About this role
Job summary The post holder is responsible for the operational coordination, delivery and monitoring of quality management systems, accreditation and clinical governance activity for Cardiology and Respiratory physiological services within PAHT. The role provides specialist quality and governance support to clinical and service teams to ensure compliance with Improving Quality in Physiological Services (IQIPS), Trust policies and relevant national standards, contributing to the delivery of safe, effective and patient-centred diagnostic care.
Main duties of the job Maintain and develop the PAHT Quality Management System (QMS) for Cardiology and Respiratory services, ensuring that all quality documentation, policies, procedures, SOPs and records are current, appropriately controlled and accessible to staff. Act as the operational lead for IQIPS accreditation activity, supporting services through initial accreditation, surveillance and reaccreditation processes, including preparation of evidence, coordination of assessment visits and monitoring completion of actions. Coordinate a structured and cyclical programme of internal audits, assessments and quality reviews aligned to IQIPS standards, Trust policies, national guidance and regulatory expectations. Monitor compliance with quality, safety and governance requirements, identifying trends, areas of risk or noncompliance and escalating these appropriately through PAHT and Divisional governance structures. Support investigation and management of clinical incidents, near misses, service errors and patient complaints, working with clinical teams and governance colleagues to ensure timely investigation, documentation, action planning and learning. Maintain oversight of corrective and preventative actions arising from audits, incidents, inspections and complaints, tracking progress and providing assurance reports to relevant governance forums. Prepare routine and adhoc quality, governance and accreditation reports, presenting complex information in a clear and structured manner for PAHT ope
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
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 that’s 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 we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.
We’re 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 overview
The post holder is responsible for the operational coordination, delivery and monitoring of quality management systems, accreditation and clinical governance activity for Cardiology and Respiratory physiological services within PAHT. The role provides specialist quality and governance support to clinical and service teams to ensure compliance with Improving Quality in Physiological Services (IQIPS), Trust policies and relevant national standards, contributing to the delivery of safe, effective and patient-centred diagnostic care.
Main duties of the job
Maintain and develop the PAHT Quality Management System (QMS) for Cardiology and Respiratory services, ensuring that all quality documentation, policies, procedures, SOPs and records are current, appropriately controlled and accessible to staff. Act as the operational lead for IQIPS accreditation activity, supporting services through initial accreditation, surveillance and reaccreditation processes, including preparation of evidence, coordination of assessment visits and monitoring completion of actions. Coordinate a structured and cyclical programme of internal audits, assessments and quality reviews aligned to IQIPS standards, Trust policies, national guidance and regulatory expectations. Monitor compliance with quality, safety and governance requirements, identifying trends, areas of risk or noncompliance and escalating these appropriately through PAHT and Divisional governance structures. Support investigation and management of clinical incidents, near misses, service errors and patient complaints, working with clinical teams and governance colleagues to ensure timely investigation, documentation, action planning and learning. Maintain oversight of corrective and preventative actions arising from audits, incidents, inspections and complaints, tracking progress and providing assurance reports to relevant governance forums. Prepare routine and adhoc quality, governance and accreditation reports, presenting complex information in a clear and structured manner for PAHT operational meetings, Divisional governance meetings and Trust committees as required. Work collaboratively with Cardiology and Respiratory clinical leads, service managers, nursing teams and AHP colleagues to support quality improvement initiatives, pathway development and service redesign from a governance perspective. Support implementation of Trustwide governance alerts, policy updates and regulatory guidance, ensuring timely dissemination into practice and monitoring local compliance. Provide specialist advice on quality, governance and accreditation considerations relating to new services, changes to clinical pathways, equipment introduction or service expansion within PAHT. Promote a positive quality and safety culture within Cardiology and Respiratory services through engagement, support and education, encouraging staff involvement in audit and improvement activity.
Person Specification
Qualifications Essential
Relevant first degree or equivalent professional qualification Professional qualification or training relevant to healthcare, quality, governance or clinical services
Desirable
Quality management, clinical governance or audit qualification Project management training or equivalent experience Current professional registration (where applicable to background)
Experience Essential
Experience working in a healthcare quality, governance, accreditation or assurance roleE Experience coordinating audits, accreditation or inspection processesE Experience supporting services to achieve and maintain national quality standardsE Experience analysing complex quality or performance data and producing reports Experience working collaboratively with multidisciplinary clinical teams Experience supporting incident investigation, complaints handling or governance reviews
Desirable
Experience within community diagnostics, cardiology or respiratory services Experience using document control or quality management systems (e.g. Q Pulse or similar)
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.
Employer details Employer name The Princess Alexandra Hospital NHS Trust
Address St Margaret's Hospital
Epping
Essex
CM16 6TN
United Kingdom
Employer's website https://www.pah.nhs.uk (Opens in a new tab)