Job summary
The Radiology Quality and Governance Lead is a pivotal senior role within the Radiology
department, responsible for driving and sustaining excellence in the quality of radiological services provided across the Trust. This position demands a strategic thinker and proactive leader who will implement and oversee robust quality management systems, ensuring
compliance with all relevant legislation, regulations, and national standards such as IR(ME)R and IRR.
Working collaboratively with the Radiology management team, clinical staff, and wider Trust governance structures, the post holder will spearhead initiatives aimed at continuous quality improvement, patient safety, and service efficiency. They will lead on critical areas such as radiation protection, dose optimisation, equipment quality assurance, and audit programmes, fostering a culture of transparency, accountability, and no-blame learning.
The role also includes managing and coordinating responses to external inspections and accreditations, guiding the department through complex governance processes while
maintaining clear communication channels between all stakeholders, including patients,
clinicians, and regulatory bodies.
Main duties of the job
Beyond operational management, this role is instrumental in staff development, delivering
training and mentorship on quality management principles, risk assessment, and compliance
standards, ensuring the Radiology team is equipped to uphold the highest standards in service
delivery.
Ultimately, the Radiology Quality and Governance Lead ensures that the Radiology service
not only meets but exceeds the expectations for quality, safety, and patient-centred care,
contributing significantly to the Trusts reputation and commitment to excellence.
About us
The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme thats changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.
This means were working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.
Were a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.
Join us and help shape the future of care in West Essex.
Job description
Job responsibilities
Scope and Range
Operational Responsibilities
- Form an integral part of the Radiology Management team alongside the General Manager, CDC Imaging Manager, Radiology Workforce Lead, and the MR, CT, and X-Ray Modality Leads.
- Serve as the Lead Radiation Protection Supervisor ensuring compliance with IR(ME)R 2024 and IRR 2017 regulations.
- Lead on dose optimisation initiatives by chairing quarterly meetings and integrating updates into governance frameworks.
- Collaborate with Superintendent Radiographers and Modality Leads to maintain the Imaging Equipment Quality Assurance Programme and address non-compliance.
- Monitor and update local diagnostic reference levels, including conducting dose audits for compliance, in collaboration with the RPA.
- Manage the implementation and continuous improvement of quality measures and document management systems within Radiology.
- Coordinate the annual National Imaging Data collection and submission process.
- Support Clinical Governance and Risk Management strategies within the Radiology service.
- Act as a communication link between Radiology and Trust Corporate Governance.
- Lead quality improvement projects, especially those related to dose optimisation, and present findings.
- Maintain sufficient clinical work to uphold HCPC registration through ongoing professional development.
- Stay updated on local and national policies and legislation relevant to Radiology and communicate changes clearly.
- Ensure dissemination of quality information, including accreditation status, complaints, audit findings, and incidents at departmental and Health Care Group levels.
- Manage the use and review of Standard Operating Procedures and policies.
- Coordinate and lead the departmental audit programme, ensuring audit outcomes support service improvements.
- Aid the Accreditation Manager in their work to gain QSI accreditation and then ensure accreditation is maintained.
- Prepare quarterly newsletters and update departmental information boards.
- Coordinate service user and stakeholder surveys, analyse feedback, and recommend quality improvements.
- Facilitate external assessments and ensure compliance with visiting assessors’ requirements.
- Provide leadership, advice, and mentoring on quality issues across departments.
- Represent Radiology in senior management forums and Trust-wide governance meetings.
- Promote a continuous quality improvement culture with no blame learning.
- Assist in process mapping, procurement, business planning, and support change control processes.
- Manage information from audits and quality assessments regularly with the management team.
- Ensure compliance with Freedom of Information and Data Protection legislation in handling data.
- Perform other duties as required, consistent with the post’s grade and responsibilities.
- Participate in the departmental Duty Manager rota and the divisional Bronze rota.
- Lead the department in the implementation of Q-Pulse.
- Ensure regular attendance at the Patient Safety & Quality (PS&Q) forum as a standard practice, with attendance at the Imaging Management Group (IMG) by exception.
- Act as the primary liaison with Radiation Protection Adviser (RPA) services, overseeing the tracking and completion of actions arising from the Medical Exposure Committee (MEC), Radiation Protection Committee (RPC), Dose Optimisation Group, and the annual Radiation Incident Group.
