Halton Haven Hospice

Quality Assurance Manager

The closing date is 03 October 2025

Job summary

Management of various stakeholder compliance schedules, which have been set up to facilitate timely reporting of required assurance data (including quarterly safeguarding report and bi-annual safeguarding audit).

Responsible for collating data and writing reports required to for monthly, quarterly and annual quality reporting. This involves liaising with key personnel across several departments to ensure the data is received in good time in order to produce and publish reports to set schedules.

Responsible for ensuring that various Hospice departments produce and share their required reports for appropriate sharing with stakeholders ahead of attendance at meetings as required.

Support the Hospice Executive Management Team to respond to information requests in a timely manner and within regulatory bodies timescales.

Managing audit processes throughout the Hospice to a schedule set at the beginning of each year

Managing Policy Reviews to a set schedule, ensuring that each Hospice Department reviews existing policies or produces new policies as required.

Attendance at appropriate meetings such as internal Clinical Governance/Patient Safety Meetings and Contract, Quality and Performance Group Meetings with M&C ICB

Maintenance of the Hospice Risk Register

Main duties of the job

Assist the incident reporting processes, supporting the investigation of incidents as required.

Ensuring appropriate incident reporting to external stakeholders in a robust and timely manner.

Liaise with external colleagues as required to feed into locality data collection, such as Hospice Collaborative and Hospice UK requirements.

Managing patient and carer feedback processes, including working with the Hospice Patient and Carer Representative.

Managing the Hospice Clinical Governance/Patient Safety Meeting. Setting up a meeting schedule, setting an agenda for the meeting. Ensuring minutes of the meeting are produced. Preparing a Quality Assurance Report for the meeting for discussion at the meeting.

Supplying reports as requested for the Hospice Board of Trustee meetings.

Managing the production of the Hospice annual Quality Account, ensuring that it is produced on time for presentation to stakeholders and then having the final version ready for publication at the end of June.

Assisting the Controlled Drug Accountable Officer with appropriate reporting.

Assisting the Registered Manager with appropriate notifications to the Care Quality Commission.

Managing the collation, processing and maintenance of up-to-date patient data appropriate to facilitate external and internal reporting

About us

Halton Haven Hospice provides Specialist Palliative and End of Life Care to the people of Halton and surrounding areas who are living with a life limiting illness. We reach a population of approximately 129,000 people and provide all of our services for free. We provide holistic care for our patients, and their loved ones, taking care of their physical and emotional needs so that they can focus on creating cherished memories for as long as possible.

We are a registered charity working in partnership with the NHS and although we receive some funding, our wonderful community who support and raise much needed funds enabling us to continue our vital work.

By joining the team at Halton Haven, you will be greeted with a warm welcome from day one and will receive an inclusive induction programme to support you through your early days. Each role at the Haven makes a real difference to our patients and their loved ones and we are committed to ensuring all our staff feel supported and valued in their roles.

Details

Date posted

18 September 2025

Pay scheme

Other

Salary

£30,127.50 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0020-25-0009

Job locations

Halton Haven Hospice

Barnfield Avenue

Murdishaw

Runcorn

Cheshire

WA7 6EP


Job description

Job responsibilities

Key Tasks

Quality Assurance

Management of various stakeholder compliance schedules, which have been set up to facilitate timely reporting of required assurance data (including quarterly safeguarding report and bi-annual safeguarding audit).

Responsible for collating data and writing reports required to for monthly, quarterly and annual quality reporting. This involves liaising with key personnel across several departments to ensure the data is received in good time in order to produce and publish reports to set schedules.

Responsible for ensuring that various Hospice departments produce and share their required reports for appropriate sharing with stakeholders ahead of attendance at meetings as required.

Support the Hospice Executive Management Team to respond to information requests in a timely manner and within regulatory bodies timescales.

Managing audit processes throughout the Hospice to a schedule set at the beginning of each year

Managing Policy Reviews to a set schedule, ensuring that each Hospice Department reviews existing policies or produces new policies as required.

Attendance at appropriate meetings such as internal Clinical Governance/Patient Safety Meetings and Contract, Quality and Performance Group Meetings with M&C ICB

Maintenance of the Hospice Risk Register.

