Job summary
We're now looking for a Compliance Manager to help us continue our exceptional standards of safety, accountability, and regulatory excellence. This is more than a compliance role its a chance to make a real difference, ensuring that our operations remain as life-saving behind the scenes as they are in the skies.
If you're a detail-driven professional who thrives on purpose and precision, and you're ready to support one of the most respected air ambulance charities in the country, we want to hear from you.
Main duties of the job
To maintain and lead a culture of compliancewhilst ensuring adherence to all relevant regulations and laws.
Ensure that the Charity, workforce, andspecific programmes comply with relevant healthcare delivery legislative andregulatory specifications, including Care Quality Commission (CQC) fundamentalstandards and ethical stipulations by ensuring systems and processes aredesigned, maintained and adhered to by all staff, crew and contractors.
Be the key point of contact, providing adviceand support to the team and ensuring a robust framework for monitoring andmanaging all aspects of compliance processes, procedures, and controls is inplace
Monitor changes in relevant governancelegislation and the regulatory environment and take appropriate action to ensure LNAA iscompliant. This will include coachingand mentoring the wider LNAA team ensuring that they are skilled and actingconsistently, as well as identifying opportunities for improvement andimplementing appropriate solutions.
You will provide expert advice and assurance regarding the compliance ofthis framework to the Leadership Team, along with Risk, H&S, InfoGovernance and other committees as required.
This role will provide a strong, visibleprofessional focus on ensuring the improvement of the Charity's CQC governanceand regulatory focus.
A full job pack is available on our website www.ambucopter.org.uk
About us
The Lincs &Notts Air Ambulance (LNAA) provides lifesaving critical care to the communitiesof Lincolnshire & Nottinghamshire, funded by public donations. If somebodyis involved in a serious incident or suddenly taken ill, speed and time are ofthe essence. Giving a patient the best chance of survival, our Air Ambulancecrew effectively take the A&E department to the scene of the emergency.
Recently rated outstanding by the Care QualityCommission across all five areas that were inspected Safe,Caring, Effective, Responsive and Well led,weare a friendly, inclusive, and dynamic team focused on ensuring we deliver thebest possible service. The tie that binds us here at LNAA is our set of values Teamwork. Respect. Innovation. Compassion (TRIC). We display these attributesin the way we interact with the people we meet, from former patients andvolunteers to our supporters and colleagues.
Job description
Job responsibilities
Support the CQC Registered Manager in ensuring thatCQC standards are met and exceeded at all times.
Create, develop and maintain an effectivecompliance monitoring and audit methodology that covers both clinical andnon-clinical aspects of key compliance as relevant to the clinical andoperational areas.
Work with the Charity and its clinical teams toreview current policies and processes. This review will aim to ensure that allactivities are compliant with legislative and regulatory requirements, internalpolicies and procedures and that they support the delivery of LNAAs strategicplan.
Conduct regular internal audits to ensure that theadministration, compliance procedures and policy documents are followed and fitfor purpose. And make recommendations for future improvements.
Support the CQC Registered Manager in monitoring,reviewing and supporting clinical and operational team members to ensure thatthey meet and maintain the approved standards of clinical competence, currency,fitness, performance and conduct required for the safe and effectiveperformance of their role.
Develop a robust reporting and KPI methodology forcompliance management that assists the CQC Nominated Individual and the CQC RegisteredManager in reporting to the Board of Trustees
Work in collaboration with the CEO and COO toensure our governance structure is fit for purpose.
Key areas forcompliance monitoring:
o CQC and otherclinical regulatory standards.
o Medicines managementand audit.
o Audit of Charity,Fundraising and Gambling Regulations.
Provide bestpractice governance advice and support to the CEO and Leadership Team. Implementingbest practice, ensuring regulatory/codes of practice compliance, ongoing reviewof consultations on Charity governance and promoting good governance inpractice.