- Manage the dose badge monitoring programme, including distribution and collection of badges, investigation of high-dose incidents, coordination of classified workers, and maintenance of associated documentation and annual medical examinations.
Training & Development
- Support clinical managers in staff training, induction, mentoring, and CPD monitoring.
- Promote understanding of quality management principles and provide related training to staff.
- Coordinate risk management and health & safety training.
- Monitor HCPC registrations and support staff professional development.
- Attend Trust education forums and relevant professional meetings to stay updated.
- Develop auditing, quality management, risk management, and mentoring skills within staff.
- Participate in annual performance and development reviews.
Risk Management & Health & Safety
- Ensure adherence to the Trust’s Risk Management and Health & Safety policies within Radiology.
- Support audit of staff compliance with risk and safety procedures.
- Maintain training records for key safety areas and ensure knowledge application.
- Oversee reporting, investigation, and analysis of incidents, ensuring corrective actions.
- Maintain and update Radiology’s element of the Trust Risk Register.
- Conduct trend analysis on risks and incidents, sharing relevant information with staff.
- Manage responses to Safety Alerts (e.g., MHRA) and NICE guidance queries.
- Maintain up-to-date COSHH registers and coordinate with the Trust register.
- Identify and risk assess top clinical risks, ensuring inclusion in departmental and Trust registers.
- Carry out quarterly Health & Safety audits and report findings.
- Represent Radiology at the Trust Health & Safety Committee.
- Provide advice on Radiology-related health and safety issues to other departments and staff.
Systems & Equipment Familiarity
- CRIS
- DATIX Incident Reporting System
- Allocate
- Cerner Millennium (Alex Health)
- Agfa PACS
Decision Making & Judgement
- Manage own workload effectively.
- Interpret standards and regulations.
- Perform audits and identify non-conformances.
- Conduct incident investigations including root cause analysis.
- Analyse trends and initiate changes in practice.
Communication & Relationships
- Report to the General Manager for Radiology & Breast Imaging.
- Collaborate with clinicians and managers across directorates on quality matters.
- Represent Radiology at senior management and Patient Safety & Quality forums.
- Liaise with patient panels and service users to understand needs.
- Work closely with Clinical Governance and Risk teams.
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure
Job description
Job responsibilities
Scope and Range
Operational Responsibilities
- Form an integral part of the Radiology Management team alongside the General Manager, CDC Imaging Manager, Radiology Workforce Lead, and the MR, CT, and X-Ray Modality Leads.
- Serve as the Lead Radiation Protection Supervisor ensuring compliance with IR(ME)R 2024 and IRR 2017 regulations.
- Lead on dose optimisation initiatives by chairing quarterly meetings and integrating updates into governance frameworks.
- Collaborate with Superintendent Radiographers and Modality Leads to maintain the Imaging Equipment Quality Assurance Programme and address non-compliance.
- Monitor and update local diagnostic reference levels, including conducting dose audits for compliance, in collaboration with the RPA.
- Manage the implementation and continuous improvement of quality measures and document management systems within Radiology.
- Coordinate the annual National Imaging Data collection and submission process.
- Support Clinical Governance and Risk Management strategies within the Radiology service.
- Act as a communication link between Radiology and Trust Corporate Governance.
- Lead quality improvement projects, especially those related to dose optimisation, and present findings.
- Maintain sufficient clinical work to uphold HCPC registration through ongoing professional development.
- Stay updated on local and national policies and legislation relevant to Radiology and communicate changes clearly.
- Ensure dissemination of quality information, including accreditation status, complaints, audit findings, and incidents at departmental and Health Care Group levels.
- Manage the use and review of Standard Operating Procedures and policies.
- Coordinate and lead the departmental audit programme, ensuring audit outcomes support service improvements.
- Aid the Accreditation Manager in their work to gain QSI accreditation and then ensure accreditation is maintained.
- Prepare quarterly newsletters and update departmental information boards.
- Coordinate service user and stakeholder surveys, analyse feedback, and recommend quality improvements.
- Facilitate external assessments and ensure compliance with visiting assessors’ requirements.
- Provide leadership, advice, and mentoring on quality issues across departments.
- Represent Radiology in senior management forums and Trust-wide governance meetings.
- Promote a continuous quality improvement culture with no blame learning.
- Assist in process mapping, procurement, business planning, and support change control processes.
- Manage information from audits and quality assessments regularly with the management team.
