Job summary
The Assisted Conception Unit (ACU) at Epsom and St Helier University NHS Trust are seeking a band 7 Quality Manager to support the ACU team. This post is part-time (22.5hrs/week) fixed-term maternity cover for 12 months.
An opportunity has arisen for a Quality Manager to join the team at Beginnings ACU to assist in providing a personalised and high quality service to patients and couples undergoing fertility treatment. Located within Women's Health building at St Helier hospital, Beginnings ACU has been providing a range of fertility services since 2016, including Ovulation Induction, Fertility Preservation, Intra-Uterine Insemination and IVF and ICSI services, all supported by a dedicated and professional team. The post holder will be responsible for maintaining and developing the quality management system, ensuring the unit adheres to the quality policy and maintains high standards of patient care. A large part of the role will be ensuring day-to-day activities, procedures and pathways are compliant with HFEA licence conditions and adhere to guidance outlined in the Code of Practice. The role will involve managing the document control system, maintaining the audit schedule and supporting members in quality improvement. The post-holder will also be the dedicated complaints officer for the ACU, to ensure that complaints and concerns from patients are investigated appropriately.
Main duties of the job
The quality manager will be responsible for ensuring quality standards are maintained to deliver high quality care to patients. Main duties include:
Reviewing quality standards, procedures and SOPs
Ensuring existing procedures continue to meet internal and external standards, including compliance with HFEA regulations, CQC and Trust policies
Maintaining document control and helping to implement procedural changes where required
Monitor units performance in collaboration with the senior management team to ensure the unit functions effectively and efficiently to meet patient's needs
Organising and supporting completion of regular audits and implementing change control and quality improvement
Collaborating with external companies and suppliers to ensure that they meet quality standards and regular review of third party agreements
Ensuring all processes meet health and safety requirements, including development and completion of Risk Assessments to provide a safe environment to both patients and staff
Manage the complaints register, to investigate patient complaints and follow up with relevant teams
Report and investigate all non-conformances and adverse incidents within appropriate timescales
About us
Epsom and St Helier University Hospitals NHS Trust offer an extensive range of services, including cancer, pathology, surgery, and gynaecology to over 490,000 people in south west London and north east Surrey.
The Trust employs approximately 5,000 staff across its hospitals and is supported by over 500 volunteers. At Epsom and St Helier we put respect at the heart of all we do, we are proud to be an equal opportunities employer and promote kindness, professionalism, positivity and teamwork, enabling us to provide great patient care and make ESTH a great place to work.
OUR MISSION: TO PUT THE PATIENT FIRST BY DELIVERING GREAT CARE TO EVERY PATIENT, EVERY DAY
Job description
Job responsibilities
The post holder should have experience in a clinical or laboratory setting, competent with related software and information systems and have an understanding of the requirements for HFEA, CQC, UKAS standards and related Quality Management Systems. The successful candidate would need to be enthusiastic, motivated, and committed to assist the team in providing high quality of patient care. The role will require strong organisational skills, attention to detail and the ability to delegate effectively. The post also requires supporting the admin team, consisting of Patient Pathway Coordinator and Patient Pathway Assistant in dedicated tasks, including the taking of payments for self-funding patients, as well as advising the clinical and laboratory team on quality related compliance. Excellent communication and interpersonal skills are essential working within a small multidisciplinary team. You will be reportable to the HFEA Person Responsible. Please see the attached supporting document which contains more information about the role ==================================================
Job description
Job responsibilities
The post holder should have experience in a clinical or laboratory setting, competent with related software and information systems and have an understanding of the requirements for HFEA, CQC, UKAS standards and related Quality Management Systems. The successful candidate would need to be enthusiastic, motivated, and committed to assist the team in providing high quality of patient care. The role will require strong organisational skills, attention to detail and the ability to delegate effectively. The post also requires supporting the admin team, consisting of Patient Pathway Coordinator and Patient Pathway Assistant in dedicated tasks, including the taking of payments for self-funding patients, as well as advising the clinical and laboratory team on quality related compliance. Excellent communication and interpersonal skills are essential working within a small multidisciplinary team. You will be reportable to the HFEA Person Responsible. Please see the attached supporting document which contains more information about the role ==================================================
