Beacon Medical Services Group is an innovative, community-based provider delivering high-quality, patient-centred care. Were recruiting a Quality & Governance Lead to strengthen and coordinate organisation-wide governance, assurance and compliance across multiple services.
This pivotal role suits someone who thrives on turning standards into real-world assuranceestablishing clear governance routines, maintaining inspection-ready evidence, and supporting safe, effective, well-led care.
You will lead day-to-day governance systems, coordinate the internal audit programme, manage policy and document control, oversee action tracking and evidence-based closure, and maintain readiness for commissioner and regulatory scrutiny (including CQC-aligned expectations and NHS Standard Contract requirements).
Working closely with service leads, operational managers and corporate teams, you will provide structured reporting and proactively escalating risks, emerging themes and deteriorating trends.
This is an opportunity to shape and strengthen governance systems across a growing organisation, influencing measurable improvement through audits, data and assurance activity.
If youre passionate about safe, effective care and enjoy bringing structure, clarity and accountability to governance, we welcome your application. For informal enquiries or to submit your CV, please email jacky.bergin@nhs.net.
Job responsibilities
Job purpose
To lead and coordinate the Organisations quality governance, assurance and compliance activity across multiple services, ensuring robust systems for audit delivery, regulatory and commissioner readiness, policy/document control, risk and incident governance, and performance assurance reporting. The postholder will ensure evidence-based compliance with the NHS Standard Contract service conditions and CQC-aligned expectations, supporting safe, effective and well-led care.
Key responsibilities
Governance, assurance and regulatory compliance
Lead day-to-day delivery of quality governance systems, ensuring structured oversight of compliance requirements, evidence collation and reporting cycles across services.
Maintain organisational readiness for external scrutiny by ensuring governance artefacts are current, complete, traceable and accessible.
Support the Chief Quality & Governance Officer with assurance reporting, action tracking and governance development activity.
External inspection and accreditation readiness
Coordinate preparation and evidence portfolios for external inspection and accreditation activity e.g., CQC and other relevant frameworks/standards as applicable to services).
Maintain inspection readiness trackers, action logs and evidence sets, ensuring timely closure of actions with clear audit trails.
Support service leads during visits/reviews, including briefings, evidence retrieval and follow-up action coordination.
Audit programme and quality improvement
Coordinate and deliver the internal audit programme across services, ensuring audits are scoped, scheduled and completed to deadline using standardised tools/templates.
Ensure audit findings translate into SMART actions, tracked to completion with evidence-based closure and measurable improvement.
Support continuous improvement by promoting learning, standardisation and effective governance routines across teams.
Policy management and document control
Support policy procedure review cycles, including version control, approvals, distribution and staff accessibility.
Maintain document control structures, ensuring consistent naming conventions, traceability and governance sign-off routes.
Support staff to use current versions of documents and retire superseded content in a controlled way.
Contract and commissioner compliance
Coordinate evidence-based compliance with relevant NHS Standard Contract service conditions and commissioner requirements.
Maintain compliance trackers showing required frequencies, evidence sources, owners and submission history (audit trail).
Support preparation of commissioner assurance documentation, ensuring accuracy, timeliness and consistency.
Performance, reporting and data assurance
Collate and analyse quality/performance data KPIs, audits, incidents, complaints themes, action plan status) for governance forums and external reporting.
Support development and maintenance of dashboards and reporting outputs in collaboration with operational/data teams, ensuring data is interpreted within a governance context.
Escalate emerging risks, deteriorating trends or non-compliance to the Chief Quality & Governance Officer with clear narrative and recommended actions.
Risk, incidents, complaints and learning
Support effective incident, complaint and feedback governance, including logging oversight, investigation support, thematic reviews and tracking learning/actions to closure.
Contribute to risk management processes (risk registers, risk assessments), ensuring mitigation actions are tracked and evidenced.
Promote a just culture and learning approach to safety and quality improvement.
Training, engagement and stakeholder working
Build effective working relationships with clinical leads, operational managers and corporate support functions to enable sustained compliance.
Represent the Quality & Governance function at internal meetings and, where appropriate, external stakeholder discussions.
Professional and organisational responsibilities
Maintain confidentiality and comply with information governance requirements GDPR and organisational IG policies, ensuring secure handling and appropriate access controls for governance evidence.
Maintain up-to-date knowledge of relevant quality, governance and assurance frameworks applicable to independent community providers.
