CDC Accreditation Lead

James Paget University Hospitals NHS Foundation Trust; Gorleston-on-Sea; On-site; GBP 47,000 - 55,000; Full time

Job summary

A healthcare organization in Gorleston-on-Sea seeks a dedicated professional to support quality and governance standards in the Community Diagnostic Centre. The role involves managing accreditation processes, ensuring compliance with healthcare standards, and supporting continuous quality improvement. The ideal candidate will play a pivotal role in delivering compassionate healthcare while collaborating with various teams. Competitive salary range is offered.

Responsibilities

• Manage and be accountable for improving quality in physiological services.
• Support integration of new diagnostic pathways into the service.
• Carry out accreditation processes for the CDC.
• Ensure high quality audits and governance processes.
• Deliver a safe and compassionate healthcare service.
• Lead through the accreditation process, working with the accreditation team.
• Coordinate responses to the UKAS.
• Ensure compliance with relevant standards.
• Organise onsite visits with the accreditation team.
• Work closely with leadership to maintain governance standards.
• Promote continuous quality improvement within specialities.
• Collaborate with staff to resolve issues.

Job description

To support the Divisional Governance Lead in quality, governance and safety standards in the Community Diagnostic Centre's service covering both the JPUH site and the Northgate CDCs.

Key Responsibilities

• Manage and be accountable for:
  • Improving Quality in Physiological Services (IQIPS).
  • Quality Standards for Imaging (QSI).
  • The requirements for quality and competence in a medical laboratory environment (ISO15189).
• Support the integration of new diagnostic pathways into the service, ensuring they are aligned with accreditation requirements and clinical governance frameworks.
• Carry out accreditation processes throughout the CDC, carrying out required management and leadership responsibilities to ensure that accreditation is successfully obtained through the United Kingdom Accreditation Service (UKAS) and thereafter maintained.
• Support the Speciality Leads in ensuring high quality audits and governance processes.
• Support the delivery of a high quality, safe and compassionate healthcare service, acting as a role model to others in all aspects of their work and consistently demonstrating the JPUH values of courtesy and respect; attentively kind and helpful; responsive communication; and effective and professional.
• Be responsible for leading the CDC's through the accreditation process for the services being provided, working with the accreditation team, and ensuring that the service maintains accreditation.
• Complete the web‑based electronic assessment process and review it annually following accreditation.
• Coordinate the service's responses to the United Kingdom Accreditation Service (UKAS), ensuring that all evidence uploaded to the specialities web‑based assessment is relevant, up‑to‑date, and fully meets the set criteria.
• Coordinate ongoing requirements of CDC standards, ensuring that the processes within the specialities are fully compliant with the relevant standards at all times.
• Organise and coordinate onsite visits with the accreditation team.
• Work closely with the Senior Operations Manager, Clinical Governance Lead Matron and speciality leads, to ensure that governance and safety standards are maintained in line with Trust and UKAS requirements.
• Work with Speciality Team Leads, the Senior Leadership team and Clinical Leads to coordinate relevant audits and evidence requirements of each standard, promoting a culture of continuous quality improvement within each speciality.
• Negotiate and collaborate with all levels of staff, across the CDC specialities, to resolve issues and remove barriers to enable change.

Our Organisation

We want to attract the best and brightest people to work with us and that means we will look after you from the moment you apply for a role at the Trust and throughout your career with us. Our staff are central to everything we do, and we believe that investing in you is crucial if we want to enable you to reach your full potential.

Behavioural Expectations

• Putting patients first.
• Aiming to get it right.
• Recognising that everybody counts.
• Doing everything openly and honestly.

Equality, Diversity & Inclusion

The James Paget University Hospitals NHS Foundation Trust recognises the requirement to promote health and reduce ill‑health. The Trust is committed to ensuring that no job applicant or employee receives less favourable treatment on the grounds of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation. Prior consideration will be given to NHS At Risk staff within East of England.

Remuneration

£47,810 – £54,710 per annum.

Employment

Full time – New.