Cervical Cytology Screening Quality Improvement Nurse, Bury GP Federation

Job summary

Working as part of a pilot for 12 months on a sessional weekly basis, the Cervical Screening Quality Improvement Nurse will review monthly rejected sample data for their locality shared by the GM Screening and Immunisation Team and processing laboratory.

Using a quality improvement methodology, the post holder will progress the GM escalation policy within their locality to support quality improvements within cervical screening.

For more information please contact Emma Jackson, HR Officer, Bury GP Federation, emma.jackson111@nhs.net, 07596 954 842.

Bury GP Federation, 79-81 Hornby Street, Bury, BL9 5BN (view on Google maps).

About Bury GP Federation

Bury GP Federation (BGPF) is a federation of 23 GP practices within Bury, Greater Manchester, providing a platform for collaboration, knowledge-sharing and co-ordination. Through working at scale, we redirect resources into delivering at-scale support, relieving capacity pressures and enabling local general practice to maintain high standards of care for patients and to keep pace with best practice. We are proud of the services that we run.

Our four core objectives are as follows:

  1. A reliable support organisation – providing a range of services for our practices, achieving greater organisational efficiency through collaboration and reducing duplication, maximising the economic advantages of delivering primary care at scale
  2. A respected service provider – able to attract investment into primary care to help sustain local general practice, delivering a more expansive range of at scale services available closer to patients’ homes
  3. A GP led, patient centred partner organisation – working collaboratively with our practices and our partners across health and social care to facilitate the enhanced delivery of responsive, high quality and innovative services across Bury and GM
  4. A trusted voice for primary care – providing at scale leadership and in partnership with the LMC and PCNs, able to advocate for and support our shareholder practices

Job purpose

Each month around 100 cervical screening samples are rejected due to avoidable errors, which include out-of-date equipment, patient identification errors, unlabelled samples and samples taken out of programme. This has wide ranging impacts on the national cervical screening programme, the patient, who must return for repeat screening, the practice, laboratory and wider screening and immunisation team and locality stakeholders.

The Cervical Screening Quality Improvement role will play a key part in ensuring the numbers of rejected cervical screening samples are reduced to a never event within Greater Manchester (GM) localities. Ensuring a high-quality service for patients within primary care. Furthermore, ensuring the GM escalation process is progressed with registered sample takers to enable a standardised approach in supporting registered cervical screening sample takers in practice. Identifying any areas of practice which may require further support, such as access to IT systems, processes in place, adequate appointment times. Ensuring registered cervical screening sample takers are confident and competent in their ability to perform cervical sample taking with processes in place to ensure samples received at the processing laboratory are processed.

Working as part of a pilot for 12 months on a sessional weekly basis, the Cervical Screening Quality Improvement Nurse will review monthly rejected sample data for their locality shared by the GM Screening and Immunisation Team and processing laboratory. Using a quality improvement methodology, the post holder will progress the GM escalation policy within their locality to support quality improvements within cervical screening.

As an experienced cervical sample taker and mentor with a special interest and passion for the role, you will be responsible for evaluating the quality improvement outcomes across cervical screening in your locality this will involve monitoring, data analysis and report writing.

Over the course of the 12-month pilot, there is an expectation that there will be a sustainable reduction in the frequency of rejected samples within localities, leading to an overall quality improvement in cervical screening in primary care.

Main duties and responsibilities

  • Establishing an education cycle for clinicians across the practices and coordination of meetings
  • Support new and existing sample takers to ensure quality in cervical cytology sample taking.
  • Receive and review monthly rejected sample data from GMSIT
  • Utilise the rejected sample data to look for the root cause of the problem and design and implement interventions to address these causes
  • Disseminate the Greater Manchester rejected sample escalation policy
  • Progress the escalation policy guidance and support sample takers through the process
  • Provide support to cervical screening sample takers to undertake requirements for meaningful reflection and CPD, support and advocate for any changes required in practice
  • Maintain clear communication channels with relevant quality colleagues within the locality
  • Participate in clinical and other audits as required, submitting reports as requested
  • Attend monthly training pod nurse meetings, with a standing agenda item for rejected cervical screening samples and associated QI training sessions
  • Promote and share good practice to all registered cervical sample takers in Primary Care within GM

Managing information

Understand responsibility of self and others to the Primary Care Network practice regarding the Data Protection and Freedom of Information Act

Equality and diversity

The post-holder will support and promote the equality, diversity and rights of patients, carers and colleagues, in a non-discriminatory culture to include:

  • Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation
  • Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
  • Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights

Health, safety and security

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, the Infection Control policy and published procedures to include:

  • Using personal security systems within the workplace according to Practice guidelines
  • Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
  • Making effective use of training to update knowledge and skills
  • Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
  • Actively reporting of health and safety hazards and infection hazards immediately when recognised.
  • Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder’s role.
  • Undertaking periodic infection control training.
  • Reporting potential risks identified
  • Conform to health and safety legislation, taking the necessary actions to manage risks and acting as a role model in promoting health, safety and security
  • Attend statutory and mandatory training at the required times to maintain and update skills.
  • Maintain high standards of infection control
  • To ensure the security of the premises, property and self.

