills require for ongoing development by:

Regularly updating specialist infection prevention and control knowledge through the regular

review of specialist infection prevention and control journals; attendance at appropriate

training/education seminars/conferences and networking with other infection control

specialists.

Maintaining a personal development portfolio and seeks regular PDR meetings with line

manager to identify specific learning needs

d) Ensure that knowledge gained is shared with colleagues in the Infection Control Team

through discussion, reports where appropriate and regular team meetings e.g. implements

knowledge learned from attending courses, seminars and evaluates effectiveness and with

direction undertakes audit.

e) Act as a role model to staff in the prevention and control of infection.

Where agreed provide mentorship to staff undertaking infection prevention and control

development such as the Cleanliness Champions programme.

f) Demonstrate effective infection prevention and control techniques such as hand hygiene

and the correct use of Personal Protective Equipment.

Discuss with staff and patients the implementation of infection prevention and control

measures and where issues with implementation are identified advise on potential solutions.

g) Facilitate the sharing of infection prevention and control knowledge amongst practitioners

through training/education sessions and working groups. Share their infection prevention

and control knowledge with others and provide support to staff who wish to develop their

infection prevention and control knowledge.

Utilise a range of education and training formats to maximise learning opportunities for staff.

Where appropriate obtain feedback from learners and use this information, in conjunction

with other members of the Infection Control Team, to further develop and improve

prevention and control of infection training and education programmes


a & b) Critically appraise and evaluates own level of competence and through PDPR process

identifies gaps in knowledge by reflective practice. Seeks regular meeting with line manager to

evaluate/review PDP/action plans.

Evaluates and ensures practice, level of competence and training needs are linked to KSF job

outlines.

Keeps up to date with evidence/researched based practice, current local and national initiatives

e.g. attending team meetings, team briefs and attending national ICN events

c) Participates in departmental education and training sessions, presenting and evaluating data

and information, linking in with Educational Facilitators highlighting areas for improvement e.g.

attending mandatory updates. Participates in formal supervision/ action learning and shared

governance mechanisms to continually develop and improve the effectiveness of own practice

e.g. applying new skills and knowledge effectively within role/remit

d & e) Acts as a role model and display leadership skills to staff in the prevention and control of

infection. By using facilitative skills encourages discussion among colleagues to highlight clinical

areas that can be improved and empowers staff to make the relevant changes by: Undertaking

regular PDP reviews encouraging Infection Control Team personnel to critically assess their

knowledge and identify opportunities for further development.

Evaluation and training needs analysis identify development needs discussing issues with

individual staff concerned and agree action plan e.g. clearly defined goals SMART.

Provide mentorship to Infection Control staff undertaking specialist qualifications at degree or MSc

level.

f) Leads/facilitates on the continual development of staff by:

Enabling others to develop by supporting learning in a planned and structured manner e.g.

delegates, secondments, shadowing opportunities

Assisting and seeking ways in improving the learning environment for staff

Acting as a resource for information, support, training and education e.g. demonstrate effective

infection prevention and control techniques such as hand hygiene and the correct use of Personal

Protective Equipment

Providing equal opportunities for all staff

g) Encourages discussion among colleagues to highlight clinical areas that can be improved and

empowers staff to undertake training and adopt the relevant changes Notify line manager and

Infection Control Manager if learning opportunities are compromised due to insufficient resources

to e.g. Skill mix issues, financial constraints

h) Facilitate the development of others at the appropriate level in line with all relevant NHS

Lothian policies and procedures e.g. ensuring staff understand their role and maintain the level of

competence required for service delivery; reviews study leave applications for credibility against

training needs analysis and personal development plan.





HEALTH, SAFETY AND SECURITY - Level: 3


HEALTH, SAFETY AND SECURITY - Level: 3

Level Indicators:

a) identifies:

- the risks involved in work activities and processes

- how to manage the risks

- how to help others manage risk

b) undertakes work activities consistent with:

- legislation, policies and procedures

- the assessment and management of risk

c) monitors work areas and practices and ensures they:

- are safe and free from hazards

- conform to health, safety and security legislation, policies, procedures

and guidelines

d) takes the necessary action in relation to risks

e) identifies how health, safety and security can be improved and takes

action to put this into effect.

Level Indicators:

a) identifies:

- the risks involved in work activities and processes

- how to manage the risks

- how to help others manage risk

b) undertakes work activities consistent with:

- legislation, policies and procedures

- the assessment and management of risk

c) monitors work areas and practices and ensures they:

- are safe and free from hazards

- conform to health, safety and security legislation, policies, procedures

and guidelines

d) takes the necessary action in relation to risks

e) identifies how health, safety and security can be improved and takes

action to put this into effect.


a & b) Undertake regular audits of infection prevention and control practice and the physical

environment to identify infection risks to patients, staff and others by: Providing advice on

how to address the risks identified as a result of the audit e.g. promotes compliance with

NHS Lothian Incident reporting procedures, hand washing technique.

being aware of responsibilities in identifying, reporting and dealing with actual/potential

hazards e.g. fire hazards, sharps and clinical waste issues, completing appropriate

documentation i.e. Datix.

through reflection and analysing feedback from incident reports suggest solutions to prevent

further occurrences

c & d) Monitors and reviews action plans from clinical areas audited and responsibly

reporting accidents, near misses and potential risks to managers of serious or continuing

failures to comply with infection prevention and control legislation, policies, guidelines and

procedures e.g. threats to business continuity

Ensures infection prevention and control policies, guidelines and procedures are compliant

with relevant Health & Safety legislation by:

promoting health and safety and security in the work place e.g. displays poster information

around clinical area with regard infection control protocols.

