Compliance and Quality Improvement Manager
Posted 3 hours 22 minutes ago by NHS
£64,156 - £71,148 Annual
Permanent
Full Time
Healthcare & Medical Jobs
London, Hackney, United Kingdom, E8 4TA
Job Description
Compliance and Quality Improvement Manager The Compliance and Quality Improvement Manager is responsible for developing, implementing, and managing the Trust's compliance and quality improvement frameworks to ensure adherence to Care Quality Commission (CQC) standards and other regulatory requirements. The post holder will lead compliance programmes, conduct deep dive reviews, coordinate peer reviews and mock inspections, and drive a culture of continuous improvement across Whittington Health.
This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.
This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement
Main duties of the job The post holder will:
We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients and doing more to prevent illness in our community than ever before. We are dedicated to improving services to deliver the best for our patients and service users whether we see them in our hospital, out in our sites across North London or in their own homes.
Job responsibilities Whittington Health NHS Trust
Job Description
Job Title: Compliance and Quality Improvement Manager Band: 8a Hours: 37.5 per week Department: Nursing and Patient Experience Base: Whittington Hospital Reports to: Associate Director of Quality Governance Accountable to: Deputy Chief Nurse
Job Summary
The Compliance and Quality Improvement Manager is responsible for developing, implementing, and managing the Trust's compliance and quality improvement frameworks to ensure adherence to Care Quality Commission (CQC) standards and other regulatory requirements. The post holder will lead compliance programmes, conduct deep dive reviews, coordinate peer reviews and mock inspections, and drive a culture of continuous improvement across Whittington Health.
This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.
This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement
Key Responsibilities
Regulatory Compliance and Governance
Attribute
Assessment
Qualifications
A/I
Willingness to undertake CPD
A/I
Experience
Minimum 5 years NHS experience
A
Demonstrable experience of leading regulatory compliance and quality improvement in a complex environment
A/I
Experience in integrated governance, risk management, and advising senior management
A/I
Experience managing teams within a regulatory framework
A/I
Experience working with CQC or equivalent regulatory bodies
A/I
Experience developing and delivering training programmes
A/I
Skills and Abilities
. click apply for full job details
This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.
This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement
Main duties of the job The post holder will:
- Act as the Trust's lead for regulatory compliance.
- Develop and implement structured compliance programmes, including annual reviews, mock inspections, and peer audits.
- Maintain strong relationships with regulators (e.g., CQC).
- Produce compliance reports for key committees (Quality Governance, Audit & Risk, Patient Safety).
- Coordinate the Annual Compliance, Governance, and Risk Report.
- Ensure evidence and documentation are inspection-ready.
- Embed compliance and risk management into operational practice.
- Lead quality improvement initiatives linked to compliance and patient safety.
- Support services in creating action plans post-audit or inspection.
- Facilitate deep dives and thematic reviews.
- Oversee Tendable audit schedules and ward accreditation programmes.
- Manage systematic review and updating of Trust policies.
- Ensure alignment with regulatory standards and national guidance.
- Develop internal/external materials for inspection readiness.
- Coordinate messaging around compliance and quality.
- Oversee logistical preparations for inspections.
- Work with senior leaders to build compliance capability.
- Engage medical and clinical staff in quality improvement.
- Network with other Trusts to share best practice.
- Line manage staff where required.
- Make independent decisions within scope.
- Uphold Trust values and compliance with equality, safeguarding, and data protection policies.
We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients and doing more to prevent illness in our community than ever before. We are dedicated to improving services to deliver the best for our patients and service users whether we see them in our hospital, out in our sites across North London or in their own homes.
Job responsibilities Whittington Health NHS Trust
Job Description
Job Title: Compliance and Quality Improvement Manager Band: 8a Hours: 37.5 per week Department: Nursing and Patient Experience Base: Whittington Hospital Reports to: Associate Director of Quality Governance Accountable to: Deputy Chief Nurse
Job Summary
The Compliance and Quality Improvement Manager is responsible for developing, implementing, and managing the Trust's compliance and quality improvement frameworks to ensure adherence to Care Quality Commission (CQC) standards and other regulatory requirements. The post holder will lead compliance programmes, conduct deep dive reviews, coordinate peer reviews and mock inspections, and drive a culture of continuous improvement across Whittington Health.
