James Paget University Hospitals NHS Foundation Trust

CDC Accreditation Lead

The closing date is 21 November 2025

Job summary

To support the Divisional Governance Lead in quality, governance and safety standards in the Community Diagnostic Centre's service covering both the JPUH site and the Northgate CDCs.

o To manage and be accountable for the:o Improving Quality in Physiological Services (IQIPS).o Quality Standards for Imaging (QSI).o The requirements for quality and competence in a medical laboratory environment (ISO15189).o Support the integration of new diagnostic pathways into the service, ensuring they are aligned with accreditation requirements and clinical governance frameworks.

accreditation processes throughout the CDC, carrying out required management and leadership responsibilities to ensure that accreditation is successfully obtained through the United Kingdom Accreditation Service (UKAS) and thereafter maintained.

To support the Speciality Leads in ensuring high quality audits and governance processes.

To support the delivery of a high quality, safe and compassionate healthcare service, all staff are expected to act as a role model to others in all aspects of their work and consistently demonstrate the JPUH values of: Courtesy and Respect; Attentively Kind and Helpful; Responsive Communication; Effective and Professional.

Main duties of the job

o To be responsible for leading the CDC's through the accreditation process for the services being provided, working with the accreditation team, and that the service then maintains accreditation.

o To complete the web-based electronic assessment process and complete this annually following accreditation.

o To coordinate the service's responses to the United Kingdom Accreditation Service (UKAS), ensuring that all evidence uploaded to the specialities web based assessment is relevant, up-to-date, and fully meets the set criteria.

o To coordinate ongoing requirements of CDC standards, ensuring that the processes within the specialities are fully compliant with the relevant standards at all times.

o To organise and coordinate onsite visits with the accreditation team.

o To work closely with the Senior Operations Manager, Clinical Governance Lead Matron and speciality leads, to ensure that governance and safety standards are maintained in line with Trust and UKAS requirements.

o To work with Speciality Team Leads, the Senior Leadership team and Clinical Leads to coordinate relevant audits and evidence requirements of each standard, promoting a culture of continuous quality improvement within each speciality.

o To negotiate and collaborate with all levels of staff, across the CDC specialities, to resolve issues and remove barriers to enable change.

About us

We want to attract the best and brightest people to work with us and that means we will look after you from the moment you apply for a role at the Trust and throughout your career with us. Our staff are central to everything we do, and we believe that investing in you is crucial if we want to enable you to reach your full potential.

Details

Date posted

08 November 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

177-EMER-7562470

Job locations

James Paget Hospital

Gorleston

NR31 6LA


Job description

Job responsibilities

To support the Divisional Governance Lead in quality, governance and safety standards in the Community Diagnostic Centres service covering both the JPUH site and the Northgate CDCs.

Job description

Job responsibilities

To support the Divisional Governance Lead in quality, governance and safety standards in the Community Diagnostic Centres service covering both the JPUH site and the Northgate CDCs.

Person Specification

Education and Qualifications

Essential

  • Educated to degree level.
  • Masters degree or equivalent experience in governance, safety and the accreditation process.
  • Knowledge of a good level of work procedures and practices in relation to governance.

Knowledge and Experience

Essential

  • Significant experience in governance and safety practice within a clinical environment
  • Experience in clinical audit / benchmarking.
  • Significant knowledge of governance, safety and risk standards, including national and local standards.
  • Ability to analyse large amounts of complex information on audits, statistics, and other governance procedures
  • Experience in undertaking presentations and public speaking.

Desirable

  • Prior experience with the UKAS accreditation process.

Attitude and Aptitude

Essential

  • Clear and accurate written and verbal communication.
  • Able to manage priorities under pressures and work to deadlines whilst maintaining a high standard of accuracy.
  • Effective listening skills.
  • Can influence and negotiate with others at all levels
Person Specification

Education and Qualifications

Essential

  • Educated to degree level.
  • Masters degree or equivalent experience in governance, safety and the accreditation process.
  • Knowledge of a good level of work procedures and practices in relation to governance.

Knowledge and Experience

Essential

  • Significant experience in governance and safety practice within a clinical environment
  • Experience in clinical audit / benchmarking.
  • Significant knowledge of governance, safety and risk standards, including national and local standards.
  • Ability to analyse large amounts of complex information on audits, statistics, and other governance procedures
  • Experience in undertaking presentations and public speaking.

Desirable

  • Prior experience with the UKAS accreditation process.

Attitude and Aptitude

Essential

  • Clear and accurate written and verbal communication.
  • Able to manage priorities under pressures and work to deadlines whilst maintaining a high standard of accuracy.
  • Effective listening skills.
  • Can influence and negotiate with others at all levels

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

James Paget University Hospitals NHS Foundation Trust

Address

James Paget Hospital

Gorleston

NR31 6LA


Employer's website

https://www.jpaget.nhs.uk/work-for-us/ (Opens in a new tab)


Employer details

Employer name

James Paget University Hospitals NHS Foundation Trust

Address

James Paget Hospital

Gorleston

NR31 6LA


Employer's website

https://www.jpaget.nhs.uk/work-for-us/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

CDC Operational Manager

Danielle Cadd

danielle.cadd@jpaget.nhs.uk

01493452704

Details

Date posted

08 November 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

177-EMER-7562470

Job locations

James Paget Hospital

Gorleston

NR31 6LA


Supporting documents

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