Data Assurance and Compliance Lead

4 weeks ago


Chertsey Surrey, United Kingdom Health Jobs UK Full time

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 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.
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.
This includes organising, minute-taking, monitoring, and other related corporate activities required to meet the needs of the department and those involved.
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.
Lead on service self-assessment against national quality and regulatory standards and sector best practice.
Qualifications and Further Training
Current NMC registration as either Registered Midwife or Registered Nurse
Educated to postgraduate level or equivalent (or significant practical experience of regulation and compliance activities including service and process re-design.
Quality improvement methodology training and or Project Management qualification (e.g. PRINCE) or equivalent work experience
Recent training in an acute Trust in the NHS which demonstrates alignment with this role
Previous experience with a Governance / Quality and safety role in an acute setting
Experience with implementation of regulatory requirements and change management.
Knowledge of Audit methodology and statistical techniques. Participation in clinical audit, QI, including data collection and developing action plans
Report writing to a high standard.
Experience reviewing and writing, written material including investigations, reports, papers, data summaries and correspondence to a high standard - commensurate with profile correspondence to be available to the public and external organisations.
Experience working autonomously as well as leading, planning and organising work of a team to meet specific deadlines and quality standards.
Able to develop project workplans and negotiate, deliver, and monitor these for large projects such as regulatory inspections, audits, peer reviews and comparable projects.
Agile manager able to demonstrate how you have handled sensitive complex situations in a pressured environment.
Knowledge of improvement methodologies and how to apply these to Quality and Regulation
Knowledge of Care Quality Commission standards regarding patient experience and how these should be implemented in practice.
A good understanding of the national NHS quality and regulation agenda and initiatives.
Knowledge of data protection issues and patient confidentiality.
Understanding of cultural and diversity matters and how these can be effectively addressed particularly to benefit service users.
Knowledge of improvement methodologies and how to apply these in quality and regulation

Clinical audit and improvement skills obtained in an acute health setting.
Knowledge & awareness of diversity and human rights as appropriate to your role
Excellent technical writer of correspondence including reports, investigation responses, and other written information to ensure accurate and correct grammar and content.
Ability to practically generate governance, risk, quality and comparable information in a range of ways - templates, guidance documents, standard operating procedures, and policies.
Able to generate dashboards, key performance indicators, exception report, analyse and write commentaries.
Ability to translate complex clinical information into accessible language.
Policy writing and review - practically applying technical guidance into policies.
Able to validate data and information to demonstrate its reliability and triangulate evidence from differing information sources.
Able to present high quality visual communications material in presentations, brochures, reports using media and other technologies



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