Head of Compliance

Job description

Job responsibilities

Job Purpose:

As a key member of the senior management team, the Head of compliance will:

1. Ensure a safe hospital estate by overseeing compliance with legislation, Kinvara Private Hospital policies, and CQC regulations.

2. Lead the development and implementation of the organization's operational estates maintenance strategy.

3. Manage the facilities team, providing direction for day-to-day operations and maintenance services, including:

- Building maintenance (internal and external)

- Fire safety management

- Grounds and gardens upkeep

4. Offer professional and technical support to the Senior Management team, with a focus on building and Fire Safety Management.

5. Develop, implement, and monitor comprehensive compliance programs to ensure adherence to all applicable laws, regulations, and policies.

6. Drive continuous improvement of health, safety, and environmental management systems.

7. Demonstrate excellent leadership, communication, organisational, negotiation, and team-working skills in all aspects of the role.

This position is critical in maintaining the hospital's commitment to safety, compliance, and operational excellence.

Principal Areas of Responsibility.

Key Responsibilities:

1. Compliance Management:

- Establish and maintain systems and procedures to ensure compliance with statutory and mandatory Health, Safety, and Environmental Protection requirements throughout the Hospital.

- Develop and implement comprehensive compliance programs aligned with relevant laws and regulations.

- Conduct regular audits to monitor organizational adherence to compliance standards.

2. Health, Safety, and Environmental Management:

- Provide expert advice on health, safety, and environmental matters to foster a positive safety culture.

- Identify, assess, and effectively manage health, safety, and environmental risks within the Hospital.

- Conduct regular health, safety, and environmental audits.

3. Asset and Maintenance Management:

- Ensure asset information and Planned Preventive Maintenance (PPM) schedules are up-to-date and align with manufacturers' recommendations and Health Technical Memoranda (HTMs).

- Oversee the Schedule of Programmed Maintenance and ensure timely delivery.

- Source and manage sub-contractors for maintenance and refurbishment works.

4. Risk Management and Improvement:

- Identify potential risk areas and develop action plans to address issues.

- Implement and manage improvement initiatives to enhance safety and compliance.

5. Staff Training and Support:

- Educate staff on the importance of compliance.

- Provide training on relevant regulations and policies.

Tasks and Duties

1. Audit, Inspection, and Risk Management:

- Plan, execute, and deliver health, safety, and environmental assurance audits for the Hospital.

- Develop and implement action plans to address identified issues.

- Maintain comprehensive records of all Statutory and Mandatory Certificates for sub-contractors.

2. Implementation and Compliance:

- Ensure timely completion of agreed inspections and tests as per service specifications.

- Verify receipt of proper certification before authorizing payments.

- Manage fault reporting, remediation cost estimation, and work order issuance for statutory and mandatory remedial works.

- Promptly communicate health, safety, or environmental non-compliances to relevant Heads of Service to facilitate risk mitigation.

3. Contractor Management:

- Review and approve Contractor Risk Assessments and Method Statements.

- Monitor the implementation of approved Method Statements and risk mitigation measures.

4. Performance Monitoring and Reporting:

- Administer, monitor, and report on the performance of statutory and mandatory inspection and testing contracts/contractors.

- Ensure all processes remain current with emerging requirements and regulations.

5. Risk Assessment and Mitigation:

- Review and approve Contractor Risk Assessments and Method Statements.

- Oversee the implementation of approved Method Statements and specified risk mitigation measures.

Person Specification

Experience

Essential

• Experience of developing and implementing health & safety management systems in the hard facilities management sector.
• Experience in health & safety and environmental risk management, including a sound understanding of relevant legislation and compliance auditing.
• Strong consultation, influencing and negotiation skills, and the ability to build trust and forge strong working relationships between multiple stakeholders, from multiple organisations.
• Experience of working in Hospitals and on Hospital Infrastructure.
• IT literate using MS Word, Excel and PowerPoint, and able to use remote conferencing facilities such as MS Teams and Skype confidently.

Desirable

• Experience of the application of the Construction (Design and Management) Regulations 2015.
• Proven ability and experience in reviewing policies, guidance and risk assessments, and in communicating and embedding policy changes in a workplace environment.
• Experience of working in Hospitals and on Hospital Infrastructure.

Qualifications

Essential

• NEBOSH Certificate, NCRQ Certificate or equivalent qualification (Level 3 Regulated Qualifications Framework for England and Northern Ireland; Level 3 Credit and Qualifications Framework for Wales; and Level 6 Scottish Credit and Qualifications Framework).

Desirable

• Level 6 or above occupational health and safety qualification (NEBOSH or NCRQ Diploma) and/or L4 or above qualification recognised by the Institute of Workplace and Facilities Management. Membership of a building related professional body (e.g. IWFM, CIBSE, CIOB or RICS).

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

Kinvara Private Hospital

Address

2 Clifton Lane

Rotherham

South Yorkshire

S65 2AJ

Employer's website

https://kinvarahospital.co.uk/ (Opens in a new tab)