attend appropriate update meetings e.g. emergency planning

e) Through audit, review of national policy guidelines and evidenced based best practice

guidelines identifies infection prevention and control deficiencies by: as required

investigates and reports to a senior member of the ICT on infection prevention and control

related incidents identified e.g. undertake incident analysis effectively action any risk

assessment outcomes and continually monitor

Provide access to training for staff e.g. managing projects, survey techniques


a & b) Undertake regular audits of infection prevention and control practice and the physical

environment to identify infection risks to patients, staff and others by: Providing advice on how to

address the risks identified as a result of the audit e.g. promotes compliance with NHS Lothian

Incident reporting procedures, hand washing technique.

being aware of responsibilities in identifying, reporting and dealing with actual/potential hazards

e.g. fire hazards, sharps and clinical waste issues, completing appropriate documentation i.e.

Datix.

through reflection and analysing feedback from incident reports suggest solutions to prevent

further occurrences

c & d) Monitors and reviews action plans from clinical areas audited and responsibly reporting

accidents, near misses and potential risks to managers of serious or continuing failures to comply

with infection prevention and control legislation, policies, guidelines and procedures e.g. threats to

business continuity

Ensures infection prevention and control policies, guidelines and procedures are compliant with

relevant Health & Safety legislation by:

promoting health and safety and security in the work place e.g. displays poster information around

clinical area with regard infection control protocols.

attend appropriate update meetings e.g. emergency planning

e) Through audit, review of national policy guidelines and evidenced based best practice

guidelines identifies infection prevention and control deficiencies by: as required investigates and

reports to a senior member of the ICT on infection prevention and control related incidents

identified e.g. undertake incident analysis effectively action any risk assessment outcomes and

continually monitor

Provide access to training for staff e.g. managing projects, survey techniques





SERVICE IMPROVEMENT - Level: 3


SERVICE IMPROVEMENT - Level: 3

Level Indicators:

a) identifies and evaluates areas for potential service improvement

b) discusses and agrees with others:

- how services should be improved as a result of suggestions,

recommendations and directives

- how to balance and prioritise competing interests

- how improvements will be taken forward and implemented

c) constructively undertakes own role in improving services as agreed and

to time, supporting others effectively during times of change and working with

others to overcome problems and tensions as they arise

d) maintains and sustains direction, policies and strategies until they are

firmly embedded in the culture inspiring others with values and a vision of the

future whilst acknowledging traditions and background

e) enables and encourages others to:

- understand and appreciate the influences on services and the reasons

why improvements are being made

- offer suggestions, ideas and views for improving services and developing

direction, policies and strategies

- alter their practice in line with agreed improvements

- share achievements

- challenge tradition

f) evaluates with others the effectiveness of service improvements and

agrees that further action is required to take them forward

g) appraises draft policies and strategies for their effect on users and the

public and makes recommendations for improvement

Level Indicators:

a) identifies and evaluates areas for potential service improvement

b) discusses and agrees with others:

- how services should be improved as a result of suggestions,

recommendations and directives

- how to balance and prioritise competing interests

- how improvements will be taken forward and implemented

c) constructively undertakes own role in improving services as agreed and

to time, supporting others effectively during times of change and working with

others to overcome problems and tensions as they arise

d) maintains and sustains direction, policies and strategies until they are

firmly embedded in the culture inspiring others with values and a vision of the

future whilst acknowledging traditions and background

e) enables and encourages others to:

- understand and appreciate the influences on services and the reasons

why improvements are being made

- offer suggestions, ideas and views for improving services and developing

direction, policies and strategies

- alter their practice in line with agreed improvements

- share achievements

- challenge tradition

f) evaluates with others the effectiveness of service improvements and

agrees that further action is required to take them forward

g) appraises draft policies and strategies for their effect on users and the

public and makes recommendations for improvement





a & b) Develop & implement systems for the review of the control of infection service.

Actively promotes service improvements to the prevention and control of infection service

within the ICT and amongst key stakeholders e.g. identifies appropriate methodologies to

support teams to plan, implement and evaluate improvement.

Undertakes periodic reviews of the prevention and control of infection service in order to

identify areas where service improvements can be made by:

Maintaining a database of activity as part of the monitoring process for achievement for

local and government targets.

c) Manages changes to service delivery ensuring that the needs and views of key

stakeholders are taken into account. Takes action in response to comments, suggestions &

complaints in relation to the control of infection service from patients, staff & others

d & e) Ensures that the strengths of the prevention and control of infection service and the

individual team members are maximised to ensure a highly effective service and challenge

existing practices or ideas that are not beneficial to health protection activities within the

service or wider health service. Actively promotes service improvements to the prevention

and control of infection service within the ICT and amongst key stakeholders.

f) Evaluates the impact of local and national initiatives and reviews the effectiveness of

changes to the prevention and control of infection service and its impact on service

provision by: Collaboratively identifies strategies and methodologies to improves the service

using the patient experience and patient involvement

With people agrees systems for monitoring continuous quality improvement of services e.g.

surveys

Involves all stakeholders in the development, implementation and evaluation of Infection

Control within Quality Improvement

g) Reviews and comments upon NHS Lothian draft policies and strategies where these

impact upon the prevention and control of infection e.g. enables development of service in

line with NHS Lothian/ Scottish Government guidance


a) Develop & implement systems for the review of the control of infection service. Actively

promotes service improvements to the prevention and control of infection service within the ICT

and key stakeholders.

b) Undertakes periodic reviews of the prevention and control of infection service in order to identify

areas where service improvements can be made.