Assist the incident reporting processes, supporting the investigation of incidents as required.

Ensuring appropriate incident reporting to external stakeholders in a robust and timely manner.

Liaise with external colleagues as required to feed into locality data collection, such as Hospice Collaborative and Hospice UK requirements.

Managing patient and carer feedback processes, including working with the Hospice Patient and Carer Representative.

Managing the Hospice Clinical Governance/Patient Safety Meeting. Setting up a meeting schedule, setting an agenda for the meeting. Ensuring minutes of the meeting are produced. Preparing a Quality Assurance Report for the meeting for discussion at the meeting.

Supplying reports as requested for the Hospice Board of Trustee meetings.

Managing the production of the Hospice annual Quality Account, ensuring that it is produced on time for presentation to stakeholders and then having the final version ready for publication at the end of June.

Assisting the Controlled Drug Accountable Officer with appropriate reporting.

Assisting the Registered Manager with appropriate notifications to the Care Quality Commission.

Managing the collation, processing and maintenance of up-to-date patient data appropriate to facilitate external and internal reporting

Ensuring that the Hospice is familiar with the latest requirements from CQC in terms of evidencing Quality Statements and inspection processes. Assessing how the Hospice meets the Quality Statements and having the assessment of evidence of compliance available. Also ensuring that any gaps in evidence have action plans.

Policies and Procedures

Understand and comply with the policies and practices of Halton Haven Hospice.

Attend statutory training in accordance with Halton Haven Hospice requirements.

Health and Safety

The post holder must familiarise themselves with matters relating to health and safety management as they affect them personally and/or Halton Haven Hospice reporting any potential risks to life or property immediately in accordance with the Halton Haven Hospice Health & Safety policy and procedures. Staff must use all equipment provided to undertake their role safely.

Other

Maintain absolute confidentiality in all areas of work.

Always behave with complete integrity, respect and professional dignity ensuring actions enhance the reputation of themselves and the charity.

Any other duties commensurate with the grade and post.

Job description

Job responsibilities

Key Tasks

Quality Assurance

Management of various stakeholder compliance schedules, which have been set up to facilitate timely reporting of required assurance data (including quarterly safeguarding report and bi-annual safeguarding audit).

Responsible for collating data and writing reports required to for monthly, quarterly and annual quality reporting. This involves liaising with key personnel across several departments to ensure the data is received in good time in order to produce and publish reports to set schedules.

Responsible for ensuring that various Hospice departments produce and share their required reports for appropriate sharing with stakeholders ahead of attendance at meetings as required.

Support the Hospice Executive Management Team to respond to information requests in a timely manner and within regulatory bodies timescales.

Managing audit processes throughout the Hospice to a schedule set at the beginning of each year

Managing Policy Reviews to a set schedule, ensuring that each Hospice Department reviews existing policies or produces new policies as required.

Attendance at appropriate meetings such as internal Clinical Governance/Patient Safety Meetings and Contract, Quality and Performance Group Meetings with M&C ICB

Maintenance of the Hospice Risk Register.

Assist the incident reporting processes, supporting the investigation of incidents as required.

Ensuring appropriate incident reporting to external stakeholders in a robust and timely manner.

Liaise with external colleagues as required to feed into locality data collection, such as Hospice Collaborative and Hospice UK requirements.

Managing patient and carer feedback processes, including working with the Hospice Patient and Carer Representative.

Managing the Hospice Clinical Governance/Patient Safety Meeting. Setting up a meeting schedule, setting an agenda for the meeting. Ensuring minutes of the meeting are produced. Preparing a Quality Assurance Report for the meeting for discussion at the meeting.

Supplying reports as requested for the Hospice Board of Trustee meetings.

Managing the production of the Hospice annual Quality Account, ensuring that it is produced on time for presentation to stakeholders and then having the final version ready for publication at the end of June.

Assisting the Controlled Drug Accountable Officer with appropriate reporting.

Assisting the Registered Manager with appropriate notifications to the Care Quality Commission.

