BHSCT Imaging Governance and Quality Lead Band 8A
Branch: Belfast HSCT
Location: Imaging Centre RVH
Salary: Band 8a (£55,690 - £62,682)
Contract Type: Permanent
Opening date: 10/11/26
Closes: Tue, 24 November 2026 @ 4:30 PM
Interview Dates: to be confirmed.
Notes: We accept online applications only.

A waiting list may be created for similar posts that may arise while the waiting list is live, this may include temporary or part-time posts. This will be managed in line with the updated HSC waiting list principles effective from 1 April 2026. Where a part-time waiting list is required, one part-time waiting list will be created- regardless of any specific hours advertised, this waiting list will cover all future vacancies where part-time posts arise. A part-time post is defined as any post that has less than 37.5 hours per week. Please remember to save or print a copy of the job description before submitting your application, as it will not be accessible afterwards.

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Full job description documents:
Job Description/Personnel Specification (Updated 04/11/2026)

POST: Imaging Governance and Quality Lead
LOCATION: Imaging Centre, RVH
DIRECTORATE: Imaging, Medical Physics & Outpatients Division
BAND: 8A
REPORTS TO: Imaging Services Manager
RESPONSIBLE TO: Imaging Services Manager

Job Summary / Main Purpose
The Imaging Governance and Quality Lead will support the Imaging Services Manager in planning, co-ordinating and evaluating the various Governance Systems across the BHSCT imaging services.

The post holder will be responsible for providing professional leadership through effective integrated governance and patient/client safety and will lead the service in the development of quality improvement plans. They/them will be responsible for the maintenance and continual review of the service’s risk register and assurance framework.

The post holder will co-ordinate service reports and responses to statutory and other external bodies such as the DHSSPS and the RQIA. They/them will encourage a multi-professional approach to all their areas of work, ensuring clinical and imaging staff engagement in risk management and governance.

The post holder will promote, lead and participate in the advancement of a comprehensive and integrated Quality and Governance System across the Service to ensure compliance with the trusts governance and risk framework. This includes complaint handling, gathering patient feedback, patient safety, incident reporting and meeting the regulatory requirements of external standards and inspection such as those undertaken by the Regulation and Quality Improvement Authority (RQIA). The post holder will lead on Governance, quality management and audit and will support the Clinical Leads with the implementation and appropriate clinical audit of Service Standards (NICE, QSI etc.).

Main Duties / Responsibilities
Setting Direction:

• To support the imaging services manager in the development and promotion of an integrated governance and assurance framework.
• To influence the development of a trust wide open and learning culture.
• To ensure the comprehensive and consistent reporting of adverse incidents across the Directorate.
• To develop a quality improvement plan for the service linked to the corporate plan.

Service Delivery:

• To advise the imaging services manager of the service’s compliance in reporting and managing adverse incidents, with requirements of the relevant external bodies.
• To co-ordinate, in conjunction with the imaging services manager and other key stakeholders, the appropriate investigation of adverse incidents and advise accordingly including facilitation of (and where required leading) investigations where required.
• The post holder will monitor radiation incidents for trends analysis and produce a comprehensive report of radiation incidents and near misses for the Radiation Safety Committee meetings.
• To support preparation for, and response to, regulatory inspections and external reviews relating to imaging governance, including RQIA and related IR(ME)R inspections.
• To work with service leads to ensure that robust action plans are developed and implemented following the outcome of an RQIA inspection or in the event of RQIA enforcement action or non-compliance reports.
• To support and coordinate governance arrangements relating to the Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) and Ionising Radiations Regulations (IRR17), ensuring robust systems are in place to support compliance, incident management, audit, learning and assurance across Imaging Services.
• To work collaboratively with the Imaging Services Manager, Radiation Protection Advisers, Medical Physics Experts, to ensure effective radiation governance arrangements and policies are maintained and continuously improved.
• To provide expert and highly authoritative advice in the area of Quality and Governance management as required by imaging colleagues.
• To lead the weekly Imaging Governance meeting attended by the Imaging Services Manager, Site leads, Service improvement manager and specific clinical leads.
• To support the completion on the weekly Divisional Governance template for the Divisional Governance Huddle.
• To support the oversight of all adverse incidents on Datixweb relating to Imaging Services communicating a monthly report to the Imaging Services Manager, Site leads, Service improvement manager and specific clinical leads.
• To support the Imaging Services Manager with the coordination and delivery of the Duty and Candour Committee.
• To provide oversight and support to the Imaging Service Manager with oversight of the Belfast Risk Audit and Assessment Tool (BRATT) alongside the imaging site leads.
• To support the Imaging Services Manager and clinical leads with governance oversight and assurance for the introduction and use of innovative technologies within Imaging Services, including artificial intelligence-enabled solutions, ensuring appropriate arrangements are in place for patient safety, clinical effectiveness, quality assurance, information governance, regulatory compliance and ongoing service evaluation.
• To support the Imaging Services Manager in overseeing governance arrangements for outsourced imaging services and teleradiology reporting providers, ensuring compliance with quality, safety, performance, information governance and contractual requirements.
• To support the development, implementation and review of imaging governance policies, procedures, protocols and standard operating procedures to ensure compliance with Trust, regional and legislative requirements.
• To maintain and oversee a central system for the receipt, dissemination and action from relevant external bodies relating to medical imaging equipment and devices e.g. Safety Alerts, Field Safety Notices (FSN), NIAIC.
• To develop, in conjunction with the imaging services manager and other key stakeholders, risk management systems and processes.
• To develop, maintain and continually review the Imaging services risk register and assurance framework.
• To support the Imaging Service Manager in governance arrangements relating to reporting quality, discrepancy review, peer learning and continuous service improvement across Imaging Services.
• To develop, in conjunction with the imaging services manager and other key stakeholders, central databases for aspects of the imaging service.
• To collate and analyse data held on imaging risk registers and other risk related databases.
• To assist with the analysis of all the service’s complaints, other adverse incidents and claims to determine trends, identify remedial action where appropriate and prepare reports to help inform improvements in practice and lessons learned, ensuring informed decision making.
• To advise and support the imaging services manager in ensuring good health and safety practice for all the Directorate activities.
• To develop, in conjunction with key stakeholders, an Imaging Hospital Acquired Infection Reduction Plan.
• To identify key areas of risk in respect of the imaging’s undertakings and liaise with stakeholders in order to address issues.
• To represent the Imaging Service in relation to Quality and Governance as nominated by the Imaging Services Manager.

