Job summary
- Main area
- Sterile Services Department
- Grade
- 7
- Contract
- Permanent
- Hours
- Full time
- Job ref
- 321-TP-7927946-B7
- Employer
- Oxford University Hospitals NHS Foundation Trust
- Employer type
- NHS
- Site
- Sterile Services - John Radcliffe Hospital
- Town
- Oxford
- Salary
- £49,387 - £56,515 per annum
- Salary period
- Yearly
- Closing
- 04/05/2026 23:59
Employer heading
Sterile Services Production Service Manager
7
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
Many of our recruitment programmes use Value Based Interviewing to identify those who have the skills we seek, who share our values and who are able to deliver compassionate excellence from the outset. We know that this makes a significant difference to your job satisfaction and above all the outcomes and experience of our patients and their families. For more information about our Values and Value Based Interviewing please visit www.ouh.nhs.uk/about/vision-and-values
Job overview
As Production Service Manager, you will provide senior operational leadership across the full sterile services production cycle, ensuring full compliance with regulatory and quality standards including HTM 01-01 and ISO 13485. You will be accountable for maintaining complete device and set traceability at all stages of production, delivering against agreed Service Level Agreements and Key Performance Indicators, and ensuring staff competencies are established, maintained, and regularly reviewed.
The role includes responsibility for maintaining robust assurance and governance arrangements, supporting board-level assurance in line with NHS Estates Technical Bulletin (NETB/2024/1), and leading continuous improvement across production services. You will directly manage Supervisors, Technicians, and Apprentice Decontamination Technicians, fostering high performance, engagement, and compliance.
You will build and sustain effective working relationships with theatres, clinical services, and kitting and carting teams, contributing to incident management, audit readiness, and overall service governance. With a strong focus on production efficiency, quality, and people management, you will ensure items are processed safely and on time, in line with the Quality Management System. As a senior management team member, you will also provide cross-cover and operational support as required to maintain service continuity and deliver departmental objectives.
Main duties of the job
- Operational leadership & service delivery
- Quality management, compliance & audit
- People leadership, training & competency
- Performance, data & information
- Governance, risk & incident management
- Resources & finance
- Stakeholder management & service development
Working for our organisation
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
In 2023 NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles
Oxford University Hospitals promotes a safe, respectful hiring environment.
If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.
Detailed job description and main responsibilities
Operational leadership & service delivery
- Direct daily production activities across washroom, IAP, sterilisation, cooling, release, storage, and dispatch to ensure alignment with demand and SLA/turnaround objectives; proactively manage capacity, staffing, and machine availability.
- Maintain comprehensive traceability of devices and sets at all stages using departmental information systems; rigorously uphold traceability protocols and recall procedures.
- Execute contingency and business continuity strategies during downtime and coordinate effective communication with kitting & carting, theatres and clinical stakeholders.
- Oversee daily and weekly production planning, coordinating staffing, equipment, and workflows across washroom, inspection/assembly/packing (IAP), sterilisation, and dispatch to consistently achieve turnaround targets and right-first-time quality standards.
- Monitor and control production KPIs—including sets processed, rework, failed loads, equipment utilisation, and backlog—and implement corrective actions as necessary to address performance variances.
- Schedule downtime, maintenance, and validation periods in collaboration with AP(D)/CP(D) and engineering teams to minimise service disruptions; initiate business continuity procedures when required.
- Ensure proper segregation and traceability from receipt through dispatch utilising the department's information and track-and-trace systems.
Quality management, compliance & audit
- Support the operation of the Quality Management System (ISO 13485), including SOPs, records, and all controlled documents.
- Ensure compliance with HTM 01‑01, MHRA requirements, and internal governance.
- Coordinate external audits and inspections, escalate issues as needed, and ensure management oversight.
- Contribute to internal audit schedules and quality assurance testing, address non-conformances, and oversee production practices in line with relevant standards and manufacturer Instruction for Use (IFUs).
- Manage daily/weekly equipment checks, environmental monitoring, and take corrective action when necessary.
- Prepare for audits and certification visits, coordinate CAPA responses, and keep accurate, compliant records.
People leadership, training & competency
- Manage Supervisors, Team Leaders, Technicians, and production staff, including recruitment, induction, rostering, appraisals, performance, and conduct.
- Support the local competency framework; ensure training logs, re-assessment, and CPD comply with IDSc and AHCS standards.
- Promote a culture of learning, psychological safety, and continuous improvement.
Performance, data & information
- Set and monitor key performance indicators (KPIs), such as instrument/set turnaround times, defects, failed loads, complaints, audit actions, capacity utilisation, and downtime.
- Produce monthly reports to track and evaluate department performance.
