Ashford & St. Peter's Hospitals NHS Foundation Trust
Bank Quality Compliance Manager
Closing date: 03 May 2026
Are you passionate about quality, compliance, and driving improvement in healthcare? We have an exciting opportunity for a Quality Compliance Manager (Band 7) to join our Regulation and Compliance Team on the Bank. This role is pivotal in ensuring our Trust maintains robust frameworks that support compliance with regulatory body standards (such as the Care Quality Commission) and Accreditations (such as Ward Accreditation), while fostering continuous improvement. If you are interested in developing your knowledge and experience in Corporate Governance and compliance, this role is for you. The successful candidate will be supported to develop their knowledge and skills in the delivery of this role.
This is a fantastic opportunity for an individual with healthcare experience who thrives in a dynamic environment and is passionate about enhancing care quality and patient experience.
This role is initially part time with a view to extend to full time.
Main duties of the job
As a Quality Compliance Manager, you will work collaboratively with colleagues across the organisation to ensure we meet all regulatory and accreditation requirements. You will play a key role in:
* Providing assurance on regulatory and accreditation compliance.
* Supporting and maintaining strong relationships with regulatory bodies.
* Responding to regulatory enquiries and coordinating inspections.
* Implementing and monitoring action plans post‑inspection.
* Producing high‑quality reports and compliance updates for leadership.
* Managing relevant meetings, agendas, minutes and action logs.
About us
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 and flexibility to shape our workforce around our patient care.
We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state‑of‑the‑art centre for excellence for planned surgical procedures.
We can offer you the full range of NHS benefits and discounts and in addition:
* Excellent pension scheme and annual leave entitlement
* On‑site nurseries
* On‑site staff cafés
* On‑site parking
* Salary sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
For more information about a career at ASPH please visit: www.asph-careers.org
Job responsibilities
Quality Assurance & Regulatory Compliance (Operational)
Coordinate the Trust's day‑to‑day regulatory compliance activity, ensuring systems, trackers, and evidence repositories are accurate and up to date.
Support the maintenance of key regulatory documentation including the Statement of Purpose, registered locations, and regulatory notifications.
Coordinate and monitor responses to regulatory requests and enquiries, ensuring submissions are timely, accurate, and quality‑assured.
Maintain central logs and action trackers for regulatory actions, inspections, external reviews, and recommendations.
Support the preparation and organisation of regulatory visits, including schedules, evidence collation, interviews, and logistics.
Support compliance with Trust policies and procedures by coordinating assurance activity, supporting services to provide evidence of implementation, and identifying gaps for escalation where standards are not met.
Inspection Readiness & Internal Assurance
Coordinate internal quality assurance activity, including mock inspections, quality walkarounds, and self‑assessment exercises, in line with agreed frameworks.
Support services to prepare high‑quality evidence that meets regulatory standards and expectations.
Review and quality‑assure compliance evidence prior to submission, escalating risks or gaps to the Head of Quality & Regulation.
Assist in the monitoring of action plans following inspections or reviews, supporting services to demonstrate progress and learning.
Support the triangulation of quality intelligence from multiple sources (including audits, incidents, inspection findings and patient feedback) to inform assurance activity and escalation.
Identify and escalate quality and regulatory risks in line with Trust risk management processes, supporting services to articulate risks clearly and ensuring timely escalation to senior quality leaders where required.
Advice, Guidance & Interpretation
Provide specialist advice to services on regulatory and quality standards, explaining requirements clearly and pragmatically.
Interpret national guidance, standards, and frameworks, highlighting implications for operational delivery.
Support clinical and corporate teams to embed regulatory expectations into everyday practice.
Escalate emerging risks, themes, or areas of concern to senior quality leaders in a timely manner.
Prepare high‑quality written reports, dashboards, summaries, and briefings for internal meetings and committees.
Coordinate and administer quality and compliance meetings as assigned, including agendas, action logs, papers, and minutes.
Ensure actions arising from quality and compliance meetings are accurately captured, tracked and progressed in line with agreed governance arrangements.
Support the production of data and narrative reports for senior leaders, ensuring accuracy, clarity, and professional presentation.
Assist with the collation of information for Board and sub‑Board reporting (without Board‑level accountability).
Training & Capacity Building
Support the delivery of Trustwide training and briefings on quality and regulatory requirements.
Contribute to corporate induction and targeted learning sessions related to compliance and inspection readiness.
Share learning and best practice across teams to improve organisational understanding of quality and regulation.
Support improvement work arising from inspections, incidents, audits, claims, and patient feedback.
Support internal quality reviews and audits of processes and systems, contributing to assurance and organisational learning.
Contribute to learning reviews and the dissemination of themes and improvements.
Support the Head of Quality & Regulation in maintaining an overview of organisational compliance maturity.
Professional & Team Contribution
Work collaboratively across the Quality Team to deliver shared objectives.
Provide cross‑cover and support during periods of absence or increased demand.
Maintain personal professional development and specialist knowledge in quality and regulation.
Act at all times in accordance with Trust values, policies, and governance standards.
Support continuity of quality assurance and regulatory compliance activity during periods of operational pressure, including inspections or surge events, through flexible working and effective prioritisation.
Person Specification
Qualifications
* Degree‑level qualification or equivalent experience in a relevant field.
* Clinical qualification or significant experience working closely with clinical services.
* Training or qualification in quality improvement, audit, governance, or project management.
* Evidence of continued professional development in quality, safety, or regulatory compliance.
Experience and Knowledge
* Demonstrable experience of working within NHS quality, governance, or compliance frameworks.
* Experience supporting or coordinating regulatory inspections, reviews, or external assessments.
* Experience of producing high‑quality written reports, summaries, and assurance documentation.
* Experience of mock inspections, self‑assessment programmes, or internal assurance activity.
Skills
* Excellent written communication skills, with the ability to produce clear, accurate, and well‑structured reports and correspondence.
* Effective verbal communication skills, able to explain complex regulatory or quality requirements in an accessible way.
* Ability to present information visually using dashboards or presentation tools.
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 name
Ashford & St. Peter's Hospitals NHS Foundation Trust
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