Compliance Lead

Job description

Job responsibilities

To review and maintain an assurance process for the organisation to provide oversight of the level of compliance and quality standards for practice wide external agency inspections and accreditations e.g., Care Quality Commission (CQC), Health and Safety Executive etc.

Responsible lead for defined pieces of work with delegated responsibility from, the Practice/PCN Business Manager

To undertake a gap analysis of compliance against CQC Standards for each core service and support teams to develop action plans that address these gaps and that these action plans are monitored.

To interpret and assess complex facts, data, situations and appropriately advise where a range of options are available.

Use existing frameworks and processes (for example risk management structure) established across the organisation to support improvement and maintenance of high standards; review and update frameworks where appropriate

Alongside the Practice/PCN Business Manager, support to guide and underpin areas of divisional responsibilities in relation to any inspections, assessments and accreditations, internal or external.

The collation of regular reports, as required, on progress against compliance and action plans.

To advise and support processes and actions where it is anticipated or identified that compliance has or may not be met.

To have an awareness and be able to develop and implement the gap analyses undertaken across all registered locations and how they feed into a strategic gap analysis that links to the Practices risk registers.

To assist the Practice/PCN Business Manager in providing the Management team, and Clinical teams with support and direction in all aspects relating to external inspections and accreditations

Supporting Practice organisational leaders in undertaking self-assessments against regulatory and statutory requirements aligned to external inspections and accreditations, using persuasive, motivational and negotiating skills.

To contribute and support the Practice/PCN Business Manager in the coordination and preparation for practice wide onsite inspections and accreditations from external regulatory or quality agencies.

To support any CQC enquiries and information requests, and contribute, as appropriate, to any responses.

To be responsive in a timely way due to the nature of the unpredictability and urgency of associated requirements in relation to external data requests and inspection/accreditation processes. This may on occasion require a degree of flexibility in relation to working patterns.

To work alongside the Practice/PCN Business Manager and other teams in supporting positive working relationships with CQC representatives/relationship managers.

Contribute to culture of innovation and quality improvement. Support appropriate teams and services in the delivery of the highest standards of professional care that demonstrates full compliance with regulatory professional requirements.

Working with the relevant practice management team to ensure that updates can be shared with all staff on a regular basis in formats that are accessible to all staff groups and are innovative, engaging, and supportive.

Following prescribed Practice policies and procedures in all relevant aspects of management.

Ensuring projects are delivered within the available resources and agreed timescales, providing regular reports, and raising significant problems/issues in a timely manner so that early remedial action can be taken.

Networking and liaising with relevant colleagues to ensure Practice wide preparedness for any future regulatory inspections.

Support the Practice/PCN Business Manager in coordinating, facilitating, or delivering any appropriate guidance or training in relation to CQC assessment framework or other external inspection and/or accreditation processes.

Work collaboratively with the Finance Lead to contribute to cost/value improvement programmes, efficiently using available resources.

Support the reporting of quality measures to the GP Partners.

Demonstrates the agreed set of values and accountable for own attitude and behaviour.

Undertake all mandatory training and induction programmes

Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

Providing initial guidance and advice to patients who wish to verbally complain

Acting as building fire marshal, ensuring evacuation processes are carried out in line with company procedures

Person Specification

Experience

Essential

• Significant administrative / project support / performance experience
• Experience and knowledge of project management
• Experience of working in a change environment.
• Experience of working effectively with stakeholders and partners.
• Effective team working

Desirable

• Experience of working in a primary care setting
• Experience in a similar position within the public sector, NHS or local authority
• Implementation of policies and practices
• Governance experience.

Qualifications

Essential

• First degree or relevant professional qualification or equivalent experience.
• Post graduate diploma or demonstrable equivalent experience

Desirable

• Project management Qualification

Skills

Essential

• Intermediate knowledge of IT systems and software programs i.e. MS Project, Excel, PowerPoint, Access, Word and Outlook.
• Effective communicator with excellent writing, data entry and presentation skills: capable of constructing and delivering clear information /instructions to staff and service users
• Ability to work under pressure in a busy working environment and able to multi-task
• Experience of coordinating the development of plans from a variety of sources
• and contributors
• A clear understanding of child protection policy and procedures and commitment to the safeguarding of children and vulnerable adults
• Excellent communication skills (written and oral)
• Clear, polite telephone manner
• Effective time management (planning and organising)
• Ability to listen, empathise with people and provide person centred support in a non-judgemental way
• Courteous, respectful and helpful at all times
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Commitment to reducing health inequalities and proactively working to reach people from all communities
• Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
• Ability to use own initiative, discretion and sensitivity
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow policy and procedure
• Expert knowledge of administrative systems and processes

Desirable

• Experience of supporting staff across departments to facilitate participation
• Ability to analyse data and information
• Excellent presentation skills
• Experience of drafting, editing and producing correspondence, reports and other documents
• Project management skills
• Good IT skills
• EMIS user skills
• Tools for working with teams
• Management and leadership theory and best practice
• Knowledge of business case procedures

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Integrated Care Partnership

Address

The Old Cottage Hospital

Alexandra Road

Epsom

KT17 4BL

Employer's website

https://integratedcarepartnership.nhs.uk/ (Opens in a new tab)