Quality Manager & JACIE Accreditation lead, Band 7
- NHS
- Full Time
- Cheltenham
- 46148.00 - 52809.00 a year
Job Description
Job summary
Following re-accreditation by JACIE at the end of 2024, the Clinical Haematology department are seeking an enthusiastic and driven Quality Manager to lead the next cycle of accreditation and secure continued JACIE accredited status for the future of the Stem Cell Transplant Programme.
The Quality Manager will work in close partnership with the Stem Cell Transplant Director, Stem Cell Lead Nurses and Data Manager to ensure that the Stem cell programme is fully supported through the accreditation cycles. Within this role, the QM will have the opportunity to influence the direction of the future of this service and the quality elements that relate to it.
The QM will have the opportunity to work with colleagues within the D&S Division to facilitate the introduction of an electronic Quality Management System, and to lead the implementation of the new system within Haematology.
As well as opportunities to lead on JACIE, the QM will also have opportunities to work with the OHPCI General Manager and Deputy General Manager on Quality projects within the Haematology department.
Main duties of the job
The Quality Manager (QM) will be a key member of the Haematology department responsible for the maintenance of a quality management system in order to retain JACIE (Joint Accreditation Committee-ISCT & EBMT) accreditation. They will be the lead for developing a system to ensure that the Gloucestershire Haematopoietic Stem Cell Transplant Service (GHSCT) becomes progressively more effective in quality terms, meets HSCT regulatory standards and maintains accreditation requirements.
The QM will establish the data and information requirement for JACIE Standards and Accreditation. This will involve the design and development of appropriate new models and processes for data management, including leading on the development and maintenance of an electronic Quality Management System (e.g. Q-Pulse, iPassport etc). The QM will also have opportunity to help advance the workings of the department by utilising the quality improvement data and information that has been gathered.
Alongside the JACIE element of the QM role, there will be opportunities for the post holder to be involved in quality improvement projects in the Haematology department. These quality improvement projects will interface with work being undertaken by the OHPCI DGM & GM in line with the requirements and demands of the Haematology service. The Quality Manager will have the skills and ability to promote quality within all areas of the Service.
About us
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one of our innovative hospitals. As well as generous annual leave allowance, access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.
Job responsibilities
To write and co-sign policies. Policies will impact beyond own area of activity
To manage a quality system documentation structure and layout which is effective and easy to use
To maintain the effectiveness of the quality system in helping to achieve results andservice quality
To organise and chair regular meetings, eg JACIE Quality Forum, JACIE ManagementReview Group, NHSBT annual meetings and to participate in decision making and policy implementation
To become familiar with the area of work for which they are Quality Manager; relevant statutory requirements, clinical governance, risk management and quality audit policies and procedures of the Trust and the system(s) of accreditation required.
To educate and train the staff involved in the transplant procedure
To educate and train staff in using an electronic quality management system
To maintain the JACIE Quality Management Plan which is the key document outlining top level policy and organisation and mapping the procedures that deliver the service
To operate a system for document control as part of a maintained QMS
To supervise a programme of internal audits against defined quality performance measures
To supervise a programme of process audits as per the JACIE audit calendar
To follow up on external inspections and verify the completion of corrective action as required by the reports of the inspectors
To monitor the requirements of the service users and ensure that they are reflected within defined quality performance measures
To provide help and advice to members of the team and Quality Leads on quality management matters
To identify areas and particular projects where there is the potential for improvement of quality to the benefit of the service provided by the Gloucestershire Haematopoietic Stem Cell Transplant Service
To write an Annual Quality Report for circulation within the Trust
To help support the department with setting future quality objectives
To prepare documentation as required for JACIE inspection and interim audit
To prepare for JACIE inspection visits prior to reaccreditation
To oversee the Data Management role
Other tasks that arise from time to time relevant to delivering the objectives of the GHSCTS
Person Specification
Education/Qualifications
Essential
- Educated to degree level or equivalent
Desirable
- Quality management qualification
- Project management qualification or similar
- Management diploma
Experience
Essential
- In depth experience of clinical governance systems in healthcare
- Experienced at problem solving
- Experience in designing, organising and delivering training in quality and audit
- Experience in carrying out root cause analysis for incidents
- Experience in conducting and reporting internal audits
Desirable
- Experience in managing an electronic quality management system
- Experience of working in Haematology or BMT centre
- Previous experience working as a Quality Manager
- Experience of managing accreditation visits
- Experience work in a BMS role
Skills/Knowledge/Abilities
Essential
- Thorough understanding of JACIE and their applications
- Good understanding of Haematology pathways and Transplant conditions
- Good understanding of the Haemoglobinopathies and their implementation
- Knowledge of current professional issues
- Ability to ensure compliance with JACIE peer review standards required for the quality management system
Desirable
- Line management experience
- Conducting appraisals and direct support for personnel in direct line management
- Analysing complex/highly complex data - ability to produce graphs/data/reports/analysis
- IT Skills - word processing, excel spreadsheets, databases
- Data interpretation
- Use of data modelling tools
Qualities
Essential
- Can cope with working across sites in a busy environment and with ability to remain calm and in control during busy times
- Desire to deliver high quality service
- Ability to work independently, reliability and consistently, with work agreed and managed at regular intervals
- Professional attitude to routine and non-routine tasks
- Experience of handling difficult and sensitive situations well
- Maintaining a professional manner and displaying professional behaviours in the workplace
- Willingness to lead change and contribute to change processes
Desirable
- Aptitude for teamwork and collaboration
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.
Employer details
Employer name
Gloucestershire Hospitals NHS Foundation Trust
Address
Cheltenham General Hospital
Cheltenham
GL53 7NA
