Senior Quality Manager

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Detailed job description and main responsibilities

1.0 Quality Management

1.1 The post holder will be the lead quality specialist within haematology, and as such will have significant discretion and freedom to act within the confines of local, national and international accepted standards.
1.2 To develop, implement and maintain appropriate quality systems, policies and standard operating procedures to assure that the quality and compliance of practice in relation to JACIE, CQC, HTA and other relevant regularity bodies. . This will involve the interpretation of current and emerging complex national and international legislation and regulations and ensuring that haematology policies and procedures include the relevant current regulatory/ legal guidance.
1.3 Work in collaboration with senior team members to ensure systems to ensure the quality and conduct of haematology and transplant activity is integrated and is aligned with any internal and relevant external organisation systems and practices.
1.4 Responsible for the development and implementation of a Quality Assurance (QA) strategy and quality improvement programme (QIP) in conjunction with the improvement and operational manager to ensure that the department maintains a system of continuous quality improvement that meets the requirements of evolving legislation.
1.5 Provide specialised QA and regulatory advice and support to the operational teams, on the application of and adherence to quality processes, this will include interpreting the different requirements of each party and differing highly complex legislation. Providing a coherent unified response.
1.6 Responsible for the development, implementation and maintenance of a document management system, ensuring policies, Standard Operating Procedures (SOPs) are updated and controlled according to regulatory requirements; including: ensuring SOPs are current, appropriately tracked with version control, authorised and available for audit/ inspection as appropriate and are effectively communicated.
1.7 The post holder will also have line management responsibilities and be a delegated budget holder for the improvements and operations manager.
1.8 The post holder will be a leading member of the quality management group including deputising as Chair for the Transplant Director when required.

2.0 Assurance and Compliance

2.1 Develop, implement and monitor systems to ensure regulatory compliance with JACIE and other relevant regulatory bodies, developing QA procedures to support the clinical practice. Be responsible for the development and implementation of the risk programme in conjunction with the senior management team.
2.2 Lead in the planning of specified internal programmes for system review/ audit. Initiate, develop and evaluate action plans and make recommendation for adjustment to agreed programmes based on emerging risk/quality intelligence sources.
2.3 Responsible for the organisation and conduct of mock inspections within the clinical areas, in order to check that services and staff are prepared for regulatory inspection and that individual staff members are aware of their research governance responsibilities. Host external audits and inspections within haematology and the directorate providing support to other areas as necessary.
2.4 In collaboration with the transplant director, lead the preparation for mandatory regulatory inspections (e.g. JACIE).
2.5 Responsible for the coordination and liaison with regulatory agencies during mandatory inspections, accompanying the inspectors, responding promptly to requests for information and ensuring that designated staff are available for interview as required.
2.6 Responsible for implementation of any inspection findings, taking responsibility for coordinating remedial action, ensuring completion of tasks and attainment of requisite regulatory standards.
2.7 Report on the outcome of quality system audit / reviews, ensuring there is appropriate escalation where necessary.
2.8 Work with stakeholders to scrutinise and provide expert advice and guidance on remedial, corrective and preventive actions (CAPA) in response to incidents, audit, inspection and monitoring findings. Facilitate the assessment of root causes to prevent reoccurrence.
2.9 Support the clinical teams to deliver significant improvements in patient care for the directorate.
2.10 Examine data systematically through ongoing monitoring, evaluation and improvement activities.
2.11 Monitor patient satisfaction on an on-going basis through the formulation of patient surveys.
2.12 Undertake validation studies on significant processes and/or equipment used in the transplant programme, present findings and recommendations.

3.0 Risk Management, incident investigation and complaints management

3.1 To be risk lead for the directorate. To liaise with senior managers within the directorate to produce a specific Risk Register.
3.2 Provide guidance on incident management to all relevant staff as necessary, ensuring incidents are investigated appropriately and in a timely manner
3.3 In conjunction with the clinical services manager lead on the investigation into grade 3 + and serious incidents ensuring accurate record of events and high-quality action plans are developed in a timely manner and improvements to process, policy and practice take place. Ensure the director is fully compliant with the duty of candour requirements.
3.4 In conjunction with the clinical services manager and clinical director foster a culture of reporting and investigating incidents as per trust policy.
3.5 Responsible for co-ordinating complaints and concerns in conjunction with the PALS team.

4.0 Managerial

4.1 Line management responsibilities for quality staff within the directorate including recruitment and selection and appraisals.
4.2 Provide a presence in all areas involved in quality improvement and deploy communication, engagement and influencing skills to convey complex and potentially contentious information to a variety of stakeholders in both formal and informal settings.
4.3 External and internal representation of the directorate in specialist forums or consultative groups relating to quality, risk and compliance.
4.4 Develop and deliver a sustainable culture and environment that promotes effective collaboration and the achievement of continuous improvement by maintaining commitment to the goals and aims of the quality strategy and quality objectives.
4.5 Maintain a range of communication resources to ensure all staff has access to up-to-date information about quality improvement initiatives and outcome.

5.0 Education and Training

5.1 Provide specialist advice and resource for internal and external partners.
5.2 In collaboration with senior staff, develop and implement a rolling programme of core training in relation to specific departmental SOPs, especially with regard to regulatory compliance requirements and governance standards.
5.3 Coordinate mock inspections as learning tools within the directorate as necessary, to maintain a state of readiness for regulatory inspection.
5.4 Seek exemplars from other organisations and share information and learning with the wider organisation.

