Compliance Manager

Ashford and St. Peter's Hospitals NHS Foundation Trust

2mo ago

Job
Full-time
Senior Level
Government & Politics
Healthcare

AI generated summary

You must engage stakeholders, ensure compliance, monitor quality, prepare reports, lead projects, manage committees, support regulatory standards, and deliver effective training.
You will engage stakeholders, ensure regulatory compliance, lead quality improvement, prepare reports, organize committees, and support training and project management for clinical quality initiatives.

Requirements

Stakeholder engagement and assurance work with external representatives.
Deploy a transformational, can-do, approach bringing corporate quality and regulation to the forefront of everything we do.
Deliver, and be the expert advisor on, regulation and core corporate quality, and work with colleagues to convert this into practical delivery across the Trust.
Keep current with, and contribute to, new developments in clinical quality governance and regulation.
Collaborate with colleagues to implement a multi-professional approach.
Effectively contribute to the Trust vision, strategic objectives and key work programmes.
Triangulate intelligence from various sources, such as audits, reviews, claims, coroners, incidents, patient experience, dashboards, to support learning and improvement.
Lead on the Trustwide Corporate materials as applicable to the role, such as Policies.
Support areas to effectively implement these and monitor for effectiveness.
Monitor and assure on compliance with reports issued by external agencies.
Prepare and collate update reports to regulators including visit preparations, timetables, schedules, clinical performance update reports, ad-hoc requests, profile incident and complaint updates, and other regulatory submissions externally and internally.
Develop and implement internal monitoring/assurance systems as may be in use, working with colleagues to ensure the systems provide timely, complete, accurate information and that this is used to drive clinical service improvement.
Scope, implement, refresh, monitor, and report plans to improve key performance indicators (KPIs) for quality and regulation.
Prepare information for regulatory visits such as Care Quality Commission.
Work with colleagues to meet the needs of regulatory requirements.
Work with other leads/managers of the service, to ensure aims and objectives are collectively delivered in a joined-up manner.
Expertly handle timely, accurate and smooth functioning of high-level Committees.
This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved.
Be an expert minute taker, requiring no re-work of draft minutes.
Quality assure on minutes taken by colleagues.
Support information associated with external/internal bodies such as CCG, CQC, or other forums as applicable to the role.
Support production of the Quality Account (annual report) to a high standard, meeting the requirements of national regulations.
Liaise with contributors to submit work to tight timescales.
Apply appropriate project management and quality improvement methodologies, to enable a project to be implemented, monitored, and effectively delivered.
Support senior personnel to ensure the smooth handling of regulatory and clinical quality across the Trust.
Implement robust systems of work to ensure that feedback is responded to promptly, effectively, and cohesively.
Prepare verbal, written, and visual information timely and to a high standard of accuracy, reliability and readability, appropriate for a wide range of audiences.
Support Senior Managers with cost improvement programmes, business planning, quality priority setting and consultation.
Chair Committees as designated by your line manager ensuring that papers are produced, retained, and administered appropriately.
Write business cases as required.
Lead on Trust self-assessment against national quality and regulatory standards and sector best practice.
Provide training as is required for the role.
Effectively harness use of technology for the quality and regulation portfolio.

