Compliance and Assurance Lead

at  Ashford and St Peters Hospitals NHS Foundation Trust

Compliance and Assurance Lead (Band 7, 37.5 hours, Permanent)
Ashford & St Peters NHS Foundation Trust are seeking an experienced midwife or nurse, with demonstrable knowledge of the clinical governance and patient safety agenda, to join their established and experienced Quality & Safety Team within the Women’s Health & Paediatrics Division. In this role, you will be responsible for ensuring compliance with a wide variety of standards and regulations and other national, regional and local requirements.
You will need to be adaptable, able to manage your own workload, responsive to events as they occur and enjoy working as part of a busy team with a passion for quality improvement and a strong desire to improve safety and patient experience.
You will be joining ASPH Maternity Department at a time of exciting change as we embark upon a journey to implement the new national Patient Safety Incident Response Framework (PSIRF) designed to support teams to learn from incidents and support the families and staff involved.
Visits for prospective employees are welcomed.
Please contact Emma Bradley, Maternity and Neonatal Safety Lead (emma.bradley9@nhs.net) for an informal chat about the role.
The post holder will have day-to-day ownership of the Maternity Regulatory requirements including the Care Quality Commission (CQC) standards and regulations, NHS Resolution Maternity incentive scheme(CNST) and other related requirements.
The post holder will develop, implement and monitor strategies to ensure CQC, CNST, Saving Babies Lives (SBL) and other maternity related standards are met. This should be inclusive of supporting incident case reviews, PMRT and ATAIN reviews.
The post holder will monitor the service compliance with NICE guidance and support the oversight of guideline reviews within appropriate timeframes.
The post holder will assist with the development and compliance of local and national clinical audit plans, ensuring there is a robust programme of clinical audit.
Regulatory Maternity and corporate quality initiatives will be joined up internally, and with system partners, so that the Maternity service attains a high performing status with excellent assurance and improvement.
Where required the post holder should represent the Trust and the maternity service externally at applicable forums with support from the Perinatal Quality and Safety Lead or with specific delegated responsibility to provide required reports, data, audit outcomes and compliance of regulatory standards and ambitions.
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter’s, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development, staff benefits and flexibility to shape our workforce around our patient care.
This is an exciting time to join our Trust, as we work on the expansion of our theatres at Ashford Hospital and move towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures; with care delivered by dedicated, specialist teams in a modern and well-equipped environment.
We hope to use this centre to create an environment of learning and to facilitate training of the next generation of our skilled NHS workforce. Our plans are ambitious - why not, come and be a part of our journey.
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
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

Please refer the Job description for details