Detailed job description and main responsibilities

• To be responsible for developing, maintaining and embedding a Quality Culture throughout Radiology. To achieve this, you will have to employ highly developed interpersonal and communication skills to motivate, persuade, and gain agreement and cooperation of staff to overcome significant barriers to understanding and reluctance to change practice.
• Maintain clinical practice.
• To lead in the administration and development of the Radiology Quality Management System, Q-Pulse.
• To follow up on external inspections and verify the completion of corrective action as required by the reports of the inspectors.
• Support the radiology leadership team in the management of performance through presentation of data and management of administrative processes.
• The post holder will have no budgetary responsibility but will be responsible for prudent use and ordering of resources and will contribute to the departmental Cost Improvement Programme (CIP).
• Maintain and review radiology ordering system and action accordingly.
• To support the radiology leadership team in the management and reporting of performance within radiology including the presentation and analysis of data and review of administration processes.
• To Chair the Radiology Clinical Governance Team meetings and also attend Divisional governance meetings alongside the Radiologist, Governance lead, Head of Radiology and Lead radiographer.
• To provide quality data related to the performance of radiology to relevant internal and external meetings.
• To participate in service meetings and Head of Departments (HODS) meeting.
• To participate in local management meetings, decision making and policy implementation.
• To be familiar with Radiology statutory requirements, the clinical governance, risk management and quality audit policies and procedures of the Trust and the system(s) of accreditation in use.
• To lead in the implementation and maintenance of the Quality Management System Q-Pulse, in particular:

Non-conformance reporting and closure

Tracking the implementation of appropriate corrective and preventive actions

Quality Improvement actions

Change Control

Appropriate and effective handling of complaints and comments from users

Trending of non-conformances, incidents and user complaints

Risk assessment, both proactive and in response to serious errors

Writing, modifying and updating Standard Operating Procedures (SOP) for all global aspects of departmental work, whilst also supporting the modality leads in the creation and maintenance of SOPs for their modality

Ensuring the correct documentation exists for IR(ME)R 2017 and IRR17

Maintaining the skills matrix and working with the Training Lead to ensure staff are compliant with statutory and mandatory training

Be overall responsible for the departmental QA and work with the Plain Film Lead Radiographer in maintaining each room’s equipment and fault log

 Maintaining and updating the Radiology and Radiation Governance Spreadsheet and action plans

• As part of the Radiology Department’s commitment to meeting the needs and requirements of our service users you will be required to undertake audits of user satisfaction and collate, analyse and utilise the results to enable service improvements to be made. These audits will be performed in conjunction with users in primary and secondary care.
• To facilitate and co-ordinate internal audit of the Q-Pulse Quality Management System and examination processes:
• To educate staff about the Q-Pulse system.
• To maintain, develop and disseminate the Departmental Quality Manual.
• To identify areas and particular projects where there is the potential for quality improvement in the service provided by the department.
• Coordinate timely receipt and investigations of complaints, be able to draft appropriate responses and ensure actions are completed.
• To lead on the Datix incident reporting (including reporting and learning from incidents); supporting others in the completion and investigation of Datix incidents, ensuring timely feedback to and actions are completed to improve patient care.
• To lead and support root cause analysis investigations for Serious Incidents (SI) and other incidents in line with the policy framework.
• The post holder will be required to work independently and be responsible for their own day-to-day planning and organisation required to fulfil the duties and responsibilities of the post.
• Works towards achieving and maintaining QSI against current practice.