- Ensure compliance with Freedom of Information and Data Protection legislation in handling data.
- Perform other duties as required, consistent with the post’s grade and responsibilities.
- Participate in the departmental Duty Manager rota and the divisional Bronze rota.
- Lead the department in the implementation of Q-Pulse.
- Ensure regular attendance at the Patient Safety & Quality (PS&Q) forum as a standard practice, with attendance at the Imaging Management Group (IMG) by exception.
- Act as the primary liaison with Radiation Protection Adviser (RPA) services, overseeing the tracking and completion of actions arising from the Medical Exposure Committee (MEC), Radiation Protection Committee (RPC), Dose Optimisation Group, and the annual Radiation Incident Group.
- Manage the dose badge monitoring programme, including distribution and collection of badges, investigation of high-dose incidents, coordination of classified workers, and maintenance of associated documentation and annual medical examinations.
Training & Development
- Support clinical managers in staff training, induction, mentoring, and CPD monitoring.
- Promote understanding of quality management principles and provide related training to staff.
- Coordinate risk management and health & safety training.
- Monitor HCPC registrations and support staff professional development.
- Attend Trust education forums and relevant professional meetings to stay updated.
- Develop auditing, quality management, risk management, and mentoring skills within staff.
- Participate in annual performance and development reviews.
Risk Management & Health & Safety
- Ensure adherence to the Trust’s Risk Management and Health & Safety policies within Radiology.
- Support audit of staff compliance with risk and safety procedures.
- Maintain training records for key safety areas and ensure knowledge application.
- Oversee reporting, investigation, and analysis of incidents, ensuring corrective actions.
- Maintain and update Radiology’s element of the Trust Risk Register.
- Conduct trend analysis on risks and incidents, sharing relevant information with staff.
- Manage responses to Safety Alerts (e.g., MHRA) and NICE guidance queries.
- Maintain up-to-date COSHH registers and coordinate with the Trust register.
- Identify and risk assess top clinical risks, ensuring inclusion in departmental and Trust registers.
- Carry out quarterly Health & Safety audits and report findings.
- Represent Radiology at the Trust Health & Safety Committee.
- Provide advice on Radiology-related health and safety issues to other departments and staff.
Systems & Equipment Familiarity
- CRIS
- DATIX Incident Reporting System
- Allocate
- Cerner Millennium (Alex Health)
- Agfa PACS
Decision Making & Judgement
- Manage own workload effectively.
- Interpret standards and regulations.
- Perform audits and identify non-conformances.
- Conduct incident investigations including root cause analysis.
- Analyse trends and initiate changes in practice.
Communication & Relationships
- Report to the General Manager for Radiology & Breast Imaging.
- Collaborate with clinicians and managers across directorates on quality matters.
- Represent Radiology at senior management and Patient Safety & Quality forums.
- Liaise with patient panels and service users to understand needs.
- Work closely with Clinical Governance and Risk teams.
This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure
Person Specification
Qualifications
Essential
- BSc or equivalent qualification as a Diagnostic Radiographer with HCPC
- registration
- Evidence of continuous professional development (CPD)
- Relevant Pg Cert or demonstrable experience
Desirable
- Clinical image reporting qualification
- Qualification in quality management
Experience
Essential
- Minimum 5 years as a Radiographer, preferably with managerial or
- supervisory experience at modality level
- Experience presenting complex information to management, committees,
- and service users
- Experience in Risk Management, Internal Quality Control, and External Quality Assurance
- Proficient with MS Office and data evaluation tools
Desirable
- Experience establishing and maintaining quality management systems
- Experience in external auditing and root cause analysis
- Proven track record in managing corrective and preventative actions
Person Specification
Qualifications
Essential
- BSc or equivalent qualification as a Diagnostic Radiographer with HCPC
- registration
- Evidence of continuous professional development (CPD)
- Relevant Pg Cert or demonstrable experience
Desirable
- Clinical image reporting qualification
- Qualification in quality management
Experience
Essential
- Minimum 5 years as a Radiographer, preferably with managerial or
- supervisory experience at modality level
- Experience presenting complex information to management, committees,
- and service users
- Experience in Risk Management, Internal Quality Control, and External Quality Assurance
- Proficient with MS Office and data evaluation tools
Desirable
- Experience establishing and maintaining quality management systems
- Experience in external auditing and root cause analysis
- Proven track record in managing corrective and preventative actions
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.