Consult with key stakeholders on what improvements are required and how these should be

implemented e.g. develop risk register, produce annual reports to Partnership Infection Control

Committee.

c) Manages changes to service delivery ensuring that the needs and views of key stakeholders

are taken into account. Takes action in response to comments, suggestions & complaints in

relation to the control of infection service from patients, staff & others. Working with Board

Infection

Control Team and Public Health Protection Unit to ensure that patient safety is in line with

guidance and policies.

d & e) Ensures that the strengths of the prevention and control of infection service and the

individual team members are maximised to ensure a highly effective service and challenge

existing practices or ideas that are not beneficial to health protection activities within the service or

wider health service. Actively promotes service improvements to the prevention and control of

infection service within the ICT and amongst key stakeholders. Direct and supervise team

members in delivering the Infection Control Programme.

f & g) Ensure that assessments, audits and reviews of changes to the prevention and control of

infection service are undertaken to measure their impact. Assesses outcome of assessment,

reviews and audits of service improvements. Identify and implement actions identified as part of

the review.

Report progress and challenges encountered in delivering the Programme of work to the PICC

and BICC both written and verbally.

Reviews and comments upon NHS Lothian draft policies and strategies where these impact upon

the prevention and control of infection





QUALITY - Level: 3


QUALITY - Level: 3

Level Indicators:

a) acts consistently with legislation, policies, procedures and other quality

approaches and promotes the value of quality approaches to others

b) understands own role in the organisation and its scope and identifies how

this may develop over time

c) works as an effective and responsible team member and enables others

to do so

d) prioritises own workload and organises and carries out own work in a

manner that maintains and promotes quality

e) evaluates the quality of own and others’ work and raises quality issues

and related risks with the relevant people

f) supports the introduction and maintenance of quality systems and

processes in own work area

g) takes the appropriate action when there are persistent quality problems.

Level Indicators:

a) acts consistently with legislation, policies, procedures and other quality

approaches and promotes the value of quality approaches to others

b) understands own role in the organisation and its scope and identifies how

this may develop over time

c) works as an effective and responsible team member and enables others

to do so

d) prioritises own workload and organises and carries out own work in a

manner that maintains and promotes quality

e) evaluates the quality of own and others’ work and raises quality issues

and related risks with the relevant people

f) supports the introduction and maintenance of quality systems and

processes in own work area

g) takes the appropriate action when there are persistent quality problems.





a) Use knowledge of local and national policies and legislation to promote quality services at

all levels by

Providing local expertise to all teams at all levels on Infection Control national service

frameworks and related standards e.g. education/training

Reflecting on current legislation within team practice and quality improvement action plans

both operationally and strategically

Contributes to the development of infection prevention and control policies, guidelines and

procedures that ensure high quality practice within NHS Lothian

b) Responsible for ensuring that effective audit systems are in place to establish that high

quality infection prevention and control practice is maintained within NHS Lothian.

c) Supports team members and other stakeholders in providing high quality infection control

measures in the clinical environment for patients, service users and visitors e.g.

Develops and maintains effective networking both internal and external to the organisation

Acts as a resource and signposts to other members of the team

Listens effectively, provides feedback supportively and constructively

Contributes towards building an effective team through development of a common vision

and direction.

d) Work as part of a team, promoting quality systematically and address those issues that

impact on the quality of infection prevention and control practice across the organisation in

an organised manner e.g.

Continually review and question practice and identify new ways of working with teams

Develop, plan and implement activities with teams and support teams progress towards

quality initiatives

Actively promotes standards, quality processes to support the organisation to achieve its

Clinical Governance and HEAT targets

e) Review results of audit and surveillance programmes and produces appropriate reports,

making recommendations for further action e.g.

Develop and uses survey and audit tools for Infection Control initiatives e.g. evaluates

progress

Acts as a resource and reiterates philosophy of partnership working

f) Takes the lead as required in implementing systems in NHS Lothian to comply with

national quality standards relating to infection control, decontamination and cleaning issued

by organisations such as the Ministerial

Task Force on HAI and QIS. Reviews effectiveness of quality systems to ensure that they

are operating effectively.

g) Makes recommendations on action required to improve compliance with quality

standards across NHS Lothian to Infection Control

Manager, Medical Director and Prevention and control of infection Committee


a) Use knowledge of local and national policies and legislation to promote quality services at all

levels by

Providing local expertise to all teams at all levels on Infection Control national service frameworks

and related standards e.g. education/training

Reflecting on current legislation within team practice and quality improvement action plans both

operationally and strategically

Contributes to the development of infection prevention and control policies, guidelines and

procedures that ensure high quality practice within NHS Lothian

b) Responsible for ensuring that effective audit systems are in place to establish that high quality

infection prevention and control practice is maintained within NHS Lothian.

c) Supports team members and other stakeholders in providing high quality infection control

measures in the clinical environment for patients, service users and visitors e.g.

