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Job Summary
The Quality and Patient Safety Manager is responsible for promoting and assuring patient safety and high standards of clinical quality within the organisation. This role leads on the development and implementation of quality improvement initiatives, clinical governance policies, and monitoring frameworks that enhance patient outcomes and reduce clinical risk. A key aspect of the role is to foster a culture of safety, learning, and continuous improvement across clinical and operations.
Job Summary
The Quality and Patient Safety Manager is responsible for promoting and assuring patient safety and high standards of clinical quality within the organisation. This role leads on the development and implementation of quality improvement initiatives, clinical governance policies, and monitoring frameworks that enhance patient outcomes and reduce clinical risk. A key aspect of the role is to foster a culture of safety, learning, and continuous improvement across clinical and operations.
The post holder will provide expert advice and assurance to the Chief Executive Officer, Senior Leadership Team, and relevant Board sub-committee on matters of clinical quality, compliance, and patient safety. They will work closely with the Clinical Quality and Operations Director and collaborate with the Non-Clinical Quality Manager to ensure alignment and consistency in quality efforts.
Main duties of the job
The role also carries responsibility for Infection Prevention and Control (IPC), ensuring that legal requirements and sector best practices are applied effectively. In addition, the post holder will lead on all safeguarding matters related to clinical activities, acting as a key liaison for internal teams and external agencies to ensure a robust safeguarding framework is in place.
The Quality and Patient Safety Manager will hold a relevant clinical qualification and registration (e.g. HCPC registered Paramedic or Critical Care Paramedic) and bring substantial experience in clinical governance, incident investigation, and healthcare quality systems. While this role carries no direct line management responsibilities, it requires strong leadership and influence across multidisciplinary teams.
Please refer to the job description for full details of the main duties of this role.
About Us
Midlands Air Ambulance Charity (MAAC) is an independent health care provider and is rated outstanding by the Care Quality Commission (CQC). We are responsible for for delivering pre-hospital emergency helicopter led service across the Midlands region - we proudly serve the diverse communities of Gloucestershire, Herefordshire, Shropshire, Staffordshire, Worcestershire and West Midlands.
Please refer to our website to learn more about our charity.
Midlands Air Ambulance Charity is the largest Air Ambulance Charity in England serving a population of nearly seven million over six counties. We are an established healthcare provider with over three decades of experience.
Details
Date posted
03 July 2025
Pay scheme
Other
Salary
£45,000 a year (negotiable based on experience)
Contract
Permanent
Working pattern
Full-time, Flexible working
Reference number
B0531-25-0000
Job locations
Midlands Air Ambulance Charity
Airbase Avenue
Neachley
Shifnal
Shropshire
TF11 8UR
Job Description
Job responsibilities
Compliance Monitoring and Reporting Clinical Operations
Monitor and analyse clinical data to identify trends, support service development, and highlight areas for improvement.
Utilise RADAR Healthcare analytics and reporting functions to track compliance across audits, risks, tasks, and documentation.
Promote a culture of compliance and accountability, particularly regarding adherence to clinical policies and procedures.
Prepare concise audit and compliance reports for the Clinical Quality and Operations Director and Medical Director.
Provide clinical quality assurance reports to the Senior Leadership Team, Board, and sub-committees, highlighting any areas of concern.
Regulated Activities
Support compliance with Care Quality Commission regulatory standards to ensure the delivery of safe, person-centred care.
Submit statutory notifications for example Regulation 16a, RIDDOR, on behalf of the Registered Manager when authorised.
Contribute to CQC self-assessments, peer reviews, and preparation for inspections.
Assist in collating and presenting evidence to regulatory bodies during inspection or review.
Safeguarding
Act as the organisational lead for safeguarding within clinical operations.
Manage safeguarding cases, including referrals, child death notifications, and CDOP representation.
Maintain and respond to the clinical safeguarding inbox in a timely and appropriate manner.
Contribute to the development and dissemination of groupwide safeguarding policies and resources.
Generate safeguarding reports and ensure effective liaison with external safeguarding partners.
Document Control
Oversee clinical document lifecycle management, ensuring version control and accurate records in RADAR Healthcare.
Ensure timely communication and implementation of document updates across clinical teams.
Monitor compliance with documentation standards and report non-conformance.
Work with the Company Secretary to maintain governance-related documentation.
Audits and KPIs
Develop and maintain a comprehensive clinical and operational audit schedule.
Conduct or support audits based on clinical guidelines, SOPs, PGDs, or learning needs.
Use HEMSBase and other systems for clinical audit activity and performance reporting.
Review and assure the quality of completed audits, escalating issues as needed.
Benchmark clinical data and outcomes with external providers as required.
Patient Safety Events (Incidents, Concerns, and Complaints)
Promote open reporting and learning from patient safety events.