Liaise withall third-party suppliers engaged by the Charity to understand their currentfundraising policies and processes.
Lead on our Compliance,Quality and Incident Management software to help manage all aspects ofcompliance, ensuring timely performance monitoring and reporting.
DevelopCharity-wide compliance resources and awareness for all of our workforce
SPECIFIC RESPONSIBILITIES
Regularly inform, update and advise the CQC RegisteredManager regarding all areas of compliance.
Contribute to the review and development ofpolicies within areas of knowledge.
Undertake auditing of quality improvement projects,services, initiatives across the charity to establish the effectiveness ofimplementation.
Participate in safety management activity andmonitoring across the Charity, including the investigation of incident reports,near misses and complaints, managing risks, promoting a safe, effective,caring, responsive and well-led workplace and culture.
Ensure timely completion of the annual DataSecurity and Protection Toolkit (DSPT) submission, building a culture ofcontinual improvement on requirements each year.
Work with the Charity DPO to ensure that clinical dataand processes are secure and meet the required standards.
CQC
Assist the CQCRegistered Manager in the maintenance and gathering of CQC Key Lines of Enquiryevidence when required for CQC inspections, ESF, PIR or other similarreports/inspections.
Use, review,audit and report CQC evidence regularly via our software system.
Assure the CQCRegistered Manager of the wider Charity practices about the Key Lines ofEnquiry.
Work with theInfection Prevention and Control (IPC) Lead to ensure compliance with IPCprinciples and practices.
Work with theSafeguarding Leads to ensure compliance with safeguarding principles,practices, and reporting.
Work with ourAfter Care Team to ensure compliance with data protection.
Job description
Job responsibilities
Support the CQC Registered Manager in ensuring thatCQC standards are met and exceeded at all times.
Create, develop and maintain an effectivecompliance monitoring and audit methodology that covers both clinical andnon-clinical aspects of key compliance as relevant to the clinical andoperational areas.
Work with the Charity and its clinical teams toreview current policies and processes. This review will aim to ensure that allactivities are compliant with legislative and regulatory requirements, internalpolicies and procedures and that they support the delivery of LNAAs strategicplan.
Conduct regular internal audits to ensure that theadministration, compliance procedures and policy documents are followed and fitfor purpose. And make recommendations for future improvements.
Support the CQC Registered Manager in monitoring,reviewing and supporting clinical and operational team members to ensure thatthey meet and maintain the approved standards of clinical competence, currency,fitness, performance and conduct required for the safe and effectiveperformance of their role.
Develop a robust reporting and KPI methodology forcompliance management that assists the CQC Nominated Individual and the CQC RegisteredManager in reporting to the Board of Trustees
Work in collaboration with the CEO and COO toensure our governance structure is fit for purpose.
Key areas forcompliance monitoring:
o CQC and otherclinical regulatory standards.
o Medicines managementand audit.
o Audit of Charity,Fundraising and Gambling Regulations.
Provide bestpractice governance advice and support to the CEO and Leadership Team. Implementingbest practice, ensuring regulatory/codes of practice compliance, ongoing reviewof consultations on Charity governance and promoting good governance inpractice.
Liaise withall third-party suppliers engaged by the Charity to understand their currentfundraising policies and processes.
Lead on our Compliance,Quality and Incident Management software to help manage all aspects ofcompliance, ensuring timely performance monitoring and reporting.
DevelopCharity-wide compliance resources and awareness for all of our workforce
SPECIFIC RESPONSIBILITIES
Regularly inform, update and advise the CQC RegisteredManager regarding all areas of compliance.
Contribute to the review and development ofpolicies within areas of knowledge.
Undertake auditing of quality improvement projects,services, initiatives across the charity to establish the effectiveness ofimplementation.
Participate in safety management activity andmonitoring across the Charity, including the investigation of incident reports,near misses and complaints, managing risks, promoting a safe, effective,caring, responsive and well-led workplace and culture.