- Ensure the integrity of the department information system, managing non-conformance, tracking locations, monitoring machine status, and maintaining product recall readiness.
- Utilise the decontamination IT system to manage workflow, generate performance reports, handle non-conformance issues, and track sets/assets.
Governance, risk & incident management
- Lead investigations of incidents and non-conformance reports, determine root causes, implement corrective or preventive actions, escalate clinical incidents as needed, and update risk register entries.
- Participate in and contribute to the Decontamination Safety Group (DSG), ensuring board-level awareness and Trust-wide assurance of safety issues.
- Foster a positive safety culture by keeping risk assessments up-to-date—including those for COSHH and manual handling—and ensuring relevant controls are implemented, such as strict enforcement of PPE and hygiene protocols.
- Direct or support incident reporting and investigation processes, conduct trend analyses, disseminate learning outcomes, and coordinate product holds, recalls, and clinical incident responses with theatres and infection prevention/control teams.
- Maintain effective document management practices and ensure compliance with standard operating procedures and permits-to-work requirements.
Resources & finance
- Manage delegated budget areas (consumables, test devices, PPE); contribute to budget setting, procurement, and cost improvement plans; ensure safe use/maintenance oversight of complex equipment.
- Maintain inventory levels for detergents, wraps, indicators and spare parts; evaluate new products and support procurement processes.
Stakeholder management & service development
- Serve as the principal production contact for Oxford Kitting and Carting, theatres and, and other stakeholders; facilitate service reviews, customer feedback processes, and drive continuous improvement initiatives (Lean methodology, flow optimisation, capacity planning).
- Develop policies with the Quality Manager and implement service modifications extending beyond individual areas, ensuring alignment with NETB/2024/1 and Trust strategy.
- Act as the primary liaison for Oxford Kitting and Carting, theatres and clinics regarding production status, constraints, and recovery plans; chair or participate in stakeholder meetings and service reviews.
- Collaborate with scheduling teams, Oxford Kitting and Carting, and theatre staff to coordinate instrument set availability with planned activities; oversee management of loan/set repairs, maintain vendor communication, and ensure compliance with decontamination certification and traceability protocols.
- Lead and contribute to Continuous Improvement projects (Lean, Six Sigma, 5S) aimed at optimising workflow, reducing variation and rework, and enhancing staff experience.
- Support business case development, capacity modelling, and future service design—including integration of new technologies (such as robotics and minimally invasive instruments) and infrastructure upgrades
Person specification
Qualifications
Essential criteria
- Degree or equivalent experience in healthcare science/management or relevant technical discipline.
- IDSc Chartered Member (or ability to achieve within 12 months).
- AHCS Practitioner registration (or eligibility/commitment within 12 months, per competency framework).
- Evidence of HTM “User” course (or completion within 6 months).
Desirable criteria
- Postgraduate qualification in Medical Device
Experience
Essential criteria
- Significant decontamination production experience, including supervision/leadership of teams across washroom, IAP and sterilisation.
- Proven delivery of service-level performance in a sterile services environment, or equivalent environment.
- Managing non-conformances, investigations, CAPA and audit preparation.
- Rostering and resource planning in a 24/7 or extended-hours service.
Desirable criteria
- Cross-site service management.
- Leading or experience in external certification audits (ISO 13485).
- Business case development and procurement support.
Personal Skills
Essential criteria
- Aligns with Trust values; professional and compassionate leadership.
- Excellent communication and influencing skills with clinical stakeholders.
- Able to work under pressure, prioritise and make sound decisions.
- Commitment to staff development, CPD and just culture.
Desirable criteria
- Coaching/mentoring accreditation.
Behavioural Skills
Essential criteria
- Flexible to support shifts, weekends and bank holidays as service requires.
- Physically able to undertake manual handling of instrument sets with appropriate aids.
- Prepared to work in controlled environments with heat/humidity/noise and wear PPE.
Technical Skills
Essential criteria
- In-depth knowledge of HTM 01-01, HBN13, ISO 13485 and manufacturer IFUs.
- Proficient use of decontamination track-and-trace systems and production reporting.
- Understanding of Spaulding classification and infection prevention principles.
- Strong analytical skills; able to interpret technical/quality data and equipment cycle results.
Desirable criteria
- Familiarity with robotics/minimally invasive instrument decontamination.
- Data visualisation/reporting skills (e.g. Excel, Power BI).
Applicant requirements
You must have appropriate UK professional registration.
Documents to download
Further details / informal visits contact
- Name
- Gavin Luck
- Job title
- Head of Sterile Services
- Email address
- [email protected]
- Telephone number
- 07860466249
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