CDC Accreditation Manager (NHS AfC: Band 8a) - The Princess Alexandra Hospital NHS Trust

The Princess Alexandra Hospital NHS Trust; Ivy Chimneys; On-site; GBP 53,000 - 61,000; Full time

Job summary

The Princess Alexandra Hospital NHS Trust is seeking a CDC Accreditation Manager to ensure quality standards across clinical services. The role involves developing accreditation strategies, maintaining quality management systems, and facilitating compliance with national standards, contributing to improved patient care and experience.

Benefits

Free car parking for staff

Minimum 27 days’ annual leave plus bank holidays

Access to NHS Pension scheme

Flexible working options available

Onsite creche facilities

Discounted hospital restaurant

Qualifications

• Knowledge of UKAS/QSI/IQIPS is essential.
• Experience in quality improvement is required.

Responsibilities

• Ensure clinical physiological services gain and retain IQIPS accreditation.
• Develop strategies for Imaging & Clinical Physiological Sciences accreditation.
• Monitor and coordinate implementation of Trust Risk Management and Quality Assurance policies.

Skills

Quality Improvement Experience

Knowledge of UKAS/QSI/IQIPS

Job description

Employer The Princess Alexandra Hospital NHS Trust Employer type NHS Site St. Margaret's Hospital Town Epping Salary £53,755 - £60,504 Per annum plus 5% high cost area supplement Salary period Yearly Closing 23/05/2025 23:59

CDC Accreditation Manager

NHS AfC: Band 8a

The Princess Alexandra Hospital NHS Trust (PAHT) provides a full range of general acute, outpatient and diagnostic services at The Princess Alexandra Hospital in Harlow, the Herts and Essex Hospital in Bishop’s Stortford, and St Margaret’s Hospital in Epping.

Our values

The Princess Alexandra Hospital NHS Trust (PAHT) promise to our patients, as identified by our three values which will contribute to improving our patients’ experiences, is:

Patient at heart – Always holding the patient and their wellbeing at the centre of our thoughts and efforts.

Everyday excellence – Sharing and celebrating our successes, being honest when we get it wrong, giving us the ability to learn from both.

Creative collaboration – Knowing strength comes from diversity, we combine our experiences, skills and talents, working together to find new and better ways to care.

Job overview

The post holder will be expected:

· To be an efficient and flexible member of the CDC Management team providing a quality service to service users.

· To maintain and develop the department Quality management system in collaboration with the Imaging Quality, Risk and Patient Safety Manager
Develop

Lead and advise on a programme to attain the Quality Standards for Imaging (QSI) across all modalities

· Develop, lead and advise on a programme to attain the Improving Quality in Physiological services (IQIPS) across the physiologies within the community diagnostic centre

· Represent the Trust at sector level when the Imaging Network move towards Quality Standard for Imaging networks (QSIN)

· To facilitate the department team to perform / document audits against defined National quality performance measures e.g. QSI

· To develop and manage clinical quality improvement action plans in conjunction with clinical Teams

The CDC Hub site will go live in early January 2026 and there is a need for the centre to reach UKAS accreditation within 2 years of then. This role will help facilitate that accreditation.

Main duties of the job

· To ensure all clinical physiological services across the community diagnostic centres gain and retain their Improving Quality in Physiological Services (IQIPS) accreditation

· To ensure all modalities within Imaging at the community diagnostic centres meet the accreditation requirements of QSI and other regulatory/quality requirements

· To help develop Modality SOPs that complement QSI and IQIPS Accreditation

· Develop and implement strategies for Imaging & Clinical Physiological Sciences to gain accreditation in line with the Trusts Clinical Governance programme and Clinical Risk Management System ensuring a consistent, Imaging and community diagnostic centre wide approach that will ensure the continual improvement of the quality of patient care and the patient experience.

· Monitor the functionality and effectiveness of the Quality Management system, make recommendations for improvement and work with Senior Managers to develop and implement action plans.

· Monitor and co-ordinate the implementation of Trust Risk Management and Quality Assurance policies and systems ensuring a consistent and proactive approach to reduction of clinical risk, to promote clinical effectiveness and a safe and healthy environment in line with the Quality strategy.

· Ensure compliance with requirements of external Quality Assurance schemes and that all internal Quality Assurance is monitored to QSI and IQIPS

Working for our organisation

Our Organisation

The Princess Alexandra Hospital NHS Trust (PAHT) provides a full range of general acute, outpatient and diagnostic services at The Princess Alexandra Hospital in Harlow, the Herts and Essex Hospital in Bishop’s Stortford, and St Margaret’s Hospital in Epping.

We employ 3,500 staff and serve a local population of around 350,000 people living in west Essex and east Hertfordshire, centred on the M11 corridor and the towns of Harlow, Bishop’s Stortford and Epping. Our extended catchment area incorporates a population of up to 500,000 and includes the areas of Hoddesdon, Cheshunt and Broxbourne in Hertfordshire.

Our Values

The Princess Alexandra Promise to our patients as identified by our 3 values which will contribute to improving our patient experiences:

Patient at heart – Always holding the patient and their wellbeing at the centre of our thoughts and efforts

Everyday excellence – Sharing and celebrating our successes, being honest when we get it wrong, giving us the ability to learn from both

Creative collaboration – Knowing strength comes from diversity, we combine our experiences, skills and talents, working together to find new and better ways to care

The Trust believes in investing in all our staff and rewarding high standards of care whilst building for excellence and in return we expect our staff to uphold the Trust values to the highest level.

Detailed job description and main responsibilities

Please see the attached Job description and person specification. This is available to download at anytime.

Person specification

Knowledge

• Knowledge of UKAS/QSI/IQIPS

Experience

• Quality Improvement Experience

Knowledge

• Meets JD criteria

What we can offer you:

• Full induction and onboarding process in our organisation
• Free car parking for our staff
• Structured pay scheme, including additional living supplement to your basic salary
• Minimum 27 days’ annual leave plus bank holidays (pro rata for part time staff)
• Access to our Alex Lounge, our staff only rest area with free tea and coffee
• Access to NHS Pension scheme
• Flexible working options available, in line with our flexible working policy
• Onsite creche facilities
• Annual appraisals with career pathways
• In-house training courses
• Discounted hospital restaurant
• Staff health and wellbeing health services and complimentary health provision
• Our Trust is committed to promoting equality of opportunity for all its employees. We welcome applications from anyone who meets the specific criteria of the post regardless of age, disability, ethnicity, gender, gender reassignment, marital status, pregnancy, religion or belief or sexual orientation. Reasonable adjustments to the interview process can also be made for any candidates with a disability
• All new colleagues joining PAHT will be subject to a probationary period of six months
• The closing date given is a guide only. There may be some occasions where we have to close a vacancy once sufficient applications have been received. It is therefore advisable that you submit your application as early as possible to avoid disappointment
• Our Trust is committed to safeguarding and promoting the welfare of children and young people, and vulnerable adults. Offers of employment are subject to pre-employment NHS screening checks
• Providing false or misleading information or unsatisfactory pre-employment checks may result in the offer of a post being withdrawn

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.