Job summary
Job Overview: Manager in Quality Standards in Imaging (QSI)
This is an exciting opportunity to undertake transformational change at Dartford and Gravesham NHS Trust.
Position Summary
The Manager in Quality Standards in Imaging (QSI) is responsible for overseeing the quality assurance and improvement processes within the imaging department at the Community Diagnostic Centre (CDC) and the broader Radiology directorate. This role ensures that imaging services meet regulatory requirements, industry standards, and organizational goals. The Manager collaborates with clinical staff, administrative teams, and external stakeholders to maintain and enhance the quality of imaging services. This position also involves significant governance responsibilities, including policy development, compliance monitoring, and reporting.Experience:- Minimum of 5 years of experience in imaging services, with at least 2 years in a managerial or supervisory role.- Proven experience in quality assurance and regulatory compliance in a healthcare setting.Skills:- Strong leadership and management skills.- Excellent communication and interpersonal abilities.- Analytical skills and attention to detail.- Proficiency in quality management software and tools.- Knowledge of healthcare regulations and accreditation processes.
Main duties of the job
Key Responsibilities1. Quality Assurance and Improvement:
- Develop and implement quality assurance programs for imaging services.- Monitor and evaluate the performance of imaging equipment and personnel.- Conduct regular audits and inspections to ensure compliance with quality standards.- Analyze data and metrics to identify areas for improvement.- Implement corrective actions and track their effectiveness.
- 2. Policy and Procedure Development:- Develop and update policies and procedures related to imaging quality standards.- Ensure that all policies comply with regulatory and accreditation requirements.- Collaborate with clinical staff to develop best practice guidelines.
- 3. Regulatory Compliance:- Ensure that the imaging department complies with all relevant regulations and standards (e.g., Joint Commission, ACR).- Prepare and submit necessary documentation for accreditation and certification processes.- Liaise with regulatory bodies and external auditors during inspections and reviews.4. Governance Duties:- Develop and oversee the governance framework for imaging quality standards.- Establish committees and workgroups to address quality and safety issues.- Report on quality performance and compliance to senior management and governance boards.- Develop risk management strategies to mitigate potential quality and compliance issues.- Ensure transparency and accountability in quality management processes.
About us
We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. We have signed the Armed Forces Covenant Pledge and have a commitment to the Armed Forces Community.
If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. We strongly encourage that all our staff are vaccinated against COVID-19 and are vaccinated annually against Flu, in order to protect the health and safety of our staff and patients. Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues.
Job description
Job responsibilities
Specific Responsibilities1. Accreditation programme - key responsibilities1.1 Manage and supervise the accreditation processes in the radiology services1.2 Responsible for the services QSI implementation and accreditation programme.1.3 Update the Radiology services manager regularly concerning progress with meeting thestandard and accreditation programme.1.4 Understand the requirement and timescales of accreditation to the Quality Standard ofImaging (QSI)1.5 Coordinate the movement through the QSI three stage approach, ensuring that all evidenceuploaded to the quality management system is relevant, up-to-date, and fully meets the QSIaccreditation criteria.1.6 Supervise the ongoing implementation of processes. Following application of accreditation,ensure all documents reported to UKAS are relevant.1.7 Administrator access to the DGS web based assessments on the UKAS website,maintaining the access and passwords of the service users.1.8 Maintain the services audit and outcome measure programme, issuing reminders whenoutcome measures are due, and feeding the results into the appropriate meetings.1.9 Chair the services QSI and improvement meetings.1.10 Oversee and facilitate QSI site meetings,1.11 Oversee the services controlled documents, issuing reminders when they require updating.1.12 Maintain printed versions of the services controlled documents2. Clinical responsibilities:2.1 Responsible for working closely with the clinical teams to ensure the systems andprocesses are the best they can be for the management of patients attending thoseservices; working with the teams to identify where improvements can be made for thedelivery of high quality timely care2.2 Act as the first point of contact for all general enquiries from outside agencies.2.3 Responsible for ensuring all clinical pathways are adhering to the 18 weeks referral totreatment (RTT) guidance2.4 Ensure all patient and clinical details are accurately recorded, in a timely manner.2.5 Act as the senior liaison between the services, other stakeholders, and support services toensure pathways are operated in the best interest of the patient and our mandatory targets.2.6 Ensure admin staff understand the importance of ensuring all patients can access serviceswithin the appropriate clinical department, minimising patient waiting times.2.7 Ensure that the appropriate action is taken in line with the Trusts Access Policy to ensurethat all inpatient and outpatient cancellations are correctly recorded and managed on PAS2.8 Support patient engagement strategies for feedback and service improvements2.9 Update data bases as and when required to support the clinical services2.10 Undertake investigations in response to patient complaints and support the ClinicalGovernance Manager as and when required for formal responses3. Managerial responsibilities:3.1 Support the delivery of the department objectives and business plans ensuring thatinvestments for service improvements are included in the divisional plan and aligned withthe divisional business plan objectives3.2 Ensure effective utilisation of theatres and clinics ensuring effective planning andorganisation3.3 Ensure up to date information on the waiting list is provided for the Trusts Access meeting3.4 Working with the divisional management