Quality and Compliance Lead

Job responsibilities

Title: Quality and Compliance Lead

Responsible To: Group Business Director (GBD), Business Intelligence Manager (BIM)

Main Purpose of the Post:

Working with the Group Business Director (GBD) accountable for compliance. The Quality and Compliance Lead will be responsible for providing Portsdown Group Practice (PGP) with a clear view of its compliance, the actions required to bridge any gaps and the risks associated with non-compliance. This Lead is primarily focussed on CQC compliance however the role will also support PGP with its ethos of continuous quality improvement and work closely with the Estates & Facilities Lead.

Monitor, identify and implement where appropriate, new and amended compliance standards and ensure that PGP is aware of and prepared for, the implications of any change.

Duties & Responsibilities of the Post:

· Develop, review and complete compliance audits on a regular basis to ensure all records are maintained and accurate, making recommendations where appropriate and communicating findings to the GBD, BIM and Management Team as appropriate

· Create, develop, undertake and review audits. Collate data to prepare for audits and identify areas of risk, including the Data Security & Protection toolkit (DS&P)

· Proactively identify areas of non-compliance and potential risk

· Create, implement and ensure appropriate corrective action plans are completed

· Maintain full and accurate records and reporting systems (including QuiqCare, DS&P toolkit, Green Impact etc) in accordance with legal requirements to ensure the effective running of PGP

· Create, develop and review policies and procedures to ensure they are compliant with current practices, legislation and the requirements of the regulatory bodies e.g. CQC / NHS England / CCG / Health and Safety Executive

· In conjunction with the GBD review appropriate Management Team Data Sets

· Provide advice and guidance to GBD / BIM on quality assurance systems and procedures.

· Prepare and submit accurate and timely reports when required

· Promote a culture of compliance and continuous improvement

· Implement quality management and improvement systems

· Investigate irregularities and non-compliance issues, highlighting areas or concern

· Analyse data and contribute to performance improvements

· Implement and initiate training and work alongside the GBD, BIM and Management Team with compliance concerns and strive to achieve outstanding in CQC and other inspections

· Be familiar with CQC Standards, NHSE and CCG requirements, Health and Safety, Fire etc

· Lead on QuiqCare compliance online compliance system

· Non-clinical lead for our Armed Forces Veterans, including updating of Veterans policies, arranging key events throughout the year. Be passionate about our Veterans, Defence Employer Recognition Scheme Silver Award (DERS), AFC etc

· Responsible for the data recording of clinical and commercial waste including multi-site recycling.

· Sustainability Lead for the PCN and Chair of the Sustainability Committee.

· Communicate effectively with the Management Team, building positive relationships

· Contribute to ongoing training needs and work with the Operations Team to ensure staff are up to date with current best practice

· Promote and share best practice

· Understand and assist the Estates and Facilities Lead to monitor health and safety in the workplace. Actively assist during the annual equipment calibrations event.

· Undertake training and development to keep up to date with legislation, best practice and changes in organisation policy, applying this knowledge to day to day management and delivery of services

Confidentiality:

· As per both Government legislation and Practice policies ensure that all confidentiality, data protection and information governance policies and guidelines are followed and strictly adhered to. Reporting any infringements to the Operations Office immediately.

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include:

• Using personal security systems within the workplace according to practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Actively reporting of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder’s role
• Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

• Participation in an annual staff performance review.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Participate in induction and training of new staff at site
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
• Work effectively with individuals in other agencies to meet patient’s needs.
• Effectively manage own time, workload and resources.

Communication/Information:

The post-holder should recognize the importance of effective communication within the practice and management team and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognize people’s needs for alternative methods of communication and respond accordingly.

Contribution to the Implementation of Services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate

Any other delegated duties considered appropriate to the post.

This job description is not intended to be exhaustive, but to indicate the main areas of responsibility. It may be changed after consultation with the post holder. The employee shares with the employer, the responsibility for review and modification of duties. Suggestions and discussions are welcome.

Policies and Procedures - the duties and responsibilities of the post will be undertaken in accordance with the policies, procedures and practices of the Practice, which may be amended from time to time. You are required to be flexible and the practice reserves the right to alter such fixed hours as may be considered necessary to ensure the practice runs smoothly.

Our business operates between the hours of 0700 – 2100 hours Monday to Friday (0800 – 1700 Saturday), with possible requirement for some future evening and weekend working as the business develops.

Knowledge

Essential

• Thorough, detailed and evidenced experience of compliance with regulatory frameworks

Desirable

• Understanding of the CQC Framework
• Compliance Training
• Basic knowledge of Health and Safety at Work Act requirements, e.g. COSHH
• An understanding of UK Armed Forces and related veteran issues
• Understanding of sustainability in the workplace and have the initiative to drive the team forward

Experience

Essential

• Evidence of appropriate continuing professional development
• Evidence of working autonomously and as part of a team
• Experience of building positive working relationships across diverse teams

Desirable

• Audit skills
• Leadership experience
• Experience of compliance

Qualities and Attributes

Essential

• Excellent communication skills, written and oral with the ability to communicate confidently with all levels of the team
• Ability to plan and organise workloads effectively
• Excellent administrative skills and computer literacy, particularly spreadsheets
• Able to analyse data and information
• Ability to handle sensitive and confidential information
• Able to establish and maintain effective communication pathways with multi-disciplinary team
• Ability to work as part of an integrated multi skilled and multi sited team
• Flexible in order to meet the demands of the post and the ability to change priorities when required
• Ability to drive forward quality improvements

Desirable

• Innovative

Other

Essential

• Self-motivated and keen to learn. Willing to seek guidance and advice when needed and follow instructions
• Ability to travel to meet the requirements of the post

Desirable

• Flexible approach to meet the demands of the role

Certificate of Sponsorship

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).