Job summary
To provide support, leadership and development within the Compliance team to ensure the efficient and effective development and management of the team's regulatory activity. To ensure services are prepared for CQC visits, Mental Health Act Monitoring Visits and supported to respond to findings through a total quality management process. To workcollaboratively with the wider senior nurse and management group within the care groups of the Trust and across both the compliance and quality standards team.
The Deputy Head of compliance will work across the Trust ensuring teams deliver recovery focused nursing care to patients in line with specific standards regulated by the Care Quality Commission (CQC).
Lead and support the Trusts approach to CQC regulatory activity and preparedness. Undertake Quality Standards reviews of services across Trust sites offering support, oversight and guidance to the staff team through supervision and leadership skills.
The post holder impacts Trust wide activities and with clinical and non-clinical staff across a wide range of disciplines and specialties to ensure they comply with regulated standards.
To work in close collaboration with all grades of staff and executives. Effective national networking is also required.
Main duties of the job
Leadership and management responsibilities:
To manage 1-2x Band 7 direct reports and Band 4 administrator roles and supporting the wider team to ensure the working practices of staff apply fundamental standards which are regulated by the CQC.
Effectively advise and direct the appropriate use of all service resources and environments
Involvement in the recruitment, selection and retention of staff and support the identification of in-house training and development of staff.
The post holder will deputise for the Head of Compliance in his/her absence, taking responsibility for departmental functions.
Work in close liaison with senior leaders and clinical teams within the Trust to ensure that Trust Care Groups and Units are aware of what is required by the CQC within all service lines.
Provide advice on compliance standards ensuring these reflect current best practice.Develop and lead an effective peer review framework across the Trust to enable individuals and teams to understand their compliance against fundamental standards of care.
Develop and co-ordinate a robust monitoring and reporting system and ensure the AMaT data management system is updated with evidence of compliance against the CQC fundamental standards of care.
Maintain and archive all evidential documents in line with required standards such as CQC self-assessment tools and all communication between the Trust and the CQC.
About us
#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.
We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.
We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.
The health and wellbeing of colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.
The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment.
Job description
Job responsibilities
The post holder will work closely with the Head of Compliance to meet statutory obligations and standards for healthcare governance including with regard to the:
o Health and Social Care Act 2008
o Care Quality Commission (Registration) Regulations 2009
o Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
o Mental Health Act 1983
o Mental Capacity Act 2005
To develop and deliver appropriate core/advanced training, development and educational packages to identified groups of staff including issues around compliance with regulated standards
Ensure all interventions are evidence based.
Evaluate the effectiveness of systems of work utilising audit to ensure quality assurance
Ensure compliance of accurate, timely and relevant records linked to compliance with regulated standards.
Implement and enforce the principles on infection prevention and control and comply with policy, procedure and guidance within a designated area.
Act as the expert and advise on the application of relevant, up-to-date legislation and national directives including the Mental health Act, Mental Capacity Act and Deprivation of Liberty Safeguards across the Trust.
Demonstrate excellent practice around the application of safeguarding responsibilities for children and vulnerable adults in line with policy, procedure and guidance, including making timely child and adult safeguarding referrals as required.
Facilitate patient and carer engagement and involvement as experts by experience and peer reviewers to participate in quality standards reviews.
Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is £26.40 (standard) or £54.40 (enhanced), this cost will be deducted from your salary over the first 2 months of employment.
You are encouraged to enrol for the DBS Update Service. An annual fee of £16 per year applies.
Job description
Job responsibilities
The post holder will work closely with the Head of Compliance to meet statutory obligations and standards for healthcare governance including with regard to the:
o Health and Social Care Act 2008
o Care Quality Commission (Registration) Regulations 2009
o Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
o Mental Health Act 1983
o Mental Capacity Act 2005
To develop and deliver appropriate core/advanced training, development and educational packages to identified groups of staff including issues around compliance with regulated standards
Ensure all interventions are evidence based.
Evaluate the effectiveness of systems of work utilising audit to ensure quality assurance
Ensure compliance of accurate, timely and relevant records linked to compliance with regulated standards.
Implement and enforce the principles on infection prevention and control and comply with policy, procedure and guidance within a designated area.
Act as the expert and advise on the application of relevant, up-to-date legislation and national directives including the Mental health Act, Mental Capacity Act and Deprivation of Liberty Safeguards across the Trust.
Demonstrate excellent practice around the application of safeguarding responsibilities for children and vulnerable adults in line with policy, procedure and guidance, including making timely child and adult safeguarding referrals as required.
Facilitate patient and carer engagement and involvement as experts by experience and peer reviewers to participate in quality standards reviews.
Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is £26.40 (standard) or £54.40 (enhanced), this cost will be deducted from your salary over the first 2 months of employment.
You are encouraged to enrol for the DBS Update Service. An annual fee of £16 per year applies.
Person Specification
Essential
Essential
- Professional knowledge acquired through relevant degree or equivalent demonstrable experience
- Evidence of recent, relevant and continuing professional development
- A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
Essential
Essential
- All colleagues are expected to demonstrate at interview that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values
Desirable
Desirable
- Previous experience of supporting CQC inspections or CQC inspection preparation. oExperience of implementing change in clinical practice oExperience of working within a mental health/forensic setting
- Good knowledge of current legislation and policies relating to the regulation of health and adult social care in England.
- Leadership skills oCoaching and mentoring others oThe ability to produce plain English, high quality reports that answer core questions associated with safety, effectiveness, responsiveness, caring and well led.
Essential
Essential
- Proven verbal and written communication skills oGood organisational skills oAbility to present information and training effectively to a range of audiences oAbility to influence change using evidence based best practice. oGood influencing, negotiation and persuasive skills oAble to draft comprehensive reports, data and letters
- Ability to work on own initiative and organise own workload with minimal supervision working to tight and often changing timescales oEvidence of developing and monitoring outcome measures. oExperience of undertaking quality standards audits in clinical settings. oExperience of articulating coherent rationales for action, based upon robust, corroborated evidence. oProven ability to work collaboratively with colleagues from a wide variety of disciplines
- Expert knowledge in one of the following areas of practice: - oCommunity health services for adults oCommunity health services for children, young people and families oCommunity health in-patient services oCommunity end of life care oKnowledge of safeguarding adults and children procedures oDetailed knowledge of the Fundamental Standards regulated by the CQC. oGood understanding of risk and clinical governance procedures oKnowledge of research findings and evidence in the delivery of health care services.
- Working knowledge of Microsoft Office packages including Outlook, Word, Excel, PowerPoint. oAble to analyse and present data / findings in different formats. oAble to identify risks, anticipate issues and develop solutions oAbility to work collaboratively as a member of a team and to work autonomously as required. oBuilds and maintains wider relationships to ensure knowledge and information is shared across internal Care Groups, Care Units and teams. Ability to take measured and considered actions, whilst supporting the needs of the team, service and Trust oAbility to provide appropriate advice and guidance to staff on issues relating to compliance with fundamental standards of care.
Person Specification
Essential
Essential
- Professional knowledge acquired through relevant degree or equivalent demonstrable experience
- Evidence of recent, relevant and continuing professional development
- A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
Essential
Essential
- All colleagues are expected to demonstrate at interview that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values
Desirable
Desirable
- Previous experience of supporting CQC inspections or CQC inspection preparation. oExperience of implementing change in clinical practice oExperience of working within a mental health/forensic setting
- Good knowledge of current legislation and policies relating to the regulation of health and adult social care in England.
- Leadership skills oCoaching and mentoring others oThe ability to produce plain English, high quality reports that answer core questions associated with safety, effectiveness, responsiveness, caring and well led.
Essential
Essential
- Proven verbal and written communication skills oGood organisational skills oAbility to present information and training effectively to a range of audiences oAbility to influence change using evidence based best practice. oGood influencing, negotiation and persuasive skills oAble to draft comprehensive reports, data and letters
- Ability to work on own initiative and organise own workload with minimal supervision working to tight and often changing timescales oEvidence of developing and monitoring outcome measures. oExperience of undertaking quality standards audits in clinical settings. oExperience of articulating coherent rationales for action, based upon robust, corroborated evidence. oProven ability to work collaboratively with colleagues from a wide variety of disciplines
- Expert knowledge in one of the following areas of practice: - oCommunity health services for adults oCommunity health services for children, young people and families oCommunity health in-patient services oCommunity end of life care oKnowledge of safeguarding adults and children procedures oDetailed knowledge of the Fundamental Standards regulated by the CQC. oGood understanding of risk and clinical governance procedures oKnowledge of research findings and evidence in the delivery of health care services.
- Working knowledge of Microsoft Office packages including Outlook, Word, Excel, PowerPoint. oAble to analyse and present data / findings in different formats. oAble to identify risks, anticipate issues and develop solutions oAbility to work collaboratively as a member of a team and to work autonomously as required. oBuilds and maintains wider relationships to ensure knowledge and information is shared across internal Care Groups, Care Units and teams. Ability to take measured and considered actions, whilst supporting the needs of the team, service and Trust oAbility to provide appropriate advice and guidance to staff on issues relating to compliance with fundamental standards of care.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