team and the General Manager to ensure effectivebudget and financial information is provided for the clinical teams3.5 Responsible for drafting standard operating procedures as well as contributing to policydevelopment as and when required.3.6 Hold regular team meetings to ensure all members of staff are aware and supported withany plans/changes and information relevant to their employment, posts or department3.7 Responsible for working with the clinical and divisional teams on service improvements andservice developments using project management skills for more complex service projectsensuring all stakeholders are kept informed and contribute to decision making and pathwayredesign3.8 Support recruitment and selection of admin staff as and when required4. Education and development responsibilities:4.1 All budget holders will undertake on the job training in all matters financial and will beresponsible for ensuring they are setup in the finance/procurement/HR systems with theappropriate authorisation levels.4.2 Undertake annual review and statutory and mandatory training4.3 Ensure attendance at department training sessions as required forprofessional/personal/service development4.4 Support induction and orientation of new members of staff in the services to ensure staffhave a good working knowledge of the service and the divisional team4.5 Support training and development opportunities with students, apprentices and othergroups such as Kick Starter scheme as and when requiredGeneral responsibilities:Patient Experience Staff should ensure that they always put the patient at the heart of everything they do. All staffwill strive to create a positive patient experience at each stage of the patients/service userscare journeyTrust Policies and Procedures To adhere to the Trusts agreed policies and procedures.Equal Opportunities To promote and develop the equality of opportunity in accordance with the Trusts EqualOpportunities PolicyConfidentiality To protect the confidentiality of information relating to the Trust, Patient and Staff or otheragenciesQuality To provide a quality service to internal and external agencies and participate/ develop clinicalgovernance within sphere of responsibility.Infection Control All Trust employees are required to be familiar with, and comply with, Trust polices andguidelines for infection control and hand hygiene in order to prevent the spread of healthcareassociated infections. For clinical staff with direct patient contact, this will include the uniform and dress code policy,the use of personal protective equipment guidance, the guidance on aseptic techniques andthe safe handling and disposal of sharps. All staff are required to attend mandatory training in Infection Control and be compliant with allmeasures known to be effective in reducing healthcare-associated infections.Health and Safety To share responsibility for abiding by health and safety policies and regulations, infectionprevention and control policies and act in accordance with the Risk Management Policy.Sustainability It is the responsibility of all staff to minimise the Trust's environmental impact by recyclingwherever possible, switching off lights, computers, monitors and equipment when not in use,minimising water usage and reporting faults promptly.Our Behaviours All staff are expected to behave in accordance with Our Behaviours. The six areas of focusare the responsibility of each individual and should be the basis for all work undertaken withinthe Trust.Safeguarding The Trust expects all employees to adhere to the principle that safeguarding children andadults is everybodys responsibility, including the escalation of any concerns.
Job description
Job responsibilities
Specific Responsibilities1. Accreditation programme - key responsibilities1.1 Manage and supervise the accreditation processes in the radiology services1.2 Responsible for the services QSI implementation and accreditation programme.1.3 Update the Radiology services manager regularly concerning progress with meeting thestandard and accreditation programme.1.4 Understand the requirement and timescales of accreditation to the Quality Standard ofImaging (QSI)1.5 Coordinate the movement through the QSI three stage approach, ensuring that all evidenceuploaded to the quality management system is relevant, up-to-date, and fully meets the QSIaccreditation criteria.1.6 Supervise the ongoing implementation of processes. Following application of accreditation,ensure all documents reported to UKAS are relevant.1.7 Administrator access to the DGS web based assessments on the UKAS website,maintaining the access and passwords of the service users.1.8 Maintain the services audit and outcome measure programme, issuing reminders whenoutcome measures are due, and feeding the results into the appropriate meetings.1.9 Chair the services QSI and improvement meetings.1.10 Oversee and facilitate QSI site meetings,1.11 Oversee the services controlled documents, issuing reminders when they require updating.1.12 Maintain printed versions of the services controlled documents2. Clinical responsibilities:2.1 Responsible for working closely with the clinical teams to ensure the systems andprocesses are the best they can be for the management of patients attending thoseservices; working with the teams to identify where improvements can be made for thedelivery of high quality timely care2.2 Act as the first point of contact for all general enquiries from outside agencies.2.3 Responsible for ensuring all clinical pathways are adhering to the 18 weeks referral totreatment (RTT) guidance2.4 Ensure all patient and clinical details are accurately recorded, in a timely manner.2.5 Act as the senior liaison between the services, other stakeholders, and support services toensure pathways are operated in the best interest of the patient and our mandatory targets.2.6 Ensure admin staff understand the importance of ensuring all patients can access serviceswithin the appropriate clinical department, minimising patient waiting times.2.7 Ensure that the appropriate action is taken in line with the Trusts Access Policy to ensurethat all inpatient and outpatient cancellations are correctly recorded and managed on PAS2.8 Support patient engagement strategies for feedback and service improvements2.9 Update data bases as and when required to support the clinical services2.10 Undertake investigations in response to patient complaints and support the ClinicalGovernance Manager as and when required for formal responses3. Managerial responsibilities:3.1 