Thames Hospice

Compliance & Quality Manager

Information:

This job is now closed

Job summary

We are always looking for excellent people to bring their skills, values driven behaviours and commitment to ambition to deliver quality of life, to the end of life, for everyone to join our charity.

As one team we raise money, support each other whether in clinical teams, or corporate services to ensure everything runs efficiently and smoothly and delivers the best outcome for our patients and their families. Being part of a great team in a complex organisation is demanding, but also really rewarding. If you want to be part of our Compliance & Quality team then wed love to work with you.

Main duties of the job

We look for people who really care about their work and have huge amounts of compassion to give. If you want to work as part of a culture which develops your skills and values, and builds your confidence to be the best version of yourself, then this is the right place for you. We work hard to look after our people, our patients, our families and our reputation.

All patients are Thames Hospice patients and therefore we always support the patient and their family irrespective of our individual role. We represent the wider charity and clinical model at all times.

About us

Proudly serving the community since 1987, Thames Hospice provides compassionate, specialist palliative and endof-life care for people with a life-limiting condition. We employ over 300 dedicated and highly experienced staff who, with the support of over 1000 volunteers, provided outstanding care to 3000 people last year in their homes and at the Hospice.

We are seeking a Compliance and Quality Manager to join our small Quality team working closely with and supporting our colleagues across the Hospice. This newly created role will play a crucial part in ensuring the highest standards and expectations set by Care Quality Commission, are met and exceeded, therefore a good understanding of CQC requirements is a must. You will have a clinical background or a non-clinician with a strong understanding of clinical governance to promote and drive continuous improvement. The role requires a passion for data, identifying themes and trends to support action plans to deliver any learning outcomes.

Details

Date posted

06 February 2025

Pay scheme

Other

Salary

£46,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0488-25-0001

Job locations

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Job description

Job responsibilities

Care with Agility

Develop, implement, and maintain compliance programs to ensure adherence to healthcare laws, regulations, and standards (e.g., CQC Health and Social Care Act).

Monitor changes in healthcare legislation and regulations, and ensure the organisations policies and practices are updated accordingly.

With the Heads of teams, design, develop and conduct regular audits and assessments to identify potential compliance risks and address issues promptly.

Working with the Registered Manager, lead the development and implementation of a comprehensive quality assurance and improvement program to monitor, assess, and improve all clinical services to ensure patient safety.

Financial Accountability

Analyse quality data and lead investigations to identify trends, root causes of issues, or patient complaints and recommend solutions for continuous improvement.

Maintain accurate records and prepare comprehensive reports on compliance and quality activities, including audit results, corrective actions, and outcomes.

Present findings and recommendations to the Compliance and quality committees, senior leadership, regulatory bodies, and other stakeholders.

Supportive Culture

Provide training and guidance to staff on compliance matters and ensure continuous education on legal and regulatory requirements

Collaborate with cross-functional teams, including clinical, administrative, and operational staff, to ensure the successful implementation of compliance and quality initiatives.

Foster a culture of continuous improvement and high-quality care throughout the organisation.

Participate in leadership meetings and provide strategic recommendations related to compliance and quality improvement efforts.

Participate in leadership meetings and provide strategic recommendations related to compliance and quality improvement efforts.

Extending reach

Establish quality standards, metrics, and performance indicators to track patient care outcomes, safety, and satisfaction.

Collaborate with cross-functional teams, including clinical, administrative, and operational staff, to ensure the successful implementation of compliance and quality initiatives.

Foster a culture of continuous improvement and high-quality care throughout the organisation.

Job description

Job responsibilities

Care with Agility

Develop, implement, and maintain compliance programs to ensure adherence to healthcare laws, regulations, and standards (e.g., CQC Health and Social Care Act).

Monitor changes in healthcare legislation and regulations, and ensure the organisations policies and practices are updated accordingly.

With the Heads of teams, design, develop and conduct regular audits and assessments to identify potential compliance risks and address issues promptly.