Development and Innovation:

• To be proactive in identifying new ideas and initiatives to ensure patient safety and the quality agenda is maximised.
• To contribute to the development of training programmes on adverse incident reporting, risk identification and risk management.

Quality:

• To manage the accreditation team and to ensure full compliance with the Quality Standard for imaging (QSI).
• To advise and support the Collective Leadership Team in ensuring relevant Statutory, Departmental and Trust policies are met.
• To develop, in conjunction with key stakeholders clinical/performance indicators and other tools within the Directorate that will assist in the identification and monitoring of risk.
• To support Directorate compliance with the Trust Quality Improvement Plan.
• To promote and develop user engagement in Directorate’s actions on risk management and quality.

Collaborative working:

• To work collaboratively with risk and governance staff across the Directorate, estates and facilities and with Trust’s office or risk and governance to build robust governance arrangements.
• To work collaboratively with colleagues in the Medical Director and Director of Nursing Offices and other key stakeholders in preparing appropriate responses to reports and recommendations from regional statutory and other bodies such as the DHSSPS, the NPSA and the Regulation and Quality Improvement Authority.
• To contribute to building effective partnerships and maximise multi-professional learning opportunities in an environment that supports the development of practice and service improvement.
• To ensure that examples of excellence and innovation in governance and patient and client safety are promoted within the Trust and externally through networking.
• To ensure that the needs of patients, clients and their carers are at the core of the way the Trust delivers its primary and secondary care services.

Communication and Information Management:

• To support the imaging service’s manager in preparing informative and meaningful reports on a regular basis for the service and Trust’s Assurance Committee.
• To support in the ongoing design and development of electronic systems to manage information in relation to risk registers and other related databases.
• To ensure information systems used for the co-ordination of risk and governance activity and information is maintained and quality assured for the Directorate.

People Management and Development:

• To provide leadership to staff within imaging services on the matters of risk and governance to encourage team working and continuous quality improvement.
• To manage the support staff relevant to the post.
• To promote the corporate values and culture of the organisation through the development and implementation of relevant policies and procedures, and appropriate personal behaviour.
• To delegate appropriate responsibility and authority to the level of staff within their control consistent with effective decision-making whilst retaining responsibility and accountability for results.
• To participate in the Trust’s Performance Review Scheme. To review the performance of direct reports on a regular basis, and to provide direction on personal development requirements and appropriate action.
• To take responsibility for their own performance and take action to address identified personal development areas.
• Maintain good staff relationships and morale amongst the staff reporting to them, through effective feedback, recognition, appraisal and development.
• Where appropriate, review the organisational plan and establishment levels and ensure that each is consistent with achieving objectives and recommend change where appropriate.
• Participate as required in the selection and appointment of staff reporting to them in accordance with procedures laid down by the Trust.
• Take such action as may be necessary in disciplinary matters in accordance with procedures laid down by the Trust.
• Promote the Trust’s policies on ‘equality of opportunity’, and the promotion of ‘good relations’ through their own actions, and ensure that these policies are adhered to by staff for whom they/them have responsibility.

