About this role
Job summary
The post holder will manage and oversee the UHBW Adult BMT & IEC and Paediatric Haematology, Oncology & BMT Quality Management Programme, ensuring that the programme meets regulatory and accreditation requirements while supporting continual service development and improvement. The role includes maintaining the Quality Management System and controlled document portfolio, coordinating audit and inspection activity, managing adverse events, CAPA processes, risk registers, outcome monitoring, governance reporting, staff training records, credentialling and competency records. The post holder will work closely with clinical, pharmacy, administrative and management colleagues across divisions, as well as external bodies including JACIE, HTA, NHS England, NHSBT, UKHSA, Anthony Nolan Donor Registry, BSBMTCT and EBMT.
Main duties of the job
Lead and maintain the Quality Management System for Bone Marrow Transplant, Cellular Therapy, and Paediatric Haematology/Oncology services, ensuring compliance with regulatory and accreditation standards (including JACIE and HTA).
Oversee governance, risk, and audit processes, including inspections, internal audits, incident management, CAPA plans, risk registers, validation studies, and quality improvement initiatives.
Provide expert advice and support to clinical and management teams on quality management, information governance, patient safety, regulatory compliance, and best practice.
Manage quality documentation and data, including policies, SOPs, clinical guidelines, training records, regulatory submissions, governance reports, and cell storage databases.
Drive service development and continuous improvement through audit outcomes, risk assessment, trend analysis, process redesign, and change management to improve safety, efficiency, and compliance.
Build and maintain relationships with internal stakeholders and external regulatory, accreditation, and professional bodies to support programme delivery and compliance.
Provide leadership and line management for staff, including recruitment, appraisal, performance management, training, and professional development.
Contribute to patient safety and experience by ensuring robust quality systems, effective governance, confidentiality, and learning from incidents, complaints, and adverse events.
About us
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.
With an annual turnover of 2.6 billion, we are now one of the largest NHS trusts in the United Kingdom.
Chaired by Ingrid Barker and led by Maria Kane as Chief Executive, Bristol NHS Foundation Trust aims to transform the way healthcare is delivered locally with a clear focus on making a difference for what we call our Four Ps:
Better outcomes for ourPatients More opportunities for our People Fairer more consistent care for ourPopulation Best Value for Public Purse Our vision for five years from now:
Patients will wait less time to be diagnosed and treated, and they will have the same high-quality experience and outcomes, regardless of who they are or where they live. We will meet rising demand by maximising the use of our available resources. More care will be delivered nearer to patients, in their homes or the community. Digital technologies will have transformed the way we work and the way we deliver care. Our people will feel engaged, energised and empowered by their work. We will be known as a place where people enjoy working, training and building a career. Our volume of globally renowned research and innovation will have grown significantly. We will contribute to system financial balance
Job description Job responsibilities This role is responsible for leading and maintaining a comprehensive Quality Management and Governance Programme across Bone Marrow Transplantation (BMT), Immune Effector Cell (IEC) therapy, and Paediatric Haematology and Oncology services. The post holder works closely with clinical, pharmacy, administrative and management teams, as well as external regulatory and accreditation bodies, to ensure compliance with national and international standards, including JACIE and HTA requirements. Key responsibilities include managing audits, inspections, risk registers, incidents, CAPA programmes, policies, SOPs, quality documentation and governance processes; overseeing data reporting, regulatory submissions and cell storage reviews; and providing expert advice on quality, governance and information management. The role also supports service development, continuous improvement and organisational compliance through audit, risk assessment, validation studies and outcome monitoring, while contributing to patient safety and experience indirectly through robust quality systems. In addition, the post holder provides leadership and line management to staff, manages agreements and financial reporting related to transplant and cellular therapy programmes, and works autonomously to deliver high standards of governance, regulatory compliance and quality assurance.
Person Specification
Education and qualifications Essential
Education to degree level, or equivalent experience Good general standard of education, including GCSEs grade A-C in English and Maths, or equivalent Computer literate and trained in Microsoft Office applications, including Outlook
Personal qualities Essential
Demonstrates awareness of the limits of own practice and knowledge and when to seek appropriate support or advice Committed to personal development and maintaining a personal development plan aligned to service objectives
Experience Essential
Administrative experience in a busy, customer-focused environment Experience of working as part of a team Experience of workload prioritisation
Desirable
Previous patient-facing experience within the NHS Experience of using a patient administration system, for example CareFlow Experience of maintaining data on a computer system Knowledge of medical terminology Experience of quality management systems Experience of clinical or process audit Experience of staff management Knowledge and experience of the JACIE accreditation process Knowledge and understanding of the Data Protection Act, Human Tissue Act and Blood Safety and Quality Act
Knowledge, skills and abilities Essential
Ability to prioritise workload, manage work-related pressures and meet tight deadlines Ability to respond to and document complex telephone calls Excellent communication skills, face to face, by telephone and via video calling Uses initiative and makes decisions while acting within the scope of the role and limits of training Excellent organisational skills and meticulous attention to detail Ability to work independently with minimal input from line manager; able to use initiative and problem solve Good report writing skills and skilled at using a standard keyboard Ability to respond to and document complex telephone calls
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 (Opens in a new tab).
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 (Opens in a new tab).
Employer details Employer name Bristol NHS Foundation Trust
Address Bristol Royal Hospital for Children / Bristol Haematology and Oncology Centre
Bristol
BS2 8BJ
United Kingdom
Employer's website https://www.uhbw.nhs.uk/ (Opens in a new tab)