Working with the Registered Manager, lead the development and implementation of a comprehensive quality assurance and improvement program to monitor, assess, and improve all clinical services to ensure patient safety.

Financial Accountability

Analyse quality data and lead investigations to identify trends, root causes of issues, or patient complaints and recommend solutions for continuous improvement.

Maintain accurate records and prepare comprehensive reports on compliance and quality activities, including audit results, corrective actions, and outcomes.

Present findings and recommendations to the Compliance and quality committees, senior leadership, regulatory bodies, and other stakeholders.

Supportive Culture

Provide training and guidance to staff on compliance matters and ensure continuous education on legal and regulatory requirements

Collaborate with cross-functional teams, including clinical, administrative, and operational staff, to ensure the successful implementation of compliance and quality initiatives.

Foster a culture of continuous improvement and high-quality care throughout the organisation.

Participate in leadership meetings and provide strategic recommendations related to compliance and quality improvement efforts.

Participate in leadership meetings and provide strategic recommendations related to compliance and quality improvement efforts.

Extending reach

Establish quality standards, metrics, and performance indicators to track patient care outcomes, safety, and satisfaction.

Collaborate with cross-functional teams, including clinical, administrative, and operational staff, to ensure the successful implementation of compliance and quality initiatives.

Foster a culture of continuous improvement and high-quality care throughout the organisation.

Person Specification

Experience

Essential

  • To be successful in this role you need to be enthusiastic and able to use your own initiative. We want you to be committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care.
  • Able to operate whilst being calm under pressure, open minded and organised.
  • Skilled to use our IT systems for efficiency and simplicity
  • Confident to co-chair and lead monthly compliance and quality meetings, drafting relevant documents and summary reports.
  • Demonstrable experience in healthcare compliance and quality management, with a proven track record of success.
  • Knowledge and experience of safeguarding pathways.
  • Knowledge and understanding of CQC requirements.
  • Strong analytical skills with the ability to interpret data and make data-driven decisions.
  • Excellent communication and interpersonal skills, with the ability to interact effectively at all organisational levels.
  • Strong organisational and project management skills with the ability to manage multiple initiatives simultaneously.
  • Ability to work independently and as part of a team in a fast-paced, dynamic environment.

Qualifications

Essential

  • Bachelors degree in Healthcare Management, Nursing, Public Health, or related field (Masters preferred).
  • Certification in healthcare compliance (e.g., CHC, CPHQ) preferred.
Person Specification

Experience

Essential

  • To be successful in this role you need to be enthusiastic and able to use your own initiative. We want you to be committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care.
  • Able to operate whilst being calm under pressure, open minded and organised.
  • Skilled to use our IT systems for efficiency and simplicity
  • Confident to co-chair and lead monthly compliance and quality meetings, drafting relevant documents and summary reports.
  • Demonstrable experience in healthcare compliance and quality management, with a proven track record of success.
  • Knowledge and experience of safeguarding pathways.
  • Knowledge and understanding of CQC requirements.
  • Strong analytical skills with the ability to interpret data and make data-driven decisions.
  • Excellent communication and interpersonal skills, with the ability to interact effectively at all organisational levels.
  • Strong organisational and project management skills with the ability to manage multiple initiatives simultaneously.
  • Ability to work independently and as part of a team in a fast-paced, dynamic environment.

Qualifications

Essential

  • Bachelors degree in Healthcare Management, Nursing, Public Health, or related field (Masters preferred).
  • Certification in healthcare compliance (e.g., CHC, CPHQ) preferred.

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

Thames Hospice

Address

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Employer's website

https://www.thameshospice.org.uk/ (Opens in a new tab)

Employer details

Employer name

Thames Hospice

Address

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Employer's website

https://www.thameshospice.org.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Director of Nursing

Loren Broughton

l.broughton@thameshospice.org.uk

01753842121

Details

Date posted

06 February 2025

Pay scheme

Other

Salary

£46,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0488-25-0001

Job locations

Windsor Road

Maidenhead

Berkshire

SL6 2DN


Supporting documents

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