General Responsibilities
Employees of the Trust are required to promote and support the mission and vision of the service for which they are responsible and:

• At all times provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner.
• Promote and support effective team working, fostering a culture of openness and transparency. The post holder will ensure that they take all concerns raised with them seriously and act in accordance with Belfast Trust’s Whistleblowing Policy and their professional code of conduct, where applicable.
• The post holder will, in the event of a concern being raised with them, ensure it is managed correctly under the Belfast Trust’s Whistleblowing Policy, and ensure that feedback/learning is communicated at individual, team and organisational level regarding the concerns raised, and how they were resolved.
• Demonstrate their commitment by their regular attendance and the efficient completion of all tasks allocated to them.
• Comply with the Trust’s Smoke Free Policy.
• Carry out their duties and responsibilities in compliance with the Health and Safety Policies and Statutory Regulations.
• Adhere to Equality and Good Relations duties throughout the course of their employment.
• Ensure the ongoing confidence of the public in-service provision.
• Maintain high standards of personal accountability.
• Comply with the HPSS Code of Conduct.

Information Governance
All employees of Belfast Health & Social Care Trust are legally responsible for all records held, created or used as part of their business within the Belfast Health and Social Care Trust, including patient/client, corporate and administrative records whether paper based or electronic and also including e-mails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information Act 2000, the Environment Regulations 2004, the General Data Protection Regulation (GDPR) and the Data Protection Act 2018. Employees are required to be conversant and to comply with the Belfast Health and Social Care Trust policies on Information Governance including for example the ICT Security Policy, Data Protection Policy and Records Management Policy and to seek advice if in doubt.

For further information on how we use your personal data within HR, please refer to the Privacy Notice available on the HUB or Your HR

Records Management
All employees of Belfast Health & Social Care Trust are legally responsible for all records held, created or used as part of their business within the Belfast Health and Social Care Trust, including patient/client, corporate and administrative records whether paper based or electronic and also including e-mails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information Act 2000, the Environment Regulations 2004, Data Protection Act 2018 and GDPR (2018). Employees are required to be conversant with the Belfast Health and Social Care Trust policy and procedure on records management and to seek advice if in doubt.

Environmental Cleaning Strategy
The Trusts Environmental Cleaning Strategy recognizes the key principle that “Cleanliness matters is everyone’s responsibility, not just the cleaners” Whilst there are staff employed who are responsible for cleaning services, all Trust staff have a responsibility to ensure a clean, comfortable, safe environment for patients, clients, residents, visitors, staff and members of the general public.

Infection Prevention and Control
The Belfast Trust is committed to reducing Healthcare associated infections (HCAIs) and all staff have a part to play in making this happen. Staff must comply with all policies in relation to Infection Prevention and Control and with ongoing reduction strategies. Standard Infection Prevention and Control Precautions must be used at all times to ensure the safety of patients and staff.

This includes:

• Cleaning hands either with soap and water or a hand sanitiser at the appropriate times (WHO ‘5 moments’);
• Using the correct ‘7 step’ hand hygiene technique;
• Being ‘bare below the elbows’ when in a clinical environment;
• Following Trust policies and the Regional Infection Control Manual (found on intranet);
• Wearing the correct Personal Protective Equipment (PPE);
• Ensuring correct handling and disposal of waste (including sharps) and laundry;
• Ensuring all medical devices (equipment) are decontaminated appropriately i.e. cleaned, disinfected and/or sterilised;
• Ensuring compliance with High Impact Interventions.

Personal Public Involvement
Staff members are expected to involve patients, clients, carers and the wider community were relevant, in developing, planning and delivering our services in a meaningful and effective way, as part of the Trust’s ongoing commitment to Personal Public Involvement (PPI).

Please use the link below to access the PPI standards leaflet for further information.

Clause: This job description is not meant to be definitive and may be amended to meet the changing needs of the Belfast Health and Social Care Trust.

PERSONNEL SPECIFICATION
JOB TITLE: Imaging Governance and Quality Lead
BAND: B8a
DIRECTORATE: Imaging, Medical Physics & Outpatients Division

Essential criteria:

• Worked for a minimum of 3 years at Band 7 or above and experience in service development, improving services and workforce planning.
• Able to demonstrate evidence of successful leadership.
• Have worked with a diverse range of stakeholders, both internal and external to the organisation, to achieve successful outcomes.
• Diploma/Degree in Diagnostic Radiography.
• Post Graduate Professional or Management qualification.
• Registration with Health Professional Council.
• Evidence of relevant post registration CPD.
• Hold a full current driving license valid for use in the UK and have access to a car on appointment.
• Successfully demonstrated people management, governance, leadership and organisational skills for a minimum of 3 years.
• Have excellent communication skills, both orally and in writing.

Desirable criteria:

• Previous Experience in a Governance role.
• Experience of incident investigation, assurance reporting, accreditation programmes or regulatory inspections.