CDC Accreditation Lead

Job description

Job responsibilities

1. To be responsible for leading the CDCs through the accreditation process for the services being provided, working with the accreditation team and service leads, and that the service then maintains accreditation.

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

3. To coordinate the services 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.

4. 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.

5. 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.

6. To process, review and analyse highly complex information, including statistical data and audit information, to inform and advise on governance standards and processes.

7. To be knowledgeable on the requirements of the individual standards and advise other members of staff as to expectations with regards to standards of practice and evidence.

8. Present audits and governance topics at speciality and other governance meetings.

9. Have overarching accountability for ensuring that all the CDC protocols, policies, guidelines and patient information leaflets are maintained as relevant, current and up to date.

10. To ensure all documentation is benchmarked and in line with national guidelines and best practice evidence, implementing changes to processes and procedures in the CDC.

11. To support Speciality Leads and staff in achievement of action plans and mandatory findings in relation to Trust quality and safety audits, and accreditation mandatory findings.

12. To support the Senior Operations Manager in organising quarterly CDC governance meetings.

13. Support the Senior Operations Manager in managing risk assessments and the risk register.

14. Formulate annual governance reports and regular dashboard reports in conjunction with the Senior Operations Manager.

15. To utilise and analyse complex statistics and reports relevant to accreditation standards.

16. Maintain standards in accordance with accreditation requirements.

17. Work with the Modality Leads and Leadership team to implement quality and service improvements.

18. To work to deadlines and be prepared to work flexibly.

19. To be an authorised signatory for small financial expenditures in relation to resources required for governance and accreditation purposes.

20. To work closely with the Speciality Leads and Operational Managers to ensure appropriate financial resourcing of governance and accreditation activities.

21. To manage the financial budget to support the accreditation requirements.

Person Specification

Qualifications

• Degree level qualification

• Studied at Masters level
• Qualification in one of the modalities aiming for accreditation

knowledge

• An excellent knowledge of the accreditation process
• An understanding of the modalities being accredited

Experience

• Significant experience and understanding of diagnostics in the NHS

• Previous experience of working with UKAS towards accreditation
• Previous experience of driving quality improvements in a NHS setting

Skills

• Ability to work across a multi-disciplinary team
• Ability to lead change

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Employer details

Employer name

James Paget University Hospitals NHS Foundation Trust

Address

James Paget University Hospital

Lowestoft Road,

Gorleston

NR31 6LA

https://www.jpaget.nhs.uk/work-for-us/