Job summary
Accreditation Manager - Community Diagnostic Centre
Department: Corporate
Band 8a pro rata if part-time
Hours: 37.5 per week - 6 month fixed term contract, all MKUH roles will be considered for flexible working
This is an exciting opportunity for an experienced professional to join our team. The postholder will:
Lead on the development, implementation and embedding of a BLMK-wide accreditation process for the CDC services. This will involve working 4 days per week at Milton Keynes and 1 day at Bedford.
Oversee expert quality improvement and change management in collaboration with departmental quality leads.
Ensure robust management systems are in place.
Ensure all clinical areas have systems in place to support monitoring and compliance of standards of practice.
Produce a gap analysis and roadmap for accreditation achievement.
Essential Skills & Experience:
Qualification in Management, Quality Management, Project Management or equivalent
Masters degree in relevant subject or equivalent
Substantial Acute NHS operational experience
Extensive knowledge of Health Service transformation and change.
Excellent understanding of NHS strategic aims and national & local developments.
Interview date: 11th February 2026.
Main duties of the job
We care We communicate We collaborate We contribute
"- NHS Survey, 2024'' They feel supported in their employers making reasonable adjustments to help them carry out their work, rating an 82.9%
As part of the national Community Diagnostic Centre (CDC) Programme, there is an expectation that CDCs must meet the accredited standards for their modalities within 2 years of going live and the accreditation manager is expected to lead the CDC sites through this process within the required timeframe.
Within Bedfordshire Luton and Milton Keynes (BLMK), there are two operational CDCs in Milton Keynes - Whitehouse Park and Lloyds Court (the responsibility of Milton Keynes University Hospital), and a third CDC in Bedford (the responsibility of Bedfordshire Hospitals) will be operational in October 2025.
The successful applicant will lead on the development, implementation and embedding of a BLMK-wide accreditation process for the CDC services. This will involve working 4 days per week at Milton Keynes and 1 day at Bedford.
The post holder will oversee expert quality improvement and change management in collaboration with departmental quality leads for the CDC (Community Diagnostics Centre) services, leading on the quality and delivery of the programme and ensuring that accreditation is delivered. Working with the Directors of Operations, Planning, Finance and other internal and external stakeholders to ensure timescales are met and service benefits realised.
About us
Milton Keynes University Hospital, in proud partnership with the University of Buckingham, is a University Teaching Hospital committed to advancing patient care through cutting-edge research and education. With a "Good" rating from the CQC and significant investment underway, this is an exciting time to join our team and grow your career.
As a medium sized general hospital, we provide a full range of general medical and surgical services, including a busy Emergency Department, Maternity, and Paediatrics. As the population of our city and surrounding areas continues to grow rapidly, we are expanding and enhancing our facilities to meet rising demand and improve access to care for all our communities.
We are also proud to offer a growing portfolio of specialist services. In January 2025 we opened our state-of-the-art Radiotherapy Centre, bringing advanced cancer treatment closer to home. Our services also include neonatology, specialist surgical care, and a wide range of diagnostics, supported by the new Community Diagnostic Centre at Whitehouse Health Centre.
Further investment is underway, including the construction of Oak Wards - a new ward block featuring two 24-bed wards - and the recently approved Women and Children's Centre, set to open by 2030.
Visit our website to explore the latest news and opportunities at MKUH - News - Milton Keynes University Hospital -
For further information about Milton Keynes please visit - Visit Milton Keynes
Job description
Job responsibilities
To undertake a gap analysis of the current status of each service in order to review and plan actions to meet regulatory standards.
Co-ordinate the activities of a programme/project team, ensuring objective and measurable outcomes are agreed. This will be achieved through scheduling of activities, advising, guiding and co-ordinating work.
To compile a comprehensive roadmap for achieving accreditation across service, ensuring compliance with timeframes.
This role will be designing and delivering presentations to a wide variety of delegates, up to and including board level on highly complex issues
Encourages leadership and staff commitment to complete a full audit schedule
To lead the UKAS and Regulatory assessment and audit processes
To ensure that the Quality Management System is implemented and maintained
Develop and ensure a sign off for the local SOPs and policies and to ensure their compliance with the relevant regulations (e.g. infectious control, health and safety, manual handling)
Responsible for production of the Quality Manual for the services in order to support the accreditation process
To ensure that the quality management system functions correctly by developing, managing and maintaining regular quality meetings
Communicate highly complex, sensitive information about the accreditation process and progress to all staff and managers.
Work with Clinical Lead, service managers, nursing teams, and Quality Leads to ensure that all elements of the quality policy and quality manual are implemented within each modality.