Develops and maintains effective networking both internal and external to the organisation

Acts as a resource and signposts to other members of the team

Listens effectively, provides feedback supportively and constructively

Contributes towards building an effective team through development of a common vision and

direction.

d) Work as part of a team, promoting quality systematically and address those issues that impact

on the quality of infection prevention and control practice across the organisation in an organised

manner e.g.

Continually review and question practice and identify new ways of working with teams

Develop, plan and implement activities with teams and support teams progress towards quality

initiatives

Actively promotes standards, quality processes to support the organisation to achieve its Clinical

Governance and HEAT targets

e) Review results of audit and surveillance programmes and produces appropriate reports,

making recommendations for further action e.g.

Develop and uses survey and audit tools for Infection Control initiatives e.g. evaluates progress

Acts as a resource and reiterates philosophy of partnership working

f) Takes the lead as required in implementing systems in NHS Lothian to comply with national

quality standards relating to infection control, decontamination and cleaning issued by

organisations such as the Ministerial

Task Force on HAI and QIS. Reviews effectiveness of quality systems to ensure that they are

operating effectively.

g) Makes recommendations on action required to improve compliance with quality standards

across NHS Lothian to Infection Control

Manager, Medical Director and Prevention and control of infection Committee





EQUALITY AND DIVERSITY - Level: 2


EQUALITY AND DIVERSITY - Level: 2

Level Indicators:

a) recognises the importance of people’s rights and acts in accordance with

legislation, policies and procedures

b) acts in ways that:

- acknowledge and recognise people’s expressed beliefs , preferences and

choices

- respect diversity

- value people as individuals

c) takes account of own behaviour and its effect on others

d) identifies and takes action when own or others’ behaviour undermines

equality and diversity.

Level Indicators:

a) recognises the importance of people’s rights and acts in accordance with

legislation, policies and procedures

b) acts in ways that:

- acknowledge and recognise people’s expressed beliefs , preferences and

choices

- respect diversity

- value people as individuals

c) takes account of own behaviour and its effect on others

d) identifies and takes action when own or others’ behaviour undermines

equality and diversity.


a) Conduct all work related activities in a non-discriminatory manner

Ensure that the needs of individuals are considered when providing prevention and control

of infection advice. Attends all relevant mandatory training on issues surrounding equality

and diversity.

b) Acts according to organisational policies and procedures in relation to Equality, Diversity,

Disability, Language and Mental Health.

c) Practices equality when dealing with colleagues and public and maintains a professional

approach which is sensitive to other people’s beliefs, preferences and choices.

d) Values all people as individuals and monitors own behaviour to ensure it has a positive

effect on others. Provides explanation, sensitively to an individual as to why their behaviour

is discriminatory and informs others of this if concerns continue. Reports issues that make if

difficult for users to access the service. Reports discriminatory behaviour on the part of

others to the appropriate individual.


a) Conduct all work related activities in a non-discriminatory manner

Ensure that the needs of individuals are considered when providing prevention and control of

infection advice. Attends all relevant mandatory training on issues surrounding equality and

diversity.

b) Acts according to organisational policies and procedures in relation to Equality, Diversity,

Disability, Language and Mental Health.

c) Practices equality when dealing with colleagues and public and maintains a professional

approach which is sensitive to other people’s beliefs, preferences and choices.

d) Values all people as individuals and monitors own behaviour to ensure it has a positive effect

on others. Provides explanation, sensitively to an individual as to why their behaviour is

discriminatory and informs others of this if concerns continue. Reports issues that make if difficult

for users to access the service. Reports discriminatory behaviour on the part of others to the

appropriate individual.





PROTECTION OF HEALTH AND WELLBEING - Level: 4


PROTECTION OF HEALTH AND WELLBEING - Level: 4

Level Indicators:

a) works in partnership with others to identify and assess

- the nature, location and seriousness of risks

- the problems that need to be addressed

- the factors that might be causing the problems

- priorities

- legislative, policy and procedural requirements

b) identifies and agrees with others a range of options for addressing

agreed priorities and selects those that have the best chance of success

c) develops with the help of others an overall protection plan

d) considers each specific case in the context of the overall protection plan

and decides with others how to proceed

e) identifies and agrees in partnership with others

- who will be involved in the management of specific risks

- how the risks can best be managed

- who needs to be kept informed

f) coordinates across the different people involved to effectively manage

risks facilitating swift and effective communication and support

g) undertakes any protective interventions that are necessary for the

management of risks, their complexity and for which s/he holds responsibility

h) maintains an ongoing accurate record of risks, the actions taken and

other investigations that have been put into effect

i) reviews with others the effectiveness of protection plans, any issues with

their implementation, and makes the necessary changes as a result.

Level Indicators:

a) works in partnership with others to identify and assess

- the nature, location and seriousness of risks

- the problems that need to be addressed

- the factors that might be causing the problems

- priorities

- legislative, policy and procedural requirements

b) identifies and agrees with others a range of options for addressing

agreed priorities and selects those that have the best chance of success

c) develops with the help of others an overall protection plan

d) considers each specific case in the context of the overall protection plan

and decides with others how to proceed

e) identifies and agrees in partnership with others

- who will be involved in the management of specific risks

- how the risks can best be managed

- who needs to be kept informed

f) coordinates across the different people involved to effectively manage

risks facilitating swift and effective communication and support

g) undertakes any protective interventions that are necessary for the

management of risks, their complexity and for which s/he holds responsibility

h) maintains an ongoing accurate record of risks, the actions taken and

other investigations that have been put into effect

i) reviews with others the effectiveness of protection plans, any issues with

their implementation, and makes the necessary changes as a result.





a & c) Practising under the direction of legislation policies and procedures through

partnership working with key stakeholders (e.g. public health, executive management team).

