Job summary
As a Quality and compliance Officer, you will support the Practice Manager and management team in ensuring that the practice complies with all regulatory and compliance standards.
You will have a broad understanding and have proven experience in the smooth running of General Practice, as well as the ability to work independently where required, whilst observing confidentiality at all times. This role requires a good team player, with an eye for detail and accuracy in order to support the excellent patient care provided to our patients.
Working hours will depend on the right candidate but will need continuity during the working week to ensure the smooth running of the practice.
Main duties of the job
The post-holder will need to quickly become familiar with all functions of the Practice.
The post holder will be aware of the various statutory requirements and will assist in implementation as directed by the Practice Manager and Partners. There will be a need to work closely with all staff covering all departments in order to maintain levels of local and national standards and requirements.
About us
Haresfield Surgery is situated within the Worcester City locality boundary and provides general medical services to approximately 18,300 patients. The Practice has six partners, eight Salaried GPs, Advanced Nurse Practitioners, Registrars, GP Clinical Pharmacist, dedicated Management and a strong Nursing Team, all of which are supported by skilled Receptionists and Administrators. It is ideally located with excellent road links to surrounding towns and villages. We also have a branch surgery located just a few miles down the road in the rural village of Kempsey. Kempsey Surgery is a dispensing practice and looks after approximately 4,500 of our registered patients.
Haresfield Surgery prides itself with its team ethos, making it a great place to work. In its modern, purpose built building, Haresfield Surgery is able to offer its staff a working environment with comfortable rest rooms, free on-site parking and an in-house gym. Staff welfare is of utmost importance, as well as a focus on professional development and job satisfaction.
Details
Date posted
25 September 2025
Pay scheme
Other
Salary
Depending on experience Up to £29,250 pa FTE (Depending on experience)
Contract
Permanent
Working pattern
Part-time
Reference number
A4723-25-00013
Job locations
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG
Job description
Job responsibilities
Key Responsibilities
Premises
Support the Practice Manager with legal, regulatory and contractual inspections ie. 6 Facet Survey, Notional Rent Reviews, CQC Inspections etc.
Oversee Infection Control compliance and audit
Arrange Fire Safety inspections and Fire Evacuations drills. Ensure that daily, weekly and monthly fire audits are completed
Carry out, record and maintain all Health and Safety requirements for both sites, including audits and risk assessments for COSHH, Fire Safety, Safety in the Workplace, Water and equipment
Maintain register of premises issues reported by colleagues for both sites. Liaise with management to organise and support 3rd party contractors to resolve reported problems
Oversee Premises Management and repairs
Manage cleaning contract and ensure standards of cleanliness are maintained
Arrange PAT Testing and Calibration of relevant equipment
Manage Fridge Temperature Registers
Oversee the legionella testing and ensure the practice is complaint and safe.
Carry out Fire Marshall duties when required
Manage room bookings for the practice, including external bookings of shared Boardroom facilities
Governance, Compliance and Quality
Manage the Policies and Procedures Register, support and administer updates and annual reviews, and help support the adoption and acceptance from the wider practice team
Assist with the maintenance of all processes and compliance, in preparation for CQC inspections and ongoing governance
Conduct internal audits, quality control checks, and participate in external inspections to maintain accreditation and certification standards
Assist where directed with the investigation of any incidents, errors, or complaints related to practice activities, implementing corrective actions as necessary
Support Management to investigate complaints and Significant Events, whilst maintaining an up-to-date register of events and outcomes
Support planned meetings such as Clinical Governance and PPG Meetings and provide minute taking support where needed
Support and maintain and update the Business Continuity Plan
Liaise with Practice Manager to ensure practice has appropriate indemnity and insurance policies in place
Manage Risk Assessment Register
Information Technology
Support IT Manager to deliver and resolve IT projects, rollouts and problems inc. Patient Touchscreen and Callboard.
Assist where necessary with Online Access issues
Team Collaboration
Provide admin support across all multi-functional sites within the practice.
Collaborate with team members, wider practice colleagues, and other healthcare professionals to optimise a high standard of patient service and patient safety.
Promote effective communication and teamwork.
Qualifications and Skills
Experience in a General Practice setting is preferred but not essential , with a broad range of skills and knowledge.
Strong organisational skills, attention to detail, and ability to prioritise tasks in a fast-paced environment.
Trustworthy, with an ability to maintain patient and business confidentiality at all times.
Excellent communication, interpersonal, and teamwork abilities.
Proficiency with General Practice clinical software (EMIS, DocMan, Klinik, Surgery Connect) and computer literate.
Commitment to patient-centred care, confidentiality, and ethical conduct.
Working Conditions
Flexibility to accommodate operational needs when required across both sites.
Place of Work
The main place of work will be based at Haresfield Surgery, but as this role has a responsibility at both practice sites, there will be times where travel is required to the practices branch Surgery in Kempsey.
Meetings
Attend meetings as required.
