Decontamination Manager
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Detailed job description and main responsibilities
- To work with external auditors to ensure ISO accreditation is maintained and that all current legislation and best practice recommendation are implemented.
- To build upon and maintain good relationships with Estates to ensure all Planned Preventative Maintenance (PPM) and fault rectification work is undertaken in a timely, compliant manner.
- To liaise with the Infection Prevention and Control Team to ensure critical standards of hygiene are maintained. In particular to ensure that the requirements of the Health Act 2006 are fully met.
- Be an active member of the Trust Decontamination Equipment Assurance Group
- Lead the Trust JAG users group for AER users.
- Provide expert advice on the tendering process and procurement of Decontamination equipment, compatible detergents and disinfectants.
- To provide specialist knowledge to clinical and non-clinical staff on decontamination procedures for the care and management of patients with known or suspected communicable infections including TSE.
- Produce and present written/verbal reports (i.e. annual, quarterly, audits and business planning) to the Infection Prevention and Control Steering Committee, Clinical Governance, Risk Management Committees and Trust Board on areas needing improvement for decontamination facilities, equipment and management within the Trust.
- Responsible for ensuring information both verbal and written is communicated to other specialties / agencies both internal and external to the organization as appropriate in line with the Data protection Act.
- Maintain and develop new links with internal/external agencies on decontamination best practice and national strategies.
- To motivate and support others to achieve and improve infection prevention and control practice and achieve targets.
- Management of the department - lead on staff development, recruitment and retention and sickness. Ensure safe systems of work are adopted and a safe environment is maintained.
- To take every reasonable opportunity to maintain and improve professional knowledge and competence through logged CPD activities.
- To participate in personal objective setting and review, identification and review of staff training needs via an annual appraisal programme.
- Establish effective working relationships across the Trust with multi-disciplinary staff to facilitate understanding and best practice through education and training on the decontamination of medical devices.
- To develop a training plan to ensure all staff meet legislative and good practice requirements and perform their duties effectively in accordance with service
- To co-operate with the Trust in ensuring that statutory regulations, codes of practice, local policies and departmental health and safety rules are adhered to.
- Undertake appropriate Risk Assessments in the safe handling and use of equipment.
- In conjunction with the Infection Prevention and Control Service undertake look back exercises and contact tracing for medical devices used on patients with an infection risk as appropriate.
- Adopt an integrated approach by working with and guiding Senior Managers (clinical and non-clinical) to include Senior Nurses, Directorate managers, Medical Engineering, Facilities etc, to ensure that adequate Trust -wide management arrangements are in place to oversee the process of decontamination.
- To work with external auditors to ensure accreditation is maintained and that all current legislation and best practice recommendation are implemented.
- Responsible for auditing, implementing, co ordinating and monitoring the Trusts Decontamination Strategy to meet the
- recommendations of all current local and National Guidelines.
- Identify and develop key performance (KPI) to monitor Decontamination processes and compliance across the Trust, liaising with other related disciplines on decontamination to ensure a co-ordinate and integrated approach is adopted. (Key departments will include Microbiology, Infection Prevention and Control, Physical Risk (Health and Safety), Medical Engineering, Supplies/Purchasing; Clinical Risk, Facilities and External Bodies.
- Develop and implement a decontamination audit Programme to meet the requirements of statutory bodies.
- To evaluate and update decontamination practices to facilitate ongoing improvement and change.
- Lead in the review and update of policies, procedures and guidelines in relation to decontamination.
- Ensure a proactive approach is taken in dealing with complaints.
- Using identified KPIs to ensure that the Directorate of Anaesthetics are performing to the agreed standards.
- To be the designated User in relation to HTM01-01
- Assist and contribute to the Monitoring and review the logistics schedule for the delivery of Sterile Services ensuring best value for the Trust.
- Update and implement new research evidence based practice in accordance with legislation and Government guidance.
- Responsible for compiling formal and accurate documentation on decontamination advice and information to the Trust and to external agencies (where appropriate) and ensure robust system of documentation relating to decontamination procedures in place throughout the Trust.
- Responsible for recording and maintaining accurate documentation in compliance with all decontamination issues
- Lead in expansion, implementation and monitoring of a tracking system for reprocessing of all invasive equipment in conjunction with relevant managers.
- Apply specialist decontamination knowledge to assess the risks associated with infection and give appropriate advice.
- Keep updated with all relevant legislation appropriate to the post and to advise the Trust of any implications of such legislation.
- To provide specialist knowledge to clinical and non-clinical staff on decontamination procedures for the care and management of patients with known or suspected communicable infections to include Creutzfeldt - Jakob disease. To include the quarantine and incineration of medical devices as appropriate.
- Work closely with the Trust Physical Risk department and Medical devices Management group on all aspects of medical device management.
- Lead service developments within the directorate pertinent to the role e.g. improved electronic tracking of instruments and equipment.
- Management responsibility for the budget contained within the Sterile Services Department.
- Develop options for cost improvements as required by the Directorate and implement.
- Identify resource implications for changes to service provision.
- Input and advice on all other Business plans, raised in the Trust , with regards to decontamination.
Person specification
Qualifications and Education
Essential criteria
- Master Degree in relevant field, and/or Charter Status or equivalent or Knowledge and experience equivalent to the above
- Membership of appropriate Professional organisation
Desirable criteria
- Certificate in NHS Management
- Membership of the IDSc
- Completed the NHS National Decontamination E Leaming Programme
Knowledge and Experience
Essential criteria
- Experience of working in a similar role within Sterile Services.