Person Specification
Qualifications and Training
Essential
- BSc (Hons) in Reproductive science or equivalent
- MSc in a science related subject (or related subject) or equivalent
- Evidence of continuing professional development
Desirable
- Evidence of Managerial Training
- Fellow of the Institute of Biomedical Science or HCPC Registration (Health and Care Professions Council)
- Qualification (diploma) in Quality Management or evidence of equivalent relevant qualifications
Experience
Essential
- Typically 3+ years post-registration experience ( if HCPC / BMS registered )
- Experience of using an eQMS system
- Experience of managing adverse incidents and implementing and management of change control
- Implementation of quality assurance programs/initiative
- Experience in writing and reviewing Standard Operating Procedures, Policies and Risk Assessments
- Experience with Third Party agreements / Contracts with external companies
- Have good personnel management experience with highly developed people skills
- Be an experienced and objective arbitrator
- Be an excellent, understanding and effective communicator
Desirable
- Experience with iPassport and / or MediTEX
- Training and supervising a team
- Experience within an NHS Fertility setting
- Experience of interpreting/understanding complex clinical and laboratory information
Knowledge and Skills
Essential
- Advanced theoretical and practical knowledge of Quality Systems, relevant current guidelines, standards and best practice.
- Understanding of the principles and importance of audits
- Knowledge of all aspects of HFEA licensing
- Ability to interpret complex, highly specialised statements and relate them to ACU practice
- Have experienced and effective Report writing skills.
- Excellent and effective written and oral communication skills with ability to handle delicate/sensitive patient complaints
- Problem solving skills and attention to detail
- Computer literate (Including Word, Excel and PowerPoint)
- Knowledge of Health & Safety legislation and Procedures
Desirable
- Ability to develop skills in use of specialist computer software
- Demonstrate excellent ambassadorial skills to a range of people and departments within and outside the organisation.
- Have a broad knowledge of clinical / laboratory regulation and governance
Person Specification
Qualifications and Training
Essential
- BSc (Hons) in Reproductive science or equivalent
- MSc in a science related subject (or related subject) or equivalent
- Evidence of continuing professional development
Desirable
- Evidence of Managerial Training
- Fellow of the Institute of Biomedical Science or HCPC Registration (Health and Care Professions Council)
- Qualification (diploma) in Quality Management or evidence of equivalent relevant qualifications
Experience
Essential
- Typically 3+ years post-registration experience ( if HCPC / BMS registered )
- Experience of using an eQMS system
- Experience of managing adverse incidents and implementing and management of change control
- Implementation of quality assurance programs/initiative
- Experience in writing and reviewing Standard Operating Procedures, Policies and Risk Assessments
- Experience with Third Party agreements / Contracts with external companies
- Have good personnel management experience with highly developed people skills
- Be an experienced and objective arbitrator
- Be an excellent, understanding and effective communicator
Desirable
- Experience with iPassport and / or MediTEX
- Training and supervising a team
- Experience within an NHS Fertility setting
- Experience of interpreting/understanding complex clinical and laboratory information
Knowledge and Skills
Essential
- Advanced theoretical and practical knowledge of Quality Systems, relevant current guidelines, standards and best practice.
- Understanding of the principles and importance of audits
- Knowledge of all aspects of HFEA licensing
- Ability to interpret complex, highly specialised statements and relate them to ACU practice
- Have experienced and effective Report writing skills.
- Excellent and effective written and oral communication skills with ability to handle delicate/sensitive patient complaints
- Problem solving skills and attention to detail
- Computer literate (Including Word, Excel and PowerPoint)
- Knowledge of Health & Safety legislation and Procedures
Desirable
- Ability to develop skills in use of specialist computer software
- Demonstrate excellent ambassadorial skills to a range of people and departments within and outside the organisation.
- Have a broad knowledge of clinical / laboratory regulation and governance
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.