Job summary
Be the CQC Registered Manager who shapes the next phase of Harley Street Mental Health.
We're a fast-growing, clinician-led service delivering adult ADHD and wider neurodevelopmental care to both private and NHS patients.
You'll hold day-to-day accountability for safety, quality and patient experience, turning good practice into outstanding, inspection-ready care.
If you love clinical governance, can build high-performing teams, and turn data into improvement, this is a role with genuine scope and impact. You'll lead the mobilisation of new NHS pathways while strengthening our premium private service, working closely with psychiatrists, nurses and a specialist titration team.
In return you'll get strategic influence, supportive medical leadership, flexible hybrid working and strong CPD investment.
Join us to create reliable, person-centred ADHD services that deliver measurable outcomes for every patient.
Main duties of the job
Hold legal accountability as the CQC Registered Manager for regulated activities, keeping the Statement of Purpose and evidence bases current.
Lead governance and risk: run clinical governance and risk meetings; maintain the risk register; oversee audits, incidents, complaints and Duty of Candour.
Ensure robust safeguarding for adults and children, with clear escalation and multi-agency working.
Own information governance and records management; deliver DSPT compliance and accurate, timely MHSDS submissions for NHS activity.
Mobilise and optimise ADHD assessment and medication titration pathways across private and NHS contracts, delivering access, safety, experience and outcome KPIs.
Provide medicines oversight (including controlled drugs) and safe e-prescribing workflows with partner pharmacies.
Lead people and culture: safer recruitment, induction, supervision, mandatory training and workforce planning. Partner with commissioners, GPs and system stakeholders; produce performance packs and action plans; manage budgets and key suppliers.
Drive continuous improvement using patient feedback, data and QI methods to enhance reliability, equity and efficiency.
About us
Harley Street Mental Health (HSMH) is a specialist, clinician-led service providing evidence-based assessment, diagnosis and treatment for adults with ADHD and related conditions.
From our bases at 10 Harley Street in London, Altrincham in Greater Manchester, and via secure digital clinics, we support both self-funded and NHS-referred patients across the UK.
Our multidisciplinary team includes consultant psychiatrists, Speciality Doctors, GP's, nurses, psychologists, specialist titration clinicians, pharmacists and information-governance/compliance and patient-experience leads.
Were purposeful, kind and data-driven: we value candour, curiosity and continuous improvement just as much as clinical excellence.
Youll find a supportive leadership team, clear quality systems, and the freedom to refine pathways that genuinely improve lives.
We offer competitive pay, flexible hybrid working, CPD support, and opportunities to lead service development and QI.
If you want your work to translate into safer care, better access and measurable outcomes, HSMH is a place to build, learn and lead.
Job description
Job responsibilities
Purpose:
To hold day-to-day accountability for regulated activities and the quality, safety and experience of care. You will ensure compliance with CQC regulations and the Single Assessment Framework, lead clinical governance and operational delivery across private and NHS pathways (including ADHD assessment and medication titration), and drive continuous improvement aligned to contractual KPIs.
Key responsibilities
1) Regulatory compliance & CQC relationship
- Be the CQC Registered Manager for HSMH locations/regulated activities, sharing legal responsibility with the provider. Maintain an up-to-date Statement of Purpose and make all statutory notifications/variations on time.
- Evidence compliance with the Single Assessment Framework(5 questions; Quality Statements), embedding the we statements in policy, practice and evidence portfolios. Prepare for and host inspections.
- Lead compliance with the fundamental standards(e.g., Safe care & treatment, Good governance, Fit & proper persons employed, Staffing, Duty of Candour, Complaints).
2) Clinical governance, safety & risk
- Chair the Clinical Governance and Risk meetings; own the risk register, audits, action logs and learning system.
- Ensure Duty of Candour is applied correctly, with compassionate communication, timely written follow-up and documented learning.
- Oversee incident reporting, triage and learning under PSIRF/LFPSE; ensure proportionate investigations and family/staff involvement
- Ensure robust safeguarding systems for adults and children (policy, training, supervision, referrals, multi-agency working).
3) Information governance & data quality
- Be the operational owner for Data Security and Protection Toolkit (DSPT)compliance; work closely with the DPO/Caldicott Guardian on IG, DPIAs, SARs and records management.
- Ensure accurate, complete and timely MHSDS submissions via SDCS Cloud for NHS-funded activity; drive data quality improvements.
4) Medicines & prescribing governance (including ADHD meds)
- Oversee safe medicines systems (policies, PGDs where applicable, e-prescribing workflows, storage, reconciliation, audits).
- Ensure compliance with Controlled Drugs legislation and work with the organisations CDAO/NHSE regional CDAO as required (e.g., CD incident reporting to cdreporting portal, LIN participation).