Managing the collation, processing and maintenance of up-to-date patient data appropriate to facilitate external and internal reporting

Ensuring that the Hospice is familiar with the latest requirements from CQC in terms of evidencing Quality Statements and inspection processes. Assessing how the Hospice meets the Quality Statements and having the assessment of evidence of compliance available. Also ensuring that any gaps in evidence have action plans.

Policies and Procedures

Understand and comply with the policies and practices of Halton Haven Hospice.

Attend statutory training in accordance with Halton Haven Hospice requirements.

Health and Safety

The post holder must familiarise themselves with matters relating to health and safety management as they affect them personally and/or Halton Haven Hospice reporting any potential risks to life or property immediately in accordance with the Halton Haven Hospice Health & Safety policy and procedures. Staff must use all equipment provided to undertake their role safely.

Other

Maintain absolute confidentiality in all areas of work.

Always behave with complete integrity, respect and professional dignity ensuring actions enhance the reputation of themselves and the charity.

Any other duties commensurate with the grade and post.

Person Specification

Experience

Essential

  • Experience of leading a small team in quality assurance, data management and regulatory compliance
  • Experience of working with and analyzing quantitative and qualitative data/information, report writing and data returns
  • Presenting information to senior teams/Trustees and external stake holders

Desirable

  • Experience of working with staff and volunteers
  • Experience of working in a charity
  • Experience of EMIS
  • Clinical background

Qualifications

Essential

  • Educated to at least Level 3 (A Level or Equivalent) in numeracy and literacy or equivalent experience
  • ECDL (Level 2) or equivalent IT qualification or evidence of extensive IT experience as part of an administrative role.

Desirable

  • Further education or general training relevant to the role

Key Skills & Competancies

Essential

  • Proven Excel and other MS Office Suite skills
  • Ability to write and understand high level documentation in healthcare
  • Ability to work to tight deadlines and to manage a structured schedule
  • Excellent communication skills, both written and verbal
  • Research skills facilitating Policy writing
  • Excellent time management and ability to prioritise conflicting work demands

Desirable

  • Understanding of palliative care
  • Basic understanding of Hospice movement
Person Specification

Experience

Essential

  • Experience of leading a small team in quality assurance, data management and regulatory compliance
  • Experience of working with and analyzing quantitative and qualitative data/information, report writing and data returns
  • Presenting information to senior teams/Trustees and external stake holders

Desirable

  • Experience of working with staff and volunteers
  • Experience of working in a charity
  • Experience of EMIS
  • Clinical background

Qualifications

Essential

  • Educated to at least Level 3 (A Level or Equivalent) in numeracy and literacy or equivalent experience
  • ECDL (Level 2) or equivalent IT qualification or evidence of extensive IT experience as part of an administrative role.

Desirable

  • Further education or general training relevant to the role

Key Skills & Competancies

Essential

  • Proven Excel and other MS Office Suite skills
  • Ability to write and understand high level documentation in healthcare
  • Ability to work to tight deadlines and to manage a structured schedule
  • Excellent communication skills, both written and verbal
  • Research skills facilitating Policy writing
  • Excellent time management and ability to prioritise conflicting work demands

Desirable

  • Understanding of palliative care
  • Basic understanding of Hospice movement

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

Halton Haven Hospice

Address

Halton Haven Hospice

Barnfield Avenue

Murdishaw

Runcorn

Cheshire

WA7 6EP


Employer's website

https://WWW.HALTONHAVEN.ORG.UK (Opens in a new tab)


Employer details

Employer name

Halton Haven Hospice

Address

Halton Haven Hospice

Barnfield Avenue

Murdishaw

Runcorn

Cheshire

WA7 6EP


Employer's website

https://WWW.HALTONHAVEN.ORG.UK (Opens in a new tab)


Employer contact details

For questions about the job, contact:

HR Manager

Christine Atherton

Recruitment@haltonhaven.co.uk

01928712728

Details

Date posted

18 September 2025

Pay scheme

Other

Salary

£30,127.50 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0020-25-0009

Job locations

Halton Haven Hospice

Barnfield Avenue

Murdishaw

Runcorn

Cheshire

WA7 6EP


Supporting documents

Privacy notice

Halton Haven Hospice's privacy notice (opens in a new tab)