Responsibilities

Stakeholder engagement and assurance work with external representatives. Deploy a transformational, can-do, approach bringing corporate quality and regulation to the forefront of everything we do. Deliver, and be the expert advisor on, regulation and core corporate quality, and work with colleagues to convert this into practical delivery across the Trust. Keep current with, and contribute to, new developments in clinical quality governance and regulation. Collaborate with colleagues to implement a multi-professional approach. Effectively contribute to the Trust vision, strategic objectives and key work programmes. Triangulate intelligence from various sources, such as audits, reviews, claims, coroners, incidents, patient experience, dashboards, to support learning and improvement. Lead on the Trustwide Corporate materials as applicable to the role, such as Policies. Support areas to effectively implement these and monitor for effectiveness. Monitor and assure on compliance with reports issued by external agencies. Prepare and collate update reports to regulators including visit preparations, timetables, schedules, clinical performance update reports, ad-hoc requests, profile incident and complaint updates, and other regulatory submissions externally and internally. Develop and implement internal monitoring/assurance systems as may be in use, working with colleagues to ensure the systems provide timely, complete, accurate information and that this is used to drive clinical service improvement. Scope, implement, refresh, monitor, and report plans to improve key performance indicators (KPIs) for quality and regulation. Prepare information for regulatory visits such as Care Quality Commission. Work with colleagues to meet the needs of regulatory requirements. Work with other leads/managers of the service, to ensure aims and objectives are collectively delivered in a joined-up manner. Expertly handle timely, accurate and smooth functioning of high-level Committees. This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved. Be an expert minute taker, requiring no re-work of draft minutes. Quality assure on minutes taken by colleagues. Support information associated with external/internal bodies such as CCG, CQC, or other forums as applicable to the role. Support production of the Quality Account (annual report) to a high standard, meeting the requirements of national regulations. Liaise with contributors to submit work to tight timescales. Apply appropriate project management and quality improvement methodologies, to enable a project to be implemented, monitored, and effectively delivered. Support senior personnel to ensure the smooth handling of regulatory and clinical quality across the Trust. Implement robust systems of work to ensure that feedback is responded to promptly, effectively, and cohesively. Prepare verbal, written, and visual information timely and to a high standard of accuracy, reliability and readability, appropriate for a wide range of audiences. Support Senior Managers with cost improvement programmes, business planning, quality priority setting and consultation. Chair Committees as designated by your line manager ensuring that papers are produced, retained, and administered appropriately. Write business cases as required. Lead on Trust self-assessment against national quality and regulatory standards and sector best practice. Provide training as is required for the role. Effectively harness use of technology for the quality and regulation portfolio.

FAQs

What are the primary responsibilities of the Compliance Manager?

The Compliance Manager is responsible for stakeholder engagement, delivering expert advice on regulation and corporate quality, implementing internal monitoring systems, preparing reports for regulators, and collaborating with colleagues to drive clinical service improvements.

What qualifications are required for the Compliance Manager position?

While specific qualifications are not detailed in the job description, relevant experience in clinical quality governance, regulatory compliance, and project management methodologies would be essential.

Is prior experience in health care compliance necessary?

Yes, prior experience and knowledge in healthcare compliance, quality governance, and working with external regulatory bodies, such as the Care Quality Commission, are important for this role.

Will the Compliance Manager be involved in training staff?

Yes, the Compliance Manager is expected to provide training as required for the role.

What kind of reports will the Compliance Manager need to prepare?

The Compliance Manager will need to prepare and collate various reports for regulators, including visit preparations, clinical performance updates, incident and complaint updates, and regulatory submissions.

How does the Compliance Manager support quality improvement initiatives?

The Compliance Manager supports quality improvement initiatives by developing and implementing internal assurance systems, monitoring key performance indicators (KPIs), and collaborating with colleagues to drive service enhancements.

Does the role require collaborative work with other departments?

Yes, collaboration with other leads and managers is crucial to ensure collective delivery of aims and objectives across the Trust.

What is the significance of monitoring external compliance reports?

Monitoring compliance reports issued by external agencies is vital to assure that the organization meets regulatory standards and to identify areas for improvement based on feedback.

How will the Compliance Manager handle committee meetings?

The Compliance Manager will expertly handle high-level committee meetings, including organizing, minute-taking, and ensuring that all related corporate activities are carried out smoothly and efficiently.

What tools or methodologies will the Compliance Manager utilize?

The Compliance Manager will apply project management and quality improvement methodologies to implement, monitor, and deliver projects effectively within the quality and regulation portfolio.

Is there an expectation for the Compliance Manager to write business cases?

Yes, the Compliance Manager will be required to write business cases as necessary for their role.

Ashford and St. Peter's Hospitals NHS Foundation Trust

Together we care

Science & Healthcare

Industry

1001-5000

Employees

1998

Founded Year

Mission & Purpose

Ashford and St. Peter's Hospitals NHS Foundation Trust provides comprehensive healthcare services, including acute, elective, and emergency care at its hospitals and community locations. Their ultimate mission is to deliver exceptional, patient-focused care that improves health outcomes and enhances patient experiences. Their purpose is to serve and support their local communities by offering high-quality, accessible medical services and fostering a culture of excellence and compassion in healthcare.