Personal and professional development

  • The post-holder will participate in an annual individual performance review conducted by their line manager, informed by colleagues as appropriate
  • Attend any training programme implemented by the GP Federation as part of
  • this employment
  • Take responsibility for own personal and/or professional development maintaining a record of own learning
  • Participate in any training programme agreed by the Federation as part of this employment. Training may need to be undertaken outside of normal working hours and/or off site.

Setting an example

Positively and effectively project the BGPF’s values, philosophy, activity and outcomes with all levels and disciplines of staff


  • The post-holder will establish and maintain effective communication pathways at all times with colleagues, management, patients, carers and other health care Professionals
  • Excellent people skills are essential to engaging all levels of contributors and stakeholders in a diplomatic and meaningful way

Patient confidentiality

  • The post-holder must at all times respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the Data Protection Act
  • The post-holder should not divulge patient information unless sanctioned by the requirements of the role

Any other duties

This job description constitutes an outline of the tasks, responsibilities and outcomes required of the role. The job holder will also be required to carry out any other duties as may reasonably be required by their line manager. The job requirements may be reviewed on an ongoing basis in accordance with the changing needs of the BGPF

Person specification

Qualifications and training

  • Registered General Nurse
  • Current NMC Registration
  • Evidence of post registration training

Clinical skills

  • Current cervical screening sample taker (undertaking 50 or more samples a year)
  • Current cervical Screening Mentor
  • Evidence of approved 3 yearly update sample taker training
  • Evidence of 2 yearly mentor update training
  • No more than 2 rejected samples in past 12 months
  • Recognised Teaching Qualification
  • Cervical Screening Assessor (Willingness to undertake)

Experience and knowledge

  • 5 years post registration experience
  • Current cervical screening mentor and assessor completion of training
  • Evidence of Teaching, Training and Clinical Supervision of registered staff
  • Willingness to support registered staff and promote evidence-based practice
  • Experience of implementing processes, protocols and clinical guidelines
  • Knowledge of clinical governance
  • Experience of quality initiatives such as clinical benchmarking
  • Knowledge of clinical audits
  • Excellent communication skills and interpersonal skills
  • Ability to work as part of a multi-disciplinary team
  • Ability to work independently
  • Ability to organise and prioritise workload effectively
  • Ability to exercise sound judgements when faced with conflicting pressures
  • Ability to handle a busy and varied workload
  • Ability to offer support within a clinical team/practice
  • Experience of working with general practice
  • PGCE, ENB 998 or MSLAP
  • Clinical supervision training
  • An awareness of current developments and initiatives in primary care
  • Understanding of the pressures faced by practices and healthcare teams
  • Knowledge of the pathways and protocols in existence
  • Knowledge of public health priorities within local area


  • Ability to act as a positive role model promoting quality and standards for patients accessing cervical screening within primary care
  • Confidence to advocate for cervical screening sample takers within their practice
  • Able to identify and escalate any found or suspected cervical screening incidents
  • Proficient IT skills including ability to use Vision/EMIS/System One clinical system
  • Proficient in the use and teaching of open Exeter
  • Ability to produce monthly reports and quarterly detailed reports
  • Counselling & feedback skills
  • Ability to work flexibly and in a changing environment
  • Willingness to learn new skills
  • Ability to demonstrate an understanding & adherence to confidentiality rules & concepts
  • Evidence of communication skills training
  • Evidence of conflict resolution training


  • Commitment to supporting the number of rejected cervical screening samples within Greater Manchester
  • Commitment to maintaining a safe, high quality screening service for patients
  • Commitment to enabling patient empowerment
  • Commitment to support all cervical screening sample takers in implementing best practice
  • Ability to travel across geographical location
Closing date: 01/03/2024Job type: Fixed termStaff group: Nursing & Midwifery RegisteredJob location: BuryEmployer: Bury GP FederationSalary: £43,742.00 - £50,056.00Salary range: £40,000 - £50,000AfC pay band: Band 7