Job summary
Providing high quality, safe care really matters to us and we are proud that our dedicated people are rates as 'outstanding' for caring by the Care Quality Commission (CQC).
We have an excellent opportunity to join our Patient Safety and Quality Team to become our organisation's Head of Compliance and Assurance. This role is critical for establishing regulation and compliance programmes for dedicated and specific areas within Torbay and South Devon NHS Foundation Trust. This role supports a culture of compliance within the organisation, ensuring regulation is understood.
You should be a registered healthcare professional, have a degree in healthcare or equivalent and be up to date in patient safety methodology in line with PSIRF.
Main duties of the job
The post holder will be the organisations lead and subject matter expert for CQC and compliance and will lead and support in developing mechanisms to ensure an improving compliance CQC rating. You will work close with the Chief Nurse and Executive Directors to provide a robust self-assessment framework that enables good outcomes and positive patient experiences.
You will manage a programme of peer reviews, mock inspections and self-audits so that all Trust services can identify any concerns and to ensure that those concerns are addressed and rectified.
You will ensure that systems are in place to provide early reporting and escalation of quality and compliance standard issues through the Trust's governance framework and provide advice on mitigation and resolution.
The post holder is responsible for ensuring systems are in place to facilitate the collection and collation of data and information to fulfil requests from external regulators.
You will have a knowledge of regulatory compliance, integrated governance and risk processes and experience of advising senior management.
About us
Why Work With Us
We'repart of the government's new hospital programme, and our multi-million-pound investment in our new acute medical unit, endoscopy training centre, day surgery and eye surgery unit and radiotherapy centre are helping us to reduce the time people are waiting for care and improving their experience of our NHS.
Our exciting plans to deliver our new electronic patient record by 2025 will bea game-changer, helping us to transform the way we share information, delivercareandimprove efficiency across Devon.
We have a national reputation for our work toretainour midwifery workforce and take our responsibilities as an anchor organisation to grow our local workforce seriously. We are the first NHS trust in theSouth Westto partner with the Open University to offer an exciting nursing degree which gives people in our community the opportunity to study closer to home and complete their clinical placements in our acute and community settings.
Webelieve passionatelythat the best way to care for people is by focusing on what matters to them,involving them in decisions about their care, andproviding personalised integrated care,close to where they live. Our preventative services, including our award-winning maternity smoking cessation service, are empowering people to take control of their health and wellbeing, reducinginequalities in our communities, and giving children the best start in life.
Job description
Job responsibilities
Full vacancy details can be found on the attached job description / person specification.
Communication and working relationship:
- This is a key leadership role within the Trust and central patient safety / quality team
- The role is the liaison contact between the organisation and the CQC
- Build up strong working relationships with external stakeholders, regulators and commissioners
- Communicate comfortably with colleagues of all levels including Trust Board members, care group triumvirates, clinical leads
- Lead the CQC Assurance Group
Analytical and Judgement
- Quantify the CQC's recommendations, ensuring they are translated into appropriate practice for the Trust's range of professional services.
- Take a management leadership role in implementing compliance processes and systems for the Trust
- Develop and implement robust outcome reports from evidence reviews related to CQC regulation requirements and provide exception reporting through integrated governance structures
- Analyse highly complex key performance indicator data from a range of course and make recommendations for remedial management and recovery where appropriate
Planning and Organisation
- Formulate and adjust strategies to deliver on key performance targets relating to CQUIN delivery, including the reporting of CQUIN's achievements to commissioners in line with contractual requirements, dealing with queries raised in a prompt manner
- Responsible for the production and presentation of all routine patient Equality and Diversity reporting to the Patient Experience Committee; and any other committees as requested
- Maintain accurate and timely records of evidence in relation to CQC registration and other regulation and liaise with managers, clinicians, colleagues and staff about registration requirements and local evidence collection in relation to registration and core standards.
People Management and Training
- The role will have full line management responsibility for sickness, appraisals, disciplinary and performance issues
Job description
Job responsibilities
Full vacancy details can be found on the attached job description / person specification.
Communication and working relationship:
- This is a key leadership role within the Trust and central patient safety / quality team
- The role is the liaison contact between the organisation and the CQC
- Build up strong working relationships with external stakeholders, regulators and commissioners
- Communicate comfortably with colleagues of all levels including Trust Board members, care group triumvirates, clinical leads
- Lead the CQC Assurance Group
Analytical and Judgement
- Quantify the CQC's recommendations, ensuring they are translated into appropriate practice for the Trust's range of professional services.
- Take a management leadership role in implementing compliance processes and systems for the Trust
- Develop and implement robust outcome reports from evidence reviews related to CQC regulation requirements and provide exception reporting through integrated governance structures
- Analyse highly complex key performance indicator data from a range of course and make recommendations for remedial management and recovery where appropriate
Planning and Organisation
- Formulate and adjust strategies to deliver on key performance targets relating to CQUIN delivery, including the reporting of CQUIN's achievements to commissioners in line with contractual requirements, dealing with queries raised in a prompt manner
- Responsible for the production and presentation of all routine patient Equality and Diversity reporting to the Patient Experience Committee; and any other committees as requested
- Maintain accurate and timely records of evidence in relation to CQC registration and other regulation and liaise with managers, clinicians, colleagues and staff about registration requirements and local evidence collection in relation to registration and core standards.
People Management and Training
- The role will have full line management responsibility for sickness, appraisals, disciplinary and performance issues
Person Specification
Qualifications and Experience
Essential
- Degree in healthcare or equivalent
- Recent training in patient safety methodology in line with PSIRF
- Knowledge of regulatory compliance
- Knowledge of clinical governance
- Experience in clinical risk management
- Broad range of clinical experience in the NHS
- Knowledge and experience of of investigating patient safety incidents
- Financial and budget management
Desirable
- Previous leadership role in relation to regulatory compliance
- Project management
- PSII trained
- Quality Improvement experience
- MSC/MA or equivalent experience
Person Specification
Qualifications and Experience
Essential
- Degree in healthcare or equivalent
- Recent training in patient safety methodology in line with PSIRF
- Knowledge of regulatory compliance
- Knowledge of clinical governance
- Experience in clinical risk management
- Broad range of clinical experience in the NHS
- Knowledge and experience of of investigating patient safety incidents
- Financial and budget management
Desirable
- Previous leadership role in relation to regulatory compliance
- Project management
- PSII trained
- Quality Improvement experience
- MSC/MA or equivalent experience
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).
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).