Ensure timely completion of the annual DataSecurity and Protection Toolkit (DSPT) submission, building a culture ofcontinual improvement on requirements each year.
Work with the Charity DPO to ensure that clinical dataand processes are secure and meet the required standards.
CQC
Assist the CQCRegistered Manager in the maintenance and gathering of CQC Key Lines of Enquiryevidence when required for CQC inspections, ESF, PIR or other similarreports/inspections.
Use, review,audit and report CQC evidence regularly via our software system.
Assure the CQCRegistered Manager of the wider Charity practices about the Key Lines ofEnquiry.
Work with theInfection Prevention and Control (IPC) Lead to ensure compliance with IPCprinciples and practices.
Work with theSafeguarding Leads to ensure compliance with safeguarding principles,practices, and reporting.
Work with ourAfter Care Team to ensure compliance with data protection.
Person Specification
Experience
Essential
* Working experience of managing compliance and within a medium-sized organisation.
* Experience and working knowledge of health care and CQC compliance.
* Experience in influencing the risk management and safety agenda.
* Experience of risk management and an understanding of Governance.
* Awareness of current issues and risk within the healthcare provision.
* Good working knowledge of Microsoft Office.
* Skills for communication on complex information and administrative matters, requiring developed interpersonal and oral/ written communication skills.
* Developed and comprehensive project management skills.
* Knowledge of a Risk Management framework.
* Ability to impart knowledge and share with others.
* Strong organisational skills with attention to detail.
* Ability to handle confidential and sensitive information.
* Knowledge of CQC regulatory framework.
* Ability to use initiative and act independently, deciding how best to achieve expected results.
* Highly developed interpersonal and communication skills.
* High levels of curiosity & external awareness.
* Ability to maintain a high level of productivity while managing competing priorities.
* Continuous improvement mindset.
* Self-motivated and able to retain enthusiasm and stay focused.
* A willingness and desire to be flexible, adapt and change as the charity requires.
* Commitment to the values of LNAA and the broader sector that it operates in.
Desirable
* Relevant Degree.
* Knowledge and experience in clinical environments.
* Management of the adherence to regulations and policies within a healthcare setting, ensuring quality of care and regulatory compliance.
* Knowledge of data processing operations in healthcare and/or charity sectors.
Person Specification
Experience
Essential
* Working experience of managing compliance and within a medium-sized organisation.
* Experience and working knowledge of health care and CQC compliance.
* Experience in influencing the risk management and safety agenda.
* Experience of risk management and an understanding of Governance.
* Awareness of current issues and risk within the healthcare provision.
* Good working knowledge of Microsoft Office.
* Skills for communication on complex information and administrative matters, requiring developed interpersonal and oral/ written communication skills.
* Developed and comprehensive project management skills.
* Knowledge of a Risk Management framework.
* Ability to impart knowledge and share with others.
* Strong organisational skills with attention to detail.
* Ability to handle confidential and sensitive information.
* Knowledge of CQC regulatory framework.
* Ability to use initiative and act independently, deciding how best to achieve expected results.
* Highly developed interpersonal and communication skills.
* High levels of curiosity & external awareness.
* Ability to maintain a high level of productivity while managing competing priorities.
* Continuous improvement mindset.
* Self-motivated and able to retain enthusiasm and stay focused.
* A willingness and desire to be flexible, adapt and change as the charity requires.
* Commitment to the values of LNAA and the broader sector that it operates in.
Desirable
* Relevant Degree.
* Knowledge and experience in clinical environments.
* Management of the adherence to regulations and policies within a healthcare setting, ensuring quality of care and regulatory compliance.
* Knowledge of data processing operations in healthcare and/or charity sectors.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details
Employer name
Lincs & Notts Air Ambulance
Address
Lincs & Notts Air Ambulance
Hems Way
Bracebridge Heath
Lincoln
LN4 2GW
Employer's website #J-18808-Ljbffr