Support the delivery of the department objectives and business plans ensuring thatinvestments for service improvements are included in the divisional plan and aligned withthe divisional business plan objectives3.2 Ensure effective utilisation of theatres and clinics ensuring effective planning andorganisation3.3 Ensure up to date information on the waiting list is provided for the Trusts Access meeting3.4 Working with the divisional management team and the General Manager to ensure effectivebudget and financial information is provided for the clinical teams3.5 Responsible for drafting standard operating procedures as well as contributing to policydevelopment as and when required.3.6 Hold regular team meetings to ensure all members of staff are aware and supported withany plans/changes and information relevant to their employment, posts or department3.7 Responsible for working with the clinical and divisional teams on service improvements andservice developments using project management skills for more complex service projectsensuring all stakeholders are kept informed and contribute to decision making and pathwayredesign3.8 Support recruitment and selection of admin staff as and when required4. Education and development responsibilities:4.1 All budget holders will undertake on the job training in all matters financial and will beresponsible for ensuring they are setup in the finance/procurement/HR systems with theappropriate authorisation levels.4.2 Undertake annual review and statutory and mandatory training4.3 Ensure attendance at department training sessions as required forprofessional/personal/service development4.4 Support induction and orientation of new members of staff in the services to ensure staffhave a good working knowledge of the service and the divisional team4.5 Support training and development opportunities with students, apprentices and othergroups such as Kick Starter scheme as and when requiredGeneral responsibilities:Patient Experience Staff should ensure that they always put the patient at the heart of everything they do. All staffwill strive to create a positive patient experience at each stage of the patients/service userscare journeyTrust Policies and Procedures To adhere to the Trusts agreed policies and procedures.Equal Opportunities To promote and develop the equality of opportunity in accordance with the Trusts EqualOpportunities PolicyConfidentiality To protect the confidentiality of information relating to the Trust, Patient and Staff or otheragenciesQuality To provide a quality service to internal and external agencies and participate/ develop clinicalgovernance within sphere of responsibility.Infection Control All Trust employees are required to be familiar with, and comply with, Trust polices andguidelines for infection control and hand hygiene in order to prevent the spread of healthcareassociated infections. For clinical staff with direct patient contact, this will include the uniform and dress code policy,the use of personal protective equipment guidance, the guidance on aseptic techniques andthe safe handling and disposal of sharps. All staff are required to attend mandatory training in Infection Control and be compliant with allmeasures known to be effective in reducing healthcare-associated infections.Health and Safety To share responsibility for abiding by health and safety policies and regulations, infectionprevention and control policies and act in accordance with the Risk Management Policy.Sustainability It is the responsibility of all staff to minimise the Trust's environmental impact by recyclingwherever possible, switching off lights, computers, monitors and equipment when not in use,minimising water usage and reporting faults promptly.Our Behaviours All staff are expected to behave in accordance with Our Behaviours. The six areas of focusare the responsibility of each individual and should be the basis for all work undertaken withinthe Trust.Safeguarding The Trust expects all employees to adhere to the principle that safeguarding children andadults is everybodys responsibility, including the escalation of any concerns.
Person Specification
Education and Training
Essential
- Degree or equivalent experience
- Project management qualification or demonstrable experience
- Masters level qualification or equivalent experience
- Evidence of CPD
Desirable
- Management qualification to post graduate diploma level or equivalent.
Knowledge and Skills
Essential
- Excellent verbal, written and presentation skills
- Problem solving skills
- Analytical and numerical skills
- Interpersonal skills
- Ability to use data and interpret for meaningful problem solving
- Time management skills
- Ability to operate as an independent practitioner.
- Able to draft and present reports
- Understanding of Data Quality
- IT Literate
- Able to facilitate and Chair meetings
- Project management skills
Desirable
- Knowledge of Agenda for Change
Experience
Essential
- Significant experience of working at a senior level within a radiology service
- Experience of project management and service improvement
- Broad range of experience and knowledge in multiple modalities
- Significant experience of managing staff.
Desirable
- Understanding of relevant NHS Plan targets including 18 weeks, cancer and diagnostic targets.
Person Specification
Education and Training
Essential
- Degree or equivalent experience
- Project management qualification or demonstrable experience
- Masters level qualification or equivalent experience
- Evidence of CPD
Desirable
- Management qualification to post graduate diploma level or equivalent.
Knowledge and Skills
Essential
- Excellent verbal, written and presentation skills
- Problem solving skills
- Analytical and numerical skills
- Interpersonal skills
- Ability to use data and interpret for meaningful problem solving
- Time management skills
- Ability to operate as an independent practitioner.
- Able to draft and present reports
- Understanding of Data Quality
- IT Literate
- Able to facilitate and Chair meetings
- Project management skills
Desirable
- Knowledge of Agenda for Change
Experience
Essential
- Significant experience of working at a senior level within a radiology service
- Experience of project management and service improvement
- Broad range of experience and knowledge in multiple modalities
- Significant experience of managing staff.
Desirable
- Understanding of relevant NHS Plan targets including 18 weeks, cancer and diagnostic targets.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
