Job summary Expected Shortlisting Date: 28/11/2024 Planned Interview Date: 05/12/2024 Applications are invited for the post of Quality Manager in the Business Management and Administration section of the Department of Medical Physics and Clinical Engineering (MPCE). We are looking for an enthusiastic, highly motivated and experienced individual with formal quality management training to join our team. This is an exciting opportunity for a quality professional to broaden your experience working in one of the biggest MPCE Departments in the UK. Main duties of the job This job offers a unique opportunity for a proficient Quality Manager to ensure that our department quality and governance processes are robust and effective. We have recently procured a new commercial quality management system which this role will be responsible for developing. Key aspects of this job role are: delivery and management of the departmental Quality Systems and ensuring the Departments compliance and accreditation co-ordinating work to maintain and develop a quality system that will comply with current regulations regarding quality standards including Peer Review and ISO 9001:2015 standards ensure continued departmental certification to the relevant quality standard(s). maintain an appropriate system of document management audit management, risk management maintaining the Departments clinical and scientific governance processes About us The Leeds Teaching Hospitals NHS Trust is one of the largest teaching hospitals in Europe, a regional and national centre for specialist treatment, a renowned biomedical research facility. MPCE supports the established range of applications of physics and engineering in medicine, and seeks to be actively involved in the development, assessment, implementation and audit of new and existing health care technologies and procedures. The business management and administration section is led by a professional service manager. The scientific and technical sections within the Department are: Radiotherapy Physics, Radionuclide & MRI Physics, Clinical Engineering, Radiological Physics and Clinical Scientific Computing. Overall the Department has approximately 350 staff. Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions. Date posted 07 November 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year Contract Permanent Working pattern Full-time, Flexible working Reference number C9298-ONC-0432 Job locations St. James's University Hospital Beckett Street Leeds LS9 7TF Job description Job responsibilities PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Supervision & Management To be responsible for the day-to-day supervision of the quality system, thereby helping to ensure the maintenance of the highest standards of care and service; to participate in management meetings within the Department of Medical Physics & Clinical Engineering and the Clinical Service Unit to ensure quality management underpins all decisions, developments, and policies; to liaise with the leads in each discipline to assign tasks aimed at delivering, implementing and maintaining a quality system designed to meet all prevailing standards and/or regulations; to manage their own time and prioritise work in order to meet agreed targets and outcomes; to oversee the planning, implementation and developemnt of the quality system by bringing together team members from all disciplines; to lead and train (where applicable) staff to conduct internal quality audits to supervise any staff assigned to assist with the quality system, where appropriate. to give presentations and provide training where necessary to staff relating to quality management in the Department of Medical Physics & Engineering to promote quality issues across the organisation; Quality Management To develop and maintain the quality system that adheres to ISO 9001 and take responsibility for the quality policy and quality manual including regular review and updates; to organise the regular management review of the quality system, with senior departmental and hospital management and chair or deputise the Quality Management review meetings to provide a full annual report for managers as part of the management review; to liaise with external auditors and inspectors in relation to ISO 9001 accreditation and clinic accreditation with the Clinical Movement Analysis Society (CMAS) and other accreditation schmes as required Communicate complex issues and negotiates with external organisations. to organise and plan the inspections to maintain ISO 9001 quality management with external bodies Effectively incorporate all sections within Department into the Quality Management System to provide information periodically for management review, including technical and quality management reports; to participate, along with area leads, in the setting of targets and minimum standards across the organisation, with reference to ISO and other relevant standards; to participate along with the area leads to devlop cost improvements whilst delivering a quality service to participate in regular service development meetings to continually improve service and develop strategic plans to achieve these goals. to monitor and analyse complex information around performance against these targets through gathering relevant data and producing statistical reports; to carry out process audits to determine compliance with tests and procedures, so ensuring these are properly understood, carried out and evaluated and that modifications are investigated if necessary; to be responsible for lisiaisng with section leaders to perform root cause analysis where necessary, to look at incident trends and report these to the Senior Management Group and governance meeting to troubleshoot across the organisation in order to develop and maintain the quality of the service; to define Standard Operating Procedures in collaboration with relevant staff members, and produce these in a standardised format; to develop and maintain a document control and management system, using hard copies or electronic systems as necessary, and including archiving; to apply the quality system in compliance with national and Trust policies, including environmental and health and safety standards; to keep full and accurate records of all work in a format that facilitates audit trails to be followed for the purposes of accreditation, whilst also maintaining confidentiality; to promote the quality system to all other staff members by motivating, instructing, teaching and informing them; to