Health & Safety
Working within a healthcare environment, the post-holder must take responsibility for their own and others health, safety and security. This will include (but will not be limited to):
All staff within the department adhere to their individual responsibilities for infection control and health and safety, using a system of observation, audit and check, hazard identification, questioning, reporting and risk management.
Maintain an up to date knowledge of health and safety and infection control statutory and best practice guidelines and ensure implementation across the Practice.
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 across the Practice.
Making effective use of training to update knowledge and skills, and initiate and manage the training of others in these areas.
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards, and initiation of remedial / corrective action where needed.
Actively identifying, reporting on and correcting health and safety hazards and infection hazards immediately when recognised.
Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other staff.
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
- In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
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 recognises the importance of peoples 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 that is welcoming to the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development
The post-holder will participate in any training program implemented by the Practice as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
- 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 their own performance and take accountability for their own actions, either directly or under supervision.
- Contribute to the effectiveness of the team by reflecting on their own and the teams activities and making suggestions on ways to improve and enhance the teams performance.
- Work effectively with individuals in other agencies to meet patient needs.
- Effectively manage own time, workload and resources.
Communication
The post-holder should recognise the importance of effective communication within the team and will
strive to
- Communicate effectively with other team members.
- Communicate effectively with patients and carers.
- Recognise peoples needs for alternative methods of communication and respond accordingly.
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability, and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade.
Job Holder signature
Date
Job description
Job responsibilities
Key Responsibilities
Premises
Support the Practice Manager with legal, regulatory and contractual inspections ie. 6 Facet Survey, Notional Rent Reviews, CQC Inspections etc.
Oversee Infection Control compliance and audit
Arrange Fire Safety inspections and Fire Evacuations drills. Ensure that daily, weekly and monthly fire audits are completed
Carry out, record and maintain all Health and Safety requirements for both sites, including audits and risk assessments for COSHH, Fire Safety, Safety in the Workplace, Water and equipment
Maintain register of premises issues reported by colleagues for both sites. Liaise with management to organise and support 3rd party contractors to resolve reported problems
Oversee Premises Management and repairs
Manage cleaning contract and ensure standards of cleanliness are maintained
Arrange PAT Testing and Calibration of relevant equipment
Manage Fridge Temperature Registers
Oversee the legionella testing and ensure the practice is complaint and safe.
Carry out Fire Marshall duties when required
Manage room bookings for the practice, including external bookings of shared Boardroom facilities
Governance, Compliance and Quality
Manage the Policies and Procedures Register, support and administer updates and annual reviews, and help support the adoption and acceptance from the wider practice team
Assist with the maintenance of all processes and compliance, in preparation for CQC inspections and ongoing governance
Conduct internal audits, quality control checks, and participate in external inspections to maintain accreditation and certification standards
Assist where directed with the investigation of any incidents, errors, or complaints related to practice activities, implementing corrective actions as necessary
Support Management to investigate complaints and Significant Events, whilst maintaining an up-to-date register of events and outcomes
Support planned meetings such as Clinical Governance and PPG Meetings and provide minute taking support where needed
Support and maintain and update the Business Continuity Plan
Liaise with Practice Manager to ensure practice has appropriate indemnity and insurance policies in place
Manage Risk Assessment Register
Information Technology
Support IT Manager to deliver and resolve IT projects, rollouts and problems inc. Patient Touchscreen and Callboard.
Assist where necessary with Online Access issues
Team Collaboration
Provide admin support across all multi-functional sites within the practice.
Collaborate with team members, wider practice colleagues, and other healthcare professionals to optimise a high standard of patient service and patient safety.
Promote effective communication and teamwork.
Qualifications and Skills
Experience in a General Practice setting is preferred but not essential , with a broad range of skills and knowledge.
Strong organisational skills, attention to detail, and ability to prioritise tasks in a fast-paced environment.
Trustworthy, with an ability to maintain patient and business confidentiality at all times.
Excellent communication, interpersonal, and teamwork abilities.
Proficiency with General Practice clinical software (EMIS, DocMan, Klinik, Surgery Connect) and computer literate.
Commitment to patient-centred care, confidentiality, and ethical conduct.
Working Conditions
Flexibility to accommodate operational needs when required across both sites.
Place of Work
The main place of work will be based at Haresfield Surgery, but as this role has a responsibility at both practice sites, there will be times where travel is required to the practices branch Surgery in Kempsey.
Meetings
Attend meetings as required.
Health & Safety
Working within a healthcare environment, the post-holder must take responsibility for their own and others health, safety and security. This will include (but will not be limited to):
All staff within the department adhere to their individual responsibilities for infection control and health and safety, using a system of observation, audit and check, hazard identification, questioning, reporting and risk management.
Maintain an up to date knowledge of health and safety and infection control statutory and best practice guidelines and ensure implementation across the Practice.
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 across the Practice.
Making effective use of training to update knowledge and skills, and initiate and manage the training of others in these areas.
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards, and initiation of remedial / corrective action where needed.
Actively identifying, reporting on and correcting health and safety hazards and infection hazards immediately when recognised.
Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other staff.