Please refer to the job description for further details.
Job description
Job responsibilities
To undertake a gap analysis of the current status of each service in order to review and plan actions to meet regulatory standards.
Co-ordinate the activities of a programme/project team, ensuring objective and measurable outcomes are agreed. This will be achieved through scheduling of activities, advising, guiding and co-ordinating work.
To compile a comprehensive roadmap for achieving accreditation across service, ensuring compliance with timeframes.
This role will be designing and delivering presentations to a wide variety of delegates, up to and including board level on highly complex issues
Encourages leadership and staff commitment to complete a full audit schedule
To lead the UKAS and Regulatory assessment and audit processes
To ensure that the Quality Management System is implemented and maintained
Develop and ensure a sign off for the local SOPs and policies and to ensure their compliance with the relevant regulations (e.g. infectious control, health and safety, manual handling)
Responsible for production of the Quality Manual for the services in order to support the accreditation process
To ensure that the quality management system functions correctly by developing, managing and maintaining regular quality meetings
Communicate highly complex, sensitive information about the accreditation process and progress to all staff and managers.
Work with Clinical Lead, service managers, nursing teams, and Quality Leads to ensure that all elements of the quality policy and quality manual are implemented within each modality.
Please refer to the job description for further details.
Person Specification
Qualifications and knowledge
Essential
- Qualification in Management, Quality Management, Project Management or equivalent
- Masters degree in relevant subject or equivalent
Desirable
- PRINCE 2 practitioner qualification
Experience
Essential
- Substantial Acute NHS operational experience
- Extensive knowledge of Health Service transformation and change.
- Excellent understanding of NHS strategic aims and national & local developments.
- Good understanding of the principles and practice of Quality Management
- Ability to develop and write policies and procedures (e.g. Standard Operating Procedures).
- Full understanding of audit processes
- Ability to deal with nonconformities and plan follow up actions
- Ability to design, analyse and follow up on user satisfaction surveys
- Able to explain and implement new policies and procedures
- Experience of setting up and managing the Quality Management Framework System
- Knowledge of risk management and clinical governance issues
- Project management experience
Desirable
- Experience of external accreditation inspections
Skills
Essential
- Excellent verbal and written communication skills across levels within the organisation as well as interfaces with clients and Regulatory and Accreditation bodies
- Excellent decision making, planning and execution abilities in a fast-paced environment
- Strong influencing abilities
- Ability to work on. your own initiative and as part of a team
- Demonstrate investigative and analytical skills
- Ability to motivate others
- Ability to organise and manage your own workload and meet deadlines
- Change management experience
Personal and people development
Essential
- Approachable manner
- Reliable
- Sensitive to the needs of patients and colleagues
- Good Analytical and judgement skills
- Resilience under stress
- Experience of managing people
Communication
Essential
- Excellent communication skills both verbal and written
- Ability to communicate effectively within the hospital and with external stakeholders
- Willing to work flexibly
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
Person Specification
Qualifications and knowledge
Essential
- Qualification in Management, Quality Management, Project Management or equivalent
- Masters degree in relevant subject or equivalent
Desirable
- PRINCE 2 practitioner qualification
Experience
Essential
- Substantial Acute NHS operational experience
- Extensive knowledge of Health Service transformation and change.
- Excellent understanding of NHS strategic aims and national & local developments.
- Good understanding of the principles and practice of Quality Management
- Ability to develop and write policies and procedures (e.g. Standard Operating Procedures).
- Full understanding of audit processes
- Ability to deal with nonconformities and plan follow up actions
- Ability to design, analyse and follow up on user satisfaction surveys
- Able to explain and implement new policies and procedures
- Experience of setting up and managing the Quality Management Framework System
- Knowledge of risk management and clinical governance issues
- Project management experience
Desirable
- Experience of external accreditation inspections
Skills
Essential
- Excellent verbal and written communication skills across levels within the organisation as well as interfaces with clients and Regulatory and Accreditation bodies
- Excellent decision making, planning and execution abilities in a fast-paced environment
- Strong influencing abilities
- Ability to work on. your own initiative and as part of a team
- Demonstrate investigative and analytical skills
- Ability to motivate others
- Ability to organise and manage your own workload and meet deadlines
- Change management experience
Personal and people development
Essential
- Approachable manner
- Reliable
- Sensitive to the needs of patients and colleagues
- Good Analytical and judgement skills
- Resilience under stress
- Experience of managing people
Communication
Essential
- Excellent communication skills both verbal and written
- Ability to communicate effectively within the hospital and with external stakeholders
- Willing to work flexibly
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
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.
