BCPS Quality

The quality management team is responsible for ensuring all aspects of our quality system are implemented across our laboratories. This includes ensuring all regulatory and accreditation requirements are met. The key organisation that oversees our quality system under ISO 15189 is UKAS (United Kingdom Accreditation Service). All our laboratories adhere to the principles of UKAS accreditation and we are working to maintain or gain accreditation in all areas of BCPS. In order to ensure that the needs and requirements of users are met, the BCPS will: Operate a quality management system to integrate the organisation, procedures, processes and resources. Consult with users on a regular basis to ensure their needs and requirements are met Set quality objectives and plans in order to implement this quality policy, these are stated in the departmental management reviews and are developed for continual quality improvement of services Ensure that all personnel are familiar with this quality policy to ensure user satisfaction Ensure that personnel are familiar with the contents of the quality manual and all procedures relevant to their work Uphold professional values and be committed to good professional practice and conduct Commit to the health, safety and welfare of its entire staff and visitors. Visitors to the department will be treated with respect and due consideration will be given to their safety while on site Comply with all relevant environmental legislation


A single quality management system has been implemented and is being used right across the BCPS laboratories. Q-Pulse was already used by Dudley and Wolverhampton. It will become the basis to document control  across the BCPS. For labs using other systems we will see a move to the new system in an evolutionary way so that we do not compromise current processes.     

Key quality contacts

BCPS Quality Manager Katy New katy.new@nhs.net  BCPS Deputy Quality Manager Stacey Evans stacey.evans3@nhs.net
Page last updated: 22.01.2024                                        Next review date: 20.01.25