deliver general and specialist training on all aspects of quality management to a wide range of staff, including students, trainee and clinical scientists, technical, medical, nursing and administrative staff as appropriate. Professional To monitor developments in the field of quality systems, with particular reference to the field of healthcare science and medicine, and develop state-of-the-art practices locally; to liaise regionally, nationally and internationally with other centres regarding quality management and accreditation; to maintain effective communication with professionals e.g., medical, nursing, auditors outwith the department to maintain effective services; to maintain professional development through participation in a Continuing Professional Development Scheme, if appropriate; to participate in the Trust Performance Management Review scheme. to participate in clinical governance meetings to lead in the development and implementation of departmental policies relating to areas of specialist responsibility. The jobholder will contribute towards overall service improvement by participation in and the implementation of departmental policy development and by active participation in a range of quality governance procedures consistent with Trust policies. Data Collection & Audit To ensure the collection and maintenance of data as part of the Departments quality management system database,; this will include auditing current practice including some statistical analysis of the data to identify trends which may indicate further interventions to ensure best practice working with the area leads to ensure data submissions are performed within the specified time frames and to assist with clinical and financial data validation where necessary to be responsible for, and participate in, the audits of performance of the Department as a whole and as individuals which may involve sensitive discussions around indivual performance.; to be responsible for collating of the Departments audits and inputting to Trust clinical audit framework to be responsible for Quality Assurance under the guidance of the leads, including data audit, assessment of performance, and development and refinement of QC procedures; to participate in the Departments regular audit, clinical review and other meetings. To present quality management information to the clinical teams on a regular basis in the governance forums and lead strategy plans related to quality. The postholder would be expected to manage action trackers and delegate tasks to the most appropriate personnel to ensure continuos quality improvement. Research To provide support to research staff in managing data and performance measures; to participate in the Departmentsresearch and audit programmes; the Quality Manager is encouraged to attend and present at scientific and technical meetings if applicable. Job description Job responsibilities PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Supervision & Management To be responsible for the day-to-day supervision of the quality system, thereby helping to ensure the maintenance of the highest standards of care and service; to participate in management meetings within the Department of Medical Physics & Clinical Engineering and the Clinical Service Unit to ensure quality management underpins all decisions, developments, and policies; to liaise with the leads in each discipline to assign tasks aimed at delivering, implementing and maintaining a quality system designed to meet all prevailing standards and/or regulations; to manage their own time and prioritise work in order to meet agreed targets and outcomes; to oversee the planning, implementation and developemnt of the quality system by bringing together team members from all disciplines; to lead and train (where applicable) staff to conduct internal quality audits to supervise any staff assigned to assist with the quality system, where appropriate. to give presentations and provide training where necessary to staff relating to quality management in the Department of Medical Physics & Engineering to promote quality issues across the organisation; Quality Management To develop and maintain the quality system that adheres to ISO 9001 and take responsibility for the quality policy and quality manual including regular review and updates; to organise the regular management review of the quality system, with senior departmental and hospital management and chair or deputise the Quality Management review meetings to provide a full annual report for managers as part of the management review; to liaise with external auditors and inspectors in relation to ISO 9001 accreditation and clinic accreditation with the Clinical Movement Analysis Society (CMAS) and other accreditation schmes as required Communicate complex issues and negotiates with external organisations. to organise and plan the inspections to maintain ISO 9001 quality management with external bodies Effectively incorporate all sections within Department into the Quality Management System to provide information periodically for management review, including technical and quality management reports; to participate, along with area leads, in the setting of targets and minimum standards across the organisation, with reference to ISO and other relevant standards; to participate along with the area leads to devlop cost improvements whilst delivering a quality service to participate in regular service development meetings to continually improve service and develop strategic plans to achieve these goals. to monitor and analyse complex information around performance against these targets through gathering relevant data and producing statistical reports; to carry out process audits to determine compliance with tests and procedures, so ensuring these are properly understood, carried out and evaluated and that modifications are investigated if necessary; to be responsible for lisiaisng with section leaders to perform root cause analysis where necessary, to look at incident trends and report these to the Senior Management Group and governance meeting to troubleshoot across the organisation in order to develop and maintain the quality of the service; to define Standard Operating Procedures in collaboration with relevant staff members, and produce these in a standardised format; to develop and maintain a document control and management system, using hard copies or electronic systems as necessary, and including archiving; to apply the quality system in compliance with national