Quality Improvement Manager

Leeds Teaching Hospitals

The closing date is 23 May 2025

Job summary

Expected Shortlisting Date

19/05/2025

Planned Interview Date

02/06/2025

An exciting opportunity has arisen to join the Corporate Operations team at LTHT, working to deliver the accreditation of the Community Diagnostic Centre (CDC) programme in Leeds. This is a fixed term post that will run until 31st March 2026 and presents a potential secondment opportunity for individuals to further develop their project management, leadership and accreditation skills experience whilst working with a wide range of internal and external stakeholders. It is also an opportunity to work alongside corporate operations colleagues and learn more about the organisation and our partners. Previous applicants need not apply and please ensure you have your managers support for secondment before applying.

Main duties of the job

Leadership of the quality and accreditation of the CDCs is the main focus for this role, working with clinical and operational colleagues to deliver this. The post holder will develop and implement the quality standards required for the CDCs as well as gaining UKAS accreditation for the service. As a programme leader, you will be required to analyse and interpret hospital performance, quality data, policies and guidelines and work closely with other networks and CDCs, in particular to understand development of the accreditation process. NHSE have stipulated that CDCs are to be accredited within 2 years of being set up so a key outcome for the quality improvement manager will be to ensure that robust management systems are in place during the planning period to deliver against the agreed approach for accreditation, including the scope and timeframes being worked towards in order to achieve the operational quality improvement for the CDC and accreditation through UKAS.

About us

Your excellent communication and interpersonal skills will be important for engagement with multidisciplinary teams across the system including clinical and non-clinical services to lead on the quality and delivery of the programme and ensuring that accreditation is delivered as part of the programme and that it is fit for purpose. This is a large and complex programme providing the necessary levels of assurance to senior programme leads regarding delivery milestones of this programme and ensuring efficient risk management is a key priority. This is a full-time role and will be primarily office based with a requirement to work across other LTHT sites and the existing CDCs (Seacroft, Armley, Beeston) and will require an immediate start. Previous experience of UKAS accreditation would be advantageous.

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

02 May 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

C9298-TEX-0079

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Job description

Job responsibilities

To provide expert quality improvement and change management consultancy to the CDC (Community Diagnostics Centre) leading on the quality and delivery of the programme and ensuring that accreditation is delivered as part of the programme and that it is fit for purpose. Working with the Directors of Operations, Planning, Finance and other internal and external stakeholders to ensure timescales are met and service benefits realised. The quality improvement manager will ensure that robust management systems are in place during the planning period to achieve the strategic and operational quality Improvement for the CDC with an aim to gain accreditation through UKAS. UKAS is working with NHS England to establish a project to develop Accreditation for Community Diagnostic Centres (CDCs).

NHSE have stipulated that CDCs are to be accredited within 2 years of being set up. Over 170 CDCs have already been approved by NHSE to operate services which may include pathology, phlebotomy, point of care testing, diagnostic imaging, and physiological science services.

As the national accreditation body, UKAS is the only organisation recognised to provide accreditation across healthcare diagnostic and scientific services. UKAS will now work with host Trusts and CDC providers to determine the most suitable approach to deliver accreditation across the relevant disciplines, and the scope and the timeframes that services are planning to work to.

In order to conduct this work UKAS needs to gather as much information as possible from CDCs on their structures, governance, activities and how they work with other services. We will then be able to use this information to formulate a plan and pilot an integrated approach for our assessments, where required.

Job description

Job responsibilities

To provide expert quality improvement and change management consultancy to the CDC (Community Diagnostics Centre) leading on the quality and delivery of the programme and ensuring that accreditation is delivered as part of the programme and that it is fit for purpose. Working with the Directors of Operations, Planning, Finance and other internal and external stakeholders to ensure timescales are met and service benefits realised. The quality improvement manager will ensure that robust management systems are in place during the planning period to achieve the strategic and operational quality Improvement for the CDC with an aim to gain accreditation through UKAS. UKAS is working with NHS England to establish a project to develop Accreditation for Community Diagnostic Centres (CDCs).

NHSE have stipulated that CDCs are to be accredited within 2 years of being set up. Over 170 CDCs have already been approved by NHSE to operate services which may include pathology, phlebotomy, point of care testing, diagnostic imaging, and physiological science services.

As the national accreditation body, UKAS is the only organisation recognised to provide accreditation across healthcare diagnostic and scientific services. UKAS will now work with host Trusts and CDC providers to determine the most suitable approach to deliver accreditation across the relevant disciplines, and the scope and the timeframes that services are planning to work to.

In order to conduct this work UKAS needs to gather as much information as possible from CDCs on their structures, governance, activities and how they work with other services. We will then be able to use this information to formulate a plan and pilot an integrated approach for our assessments, where required.

Person Specification

Additional Requirements

Essential

  • Managers are required to carry out their duties in a manner which complies with the Code of Conduct for NHS Managers Directions 2002.

Experience

Essential

  • Substantial experience working at a senior manager/ Matron level with line management responsibilities

Desirable

  • Considerable experience in managing/facilitating complex, multi-agency and whole systems organisation/service changes, delivering successful service transformation project on time and to budget

Qualifications

Essential

  • Masters Degree in relevant subject or equivalent experiential learning in addition to first Degree.

Desirable

  • Specialist training in a range of Service redesign/Change Management techniques; examples could include; Service redesign techniques, Lean thinking, Statistical process control, Capacity and Demand ma

Skills & behaviours

Essential

  • Promotes a patient centred organisational culture.

Desirable

  • Accountable for own actions & the consequences of interventions with individuals & groups.
Person Specification

Additional Requirements

Essential

  • Managers are required to carry out their duties in a manner which complies with the Code of Conduct for NHS Managers Directions 2002.

Experience

Essential

  • Substantial experience working at a senior manager/ Matron level with line management responsibilities

Desirable

  • Considerable experience in managing/facilitating complex, multi-agency and whole systems organisation/service changes, delivering successful service transformation project on time and to budget

Qualifications

Essential

  • Masters Degree in relevant subject or equivalent experiential learning in addition to first Degree.

Desirable

  • Specialist training in a range of Service redesign/Change Management techniques; examples could include; Service redesign techniques, Lean thinking, Statistical process control, Capacity and Demand ma

Skills & behaviours

Essential

  • Promotes a patient centred organisational culture.

Desirable

  • Accountable for own actions & the consequences of interventions with individuals & groups.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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)


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)


For questions about the job, contact:

General Manager

Leigh hawkins

leigh.hawkins3@nhs.net

Date posted

02 May 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

C9298-TEX-0079

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF


Supporting documents

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