Undertake other duties consistent with the post as required to support organisational priorities.
Personal and Professional Development
Maintain an awareness of the latest best practice thinking and service delivery
Participate in personal objective setting and reviews that are in line with the Strategic Objectives, including the creation of personal development plans
Attend mandatory and statutory training as required by the Organisation
Attend relevant education, training and study days as required
Other Role-Specific Duties
To be a full member of the Organisations management team and participate in key decision making
* The postholder will be expected to promote and demonstrate the Organisations values and behaviours at all times
* Carry out any other reasonable duties commensurate with the role as the needs of the service require
* The job description and person specification may be reviewed on an on-going basis in accordance with the changing needs of the Organisation
Confidentiality
In the course of your employment you will have access to confidential information relating to the Organisations business. You are required to exercise due caution in the way you use such information and should not act in any way, which might be prejudicial to the organisations interests. Information which may be included in the category which requires extra consideration covers both access and to the general business of the organisation and information regarding individuals. If you are in any doubt regarding the use of information in the pursuit of your duties, you should seek advice from your manager before communicating such information to any third party.
Data Protection
Beacon Medical Services Group is registered under the Data Protection Act 1998. You must not, in any time, use the personal data held by the organisation for a purpose not described in the Register entry or disclose such data to a third party. If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act and General Data Protection Regulations then you must contact your line manager or appropriate senior lead at the time.
Health and Safety
Employees must be aware of the responsibility placed on them under the Health and Safety a Work Act (1974) to maintain a healthy and safe working environment for both staff and visitors. Employees also have a duty to observe obligation under the organisation safety policies, and to maintain awareness of safe practices and assessment of risk.
Equality and Diversity
The post holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
* Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Organisation Policies and Procedures and current legislation
* Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
* Behaving in a manner which is welcoming to the individual and is non-judgemental and respects their circumstances, feelings, priorities and right
Safeguarding
Support the Safeguarding Lead across the Organisation, ensuring compliance with safeguarding processes
Person Specification
Qualifications
* Degree-level qualification or equivalent experience in healthcare, governance, quality, audit, compliance or related field.
* Postgraduate qualification or professional development in quality, governance, patient safety, healthcare management or improvement science
Experience
* Experience of clinical audit and/or governance in a healthcare setting.
* Experience working to regulatory/assurance frameworks and compiling evidence submissions.
* Experience of action plan coordination and evidence-based closure.
* Experience of analysing, summarising and presenting performance/quality information.
Skills and Knowledge
* Strong organisational and project management skills.
* Excellent written and verbal communication (reports, briefings, governance papers).
* Strong attention to detail and document control discipline.
* Ability to interpret data and communicate trends, risk and assurance clearly.
* Working knowledge of confidentiality, GDPR and information governance.
Personal Attributes
* Proactive, organised and resilient; able to manage multiple priorities to deadlines.
* Collaborative and able to influence across clinical and non-clinical teams.
* Values-led and committed to patient safety, continuous improvement and learning.
* Experience supporting inspection/accreditation preparation.
* Experience in independent sector/community services or multi-specialty environments.
* Experience supporting incident/complaint thematic reviews and learning.
* Familiarity with dashboarding/BI tools and advanced Excel.
* Knowledge of quality improvement methods
* Demonstrates leadership potential and readiness to take increased responsibility over time.
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.
Depending on experience up to £40,000 per annum / based on experience
About us
Beacon Medical Services Group is a leading provider of specialist healthcare and diagnostic services to the NHS and private sector.
We deliver high-quality, patient-centred care at scale, treating thousands of patients each month and consistently achieving high levels of patient satisfaction across all services. Our ethos is simple: to provide care with passion.
Using state-of-the-art healthcare equipment and highly skilled clinical teams, we offer a comprehensive portfolio of specialist services, including:
All services are consultant-led and delivered through community-based clinics closer to patients homes, ensuring timely, efficient and accessible care.
We are commissioned by the NHS, fully registered and compliant with the Care Quality Commission, and recognised as a trusted and reputable provider of high-quality healthcare services.
We are equally committed to supporting our staff. We foster a collaborative and inclusive working environment where teamwork, respect and professional development are valued. Our teams work closely across clinical and corporate functions, creating a positive culture where people feel supported, empowered and able to thrive.
We take pride in delivering services that make a meaningful difference to patient experience while creating a great place to work for those who deliver that care.
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