Job overview
We are seeking a dedicated and Radiology Quality Manager to establish and oversee the Radiology QualityManagement Framework and System. The ideal candidate will support the clinical governance needs of the Radiology Department, managing various processes including incident and complaint management, risk assessment, and quality assurance (QA). This role involves ensuring compliance with regulatory and accreditation standards, leading the department towards QSI accreditation, and developing key performance standards.
The post holder will work closely with the Lead Radiologist, Head of Radiology and Divisional Governance Manager in the development and delivery of key performance standards for the Department and all corporate objectives. By producing matrix, activity and performance data.
Main duties of the job
1. To be responsible for developing, maintaining and embedding a Quality Culture throughout Radiology. To achieve this, you will have to employ highly developed interpersonal and communication skills to motivate, persuade, and gain agreement and cooperation of staff to overcome significant barriers to understanding and reluctance to change practice.
2. Maintain clinical practice.
3. To lead in the administration and development of the Radiology Quality Management System, Q-Pulse.
4. To follow up on external inspections and verify the completion of corrective action as required by the reports of the inspectors.
5. Support the radiology leadership team in the management of performance through presentation of data and management of administrative processes.
6. The post holder will have no budgetary responsibility but will be responsible for prudent use and ordering of resources and will contribute to the departmental Cost Improvement Programme (CIP).
7. Maintain and review radiology ordering system and action accordingly.
8. To support the radiology leadership team in the management and reporting of performance within radiology including the presentation and analysis of data and review of administration processes.
9. To Chair the Radiology Clinical Governance Team meetings and also attend Divisional governance meetings alongside the Radiologist, Governance lead, Head of Radiology and Lead radiographer.
Working for our organisation
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
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Detailed job description and main responsibilities
10. To be responsible for developing, maintaining and embedding a Quality Culture throughout Radiology. To achieve this, you will have to employ highly developed interpersonal and communication skills to motivate, persuade, and gain agreement and cooperation of staff to overcome significant barriers to understanding and reluctance to change practice.
11. Maintain clinical practice.
12. To lead in the administration and development of the Radiology Quality Management System, Q-Pulse.
13. To follow up on external inspections and verify the completion of corrective action as required by the reports of the inspectors.
14. Support the radiology leadership team in the management of performance through presentation of data and management of administrative processes.
15. The post holder will have no budgetary responsibility but will be responsible for prudent use and ordering of resources and will contribute to the departmental Cost Improvement Programme (CIP).
16. Maintain and review radiology ordering system and action accordingly.
17. To support the radiology leadership team in the management and reporting of performance within radiology including the presentation and analysis of data and review of administration processes.
18. To Chair the Radiology Clinical Governance Team meetings and also attend Divisional governance meetings alongside the Radiologist, Governance lead, Head of Radiology and Lead radiographer.
19. To provide quality data related to the performance of radiology to relevant internal and external meetings.
20. To participate in service meetings and Head of Departments (HODS) meeting.
21. To participate in local management meetings, decision making and policy implementation.
22. To be familiar with Radiology statutory requirements, the clinical governance, risk management and quality audit policies and procedures of the Trust and the system(s) of accreditation in use.
23. To lead in the implementation and maintenance of the Quality Management System Q-Pulse, in particular:
Non-conformance reporting and closure
Tracking the implementation of appropriate corrective and preventive actions
Quality Improvement actions
Change Control
Appropriate and effective handling of complaints and comments from users
Trending of non-conformances, incidents and user complaints
Risk assessment, both proactive and in response to serious errors
Writing, modifying and updating Standard Operating Procedures (SOP) for all global aspects of departmental work, whilst also supporting the modality leads in the creation and maintenance of SOPs for their modality
Ensuring the correct documentation exists for IR(ME)R 2017 and IRR17
Maintaining the skills matrix and working with the Training Lead to ensure staff are compliant with statutory and mandatory training
Be overall responsible for the departmental QA and work with the Plain Film Lead Radiographer in maintaining each room’s equipment and fault log
Maintaining and updating the Radiology and Radiation Governance Spreadsheet and action plans
24. As part of the Radiology Department’s commitment to meeting the needs and requirements of our service users you will be required to undertake audits of user satisfaction and collate, analyse and utilise the results to enable service improvements to be made. These audits will be performed in conjunction with users in primary and secondary care.
25. To facilitate and co-ordinate internal audit of the Q-Pulse Quality Management System and examination processes:
26. To educate staff about the Q-Pulse system.
27. To maintain, develop and disseminate the Departmental Quality Manual.
28. To identify areas and particular projects where there is the potential for quality improvement in the service provided by the department.
29. Coordinate timely receipt and investigations of complaints, be able to draft appropriate responses and ensure actions are completed.
30. To lead on the Datix incident reporting (including reporting and learning from incidents); supporting others in the completion and investigation of Datix incidents, ensuring timely feedback to and actions are completed to improve patient care.
31. To lead and support root cause analysis investigations for Serious Incidents (SI) and other incidents in line with the policy framework.
32. The post holder will be required to work independently and be responsible for their own day-to-day planning and organisation required to fulfil the duties and responsibilities of the post.
33. Works towards achieving and maintaining QSI against current practice.
Person specification
Education and qualifications
Essential criteria
34. BSc. (Hons) Diagnostic Radiography. HCPC registration.
35. Post graduate or studying towards in a relevant area of study.
Desirable criteria
36. Qualifications in Quality Management.
37. Supervisory management / training qualification.
Skills and abilities
Essential criteria
38. Excellent interpersonal, communication and motivational skills.
39. Able to communicate clearly and precisely both verbally and in writing with all levels of staff inside and outside of Radiology.
40. Able to produce documents such as standard operating procedures, work instruction documents, complex spreadsheets for data analysis.
41. Able to explain and implement new policies and procedures. Able to supervise more junior staff in a professional and competent manner.
Desirable criteria
42. Experience in delivering training .
Experience
Essential criteria
43. Previous work in NHS. Ability to supervise others’ work.
44. Can demonstrate first line leadership.
45. Working knowledge of Quality Management Systems
46. Ability to develop and write policies and procedures (e.g. Standard Operating Procedures).
Desirable criteria
47. Evidence of work in developing or assisting the development of Quality Systems.
48. Experience of working clinically in Radiology
Personal qualities
Essential criteria
49. Able to work well within a team.
50. Able to work without supervision.
51. Enthusiasm for work and to undertake appropriate training as required facilitating service developments.
Values
Essential criteria
52. Demonstrable ability to meet Trust values.
Other requirements
Essential criteria
53. Willingness to work flexibly. Friendly, caring and approachable to patients and staff.
Desirable criteria
54. Understanding of the 2ww, 6ww and 18-week RTT pathways.
We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.
You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.
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