Download Pathology User Guide

Pathology User Guide
Bedford Hospital Trust
Page 6 of 98
Workforce
GSTS Pathology will maintain a high quality flexible workforce that are committed, engaged,
trained and supported to provide the highest level of service to our users in accordance with
relevant good professional guidance. Through recruitment, induction and training, staff will
be made familiar with this policy and relevant content and procedures of the management
system. Each staff member holds a personal responsibility for the quality of the work that
they perform. Competency assessment and appraisal is used to ensure ongoing capability
and identify individual personal development.
Managers and supervisors provide effective leadership and create a culture and working
environment that allows operational performance and change management to be achieved
by staff that are empowered to make suggestions and take decisions.
Assessment and Monitoring
Key performance and quality indicators are used to enhance operational performance and
remove variation from laboratory processes. Internal Quality Control (IQC) and assurance
with External Quality Assurance (EAQ) is used as part of the overall assurance mechanism
along with clinical and internal audit to monitor adequacy of operating procedures and
effectiveness of the quality system. Quality tools such as Root Cause Analysis (RCA) are
used to ensure effective corrective actions are implemented. We recognise the
confidentiality of information we hold on patients, donors and clients and allow accreditation
and regulatory bodies appropriate access to the knowledge systems maintained to provide
third party assurance to GSTS Pathology and our stakeholders.
GSTS is registered with the Care Quality Commission (CQC) as an independent healthcare
provider at all locations on which it operates for the provision of diagnostic and screening
services and blood and transplant services.
File Name: BED-USER-14 GSTS Pathology User Guide
Version 4.2
Authorised: A. Strong