Job summary
Are you passionate about quality, compliance, and driving improvement in healthcare? We have an exciting opportunity for a Quality Compliance Manager (Band 7) to join our Regulation and Compliance Team. This role is pivotal in ensuring our Trust maintains robust frameworks that support compliance with regulatory body standards (such as the Care Quality Commission) and Accreditations (such as Ward Accreditation), while fostering continuous improvement. If you are interested in developing your knowledge and experience in Corporate Governance and compliance, this role is for you. The successful candidate will be supported to develop their knowledge and skills in the delivery of this role.
Main duties of the job
As a Quality Compliance Manager, you will work collaboratively with colleagues across the organisation to ensure we meet all regulatory and accreditation requirements. You will play a key role in:
? Providing assurance on regulatory and accreditation compliance.? Supporting and maintaining strong relationships with regulatory bodies.? Responding to regulatory enquiries and coordinating inspections.? Implementing and monitoring action plans post-inspection.? Producing high-quality reports and compliance updates for leadership.? Managing relevant meetings, Agendas, Minutes, Action Logs
This is a fantastic opportunity for an individual with healthcare experience who thrives in a dynamic environment and is passionate about enhancing care quality and patient experience.
About us
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care.
We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures.
We can offer you the full range of NHS benefits/discounts and in addition:
- Excellent pension scheme and annual leave entitlement
- On-site Nurseries
- On-site staff cafes
- On-site parking
- Support in career development
- Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
For more information about a career at ASPH please visit:www.asph-careers.org
Job description
Job responsibilities
The post holder will take ownership on a day-to-day basis for leading compliance across the Ashford and St Peters NHS Foundation Trust. You will also be responsible for the administration and smooth functioning of corporate quality including Committees/meetings. This includes:
Ensuring all services are registered correctly with the Care Quality Commission (CQC) and that processes are in place to continuously monitor and validate compliance, including regulatory notifications for the Trust
Managing and tracking regulatory enquiries ensuring robust responses within the required timeframes
Leading the development and delivery of the internal quality assurance programme for the Trust including quality walkarounds, mock inspections and oversight of the self-assessment programme
Supporting the development of regulatory improvement plans, monitoring these for progress (this includes both mock and regulatory inspections), and ensuring tests of effectiveness
Being a visionary for corporate quality Trustwide, interpreting and translating regulation into an understandable format for all Trust staff
Produce and/or co-ordinate the production of cyclical, routine, periodic and ad hoc reports to meetings/managers/regulators
Expertly handle timely, accurate and smooth functioning of high-level Committees/meeting
Delivering Trustwide training on corporate induction and any other training as required (e.g., new CQC framework)
The postholder will develop effective working relationships with:
The wider Quality and Corporate Teams
Trust Executive Team
Divisional Triumvirates and supporting staff
Estates & Housekeeping
Specialist Teams (e.g., IPC, Harms Free Care, Safeguarding Team, Learning and Development etc.)
External stakeholders as required
Job description
Job responsibilities
The post holder will take ownership on a day-to-day basis for leading compliance across the Ashford and St Peters NHS Foundation Trust. You will also be responsible for the administration and smooth functioning of corporate quality including Committees/meetings. This includes:
Ensuring all services are registered correctly with the Care Quality Commission (CQC) and that processes are in place to continuously monitor and validate compliance, including regulatory notifications for the Trust
Managing and tracking regulatory enquiries ensuring robust responses within the required timeframes
Leading the development and delivery of the internal quality assurance programme for the Trust including quality walkarounds, mock inspections and oversight of the self-assessment programme
Supporting the development of regulatory improvement plans, monitoring these for progress (this includes both mock and regulatory inspections), and ensuring tests of effectiveness
Being a visionary for corporate quality Trustwide, interpreting and translating regulation into an understandable format for all Trust staff
Produce and/or co-ordinate the production of cyclical, routine, periodic and ad hoc reports to meetings/managers/regulators
Expertly handle timely, accurate and smooth functioning of high-level Committees/meeting
Delivering Trustwide training on corporate induction and any other training as required (e.g., new CQC framework)
The postholder will develop effective working relationships with:
The wider Quality and Corporate Teams
Trust Executive Team
Divisional Triumvirates and supporting staff
Estates & Housekeeping
Specialist Teams (e.g., IPC, Harms Free Care, Safeguarding Team, Learning and Development etc.)
External stakeholders as required
Person Specification
Qualifications
Essential
- Qualification to graduate level/equivalent vocational qualification or relevant experience
- English Language GCSE/equivalent
Desirable
- Clinical Qualification
- Quality improvement methodology and or project management
Experience
Essential
- Demonstrable understanding of NHS regulatory and compliance frameworks under which NHS Foundation Trusts operate
- Demonstrable understanding of Clinical/Corporate Governance
- Report writing to a high standard
- Able to develop workplans and negotiate, deliver, and monitor these for large projects such as regulatory inspections
Desirable
- Experience managing accreditation and regulation compliance
- Recent clinical experience in the NHS which demonstrates alignment with the role
Knowledge
Essential
- Clinical knowledge and experience
- Knowledge of regulatory body standards (E.g., CQC)
- Trust vision, values and strategic objectives oIT applications oGood understanding of the national NHS quality and regulation agenda and initiatives
Desirable
- In depth knowledge of regulatory standards such as CQC, HTA, JAG, ACSA, IRMER etc.
Skills
Essential
- IT Literate
- Excellent technical writer of correspondence including reports, investigation responses, and other written information to ensure accurate and correct grammar and content
- Able to synthesise, interpret, and triangulate information and translate this into a readable report, adapted to the audience as required
- Able to generate dashboards, key performance indicators, exception reports, analyse and write associated commentaries
Desirable
- Able to present high quality visual communications material in presentations, brochures, reports using media and other technologies
Person Specification
Qualifications
Essential
- Qualification to graduate level/equivalent vocational qualification or relevant experience
- English Language GCSE/equivalent
Desirable
- Clinical Qualification
- Quality improvement methodology and or project management
Experience
Essential
- Demonstrable understanding of NHS regulatory and compliance frameworks under which NHS Foundation Trusts operate
- Demonstrable understanding of Clinical/Corporate Governance
- Report writing to a high standard
- Able to develop workplans and negotiate, deliver, and monitor these for large projects such as regulatory inspections
Desirable
- Experience managing accreditation and regulation compliance
- Recent clinical experience in the NHS which demonstrates alignment with the role
Knowledge
Essential
- Clinical knowledge and experience
- Knowledge of regulatory body standards (E.g., CQC)
- Trust vision, values and strategic objectives oIT applications oGood understanding of the national NHS quality and regulation agenda and initiatives
Desirable
- In depth knowledge of regulatory standards such as CQC, HTA, JAG, ACSA, IRMER etc.
Skills
Essential
- IT Literate
- Excellent technical writer of correspondence including reports, investigation responses, and other written information to ensure accurate and correct grammar and content
- Able to synthesise, interpret, and triangulate information and translate this into a readable report, adapted to the audience as required
- Able to generate dashboards, key performance indicators, exception reports, analyse and write associated commentaries
Desirable
- Able to present high quality visual communications material in presentations, brochures, reports using media and other technologies
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.
