Compliance and Assurance Lead - Chertsey, United Kingdom - Ashford & St. Peter's Hospitals NHS Foundation Trust

Tom O´Connor

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Tom O´Connor

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Description
You will achieve your role through performing work to the highest standards of performance. You will deliver the requirements of the maternity services in respect of regulation, compliance and quality.

Regulation incorporates all applicable requirements relating to maternity services including, but not limited to, statutory requirements, other legal requirements, requirements of health regulators such as Care Quality Commission (CQC), NHS Improvement (NHSI), National Health Service Resolution (NHSR) and items recommended by external advisors to the Trust.

The mix of work among areas may change over time, according to service need.


The post holder will assist with the development and compliance of local and national clinical audit plans, and NICE guidance compliance, ensuring there is a robust programme of clinical audit and clinical guideline review in place.

Deploy a transformational, can-do, approach to ensuring the services compliance with core areas of quality and where regulation is required.

Support the Perinatal Quality and Safety Lead to meet the requirements of the Patient Safety Incident Response Framework (PSIRF) relevant to the job role, specifically oversight of audit and test of effectiveness.

Support the Quality & Safety Lead to develop robust mechanisms that enable floor to Board reporting and assurance.


Ensure mechanisms are in place to audit key quality metrics in all clinical areas; working with the clinical matrons for each area and other specialist roles to monitor compliance and service improvements.

Deliver, and be the expert advisor on, regulation and core corporate quality, and work with colleagues to convert this into practical delivery across the Service.

Support the compliance with Perinatal Mortality Review Tool process. Effectively contribute to the Trust and Maternity vision, strategic objectives and key work programmes.

Monitor and assure on compliance with reports issued by external agencies.

Prepare and collate update reports to regulators including visit preparations, timetables, schedules, clinical performance update reports, ad-hoc requests, and other regulatory submissions externally and internally.

Develop and implement internal monitoring/assurance systems to support compliance with the Maternity Incentive Scheme, working with colleagues to ensure the systems provide timely, complete, accurate information and that this is used to drive clinical service improvement.

Prepare information for regulatory visits such as Care Quality Commission.

Work with colleagues to meet the needs of regulatory requirements. Work with other leads/managers of the service, to ensure aims and objectives are collectively delivered in a joined-up manner. Expertly handle timely, accurate and smooth functioning of relevant service level meetings.

This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved.

Be an expert minute taker, requiring no re-work of draft minutes. Quality assure on minutes taken by colleagues. Support information associated with external/internal bodies such as CCG, CQC, or other forums as applicable to the role. Implement robust systems of work to ensure that feedback is responded to promptly, effectively, and cohesively.


Prepare verbal, written, and visual information timely and to a high standard of accuracy, reliability, and readability, appropriate for a wide range of audiences.

Lead on service self-assessment against national quality and regulatory standards and sector best practice.

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