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Chesterfield Royal Hospital NHS Foundation Trust

Imaging and Cardiorespiratory Accreditation Manager

The closing date is 30 May 2025

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Job summary

To co-ordinate and drive forwards delivery of QSI and IQIPS accreditation and to enable this to be maintained.

Main duties of the job

Communicate complex or sensitive information with all levels of staff.
Influence and motivate clinical and non-clinical staff across the Trust to change processes or practice.
Engage all stakeholders, including patient and public, in improvement projects.
Facilitate training sessions of groups of staff and coach individuals.
Make formal presentations to large groups.
BSc in Healthcare Science subject or equivalent
Experience / knowledge of quality and education processes at a senior level.
Experience of service transformation, design and development.
Understand complex data and information to take decisions about the scope and direction of the programme and to monitor its impact.
Analyse information to gain greater understanding about problem areas and use this information to influence behaviours and challenge current processes and practice.
Work with clinical staff to facilitate, design and implement efficient and effective programmes that improve patient care and experience.
Assist where necessary in the development of policy and service developments within and across divisions, and into the health community.
Experience of facilitating large groups of difficult staff using a range of skills and tools
Train staff in project management skills

About us

Inspire a shared sense of purpose - encouraging your team to take pride in what they do, improve the care andservices they provide; and enable them to understand how they contribute to the success of the organisation

Lead with care - showing colleagues compassion and care by listening - and offering empathy and understanding to help create a supportive workplace

Evaluate and use information - be alert to what is happening around you; and evaluate the information you hear, receive or discover to take actions and decisions that improve both patient and staff experience

Work with others to connect services - using the opportunity to link up with different colleagues, leaders and partners, building relationships that can help everyone to deliver effective and efficient healthcare and services

Engage with your team - respecting every member of staff, valuing their diversity and making sure that every member of your team feels that their contribution is appreciated and valued

Develop capability - take opportunities to develop your own skills, take-up training and education that will help you in your role and keep up-to-date with the essential training that applies to you.

Influence what happens - by acting as an ambassador for the Trust, sharing good news and good practice with your team, contributing to debates, having a say and leading improvement - all ways of influencing what happens to our services in the future

Date posted

21 May 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

166-DCSC-7155407

Job locations

Chesterfield Royal Hospital

Calow

Chesterfield

S44 5BL

Job description

Job responsibilities

Policies, processes, roles and organisational redesign, using self-assessment and improvement tools (SAIT) and methodologies, ensuring services, process and roles are sustainable, scalable, safe, compassionate and exceptional.

Working with members of the Imaging and Cardiorespiratory Teams you will:

Take a lead role in creating new governance processes in relation to the Imaging and Cardiorespiratory teams and the designated areas in which they operate.

Provide operational leadership and guidance to ensure a strategic focus and governance to development, implementation and delivery of the programme.

Lead the development of policies and procedures for activity; contributing to and ensuring compliance with QSI and IQIPS across Patient Experience, Facilities, Resources & Workforce, Safety and Clinical domains.

Be responsible for allocation of resources and the effective management of budgets as appropriate.

Act as subject matter expert; ensure that all processes in the programme are developed in accordance with the accreditation governance requirements including: measuring impact and performance targets, management of interdependencies, coordinating stakeholder engagement, proactively monitoring and reporting on progress against the accreditation timeframe, problem solving and prioritising areas for additional service improvement support.

Set up and co-chair programme assurance meetings throughout the course of accreditation lifecycle.

Establish and maintain reporting and governance structures for Imaging and Cardiorespiratory.

Provide a range of project management tools and sharing of best practice in the development of ideas and initiatives.

Drive the clinical and administrative workforce to create high performance and a sustainable organisation, ready to meet the criteria for accreditation from QSI and UKAS including recruitment, training and development, appraisals, workforce planning and performance management.

Identify gaps in our capabilities to deliver accredited Imaging and Cardiorespiratory services, making sure that the key principles are embedded in business as usual.

Work with senior management to ensure relevant knowledge and expertise is shared and efficiencies made where available.

Continuous review and evaluation of the program ensuring ROI and KPI are being delivered.

Develop an audit plan for the program and perform regular audits to ensure the programme is fit for purpose and meets current accreditation standards.

Ownership of all programme risks, milestones and performance tracking and escalating where appropriate to the Trust Risk Register.

Act as risk lead for all QSI and IQIPS accreditation related Trust and program risks.

Prepare and present regular update reports and briefs to the senior management team and clinical governance team as appropriate.

Monitor and capture performance output and ensure lessons learned are shared and known for additional accreditation teams starting on their journey.

Contribute and lead the way on change management capability and building of sustainable, continuous improvement approaches.

Take responsibility for performance reporting, project management and organisational development in delivery of the QSI and IQIPS accreditation.

Ensure messages and communications are clear and concise and appropriate to the staff within the services, this role will bring much needed clarity and confidence to

what can appear to some staff as overwhelming.

May be asked to perform other duties occasionally which are not included above, but which will be consistent with the role.

PLANNING AND ORGANISING

Apply a structured programme methodology.

Undertake a detailed GAP analysis of accreditation requirements against the Trust and local policies, procedures and SOPs.

Ensure that specific projects are developed, delivered and monitored throughout the process.

Manage the delivery of projects and deadlines within agreed timescales and budgets and to specified criteria.

Support the Imaging and Cardiorespiratory leads with planning and data collection as new networks develop.

Measure project progress and provide the information and support necessary to enable the project to be controlled and steered to successful completion.

Apply high level skills in change management and organisational change to achieve best practice.

DECISION MAKING

Work autonomously within agreed scope of projects.

Liaise with key resource owners as necessary to achieve project milestones.

Escalate issues as necessary.