- Demonstrable experience of having managed teams, operational budgets
- Able to demonstrate an expert technical understanding of compliant decontamination processes and equipment used to disinfect a range of highly specialist medical devices within the Trust.
- Experience of auditing, compliance standards and advising clinical departments on the reprocessing of both rigid and flexible endoscopic devices.
- Experience of successful negotiation and contract management.
- Working knowledge of equipment testing & verification
- Demonstrate significant experience at a senior position in the management of decontamination services in a large health care environment
- Management of technical staff in a clinical environment
- Experience of finance management.
- Able to demonstrate active participation in gaining I maintaining 1809001 /ISO 13485 accreditation
Desirable criteria
- Experience within a NHS healthcare environment.
- Experience of developing joint and collaborative working with local health and commercial partners.
- Experience of public sector procurement and tendering procedures.
- Knowledge of NHS procedures for the management of Medical Devices and Health & Safety legislation.
- To have a detailed knowledge of the Trust's business structure and how the Facilities/Estate/Services can contribute to the local and national healthcare agenda
- Experience of implementing NHS policies
Thanks for taking the time to view this advert; we're looking forward to receiving your application. You should be aware that the vacancy may close earlier than the published date if sufficient applications are received so it would be best to apply as soon as you can. We'll contact you by e-mail to update you on the progress of your application so please check the e-mail account that you applied from (including spam/junk) regularly.
We are committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of race, age, disability, ethnicity, nationality, gender, gender reassignment, sexual orientation, religion or belief, marriage and civil partnership, neurodiversity or veteran status are encouraged to apply for this post. Our Statement on the Recruitment of Ex-Offenders is available Here
To support you in your application process we've created a What we can offer you guide that shows what you can expect when you join our hospitals. The guide includes links to our strategic aims and objectives as well as our values, development support and rewards and benefits. To help you get the best from your application we've also put together two guides to help you make your application the best it can be. Just click here and here to go through them, or have them open as you complete your application.
We recognise that the recruitment process may present barriers for some and you may need personal adjustments to enable you to participate in our recruitment process. Please make contact with the recruitment team at the earliest opportunity to ensure that measures can be put in place to enable your application for this post.
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If you choose to use AI or other tools to assist in writing your application, it's essential to personalise this information, particularly your supporting information section. While AI can help streamline the writing process, these tools cannot fully grasp the context or requirements of the job you're applying for. There is also a risk that it can generate false or misleading information.
AI-generated job applications can often be generic, impersonal and may not accurately reflect your qualifications, knowledge, skills, and experiences. It is crucial that you personalise your supporting statement by articulating these in your unique voice. Relying solely on AI to write your application or supporting information section is not advocated by Lancashire Teaching Hospitals and could negatively impact your chances of success in the application process.
We have added a disclaimer to our application process advising that the use of AI is monitored and if applicants have used it then they are required to declare this.
Supporting Information
The supporting information section is an opportunity for you to showcase how your qualifications, knowledge, skill and experiences align with the requirements and criteria outlined in the job description and person.
Our recruiting managers score applications based on the criteria listed in the person specification. They will be looking for evidence of how you meet these criteria. To increase your chances of securing an interview, provide examples of how you have applied your skills and knowledge in real-life situations. Share work-related successes and challenges you've navigated that align with the criteria. These could be from various aspects of your life, including work, education, and personal experiences.
Consider structuring your supporting information section with clear headings or bullet points. This approach will help both you and the recruiting manager navigate through your application more effectively.
Working Smarter pledge
We are reminded everyday of how important life is, so as part of our Working Smarter pledge we offer a variety of flexible working options and wellbeing support to enable our people to find and maintain the right work-life balance.
Secondments
If you are applying for a secondment role please ensure you have agreement from your current line manager prior to attending an interview. Also please ensure you have read the LTHTR Secondment Policy. A copy of this can be found on the intranet or by contacting askworkforce@lthtr.nhs.uk
Young People
Please note a young person must be in part-time education or training until they're 18. therefore if you are under 18 we are unable to employ you on a full time basis, unless it is in an apprenticeship role.
Disclosure and Barring Service checks
If the role you've applied for requires a Disclosure and Barring Services (DBS) check we will administer this on your behalf and the cost will be recovered from your salary, either as a one-off payment, or over 3 months. The level of check required depends on the role that you have been offered. Currently the charges are - Basic DBS check £26.40 Standard DBS check £26.40 and Enhanced DBS check £54.40. You should be aware that if you are successful in obtaining a position that requires a DBS check but later withdraw your application, you may be required to reimburse the cost of the DBS check. DBS checks remain free of charge for volunteer positions. The DBS Code of Practice can be accessed here.
In line with guidance from United Kingdom Health Security Agency, all staff and volunteers are required to comply with Trust Infection Prevention and Control processes in relation to safe working. This includes mask wearing and adherence to social distancing at all Trust sites.
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We look forward to hearing from you soon!
Employer certification / accreditation badges
Applicant requirements
This post will require a submission for Disclosure to be made to check for any unspent criminal convictions.
Documents to download
- Job Description and Person Specification (PDF, 800.3KB)
- Creating your best application (PDF, 6.1MB)
- What we can offer you (PDF, 6.7MB)