JOB DESCRIPTION

Job Details:

Job Title: Directorate Quality and Assurance Co-

Ordinator

Band: Band 4

Location: Norfolk and Norwich University Hospital

Department: Oncology and Haematology

Managerially Accountable to: Administration Manager

Professionally Accountable to: Quality Manager, Oncology and

Haematology

Job Purpose:

To support the designated Quality Manager in quality processes relating to

Oncology, Haematology, Radiotherapy and Chemotherapy.

To manage the Directorate’s electronic quality assurance system and Q-Pulse

To support the competition of audits in accordance with external inspection.

To support the delivery of a high quality, safe and compassionate healthcare service,
all staff are expected to act as a role model to others in all aspects of their work and
consistently demonstrate NNUH’s ‘PRIDE’ values of People focused, Respect,
Integrity, Dedication and Excellence.

Overview of Essential Responsibilities:

1. In conjunction with the Quality Manager produce and maintain documents and
procedures relating to the external inspections including but not limited to: -

- JACIE
- BMT
- SCI
- Mpace
- CQC

2. Conduct risk assessments relating to BMT/PBSCT procedures/processes

3. Maintain patient database and produced reports on BMT/PBSCT outcomes as

required

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4. To be responsible for the maintenance and management of the Directorate
Quality Assurance system, known as QA.com and Q-Pulse

5. To be responsible for supporting managers with maintaining audit

documentation and audit programmes within the Directorate

6. To report status of audits and quality assurance system to Quality

Manager/Senior Management team on a regular basis

7. Plan and supervise a programme of internal audits against defined quality

performance measures and to ensure that effective actions are taken

8. To be responsible for liaison with the external assessment authorities and

attend and represent the Directorate at all external inspection visits

9. Maintenance and assistance in on-going compliance of ISO 9001 standard

within the directorate

10. Disseminate the quality system and accreditation principles to staff

11. Participate in the maintenance of the document control system for QA.com and
Q-Pulse

12. To follow up on external assessments and verify the completion of corrective

action as required by external inspectors

13. In conjunction with the Quality Manager/Senior Management Team review and
update the Trust Risk Register

14. Assist Clinical Governance Leads with Mortality Reviews

15. In conjunction with the Administration Manager, assist to investigate and

monitor incidents

16. Be responsible for updating and maintaining Directorate Intranet and Internet
pages in conjunction with IT team

17. Support the Administration Manager to maintain and update all Directorate
Patient Information

18. To raise agendas and minute meetings relating to Directorate and Governance
meetings and distribute as necessary plus provide support to Governance Lead
in compiling data

Specific Additional Responsibilities:

None.

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 Functional Requirements
Direct face to face patient No Blood/body fluid exposure No
contact
Exposure prone No Prevention and No
procedures (EPP) management of aggression
Manual handling No Crouching/stooping or No
kneeling
Night working/shift work No Frequent hand No
washing/wearing gloves
VDU user Yes Chemical sensitisers No
Driving patients No Noise No
Other (please state) Choose an
item.

Job Specification:
Means of Assessment
Essential/ Application Form/
Desirable Interview/Test/Ref
Qualifications/training and professional
development

NVQ Level 4/Diploma equivalent Desirable Application form/Interview

qualification in administrative
procedures/projects management

Intermediate IT qualifications (ECDL) or Desirable Application form/Interview

evidence of equivalent experience

Good standard of general education Essential Application form/Interview

including minimum GCSE Grade C
English, Maths and Science of equivalent

Knowledge of accreditation/quality Desirable Application form/Interview

systems, ideally of BSI ISO 9001
Experience

Experience in project management/data Desirable Application form/Interview

analysis

Previous experience of working with Essential Application form/Interview

databases and maintaining data quality

Good IT knowledge, including keyboard Essential Application form/Interview

skills

Previous NHS experience Desirable Application form/Interview

Knowledge of MS Excel/Word Essential Application form/Interview

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Skills, abilities and knowledge

Excellent organisational and Essential Interview

communication skills

Attention to detail Essential Interview

Ability to prioritise and work flexibly under Essential Interview

pressure

Mature attitude to work Essential Interview

Good sense of humour Essential Interview

Self-motivation Essential Interview

Enjoys team working Essential Interview

Able to write clearly, interpret instructions Essential Application form/Interview

and write reports

Good time management skills and ability Essential Interview

to deal with interruptions
Attitude, aptitude

Willingness to attend courses and adapt to Essential Interview

change

Effective role model, demonstrating NNUH’s Essential Application form/Interview

PRIDE values of People focussed, Respect,
Integrity, Dedication and Excellence

Reasonable adjustments can be considered to support disabled candidates in

respect of the requirements of this role.

For information regarding general terms and conditions of employment please ask
your line manager or Human Resources.

This job description indicates currently the main responsibilities of the post. It is not
a complete list and may be amended and developed as necessary in consultation
with the manager and post holder. We would aim to reach agreement on any
changes, but if agreement is not possible, the Trust reserves the right to make
changes to this job description.

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