About this role
Job summary
The IQIPS Accreditation Manager is responsible for providing strategic leadership, programme management and specialist quality improvement expertise for the development, implementation and maintenance of the Improving Quality in Physiological Services (IQIPS) accreditation programme across Cardiology and Respiratory Healthcare Sciences at West Suffolk NHS Foundation Trust and associated Community Diagnostic Centres.
The post holder will lead the multi-site delivery of the IQIPS accreditation programme, ensuring services achieve and sustain UKAS accreditation through the implementation of robust governance arrangements, quality management systems, audit programmes and continuous service improvement initiatives. Acting as the Trust's specialist adviser for IQIPS accreditation, the post holder will work autonomously to develop accreditation strategies, resolve complex governance and quality issues, and provide expert advice to senior clinical and managerial staff.
The role is responsible for leading organisational change across multiple clinical services, embedding accreditation standards into routine practice and ensuring compliance with national quality standards across the domains of patient experience, clinical practice, workforce, facilities, safety and governance.
This role will be based in Newmarket CDC however, will be expected to travel between sites (West Suffolk NHS Foundation Trust) as and when required.
Main duties of the job
Lead the IQIPS accreditation programme across Cardiology and Respiratory . Develop and manage accreditation plans, ensuring key milestones, deadlines and objectives are achieved. Coordinate multi-disciplinary teams and work across organisational and professional boundaries. Develop and maintain governance frameworks, policies, SOPs and quality management systems. Monitor compliance with IQIPS standards through structured audit and quality assurance programmes. Identify and manage risks, gaps and barriers that could prevent accreditation being achieved. Lead quality improvement and service development, ensuring audit findings result in measurable improvements. Provide specialist advice and guidance to clinical and operational teams on accreditation and quality requirements. Engage and influence senior stakeholders, including clinicians, managers, governance groups and external accreditation bodies. Provide reporting, assurance and performance information to senior management, while supporting teams through training, change and continuous improvement. The post holder will establish and maintain effective relationships with senior clinicians, operational managers, corporate departments and external accreditation organisations, influencing practice, securing engagement and facilitating organisational change to deliver sustainable improvements in patient care, service quality and operational performance.
About us
#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community
We are a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.
The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and children's ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.
Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.
We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.
With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.
We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.
Join us. What will you #BeKnown for?
Job description Job responsibilities
Programme and Project Management
Provide strategic leadership for the multi-site IQIPS accreditation programme across Cardiology and Respiratory Healthcare Sciences. Develop, implement and maintain the accreditation programme, ensuring delivery within agreed timescales and national standards. Lead complex programmes involving multiple workstreams, monitoring risks, dependencies, milestones and organisational priorities. Develop programme plans, performance indicators and reporting frameworks to ensure delivery of accreditation objectives. Coordinate multidisciplinary teams across organisational boundaries to deliver programme outcomes. Governance and Service Development
Lead the development, implementation and continuous review of governance frameworks, policies, standard operating procedures and quality management systems required to achieve and maintain IQIPS accreditation. Develop new governance processes where required and ensure accreditation standards are embedded into routine operational practice. Recommend and implement service improvements arising from accreditation assessments, audits and quality reviews. Influence service redesign and organisational development to ensure long-term compliance with national accreditation standards. Quality Improvement and Audit
Develop and oversee a comprehensive audit programme to monitor compliance with IQIPS standards. Analyse complex quality, governance and performance information to identify risks, trends, gaps and opportunities for improvement. Lead service evaluation, quality improvement initiatives and continuous improvement programmes across Physiological Sciences. Ensure findings from audits and reviews are translated into measurable service improvements. Communication and Stakeholder Management
Communicate highly complex, sensitive and occasionally contentious information to consultants, senior managers, multidisciplinary teams and external accreditation bodies. Present complex reports and assurance updates to Senior Management Teams, Clinical Governance Committees and other Trust governance groups. Negotiate agreement on service changes, influence decision-making and secure engagement from stakeholders where resistance to change may exist. Act as the principal point of contact for IQIPS accreditation within the Trust. Leadership and Workforce Development
Provide professional leadership and specialist advice on IQIPS accreditation, governance and quality improvement. Support service managers and clinical leaders in implementing organisational change programmes. Design, facilitate and deliver specialist education and training relating to accreditation standards, governance processes and quality management systems. Coach and support multidisciplinary teams to embed continuous quality improvement within routine practice. Financial and Resource Management
Ensure the effective and efficient use of programme resources to deliver accreditation objectives. Contribute to financial planning, resource allocation and business planning associated with accreditation delivery. Identify opportunities for service efficiencies and improved value for money while maintaining compliance with accreditation standards. Information and Performance Management
Develop and maintain robust systems for recording, monitoring and reporting accreditation performance. Ensure the accuracy, integrity and security of accreditation documentation, audit records and Quality Management System information. Produce complex performance reports, dashboards and assurance documentation for senior management and governance committees. Risk Management
Act as the Trust Lead for IQIPS accreditation risks. Identify, assess and manage strategic and operational risks associated with accreditation. Develop mitigation plans and monitor implementation to ensure compliance with organisational governance arrangements.
Person Specification
Education and Qualifications Essential
Educated to Degree level or equivalent experience in Quality Improvement, Project Management, Healthcare Management, Clinical Governance or a related discipline. Relevant postgraduate qualification or equivalent experience in quality improvement, healthcare leadership, project/programme management or change management 4 GCSE's with equivalent A-C qualifications and relevant A Level in health and social care (equivalent experiences considered) Demonstrable knowledge of quality management systems, clinical governance frameworks and healthcare improvement methodologies.
Desirable
Relevant change, project and / or programme management qualifications such as Prince2, MSP, Six Sigma, Lean etc Knowledge of UKAS accreditation processes or experience of accreditation frameworks.
Experience and knowledge Essential
Experience of leading quality improvement, accreditation, governance or service transformation programs within a healthcare environment. Extensive experience of service transformation, design and development. Experience of working across organisational and professional boundaries to achieve common goals Experience of working in contentious situations facing challenges to organisational redesign and reluctance to change management. Experience of analysing complex quality, performance and audit information to identify risks and improvement opportunities. Experience of developing, implementing and monitoring policies, procedures, standard operating procedures and governance frameworks.
Desirable
Previous experience in working towards accreditation in the "Improving Quality in Physiological Services" (IQIPs) programme Experience of implementing and maintaining quality management systems and governance processes
Skills and abilities Essential
Excellent organisation and project management skills Ability to work independently with very limited guidance and to tight deadlines. Excellent verbal and written communication Ability to build relationships and communicate effectively with various stakeholders Ability to work in a multi-disciplinary team Strategic awareness - able to align transformation programme to Trust objectives Ability to analyse complex business processes, data and procedural issues and to provide creative solutions to problems as they arise. Ability to identify and resolve resistance and blockages, using proven problem solving skills. Able to evaluate situations and assimilate information quickly Effective negotiation and influencing skills Ability to be assertive when appropriate Able to deal with emotionally difficult and challenging situations
Personal qualities Essential
Evidence of good attendance and timekeeping Evidence of good attendance and timekeeping Able to work well under pressure Good team player Flexible towards working hours and duties
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 West Suffolk NHS Foundation Trust
Address Newmarket Community Diagnostic Centre
56 Exning Road
Newmarket
CB8 7JG
United Kingdom
Employer's website https://www.wsh.nhs.uk (Opens in a new tab)