- Promote pharmacovigilance (encourage MHRA Yellow Card reporting and review of Drug Safety Updates).
5) NHS contract mobilisation & delivery
- Lead end-to-end mobilisation for new NHS ADHD pathways (SOPs, referral criteria, e-RS/onboarding, data flows, safeguarding and escalation protocols).
- Monitor contractual KPIs and produce commissioner reporting packs; drive pathway efficiency (DNA reduction, waiting-time/throughput optimisation) while protecting quality.
- Liaise directly with contracted ICBs and be the point of contact for contract management
6) Operational excellence & patient experience
- Own the operating model for ADHD assessment and titration(triage, pre-assessment, diagnostics, shared-care transitions, physical health monitoring, e-prescribing).
- Embed the Accessible Information Standard and Equality Act reasonable adjustments; ensure inclusive, person-centred access and communication.
- Lead the complaints system end-to-end, ensuring timely responses, fair investigations and service improvements.
7) People leadership
- Line-manage and develop multidisciplinary teams; ensure safe staffing, safer recruitment (enhanced DBS, references, right-to-work), induction, supervision and appraisals.
- Maintain a live mandatory training matrix (safeguarding L3 adults/children, Prevent, BLS, IG, medicines safety, DoC).
- Foster a learning culture (freedom-to-speak-up principles, QI projects, audit programme).
8) Finance & resources
- Work with finance on budget stewardship, cost-neutral mobilisation plans, efficient clinic capacity and stock control for meds/diagnostics.
- Oversee contracts with key suppliers (e-prescribing/pharmacy partners, EPR/telehealth vendors, labs).
9) External relationships
- Act as the senior operational link with ICBs/commissioners, GPs (shared-care), community pharmacies, safeguarding partners and CQC inspectors.
- Represent HSMH in system meetings; provide credible, data-driven updates and action plans.
What success looks like (first 612 months)
- CQC inspection readiness with clear evidence packs mapped to Quality Statements. As an organisation, or aim is always to achieve an outstanding rating
- NHS pathway mobilised on time with agreed KPIs delivered (access, safety, outcomes).
- Fully compliant DSPT; clean MHSDS submissions; visible data-quality uplift.
- Robust incident learning cycle in place (PSIRF approach), and exemplary Duty of Candour practice.
- Measurable improvements in patient experience (complaints down, compliments/NPS up) and staff engagement.
Job description
Job responsibilities
Purpose:
To hold day-to-day accountability for regulated activities and the quality, safety and experience of care. You will ensure compliance with CQC regulations and the Single Assessment Framework, lead clinical governance and operational delivery across private and NHS pathways (including ADHD assessment and medication titration), and drive continuous improvement aligned to contractual KPIs.
Key responsibilities
1) Regulatory compliance & CQC relationship
- Be the CQC Registered Manager for HSMH locations/regulated activities, sharing legal responsibility with the provider. Maintain an up-to-date Statement of Purpose and make all statutory notifications/variations on time.
- Evidence compliance with the Single Assessment Framework(5 questions; Quality Statements), embedding the we statements in policy, practice and evidence portfolios. Prepare for and host inspections.
- Lead compliance with the fundamental standards(e.g., Safe care & treatment, Good governance, Fit & proper persons employed, Staffing, Duty of Candour, Complaints).
2) Clinical governance, safety & risk
- Chair the Clinical Governance and Risk meetings; own the risk register, audits, action logs and learning system.
- Ensure Duty of Candour is applied correctly, with compassionate communication, timely written follow-up and documented learning.
- Oversee incident reporting, triage and learning under PSIRF/LFPSE; ensure proportionate investigations and family/staff involvement
- Ensure robust safeguarding systems for adults and children (policy, training, supervision, referrals, multi-agency working).
3) Information governance & data quality
- Be the operational owner for Data Security and Protection Toolkit (DSPT)compliance; work closely with the DPO/Caldicott Guardian on IG, DPIAs, SARs and records management.
- Ensure accurate, complete and timely MHSDS submissions via SDCS Cloud for NHS-funded activity; drive data quality improvements.
4) Medicines & prescribing governance (including ADHD meds)
- Oversee safe medicines systems (policies, PGDs where applicable, e-prescribing workflows, storage, reconciliation, audits).
- Ensure compliance with Controlled Drugs legislation and work with the organisations CDAO/NHSE regional CDAO as required (e.g., CD incident reporting to cdreporting portal, LIN participation).
- Promote pharmacovigilance (encourage MHRA Yellow Card reporting and review of Drug Safety Updates).
5) NHS contract mobilisation & delivery
- Lead end-to-end mobilisation for new NHS ADHD pathways (SOPs, referral criteria, e-RS/onboarding, data flows, safeguarding and escalation protocols).