and Trust policies, including environmental and health and safety standards; to keep full and accurate records of all work in a format that facilitates audit trails to be followed for the purposes of accreditation, whilst also maintaining confidentiality; to promote the quality system to all other staff members by motivating, instructing, teaching and informing them; to deliver general and specialist training on all aspects of quality management to a wide range of staff, including students, trainee and clinical scientists, technical, medical, nursing and administrative staff as appropriate. Professional To monitor developments in the field of quality systems, with particular reference to the field of healthcare science and medicine, and develop state-of-the-art practices locally; to liaise regionally, nationally and internationally with other centres regarding quality management and accreditation; to maintain effective communication with professionals e.g., medical, nursing, auditors outwith the department to maintain effective services; to maintain professional development through participation in a Continuing Professional Development Scheme, if appropriate; to participate in the Trust Performance Management Review scheme. to participate in clinical governance meetings to lead in the development and implementation of departmental policies relating to areas of specialist responsibility. The jobholder will contribute towards overall service improvement by participation in and the implementation of departmental policy development and by active participation in a range of quality governance procedures consistent with Trust policies. Data Collection & Audit To ensure the collection and maintenance of data as part of the Departments quality management system database,; this will include auditing current practice including some statistical analysis of the data to identify trends which may indicate further interventions to ensure best practice working with the area leads to ensure data submissions are performed within the specified time frames and to assist with clinical and financial data validation where necessary to be responsible for, and participate in, the audits of performance of the Department as a whole and as individuals which may involve sensitive discussions around indivual performance.; to be responsible for collating of the Departments audits and inputting to Trust clinical audit framework to be responsible for Quality Assurance under the guidance of the leads, including data audit, assessment of performance, and development and refinement of QC procedures; to participate in the Departments regular audit, clinical review and other meetings. To present quality management information to the clinical teams on a regular basis in the governance forums and lead strategy plans related to quality. The postholder would be expected to manage action trackers and delegate tasks to the most appropriate personnel to ensure continuos quality improvement. Research To provide support to research staff in managing data and performance measures; to participate in the Departmentsresearch and audit programmes; the Quality Manager is encouraged to attend and present at scientific and technical meetings if applicable. Person Specification Experience Essential Detailed understanding and practical experience of audit quality management and compliance including knowledge of quality standards and systems Extensive experience in a Quality Management setting Audit techniques and analysis of information Involvement with successful service improvement Desirable Understanding of relevant healthcare science legislation and standards Experience of Quality Management in a clinical or other safety critical environment such as a laboratory, aviation or nuclear environments Knowledge and experience of commercial Quality Management software systems Other Criteria Essential Intermediate computing skills Qualifications Essential Degree level or equivalent Quality Management and service improvement training Evidence of continuous professional development Desirable MSc Recognised qualification in Quality Management or Physical Sciences or equivalent expereince Root Cause Analysis and incident investigation training Skills & Behaviours Essential To act at all times in a professional manner, showing courtesy, sensitivity and respect for other staff and patients. A good team player with ability to work flexibly and on own initiative Excellent communication skills, verbal and written including ability to communicate complex information to senior colleagues Ability to work to deadlines whilst managing conflicting priorities Positive attitude to change and continuous improvement Presenting educational sessions Desirable troubleshooting skills Person Specification Experience Essential Detailed understanding and practical experience of audit quality management and compliance including knowledge of quality standards and systems Extensive experience in a Quality Management setting Audit techniques and analysis of information Involvement with successful service improvement Desirable Understanding of relevant healthcare science legislation and standards Experience of Quality Management in a clinical or other safety critical environment such as a laboratory, aviation or nuclear environments Knowledge and experience of commercial Quality Management software systems Other Criteria Essential Intermediate computing skills Qualifications Essential Degree level or equivalent Quality Management and service improvement training Evidence of continuous professional development Desirable MSc Recognised qualification in Quality Management or Physical Sciences or equivalent expereince Root Cause Analysis and incident investigation training Skills & Behaviours Essential To act at all times in a professional manner, showing courtesy, sensitivity and respect for other staff and patients. A good team player with ability to work flexibly and on own initiative Excellent communication skills, verbal and written including ability to communicate complex information to senior colleagues Ability to work to deadlines whilst managing conflicting priorities Positive attitude to change and continuous improvement Presenting educational sessions Desirable troubleshooting skills Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Employer details Employer name Leeds Teaching Hospitals Address St. James's University Hospital Beckett Street Leeds LS9 7TF Employer's website https://www.leedsth.nhs.uk/ (Opens in a new tab)