6.0 Personal/ Professional Development

6.1 Ensure own professional knowledge is regularly updated and keep abreast of relevant developments, making effective use of learning opportunities and actively promoting the workplace as a learning environment.
6.2 Maintaining and developing knowledge of national and local clinical and research quality initiatives.
6.3 Participate in personal objective setting and review, including the creation of a personal development plan.
6.4 Actively seek mentorship/supervision/coaching to enable reflection and own personal development within the role.
6.5 Adhere to professional Codes of Conduct if applicable
6.6 Adhere to the standards laid down in the NHS code of conduct for manager.

Person specification

Qualifications

Essential criteria

• Educated to post-graduate degree level
• Evidence of continuing professional development.

Desirable criteria

• Master's degree
• Evidence of Continuing Professional Development

Experience

Essential criteria

• Previous experience in haematology quality management
• Experience of writing Quality System policies and procedures
• Demonstrable success in working with complex organisation

Desirable criteria

• Experience of risk management, incident investigation or performance improvement. Training in QI methodologies such as lean or Six Sigma
• Training in QI methodologies such as lean or Six Sigma
• Understanding of stem cell transplantation and clinical Haematology

Skills

Essential criteria

• Ability to assess and interpret complicated and conflicting information and use judgement where appropriate
• Excellent verbal, written and presentation skills
• Ability to write and present complex reports and to critically analyse and communicate ideas in complex situations
• Good organisational and time management skills
• Ability to influence and negotiate others in a challenging environment
• Build constructive relationships with internal and external stakeholders including clinicians and managers.
• IT, information, project and time management skills

Desirable criteria

• Experience of developing strategies, policies and business plans

Knowledge

Essential criteria

• Comprehensive knowledge and understanding of standards and legislation that govern transplant practice in the NHS and processes.
• Comprehensive knowledge of Quality Systems
• Knowledge of quality and safety standards, clinical governance and NHS regulatory frameworks
• An Understanding of the principles of management and JACIE accreditation process

Desirable criteria

• Experience of risk management Understanding of stem cell transplantation and clinical haematology

Values

Essential criteria

• Ability to demonstrate the organisational values and behaviours

Other

Essential criteria

• Professional, approachable and collaborative.
• Able to work and act independently
• Strong Personal integrity
• Innovative and positive approach
• Flexible and able to work with a multidisciplinary team.
• High level of emotional intelligence
• Commitment to continuous improvement and high standards of care

The closing date for this post may be extended if there are insufficient applicants or brought forward if there is a high volume of applicants.

Application Information - If you have not heard from us within four weeks of the closing date, I regret that on this occasion your application will have been unsuccessful.

Sponsorship Information - We are an approved sponsoring organisation. Applications will be considered from applicants requiring sponsorship alongside all other applications. Please be aware, not all roles are eligible for sponsorship. You can review the list of eligible role and requirements on the government website.

Pre-Employment Checks - To confirm your suitability for the role, we will carry out pre-employment checks in line with NHS Employment Check Standards. These include:

• Identity verification
• Right to work check
• Disclosure and barring service (DBS)/Criminal record check (dependent on role, payment of this will be the applicants responsibility)
• Professional registration and/or qualification check
• Occupational health assessment
• Employment history and reference validation

All applicants external to The Christie NHS Foundation Trust will be required to provide their HMRC employment history to cover the most recent three years employment. This information will used to validate employment history and references.

If you require sponsorship, we will assess your eligibility based on current government guidance. If the role is not eligible and you cannot demonstrate your right to work, your conditional offer may be withdrawn.

✓ If You're Offered the Role - you will be agreeing to The Christie NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job information will also be transferred into the national NHS Electronic Staff Records system. Please note, all communication regarding your application will be made via email, please ensure you check your junk/spam folders as emails are sometimes filtered there.

The Inter-Authority Transfer (IAT) process is a critical and beneficial component of ESR and will form part of the recruitment process. In the event that you are successful following interview your previous NHS employment data, if applicable will be transferred from your current / most recent employer.

Sponsorship Information - We are an approved sponsoring organisation. Applications will be considered from applicants requiring sponsorship alongside all other applications. Please be aware, not all roles are eligible for sponsorship. You can review the list of eligible role and requirements on the government website.

No Smoking Policy - You should be aware the Trust operates a No Smoking Policy and therefore employees are not permitted to smoke at work.

Additional Information - We want to ensure that everyone who works at the Christie or uses our services is welcomed, valued and treated with dignity and respect. The Christie values diversity and is committed to ensuring equal opportunities for all and fair representation across the organisation at all levels. In support of these commitments, we particularly welcome applications from Black, Asian and other ethnic minority people and people with disabilities for this post. Appointment will be only on merit.

We are committed to creating a balanced and diverse workforce. As such we welcome and encourage applications from people of all backgrounds. Together we will foster inclusion and tackle inequity and health inequalities in cancer care.

As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy.

The Christie NHS Foundation Trust is committed to the highest standards of ethical conduct and integrity in all our activities. We have a zero-tolerance approach to modern slavery in any of its forms, including slavery, servitude, forced or compulsory labour, and human trafficking. We are fully committed to acting ethically and with transparency in all our business dealings and relationships, and to implementing and enforcing effective systems and controls to ensure modern slavery is not taking place anywhere in our organisation or supply chains.

Employer certification / accreditation badges

Applicant requirements

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Job Description and Person Specification (PDF, 215.9KB)
• The Christie Values and Behaviours (PDF, 919.5KB)
• Strategy Brochure (PDF, 1.0MB)
• Travel to The Christie (PDF, 3.8MB)