- Monitor contractual KPIs and produce commissioner reporting packs; drive pathway efficiency (DNA reduction, waiting-time/throughput optimisation) while protecting quality.
- Liaise directly with contracted ICBs and be the point of contact for contract management
6) Operational excellence & patient experience
- Own the operating model for ADHD assessment and titration(triage, pre-assessment, diagnostics, shared-care transitions, physical health monitoring, e-prescribing).
- Embed the Accessible Information Standard and Equality Act reasonable adjustments; ensure inclusive, person-centred access and communication.
- Lead the complaints system end-to-end, ensuring timely responses, fair investigations and service improvements.
7) People leadership
- Line-manage and develop multidisciplinary teams; ensure safe staffing, safer recruitment (enhanced DBS, references, right-to-work), induction, supervision and appraisals.
- Maintain a live mandatory training matrix (safeguarding L3 adults/children, Prevent, BLS, IG, medicines safety, DoC).
- Foster a learning culture (freedom-to-speak-up principles, QI projects, audit programme).
8) Finance & resources
- Work with finance on budget stewardship, cost-neutral mobilisation plans, efficient clinic capacity and stock control for meds/diagnostics.
- Oversee contracts with key suppliers (e-prescribing/pharmacy partners, EPR/telehealth vendors, labs).
9) External relationships
- Act as the senior operational link with ICBs/commissioners, GPs (shared-care), community pharmacies, safeguarding partners and CQC inspectors.
- Represent HSMH in system meetings; provide credible, data-driven updates and action plans.
What success looks like (first 612 months)
- CQC inspection readiness with clear evidence packs mapped to Quality Statements. As an organisation, or aim is always to achieve an outstanding rating
- NHS pathway mobilised on time with agreed KPIs delivered (access, safety, outcomes).
- Fully compliant DSPT; clean MHSDS submissions; visible data-quality uplift.
- Robust incident learning cycle in place (PSIRF approach), and exemplary Duty of Candour practice.
- Measurable improvements in patient experience (complaints down, compliments/NPS up) and staff engagement.
Person Specification
Qualifications
Essential
- Level 5 Diploma in Leadership & Management for Health/Social Care (or equivalent), or commitment to complete within an agreed timeframe.
- Degree-level qualification in health, social care, or management (or equivalent experience).
- Current Safeguarding training to Level 3 (Adults and Children) or willingness to complete on appointment.
- Up-to-date training in Information Governance/GDPR and Data Security & Protection Toolkit (DSPT) requirements (or willingness to complete on appointment).
- Evidence of recent, relevant CPD.
- Enhanced DBS (Adultsand Children if applicable) and eligibility to act as the CQC Registered Manager for HSMHs regulated activities.
- Right to work in the UK.
Desirable
- Postgraduate leadership/management qualification (e.g., Level 7, MBA, CMgr/CMI, ILM).
- Project/programme management certification (e.g., PRINCE2, AgilePM).
- Quality Improvement/Lean Six Sigma (e.g., Yellow/Green Belt).
- Advanced safeguarding training (e.g., Safeguarding Supervision/Lead).
- Information governance/data protection certifications (e.g., BCS Data Protection, ISO 27001 awareness).
- Clinical registration (e.g., NMC/HCPC/GMC/SWE) or medicines management qualification.
- Risk management or patient safety credentials (e.g., PSIRF/LFPSE investigation training).
Experience
Essential
- Substantial experience leading a CQC-regulated service and acting as (or directly supporting) a CQC Registered Manager, including inspection preparation and evidence portfolios.
- Proven delivery of clinical governance: risk registers, audits, incidents/complaints handling, Duty of Candour, and learning/PSIRF processes.
- Safeguarding leadership across Adults and Children, with effective multi-agency working and escalation.
- Mobilising and operating NHS-commissioned pathways alongside private services, with KPI tracking and commissioner reporting.
- Strong information governance practice and DSPT compliance oversight; confident with EPR/telehealth systems and data quality.
- Experience of MHSDS reporting (or equivalent NHS datasets) and improving data completeness/accuracy.
- Medicines governance exposure, including controlled drugs oversight and safe e-prescribing workflows with partner pharmacies.
- Line-managing multidisciplinary teams: safer recruitment, induction, supervision/appraisal, training compliance and workforce planning.
- Budget/resource stewardship and supplier/contract oversight.
- Consistent track record of service improvement and measurable outcomes (access, safety, experience).
Desirable
- Service leadership in ADHD/neurodevelopmental care (assessment, diagnosis, titration, shared-care transitions).
- Working with ICBs/commissioners on contract mobilisation, e-RS onboarding, and pathway redesign.
- Hands-on MHSDS via SDCS Cloud, LFPSE incident reporting, and data/BI dashboards.
- Implementing Equality, Diversity & Inclusion and the Accessible Information Standard at service level.
