Compliance Manager

at  Whittington Health NHS Trust

The post holder will be responsible for ensuring that all matters relating to Estates Department quality control are implemented and that effective monitoring is setup to show our compliance to HTMs, HBNs, PAM, the Health and Safety at Work Act and ensure all appropriate remedial tasks are tracked and recorded.
They will be a senior member of the Asset Management Team providing specialist advice on a whole range of estates and technical issues, providing specialist expert knowledge on compliance, developing data capture and delivering reporting to Senior Managers.
The post holder will collect and maintain the asset base for all sites and work in conjunction with the CAFM manager on compiling the Preventative Maintenance Schedule. They will write Risk Assessments and Method Statements (RAMS) for Estates related works and review RAMS for additional and capital works.
They will be responsible for writing and reviewing Estates policies and procedures and standing operational procedures. They will work with the Health & Safety Manager to ensure these remain compliant and in-date.
Working with the Health & Safety Manager, develop policies, emergency and operational procedures for effective management of Statutory Compliance.
Professionally audit/review Estates evidence and evidence-based management systems to assure compliance with relevant standards i.e., BSEN, CQC, HTM, HBN.
Compile a comprehensive library of Risk Assessment and Method Statements (RAMS) for all Estates related works.
Review RAMS for additional and capital works with 5 days of being presented.
Lead on statutory returns specific to the estate’s directorate, Estates Returns Information Collection (ERIC) and Premises Assurance Model (PAM). Responsible for developing and tracking all remedial actions.
Ensure the Trust CAFM system is up to date by maintaining a register of all estates assets via a change control process including asset collection of existing and new works.
Where necessary, write and review Risk Assessments and Method Statements for all Estates related assets.
Obtain and file all relevant certificates of compliance and insurance that we are required to hold.
Participate in relevant internal / external programme meetings and working groups to provide information and expertise.
To be fully conversant with all Engineering and Architectural drawings as well as materials and products used on hospital sites.
Responsible for estates information and records to comply with operational, legislative and mandatory requirements in compliance with HC (86)13 and HSC 1999(053).
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff.
We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief.
As a public sector organisation, we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Compliance Management
Provide professional advice and guidance on a wide range of estates issues including major capital projects.
Working with the Health & Safety Manager, develop policies, emergency and operational procedures for effective management of Statutory Compliance.
Professionally audit/review Estates evidence and evidence-based management systems to assure compliance with relevant standards i.e., BSEN, CQC, HTM, HBN.
Compile a comprehensive library of Risk Assessment and Method Statements (RAMS) for all Estates related works.
Review RAMS for additional and capital works with 5 days of being presented.
Working with the Trust Emergency Planning Officer to ensure there is an effective Business Continuity Plan.
Lead on statutory returns specific to the estate’s directorate, Estates Returns Information Collection (ERIC) and Premises Assurance Model (PAM). Responsible for developing and tracking all remedial actions.
Interrogate, critically analyse statistical data identifying and reporting trends pertaining to Estates Compliance.
Ensure the Trust CAFM system is up to date by maintaining a register of all estates assets via a change control process including asset collection of existing and new works.
Where necessary, write and review Risk Assessments and Method Statements for all Estates related assets.
Obtain and file all relevant certificates of compliance and insurance that we are required to hold.
Foster a culture of Statutory Compliance, Health and Safety and risk management.
Engender a culture of Quality Assurance developing such systems as required to provide suitable management assurance.
Participate in relevant internal / external programme meetings and working groups to provide information and expertise.
Liaise with the Capital and Estates teams to ensure refurbishment works are statutory compliant.
Work in unity with all hard service projects to ensure the successful transfer of services from projects to business-as-usual Estates teams.
To be fully conversant with all Engineering and Architectural drawings as well as materials and products used on hospital sites.
Communicate technical project related information with other professionals, both internal and external personnel, including senior managers, directors, to ensure that work undertaken conforms to all statutory and HTM requirements.
Represent the trust on internal / external Safety Groups or other compliance meetings as required.
Responsible for estates information and records to comply with operational, legislative and mandatory requirements in compliance with HC (86)13 and HSC 1999(053).
Undertake regular environmental quality inspection of premises services using a variety of methods, reporting to the Head of Estates and resolving any areas of concern.
Liaise with Estates & Facilities colleagues on matters which impact on Estates & Facilities services or health and safety.
Comply with and ensure that estates compliance staff comply with, Trust Standing Orders, Standing Financial Instructions, Tendering Procedures and EU Directives.
Review audits relating to premises owned by external organisations and occupied by the Trust.
Leadership
To lead and manage Compliance assurance.
Ensure all estates compliance staff receive regular supervision and have Personal Development Plans.
Identify training needs and draw up programmes to meet those needs.
Build strong, collaborative relationships with colleagues across the wider Whittington Health understanding the compliant status of all our community sites.
Communicate frequently with a wide range of colleagues and other agencies including delivering complex messages through presentations, reports, chairing meetings etc.
Be an effective member of the Trust’s Estates and Facilities team, demonstrating a commitment to the Trust’s strategic objectives and vision.
Development and Performance of the Estate
Develop with the Head of Estates strategies for the estate, to meet Trust service requirements both now and in the future.
Responsible for auditing compliance with Care Quality Commission outcomes relating to the estate.
Review development proposals for new premises advising on compliance issues.
To monitor and report on the effectiveness of the estates team compliance to HTMs, HBN’s, H&S Act, following the compliance audit schedule.
To have a good understanding of and able to report on the requirements of COSHH, Asbestos regulations, control of Legionella within healthcare Premises, Medical gases, RIDDOR, LOLER, CDM regulations, the Electricity at Work Act and all relevant Health and Safety Regulations.
Provide estates advice on future service and major capital developments.
Responsible for developing all-encompassing reporting to highlight our compliance position and adherence to HBN’s for Executive readership.
Prepare monthly multi-stranded monitoring reports for presentation within our performance meetings.
Analyse patterns of incidents, prepare initial analysis, identify risks, and report findings on various forums

Please refer the Job description for details