Identify and develop NHS Lothian Prevention and Control of Infection Planned Programme

to detail action to be taken in relation to: Audit outcomes and surveillance results to inform

Education & training and Policy & Guideline provision.

b & d) Identifies and agrees with others a range of options for addressing agreed priorities

and selects those infection control precautions to minimise outbreak spread. Offers support

and advice and liaise with practitioners line manager if workload / ability to meet work

demands / or identified risks are unmet. Collaborates with other professionals and develops

specific infection control interventions and protection plans providing support and guidance

to others as required in order to proceed in the implementation of the protection plan.

e & f) in conjunction with key stakeholders prioritise prevention and control of infection

intervention, based on available resources to address areas of highest risk and ensure

completion of annual planned programme. Report to Infection Control Manager, Medical

Director and Prevention & Control of Infection Committee where full implementation may not

be achieved e.g. where lack of resources significantly impact on the ability to deliver the

Infection Control Team Annual Planned programme.

Ensure prevention and control of infection interventions comply with statutory requirements,

NHS mandatory and best practice guidance and evidence based research.

g & h) Ensures systems are in place for the effective management of outbreaks of infection

by: e.g. the provision of infection control advice, collection and collation of data,

communication with clinical staff, managers, directors, patients, visitors, Public Health,

Health Protection Scotland and others. Provides ongoing written and verbal reports on the

implementation of the planned programme.

i) Liaises with NHS agencies such as Health Protection Scotland, Quality

Improvement Scotland, NHS Education Scotland and reports on NHS Lothian

implementation of national requirements in relation to infection prevention and control.

Critically review implementation of the ICT planned programme, providing an annual report

identifying areas of successful implementation and areas where further action is required.

Monitor the implementation of the ICT annual planned programme to ensure that it is being

delivered on schedule


a & c) Practising under the direction of legislation policies and procedures through partnership

working with key stakeholders (e.g. public health, executive management team). Identify and

develop NHS Lothian Prevention and Control of Infection Planned Programme to detail action to

be taken in relation to: Audit outcomes and surveillance results to inform Education & training and

Policy & Guideline provision.

b & d) Identifies and agrees with others a range of options for addressing agreed priorities and

selects those infection control precautions to minimise outbreak spread. Offers support and advice

and liaise with practitioners line manager if workload / ability to meet work demands / or identified

risks are unmet. Collaborates with other professionals and develops specific infection control

interventions and protection plans providing support and guidance to others as required in order to

proceed in the implementation of the protection plan.

e & f) in conjunction with key stakeholders prioritise prevention and control of infection

intervention, based on available resources to address areas of highest risk and ensure completion

of annual planned programme. Report to Infection Control Manager, Medical Director and

Prevention & Control of Infection Committee where full implementation may not be achieved e.g.

where lack of resources significantly impact on the ability to deliver the Infection Control Team

Annual Planned programme.

Ensure prevention and control of infection interventions comply with statutory requirements, NHS

mandatory and best practice guidance and evidence based research.

g & h) Ensures systems are in place for the effective management of outbreaks of infection by:

e.g. the provision of infection control advice, collection and collation of data, communication with

clinical staff, managers, directors, patients, visitors, Public Health, Health Protection Scotland and

others. Provides ongoing written and verbal reports on the implementation of the planned

programme.

i) Liaises with NHS agencies such as Health Protection Scotland, Quality

Improvement Scotland, NHS Education Scotland and reports on NHS Lothian implementation of

national requirements in relation to infection prevention and control. Critically review

implementation of the ICT planned programme, providing an annual report identifying areas of

successful implementation and areas where further action is required. Monitor the implementation

of the ICT annual planned programme to ensure that it is being delivered on schedule





INFORMATION COLLECTION AND ANALYSIS - Level: 3


INFORMATION COLLECTION AND ANALYSIS - Level: 3

Level Indicators:

a) formulates and agrees with others:

- the questions to be answered and issues to be addressed by the

data/information

- the concepts to be used for data and information collection,

management, analysis, interpretation and reporting

b) identifies appropriate and valid sources which can provide data and

information of sufficient quality and quantity

c) identifies, develops and implements a range of valid, reliable,

cost-effective and ethical methods for addressing the agreed questions and

issues, minimising disruption to the people providing the data/information and

complying with relevant legislation, policies and procedures

d) defines and implements search strategies for reviewing data and

information and summarising the results

e) monitors the quality and quantity of the data and information and takes

the necessary action to deal with any problems and maintain data quality

f) collates and analyses data and information using methods appropriate to:

- the initial questions/issues to be addressed

- the nature of the data and information

g) interprets, appraises and synthesises data and information appropriately

and identifies:

- consistency and inconsistency in outcomes

- any limitations in the analyses used

and continually holds issues raised open to question

h) develops justifiable and realistic conclusions and recommendations to

time and presents them using format, layout, images and structure

appropriate to:

- the needs and interests of the intended audience(s)

- accepted conventions and protocols

- the intended purpose of the presentation

Level Indicators:

a) formulates and agrees with others:

- the questions to be answered and issues to be addressed by the

data/information

- the concepts to be used for data and information collection,

management, analysis, interpretation and reporting

b) identifies appropriate and valid sources which can provide data and

information of sufficient quality and quantity

c) identifies, develops and implements a range of valid, reliable,

cost-effective and ethical methods for addressing the agreed questions and

issues, minimising disruption to the people providing the data/information and

complying with relevant legislation, policies and procedures

d) defines and implements search strategies for reviewing data and

information and summarising the results

e) monitors the quality and quantity of the data and information and takes

the necessary action to deal with any problems and maintain data quality

f) collates and analyses data and information using methods appropriate to:

- the initial questions/issues to be addressed

- the nature of the data and information

g) interprets, appraises and synthesises data and information appropriately

and identifies:

- consistency and inconsistency in outcomes

- any limitations in the analyses used

and continually holds issues raised open to question

h) develops justifiable and realistic conclusions and recommendations to

time and presents them using format, layout, images and structure

appropriate to:

- the needs and interests of the intended audience(s)

- accepted conventions and protocols

- the intended purpose of the presentation





a & b) Agrees with others the research questions and best methodology to capture both

qualitative and quantitative information which will lead to concluding the research process

by: Identifying strength/weakness of the methodology and make recommendations

Scoping and mapping the study population required to meet the research needs

Planning resources required to undertake research

Utilising reliable sources of data collection and undertakes sensitive and complex qualitative

methodology in line with national standards e.g. data protection.

c) Develop research proposals, both qualitative and quantitative using recommended

templates which require identification of evidence based effective and validated research

methodology by: gathering and analysed data ethically and effectively in relation to

anonymity, relevance, data storage and handling. Comply with local and national data

protection act.

d, e & f) Undertake audit to determine quality of methods used to collate analyse and

evaluate data in relation to infection control by:

Maintaining quality controls e.g. adheres to NMC standards, locally developed standards

specific to infection control surveillance methods undertaking electronic literature search

using a variety of peer reviewed data bases and validated search engines.

Reviewing and data e.g. from patient records and develops new methods of recording

information to assist in identifying risk factors

manages data obtained from research and audit ensuring that data is collated, analysed

and presented in a way which is relevant to practice. Identifies and reports when there is

insufficient data to answer the question or to generalise findings.

Through knowledge of all relevant legislation, policies and procedures e.g. Data protection

Act & NHS QIS Standards ensure that ICT data collection programmes are compliant

g & h) Prepares data for that summarise the key outcomes of audit or research. All data is

scrutinised for bias, power and inaccuracy which might lead to inconsistency e.g. work with

statistician or researcher who uses statistical analyses packages. Asses how audit data is

consistent with agreed audit criteria.

Uses a range of teaching / presentation formats including PowerPoint, graphics, charts,

images, flip charts, video etc, always acknowledging copyright and sources of data other

than own.


a & b) Agrees with others the research questions and best methodology to capture both qualitative

and quantitative information which will lead to concluding the research process by: Identifying

strength/weakness of the methodology and make recommendations

Scoping and mapping the study population required to meet the research needs

Planning resources required to undertake research

Utilising reliable sources of data collection and undertakes sensitive and complex qualitative

methodology in line with national standards e.g. data protection.

c) Develop research proposals, both qualitative and quantitative using recommended templates

which require identification of evidence based effective and validated research methodology by:

gathering and analysed data ethically and effectively in relation to anonymity, relevance, data

storage and handling. Comply with local and national data protection act.

d, e & f) Undertake audit to determine quality of methods used to collate analyse and evaluate

data in relation to infection control by:

Maintaining quality controls e.g. adheres to NMC standards, locally developed standards specific

to infection control surveillance methods undertaking electronic literature search using a variety of

peer reviewed data bases and validated search engines.

Reviewing and data e.g. from patient records and develops new methods of recording information

to assist in identifying risk factors

manages data obtained from research and audit ensuring that data is collated, analysed and

presented in a way which is relevant to practice. Identifies and reports when there is insufficient

data to answer the question or to generalise findings.

Through knowledge of all relevant legislation, policies and procedures e.g. Data protection Act &

NHS QIS Standards ensure that ICT data collection programmes are compliant

g & h) Prepares data for that summarise the key outcomes of audit or research. All data is

scrutinised for bias, power and inaccuracy which might lead to inconsistency e.g. work with

statistician or researcher who uses statistical analyses packages. Asses how audit data is

consistent with agreed audit criteria.

Uses a range of teaching / presentation formats including PowerPoint, graphics, charts, images,

flip charts, video etc, always acknowledging copyright and sources of data other than own.





SERVICES AND PROJECT MANAGEMENT - Level: 3


SERVICES AND PROJECT MANAGEMENT - Level: 3

Level Indicators:

a) identifies and assesses for operational planning

- the ways in which services / projects contribute to the achievement of

organisational / partnership direction, aims and objectives

- what needs to be achieved in services / projects

- the inter-relationships between different parts including critical paths

- who needs to be involved in the planning and implementation of services

/ projects

- potential risks

- priorities and targets

- the impact of legislation, policies, procedures

- methods and processes for reporting, controlling and communicating

b) enables people delivering services / projects to understand their role and

its relationship to others

c) provides advice and support to people on day-to-day priorities, risks and

issues

d) gathers enough information to monitor the delivery of the service / project

against overall plans and promptly identifies and investigates any issues

e) determines and implements the most appropriate ways of addressing

issues taking account of any relevant factors

f) gains feedback on how to improve service / project delivery and uses it to

improve future practice

g) provides information to the people who hold overall responsibility for

services / projects when they appear to be ineffective or inefficient in meeting

requirements

.