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
- In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
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 recognises the importance of peoples 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 that is welcoming to the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development
The post-holder will participate in any training program implemented by the Practice as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
- 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 their own performance and take accountability for their own actions, either directly or under supervision.
- Contribute to the effectiveness of the team by reflecting on their own and the teams activities and making suggestions on ways to improve and enhance the teams performance.
- Work effectively with individuals in other agencies to meet patient needs.
- Effectively manage own time, workload and resources.
Communication
The post-holder should recognise the importance of effective communication within the team and will
strive to
- Communicate effectively with other team members.
- Communicate effectively with patients and carers.
- Recognise peoples needs for alternative methods of communication and respond accordingly.
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability, and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade.
Job Holder signature
Date
Person Specification
knowledge
Essential
- Understanding of Information Governance and GDPR
- Understanding of CQC Key Lines of Enquiry and inspection process
- Familiarity with clinical governance, safeguarding, infection control and incident reporting systems
Desirable
- AMSPAR qualifications
Experience
Essential
- Experience within the NHS or similar health care setting
- Experience in a customer focused environment
- Experience of using a clinical medical IT system or similar
- Experience with audits, policies, standard operating procedures -SOPs and training staff
Desirable
- Evidence of working within a multidisciplinary team
- Knowledge of primary care in the NHS and compliance policies
- Experience of Health and safety regulations and compliance within a Health Care setting
- Experience in healthcare administration, governance, risk or compliance
Personal Qualities
Essential
- Good level of IT skills/typing skills -computer literate in Microsoft Word,Excel and Outlook
- Ability to communicate effectively and sensitively, both verbally and written to patients and staff at a range of levels.
- Excellent organisation skills demonstrate the ability to organise systems and paperwork in an office environment.
- Strong attention to detail and the ability to transfer accurate information.
- Work well under pressure and meet deadlines
- Ability to adapt and respond to change.
- The ability to use own initiative within clear boundaries, seeking advice when necessary.
- Demonstrate enthusiasm and a strong sense of team spirit.
- Able to promote good working relationships
Desirable
- Computer literate in EMIS clinical system
Qualifications
Essential
- Educated to GCSE level or equivalent, including Maths and English (Grade C or above)
Desirable
- A levels or equivalent
Special requirements
Essential
- Flexibility and willingness to support all multidisciplinary teams
- Ability to demonstrate sensitivity, empathy and compassion to the needs of the service users and carers
- Ability to motivate others
Qualifications
Essential
- Four GCSEs or equivalent (A-C grade) must include Maths and English
Desirable
- A Levels or equivalent
Person Specification
knowledge
Essential
- Understanding of Information Governance and GDPR
- Understanding of CQC Key Lines of Enquiry and inspection process
- Familiarity with clinical governance, safeguarding, infection control and incident reporting systems
Desirable
- AMSPAR qualifications
Experience
Essential
- Experience within the NHS or similar health care setting
- Experience in a customer focused environment
- Experience of using a clinical medical IT system or similar
- Experience with audits, policies, standard operating procedures -SOPs and training staff
Desirable
- Evidence of working within a multidisciplinary team
- Knowledge of primary care in the NHS and compliance policies
- Experience of Health and safety regulations and compliance within a Health Care setting
- Experience in healthcare administration, governance, risk or compliance
Personal Qualities
Essential
- Good level of IT skills/typing skills -computer literate in Microsoft Word,Excel and Outlook
- Ability to communicate effectively and sensitively, both verbally and written to patients and staff at a range of levels.
- Excellent organisation skills demonstrate the ability to organise systems and paperwork in an office environment.
- Strong attention to detail and the ability to transfer accurate information.
- Work well under pressure and meet deadlines
- Ability to adapt and respond to change.
- The ability to use own initiative within clear boundaries, seeking advice when necessary.
- Demonstrate enthusiasm and a strong sense of team spirit.
- Able to promote good working relationships
Desirable
- Computer literate in EMIS clinical system
Qualifications
Essential
- Educated to GCSE level or equivalent, including Maths and English (Grade C or above)
Desirable
- A levels or equivalent
Special requirements
Essential
- Flexibility and willingness to support all multidisciplinary teams
- Ability to demonstrate sensitivity, empathy and compassion to the needs of the service users and carers
- Ability to motivate others
Qualifications
Essential
- Four GCSEs or equivalent (A-C grade) must include Maths and English
Desirable
- A Levels or equivalent
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.
Employer details
Employer name
Haresfield Surgery
Address
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG
Employer's website
https://www.haresfieldsurgery.co.uk/ (Opens in a new tab)
Employer details
Employer name
Haresfield Surgery
Address
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG
Employer's website
https://www.haresfieldsurgery.co.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
25 September 2025
Pay scheme
Other
Salary
Depending on experience Up to £29,250 pa FTE (Depending on experience)
Contract
Permanent
Working pattern
Part-time
Reference number
A4723-25-00013
Job locations
Turnpike House Medical Centre
37 Newtown Road
Worcester
WR5 1HG