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13.3. Service Manager Case Study

I entered radiography in 1983, training at Bolton Royal Infirmary before taking up my first post at Manchester Children’s Hospital. Whilst at the Children’s Hospital, I was the Society of Radiographers (SoR) representative and was elected as the national delegate to the SoR resulting in me being involved in national policy setting.  I introduced the red-dot scheme to the hospital, delivering appropriate training to staff and was the first radiographer in the country to gain the MSc in Clinical Radiographic Reporting in 1999 and among the first to independently report trauma images. 

I returned to the Royal Bolton Hospital as a Lecturer Practitioner taking responsibility for the education of undergraduate students as well as being course leader for the Reporting programme at the University of Salford. Whilst at the University, I gained a Postgraduate Certificate in Teaching and Learning in Higher Education. I also had an enterprise role which involved me identifying new markets and developing innovative CPD courses. 

In 2007 I was appointed as Acute Radiology Clinical Manager at Bolton. I currently have responsibility for 110 members of staff from numerous professions and across a range of modalities. This requires effective leadership skills and the ability to manage many tasks simultaneously, prioritising and achieving deadlines. I undertake all management roles such as attendance, recruitment and selection, capability , risk management, development of business continuity plans, and I am involved in budget setting meetings. I also investigate and respond to complaints, incidents and breaches of policy. 

I have had 7 years involvement with Lean methodologies, initially being involved in its introduction to healthcare when Bolton became a pilot site for the Institute of Healthcare Improvement (IHI) in 2005. I have since progressed through the Trust Lean academy currently working at Platinum standard. I am able to evaluate a service, identify change and successfully implement that change to bring about improvements in quality and productivity. This has enabled me to develop successful relationships at all levels within the Trust, as well as being able to support staff through change. I completed a Professional Doctorate in Health and Social Care in 2011, using mixed model research to evaluate the outcomes of a lean approach to the transformation of an orthopaedic radiology service and I facilitate and lead many Lean initiatives within the department. I am acknowledged as an expert in this field and I have been invited to work on two National projects relating to service improvement in Radiology. 

I have striven to develop a learning environment within the department and support staff at all levels to develop themselves both professionally and personally, whether through attendance at the weekly CPD meetings that we hold or completion of Masters level programmes. I ensure that evidence-based radiography is practised throughout the department. I have maintained my clinical skills, taking part in two clinical sessions each week. I also teach image interpretation skills at local HEIs. My relationships with external organisations have resulted in me acting in an advisory capacity at numerous HEIs on module development as well as undertaking fitness to practice assessments on lecturers/practitioners. I coach or mentor other managers both within the Trust and external to the Trust. 

More recently, I have been involved in the commissioning of a new site for the Trust offering services to outpatients. This has required capacity and demand planning and the development of robust quality management systems as the site is remote from the main hospital setting. I take part in and support others doing audit, and as the Radiation Protection Supervisor, I undertake regular audit of radiation regulations. Amanda Martin, Radiology Clinical Manager, Bolton Royal Infirmary

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