Design and oversee systems to investigate incidents, ensure follow-up, and share learning.
Ensure compliance with external incident reporting requirements.
Lead or support safety improvement initiatives, engaging both internal teams and external partners.
Act as a key contact for external stakeholders on safety and governance matters.
Risk Management
Maintain oversight of the clinical and patient safety risk register, ensuring risks are accurately assessed and reviewed.
Support the development and review of risk assessments.
Monitor outstanding risks or controls and ensure appropriate escalation.
Support planning and documentation of business continuity exercises.
Learning
Coordinate learning from incidents and governance activity using the RADAR Healthcare learning log.
Review and monitor actions arising from learning events to ensure timely completion.
Analyse themes and trends from learning data to support clinical development.
Review HM Coroner's reports for relevant learning and ensure dissemination.
Infection Prevention and Control (IPC)
Lead on IPC across the organisation, ensuring compliance with statutory guidance and best practice.
Collaborate with the IPC lead Director on group-wide IPC policy, compliance and reporting.
Monitor cleaning schedules, audit results, and contractor performance.
Investigate IPC incidents and implement appropriate learning and improvements.
Additional Duties
Contribute to the annual Education and Training Needs Analysis.
Lead or support task-and-finish projects, providing progress updates and managing project risks.
Develop process maps and workflows to support clinical efficiency and clarity.
Manage safety alerts and ensure appropriate action and documentation.
Provide oversight of RADAR Healthcare event categorisation and workflow allocation.
Support clinical innovation and the safe implementation of new equipment, medicines, and procedures.
Act as coordinator for internal or collaborative research projects.
Participate in and contribute to benchmarking exercises at both local and national levels.
The Charity is committed to safeguarding and promoting the welfare of all stakeholders. All post holders are subject to a satisfactory Disclosure and Barring Service check (DBS) and satisfactory employment references, as well as identification, prohibition, qualification and barred list checks, which will be required before commencing duties.
Job Description
Job responsibilities
Compliance Monitoring and Reporting Clinical Operations
Monitor and analyse clinical data to identify trends, support service development, and highlight areas for improvement.
Utilise RADAR Healthcare analytics and reporting functions to track compliance across audits, risks, tasks, and documentation.
Promote a culture of compliance and accountability, particularly regarding adherence to clinical policies and procedures.
Prepare concise audit and compliance reports for the Clinical Quality and Operations Director and Medical Director.
Provide clinical quality assurance reports to the Senior Leadership Team, Board, and sub-committees, highlighting any areas of concern.
Regulated Activities
Support compliance with Care Quality Commission regulatory standards to ensure the delivery of safe, person-centred care.
Submit statutory notifications for example Regulation 16a, RIDDOR, on behalf of the Registered Manager when authorised.
Contribute to CQC self-assessments, peer reviews, and preparation for inspections.
Assist in collating and presenting evidence to regulatory bodies during inspection or review.
Safeguarding
Act as the organisational lead for safeguarding within clinical operations.
Manage safeguarding cases, including referrals, child death notifications, and CDOP representation.
Maintain and respond to the clinical safeguarding inbox in a timely and appropriate manner.
Contribute to the development and dissemination of groupwide safeguarding policies and resources.
Generate safeguarding reports and ensure effective liaison with external safeguarding partners.
Document Control
Oversee clinical document lifecycle management, ensuring version control and accurate records in RADAR Healthcare.
Ensure timely communication and implementation of document updates across clinical teams.
Monitor compliance with documentation standards and report non-conformance.
Work with the Company Secretary to maintain governance-related documentation.
Audits and KPIs
Develop and maintain a comprehensive clinical and operational audit schedule.
Conduct or support audits based on clinical guidelines, SOPs, PGDs, or learning needs.
Use HEMSBase and other systems for clinical audit activity and performance reporting.
Review and assure the quality of completed audits, escalating issues as needed.
Benchmark clinical data and outcomes with external providers as required.
Patient Safety Events (Incidents, Concerns, and Complaints)
Promote open reporting and learning from patient safety events.
Design and oversee systems to investigate incidents, ensure follow-up, and share learning.
Ensure compliance with external incident reporting requirements.
Lead or support safety improvement initiatives, engaging both internal teams and external partners.
Act as a key contact for external stakeholders on safety and governance matters.
Risk Management
Maintain oversight of the clinical and patient safety risk register, ensuring risks are accurately assessed and reviewed.
Support the development and review of risk assessments.
Monitor outstanding risks or controls and ensure appropriate escalation.
Support planning and documentation of business continuity exercises.
Learning
Coordinate learning from incidents and governance activity using the RADAR Healthcare learning log.
Review and monitor actions arising from learning events to ensure timely completion.
Analyse themes and trends from learning data to support clinical development.