Level Indicators:

a) identifies and assesses for operational planning

- the ways in which services / projects contribute to the achievement of

organisational / partnership direction, aims and objectives

- what needs to be achieved in services / projects

- the inter-relationships between different parts including critical paths

- who needs to be involved in the planning and implementation of services

/ projects

- potential risks

- priorities and targets

- the impact of legislation, policies, procedures

- methods and processes for reporting, controlling and communicating

b) enables people delivering services / projects to understand their role and

its relationship to others

c) provides advice and support to people on day-to-day priorities, risks and

issues

d) gathers enough information to monitor the delivery of the service / project

against overall plans and promptly identifies and investigates any issues

e) determines and implements the most appropriate ways of addressing

issues taking account of any relevant factors

f) gains feedback on how to improve service / project delivery and uses it to

improve future practice

g) provides information to the people who hold overall responsibility for

services / projects when they appear to be ineffective or inefficient in meeting

requirements

.





a) Identifies and assesses prevention and control of infection projects as delegated with key

stakeholders for inclusion with operational planning by:

Representing infection control on a variety of local and strategic groups. E.g. Risk

Management steering group

Identifying and assessing risk within projects and ensure impact assessments are

undertaken to meet legislative requirements NHS Scotland national guidance, best practice

guidelines

Maintaining processes for consultation and engagement with a wide range of stakeholders

Prioritises actions ensuring timescales are met and identifies resources

Development and implementation of local strategies and action plans, reporting through

relevant management structures

b) Informs and enables relevant people delivering service/project to understand their role

e.g. appropriate information on the outbreak and it’s progress is conveyed accurately and

timeously to relevant parties e.g. hotel services, estates, nursing and other clinical staff.

Establish in conjunction with a senior member of the ICT clear outcomes relevant to the

project and develop multidisciplinary working as part of project or outbreak management.

c) Provides expertise and support to staff and service users managing risks and issues

raised are resolved e.g. written information for staff, patients and visitors in the form of

information leaflets. Obtains/provides data e.g. patient details, signs and symptoms, date of

onset , etc during an outbreak of infectious disease

d & e) Gathers information to monitor the delivery of the service project against overall plans

and promptly identifies and investigates any issues by:

Mapping Control of Infection activities, identifying gaps and taking relevant action

Provides feedback to all stakeholders in accessible communication format e.g. advise on

resource implication

Meets with clinical/management staff to ensure that action plans and outcomes are met and

recorded

work with stakeholders to resolve issues and identify solutions to areas of concern e.g.

impact assessing projects, policies

Highlights training opportunities

Using standards and best practice guidelines

Supports development of funding proposals if resources are required

f) Monitors the implementation of outbreak control measures against the action plan,

advises people involved on how to improve project delivery e.g. surveys, promote, cascade

learning from feedback and adapt guidelines for future practice

g) Provides information to managers and other stakeholders who hold overall responsibility

for services/projects when they do not meet requirements by

Monthly briefing paper for senior staff e.g. survey reports with recommendations and

solutions provided for consideration

Promoting and identifying best practices


a) Identifies and assesses prevention and control of infection projects as delegated with key

stakeholders for inclusion with operational planning by:

Representing infection control on a variety of local and strategic groups. E.g. Risk Management

steering group

Identifying and assessing risk within projects and ensure impact assessments are undertaken to

meet legislative requirements NHS Scotland national guidance, best practice guidelines

Maintaining processes for consultation and engagement with a wide range of stakeholders

Prioritises actions ensuring timescales are met and identifies resources

Development and implementation of local strategies and action plans, reporting through relevant

management structures

b) Informs and enables relevant people delivering service/project to understand their role e.g.

appropriate information on the outbreak and it’s progress is conveyed accurately and timeously to

relevant parties e.g. hotel services, estates, nursing and other clinical staff. Establish in

conjunction with a senior member of the ICT clear outcomes relevant to the project and develop

multidisciplinary working as part of project or outbreak management.

c) Provides expertise and support to staff and service users managing risks and issues raised are

resolved e.g. written information for staff, patients and visitors in the form of information leaflets.

Obtains/provides data e.g. patient details, signs and symptoms, date of onset , etc during an

outbreak of infectious disease

d & e) Gathers information to monitor the delivery of the service project against overall plans and

promptly identifies and investigates any issues by:

Mapping Control of Infection activities, identifying gaps and taking relevant action

Provides feedback to all stakeholders in accessible communication format e.g. advise on resource

implication

Meets with clinical/management staff to ensure that action plans and outcomes are met and

recorded

work with stakeholders to resolve issues and identify solutions to areas of concern e.g. impact

assessing projects, policies

Highlights training opportunities

Using standards and best practice guidelines

Supports development of funding proposals if resources are required

f) Monitors the implementation of outbreak control measures against the action plan, advises

people involved on how to improve project delivery e.g. surveys, promote, cascade learning from

feedback and adapt guidelines for future practice

g) Provides information to managers and other stakeholders who hold overall responsibility for

services/projects when they do not meet requirements by

Monthly briefing paper for senior staff e.g. survey reports with recommendations and solutions

provided for consideration

Promoting and identifying best practices





PEOPLE MANAGEMENT - Level: 3


PEOPLE MANAGEMENT - Level: 3

Level Indicators:

a) suggests workforce requirements to meet team and organisational

objectives

b) selects individuals for posts using agreed methods and based on

objective assessments against agreed criteria

c) gives team members clear information on, and opportunities to influence,

work objectives, planning and organisation, in a way which inspires

commitment and enthusiasm

d) plans and coordinates work:

- prioritising and reprioritising activities to respond to changing

circumstances

- managing multiple processes simultaneously whilst enabling teams and

individuals to focus on their own specific objectives

e) delegates authority to people and monitors them against the required

outcomes, agreeing with them:

- clear, explicit and achievable targets and timescales

- ways in which their development will be supported

- how progress and performance will be monitored and reviewed

f) allocates and provides sufficient resources and support for delegated

work and reviews progress and outcomes with people as agreed

g) gives people support and opportunities to meet their personal

development objectives

h) agrees with people appropriate courses of action to address any issues

with their work

Level Indicators:

a) suggests workforce requirements to meet team and organisational

objectives

b) selects individuals for posts using agreed methods and based on

objective assessments against agreed criteria

c) gives team members clear information on, and opportunities to influence,

work objectives, planning and organisation, in a way which inspires

commitment and enthusiasm

d) plans and coordinates work:

- prioritising and reprioritising activities to respond to changing

circumstances

- managing multiple processes simultaneously whilst enabling teams and

individuals to focus on their own specific objectives

e) delegates authority to people and monitors them against the required

outcomes, agreeing with them:

- clear, explicit and achievable targets and timescales

- ways in which their development will be supported

- how progress and performance will be monitored and reviewed

f) allocates and provides sufficient resources and support for delegated

work and reviews progress and outcomes with people as agreed

g) gives people support and opportunities to meet their personal

development objectives

h) agrees with people appropriate courses of action to address any issues

with their work





a & b) Assesses workload of Infection Control Team and advises Infection Control Manager

of any changes to workforce requirements by regular review of capacity and skill mix.

Leads in the selection and recruitment of staff in line with relevant legislation policies and

procedures e.g. manpower budget limitations and review

c) Ensure Infection Control team members are involved in developing the annual infection

control planned programme by: providing the team with constructive feedback and enable

staff to contribute and influence service objectives.

structured individual performance review e.g. developing the leadership potential of team

members

prioritises own and team workload to ensure that planned programme is achieved. Monitors

implementation of planned programme by team members.

d) Adjusts planned programme and re-prioritises own and team workload in response to

changes in regulations, NHS Scotland national guidance, best practice guidelines and

evidence based research. Ensure that NHS Lothian prevention and control of infection

training and education programmes are based on legislation, SEHD & NHS Lothian policy,

national guidelines and best practice statements.

e) Undertakes staff PDPR’s and sets objectives for team members.

Delegate activities and projects to team members commensurate with their skills and grade

whilst ensuring that staff can develop their knowledge and skills by: using training needs

analysis set clear targets in regard to training and development of staff which are annually

agreed.

fostering team building by developing collaborative working relationships with staff i.e.

participation and involvement in decision making

f) Support staff to develop prevention and control of infection skills and knowledge by

providing sufficient resources such as time and assistance to allow staff to achieve targets

by: utilising a range of education and training formats to maximise learning opportunities for

staff.

agreeing achievable objectives and undertake regular performance review meetings to map

progress

g & h) Provide expert prevention and control of infection guidance to staff to allow them to

develop their specialist prevention and control of infection knowledge and skills by:

Developing with team member action plans identifying individual strengths and aspects of

worth that require support e.g. KSF outlines using a range of learning opportunities to

support individual staff development i.e. secondments, delegating work projects and

shadowing


a & b) Assesses workload of Infection Control Team and advises Infection Control Manager of any

changes to workforce requirements by regular review of capacity and skill mix.

Leads in the selection and recruitment of staff in line with relevant legislation policies and

procedures e.g. manpower budget limitations and review

c) Ensure Infection Control team members are involved in developing the annual infection control

planned programme by: providing the team with constructive feedback and enable staff to

contribute and influence service objectives.

structured individual performance review e.g. developing the leadership potential of team

members

prioritises own and team workload to ensure that planned programme is achieved. Monitors

implementation of planned programme by team members.

d) Adjusts planned programme and re-prioritises own and team workload in response to changes

in regulations, NHS Scotland national guidance, best practice guidelines and evidence based

research. Ensure that NHS Lothian prevention and control of infection training and education

programmes are based on legislation, SEHD & NHS Lothian policy, national guidelines and best

practice statements.

e) Undertakes staff PDPR’s and sets objectives for team members.

Delegate activities and projects to team members commensurate with their skills and grade whilst

ensuring that staff can develop their knowledge and skills by: using training needs analysis set

clear targets in regard to training and development of staff which are annually agreed.

fostering team building by developing collaborative working relationships with staff i.e.

participation and involvement in decision making

f) Support staff to develop prevention and control of infection skills and knowledge by providing

sufficient resources such as time and assistance to allow staff to achieve targets by: utilising a

range of education and training formats to maximise learning opportunities for staff.

agreeing achievable objectives and undertake regular performance review meetings to map

progress

g & h) Provide expert prevention and control of infection guidance to staff to allow them to develop

their specialist prevention and control of infection knowledge and skills by: Developing with team

member action plans identifying individual strengths and aspects of worth that require support e.g.

KSF outlines using a range of learning opportunities to support individual staff development i.e.

secondments, delegating work projects and shadowing

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