Compliance Manager

Job description

Job responsibilities

Support the CQC Registered Manager in ensuring that CQC standards are met and exceeded at all times.

Create, develop and maintain an effective compliance monitoring and audit methodology that covers both clinical and non-clinical aspects of key compliance as relevant to the clinical and operational areas.

Work with the Charity and its clinical teams to review current policies and processes. This review will aim to ensure that all activities are compliant with legislative and regulatory requirements, internal policies and procedures and that they support the delivery of LNAAs strategic plan.

Conduct regular internal audits to ensure that the administration, compliance procedures and policy documents are followed and fit for purpose. And make recommendations for future improvements.

Support the CQC Registered Manager in monitoring, reviewing and supporting clinical and operational team members to ensure that they meet and maintain the approved standards of clinical competence, currency, fitness, performance and conduct required for the safe and effective performance of their role.

Develop a robust reporting and KPI methodology for compliance management that assists the CQC Nominated Individual and the CQC Registered Manager in reporting to the Board of Trustees

Work in collaboration with the CEO and COO to ensure our governance structure is fit for purpose.

Key areas for compliance monitoring:

o CQC and other clinical regulatory standards.

o Medicines management and audit.

o Audit of Charity, Fundraising and Gambling Regulations.

Provide best practice governance advice and support to the CEO and Leadership Team. Implementing best practice, ensuring regulatory/codes of practice compliance, ongoing review of consultations on Charity governance and promoting good governance in practice.

Liaise with all third-party suppliers engaged by the Charity to understand their current fundraising policies and processes.

Lead on our Compliance, Quality and Incident Management software to help manage all aspects of compliance, ensuring timely performance monitoring and reporting.

Develop Charity-wide compliance resources and awareness for all of our workforce

SPECIFIC RESPONSIBILITIES

Regularly inform, update and advise the CQC Registered Manager regarding all areas of compliance.

Contribute to the review and development of policies within areas of knowledge.

Undertake auditing of quality improvement projects, services, initiatives across the charity to establish the effectiveness of implementation.

Participate in safety management activity and monitoring across the Charity, including the investigation of incident reports, near misses and complaints, managing risks, promoting a safe, effective, caring, responsive and well-led workplace and culture.

Ensure timely completion of the annual Data Security and Protection Toolkit (DSPT) submission, building a culture of continual improvement on requirements each year.

Work with the Charity DPO to ensure that clinical data and processes are secure and meet the required standards.

CQC

Assist the CQC Registered Manager in the maintenance and gathering of CQC Key Lines of Enquiry evidence when required for CQC inspections, ESF, PIR or other similar reports/inspections.

Use, review, audit and report CQC evidence regularly via our software system.

Assure the CQC Registered Manager of the wider Charity practices about the Key Lines of Enquiry.

Work with the Infection Prevention and Control (IPC) Lead to ensure compliance with IPC principles and practices.

Work with the Safeguarding Leads to ensure compliance with safeguarding principles, practices, and reporting.

Work with our After Care Team to ensure compliance with data protection.

Person Specification

Experience

Essential

• Working experience of managing compliance and within a medium-sized organisation.
• Experience and working knowledge of health care and CQC compliance.
• Experience in influencing the risk management and safety agenda.
• Experience of risk management and an understanding of Governance.
• Awareness of current issues and risk within the healthcare provision.
• Good working knowledge of Microsoft Office.
• Skills for communication on complex information and administrative matters, requiring developed interpersonal and oral/ written communication skills.
• Developed and comprehensive project management skills.
• Knowledge of a Risk Management framework.
• Ability to impart knowledge and share with others.
• Strong organisational skills with attention to detail.
• Ability to handle confidential and sensitive information.
• Knowledge of CQC regulatory framework.
• Ability to use initiative and act independently, deciding how best to achieve expected results.
• Highly developed interpersonal and communication skills.
• High levels of curiosity & external awareness.
• Ability to maintain a high level of productivity while managing competing priorities.
• Continuous improvement mindset.
• Self-motivated and able to retain enthusiasm and stay focused.
• A willingness and desire to be flexible, adapt and change as the charity requires.
• Commitment to the values of LNAA and the broader sector that it operates in.

Desirable

• Relevant Degree.
• Knowledge and experience in clinical environments.
• Management of the adherence to regulations and policies within a healthcare setting, ensuring quality of care and regulatory compliance.
• Knowledge of data processing operations in healthcare and/or charity sectors.

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

Lincs & Notts Air Ambulance

Address

Lincs & Notts Air Ambulance

Hems Way

Bracebridge Heath

Lincoln

LN4 2GW

Employer's website

https://www.ambucopter.org.uk/about/our-careers/ (Opens in a new tab)