- Designing and leading QI projects; audit programme design; change management across multi-site/hybrid teams.
- Digital transformation: EPR optimisation, e-prescribing integration, telehealth pathways.
- Freedom to Speak Up culture building; policy development and business continuity planning.
Other
Essential
- Values-led: patient-centred, compassionate, open and improvement-minded; models Duty of Candour.
- Excellent communication skills; able to produce clear reports, SOPs and commissioner updates.
- Highly organised; able to prioritise, meet deadlines and manage competing operational demands.
- Competent IT user (Microsoft 365, EPRs, dashboards) with strong data literacy.
- Willing and able to be the named CQC Registered Manager and primary inspection contact.
- Flexibility to attend occasional evening/weekend meetings and to travel between sites as required.
Desirable
- Experience representing services at system forums (ICB, safeguarding boards, CD LIN, quality collaboratives).
- Networks within ADHD/neurodevelopmental services and patient involvement groups.
- Lived experience insight and/or experience co-producing improvements with service users and carers.
Person Specification
Qualifications
Essential
- Level 5 Diploma in Leadership & Management for Health/Social Care (or equivalent), or commitment to complete within an agreed timeframe.
- Degree-level qualification in health, social care, or management (or equivalent experience).
- Current Safeguarding training to Level 3 (Adults and Children) or willingness to complete on appointment.
- Up-to-date training in Information Governance/GDPR and Data Security & Protection Toolkit (DSPT) requirements (or willingness to complete on appointment).
- Evidence of recent, relevant CPD.
- Enhanced DBS (Adultsand Children if applicable) and eligibility to act as the CQC Registered Manager for HSMHs regulated activities.
- Right to work in the UK.
Desirable
- Postgraduate leadership/management qualification (e.g., Level 7, MBA, CMgr/CMI, ILM).
- Project/programme management certification (e.g., PRINCE2, AgilePM).
- Quality Improvement/Lean Six Sigma (e.g., Yellow/Green Belt).
- Advanced safeguarding training (e.g., Safeguarding Supervision/Lead).
- Information governance/data protection certifications (e.g., BCS Data Protection, ISO 27001 awareness).
- Clinical registration (e.g., NMC/HCPC/GMC/SWE) or medicines management qualification.
- Risk management or patient safety credentials (e.g., PSIRF/LFPSE investigation training).
Experience
Essential
- Substantial experience leading a CQC-regulated service and acting as (or directly supporting) a CQC Registered Manager, including inspection preparation and evidence portfolios.
- Proven delivery of clinical governance: risk registers, audits, incidents/complaints handling, Duty of Candour, and learning/PSIRF processes.
- Safeguarding leadership across Adults and Children, with effective multi-agency working and escalation.
- Mobilising and operating NHS-commissioned pathways alongside private services, with KPI tracking and commissioner reporting.
- Strong information governance practice and DSPT compliance oversight; confident with EPR/telehealth systems and data quality.
- Experience of MHSDS reporting (or equivalent NHS datasets) and improving data completeness/accuracy.
- Medicines governance exposure, including controlled drugs oversight and safe e-prescribing workflows with partner pharmacies.
- Line-managing multidisciplinary teams: safer recruitment, induction, supervision/appraisal, training compliance and workforce planning.
- Budget/resource stewardship and supplier/contract oversight.
- Consistent track record of service improvement and measurable outcomes (access, safety, experience).
Desirable
- Service leadership in ADHD/neurodevelopmental care (assessment, diagnosis, titration, shared-care transitions).
- Working with ICBs/commissioners on contract mobilisation, e-RS onboarding, and pathway redesign.
- Hands-on MHSDS via SDCS Cloud, LFPSE incident reporting, and data/BI dashboards.
- Implementing Equality, Diversity & Inclusion and the Accessible Information Standard at service level.
- Designing and leading QI projects; audit programme design; change management across multi-site/hybrid teams.
- Digital transformation: EPR optimisation, e-prescribing integration, telehealth pathways.
- Freedom to Speak Up culture building; policy development and business continuity planning.
Other
Essential
- Values-led: patient-centred, compassionate, open and improvement-minded; models Duty of Candour.
- Excellent communication skills; able to produce clear reports, SOPs and commissioner updates.
- Highly organised; able to prioritise, meet deadlines and manage competing operational demands.
- Competent IT user (Microsoft 365, EPRs, dashboards) with strong data literacy.
- Willing and able to be the named CQC Registered Manager and primary inspection contact.
- Flexibility to attend occasional evening/weekend meetings and to travel between sites as required.
Desirable
- Experience representing services at system forums (ICB, safeguarding boards, CD LIN, quality collaboratives).
- Networks within ADHD/neurodevelopmental services and patient involvement groups.
- Lived experience insight and/or experience co-producing improvements with service users and carers.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