Review HM Coroner's reports for relevant learning and ensure dissemination.
Infection Prevention and Control (IPC)
Lead on IPC across the organisation, ensuring compliance with statutory guidance and best practice.
Collaborate with the IPC lead Director on group-wide IPC policy, compliance and reporting.
Monitor cleaning schedules, audit results, and contractor performance.
Investigate IPC incidents and implement appropriate learning and improvements.
Additional Duties
Contribute to the annual Education and Training Needs Analysis.
Lead or support task-and-finish projects, providing progress updates and managing project risks.
Develop process maps and workflows to support clinical efficiency and clarity.
Manage safety alerts and ensure appropriate action and documentation.
Provide oversight of RADAR Healthcare event categorisation and workflow allocation.
Support clinical innovation and the safe implementation of new equipment, medicines, and procedures.
Act as coordinator for internal or collaborative research projects.
Participate in and contribute to benchmarking exercises at both local and national levels.
The Charity is committed to safeguarding and promoting the welfare of all stakeholders. All post holders are subject to a satisfactory Disclosure and Barring Service check (DBS) and satisfactory employment references, as well as identification, prohibition, qualification and barred list checks, which will be required before commencing duties.
Person Specification
Experience
Essential
* Experience working as a healthcare professional
* Experience working in a patient safety role
* Proven track record of quality and compliance activities and working with a quality management system
* Experience of quality document management
* Experience of undertaking high level incident / complaint investigations
* Implementing quality / patient safety improvement plans experience
Desirable
* Implementing PSIRF
* Working knowledge of RADAR Healthcare
* Working within a patient safety role within a healthcare environment
* Knowledge of research methodology
Essential
Other Job Requirements
* UK driving licence
* Willingness to travel between operational bases and as otherwise required for role
Qualifications
Essential
* MSc in a healthcare related subject, or equivalent
* Safeguarding Level 3
* Infection Prevention and Control Level 2
* Relevant clinical healthcare qualification
Desirable
* Safeguarding Level 4
* Risk assessment / risk management training
* Infection Prevention and Control training
* Leadership qualification
Essential
Skills, Knowledge and Abilities
* Knowledge of pre-hospital care
* Sound knowledge of CQC Regulated activities
* Knowledge of clinical professions regulator requirements, for example GMC, HCPC, NMC
* Competent in Microsoft Office Packages, namely Outlook, Word, Excel and PowerPoint
* Knowledge of audit methodology
* Ability to review incidents and data to inform decisions to deliver improvement
* Ability to undertake high quality investigations
* Ability to undertake risk assessments
* Knowledge of Infection Prevention and Control and associated codes of practice
* Ability to assimilate and analyse complex information quickly and accurately, think strategically, formulate decisions and make recommendations
* Ability to work flexibly including evenings and weekends as required in exceptional circumstances
* Ability to manage sensitive issues
* Ability to maintain confidentiality at work, including handling confidential management information with sensitivity and discretion
* High standards of professional conduct and attitude
Desirable
* Working knowledge of enhanced care provision within the pre-hospital care environment
Person Specification
Essential
* Knowledge of pre-hospital care
* Sound knowledge of CQC Regulated activities
* Knowledge of clinical professions regulator requirements, for example GMC, HCPC, NMC
* Competent in Microsoft Office Packages, namely Outlook, Word, Excel and PowerPoint
* Knowledge of audit methodology
* Ability to review incidents and data to inform decisions to deliver improvement
* Ability to undertake high quality investigations
* Ability to undertake risk assessments
* Knowledge of Infection Prevention and Control and associated codes of practice
* Ability to assimilate and analyse complex information quickly and accurately, think strategically, formulate decisions and make recommendations
* Ability to work flexibly including evenings and weekends as required in exceptional circumstances
* Ability to manage sensitive issues
* Ability to maintain confidentiality at work, including handling confidential management information with sensitivity and discretion
* High standards of professional conduct and attitude
Desirable
* Working knowledge of enhanced care provision within the pre-hospital care environment
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Midlands Air Ambulance Charity
Address
Midlands Air Ambulance Charity
Airbase Avenue
Neachley
Shifnal
Shropshire
TF11 8UR
Employer's website
https://www.midlandsairambulance.com/currentvacancies (Opens in a new tab)
Employer details
Employer name
Midlands Air Ambulance Charity
Address
Midlands Air Ambulance Charity
Airbase Avenue
Neachley
Shifnal
Shropshire
TF11 8UR
Employer's website
https://www.midlandsairambulance.com/currentvacancies (Opens in a new tab)
LNKD1_UKTJ
Seniority level
* Seniority level
Mid-Senior level
Employment type
* Employment type
Full-time
Job function
* Job function
Quality Assurance
* Industries
Hospitals and Health Care
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