This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.
This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement
Key Responsibilities
Regulatory Compliance and Governance
- Act as the Trusts professional lead on regulatory compliance, maintaining up-to-date knowledge of CQC and other regulatory frameworks.
- Lead on developing and implementing a structured compliance programme, including annual and responsive compliance reviews.
- Oversee a programme of peer reviews, mock inspections, and self-audits across all services.
- Analyse findings, identify areas for improvement, and ensure timely implementation of remedial action plans.
- Develop and maintain strong working relationships with external regulators, including the CQC Relationship Manager.
- Produce and present compliance reports, dashboards, and exception analyses to Governance Committees, including the Quality Committee, Audit and Risk Committee, and Patient Safety Committee.
- Coordinate the production of the Annual Compliance, Governance, and Risk Report in collaboration with governance colleagues.
- Ensure that compliance evidence and documentation are current, accurate, and readily accessible for regulatory assessments.
- Work with senior management to embed compliance and risk management into clinical and operational practices.
- Service the Trust's Quality Governance Committee (QGC) and Quality Assurance Committee (QAC) providing support to the chair.
- Lead on the annual development and monitoring of the Trust's Quality Account.
- Lead on identifying, implementing, and monitoring quality improvement initiatives linked to regulatory compliance and patient safety.
- Support services in developing action plans and measurable improvements following audits, inspections, and investigations.
- Facilitate service deep dives and thematic reviews to inform targeted quality improvement activities.
- Support and advise clinical and non-clinical teams on compliance and governance best practices, using data-driven insights to improve performance.
- Oversee the Trust's Tendable audit schedule and reporting.
- Implement and manage the Trust's ward accreditation programme.
- Oversee a structured programme for systematic review and updating of all Trust policies and standard operating procedures.
- Ensure alignment of Trust policies with regulatory standards, governance requirements, and national guidance.
- Work with the Communications and Nursing teams to ensure consistent and effective messaging around quality and compliance.
- Develop internal and external materials for inspection readiness, including presentations and information packs for the CQC.
- Oversee logistical and communication preparations for inspections and visits, ensuring all areas of the Trust are inspection-ready.
- Work collaboratively with senior leaders and divisional teams to develop compliance capability and accountability within services.
- Support the Chief Medical Officer, Nursing, and Patient Experience teams to ensure medical and clinical staff are fully engaged in quality and compliance improvement.
- Develop networks with other provider Trusts to share learning and best practice.
- Line management of staff where required.
- Make independent decisions within the scope of the role to ensure regulatory compliance and escalate significant issues appropriately.
- Promote and uphold the Trust's values and commitment to quality, patient safety, and continuous improvement.
- Ensure compliance with Trust policies on Equality, Diversity and Inclusion, Safeguarding, Infection Control, Health and Safety, Data Protection, and Confidentiality.
- Executive Directors and Divisional Leadership Teams
- Quality Committee, Audit and Risk Committee, and Patient Safety Committee
- Head of Quality Governance and Risk Governance Manager
- Chief Medical Officer, Chief Operating Officer, and Nursing Leadership Team
- IM&T, Business, and Performance Teams
- External Regulators (e.g., CQC, NHS England)
- Partner Agencies and Stakeholders
- Patients and service users
Attribute
Assessment
Qualifications
A/I
Willingness to undertake CPD
A/I
Experience
Minimum 5 years NHS experience
A
Demonstrable experience of leading regulatory compliance and quality improvement in a complex environment
A/I
Experience in integrated governance, risk management, and advising senior management
A/I
Experience managing teams within a regulatory framework
A/I
Experience working with CQC or equivalent regulatory bodies
A/I
Experience developing and delivering training programmes
A/I
Skills and Abilities
. click apply for full job details