£28,626 per annum (Full Time 37.5 hours per week)

Are you looking for an exciting challenge?

Do you want to work lead a dedicated professional team?

Are you innovative, enthusiastic and thrive in a busy environment?

Butterwick Hospice Care was founded 36 years ago by the incredibly inspirational Mary Butterwick OBE. Providing a holistic service to adults, children and babies, the organisation supports patients with palliative and progressive diagnoses as well as their families and loved ones.

Butterwick Hospice Care is entering an exciting period of development as we work towards growing our services to meet the challenging needs of a modern community; we are excited to welcome new faces to the organisation who will bring innovative ideas and lots of energy.

The successful applicant will be responsible for ensuring the Hospice has robust and proportionate quality, compliance and governance processes to enable delivery of the highest standards of patient care while remaining compliant with all UK wide regulations and standards.

Provision of a comprehensive service on matters of health, safety, fire, information and data security, governance and risk management across the organisation in order to enable managers, staff and volunteers to comply with policies and procedures and identify non-compliance.

Play a key role in developing, implementing, monitoring and measuring systems and processes to ensure all aspects of assurance are delivered and legislative compliance is achieved, in line with strategic objectives and KPIs, reducing risk within the organisation

Oversee and co-ordinate the Hospice’s policy development and review process, routinely reviewing specific policies and procedures, ensuring they are regularly updated, consulted on as appropriate with staff, colleagues, and other stakeholders ensuring that the organisation meets its legislative obligations.

Applicants must have:

Recognised qualification in Information governance

Qualification in Health and Safety Management at Level 3, NEBOSH or similar.

Experience of meeting regulatory compliance standards and the provision and maintenance and reporting of data to meet compliance

Benefits:

• Company pension membership

• 35 days pro rata holiday (Including Bank Holidays)

• On site café and limited free parking.

Closing Date for 22nd November 2020

To discuss the post further or to arrange an informal visit please contact [email protected]tterwick.org.uk For full details and to apply online please visit www.butterwick.org.uk/currentvacancies alternatively contact HR Department –Tele :01642 607742 or email [email protected] for an application pack.

Shortlisted candidates will be contacted within 10 days of close of application

Job Title : Quality and Compliance Manager
Accountable to : Operations Manager
Note : Some irregular working hours will be required for audit and incident response
Location : Stockton Hospice with travel to other locations

Job Purpose

Responsible for ensuring the Hospice has robust and proportionate quality, compliance and governance processes to enable delivery of the highest standards of patient care while remaining compliant with all UK wide regulations and standards.

Provision of a comprehensive service on matters of health, safety, fire, information and data security, governance and risk management across the organisation in order to enable managers, staff and volunteers to comply with policies and procedures and identify non-compliance.

Play a key role in developing, implementing, monitoring and measuring systems and processes to ensure all aspects of assurance are delivered and legislative compliance is achieved, in line with strategic objectives and KPIs, reducing risk within the organisation

Oversee and co-ordinate the Hospice’s policy development and review process, routinely reviewing specific policies and procedures, ensuring they are regularly updated, consulted on as appropriate with staff, colleagues, and other stakeholders ensuring that the organisation meets its legislative obligations.

Key Responsibilities

Day to day line management/supervision of staff and volunteers within the quality and compliance team including recruitment, selection, on-boarding, appraisal and performance assessments, sickness and absence monitoring, first line disciplinary issues and workplace assessments, also to identify training needs of staff and ensure these needs are met, where applicable.

Manage the day to day operation of the incident reporting, complaints, compliments and data security reporting systems, producing regular reports, advising on corrective actions and assisting with sharing organisational learning.

Oversee the provision of clinical admin and information services across the hospice.

In collaboration with the relevant manager carry out detailed investigations into adverse incidents where necessary particularly, those reportable under the RIDDOR ensuring lessons are learnt and identified countermeasures are effective, analyse patterns / trends of incidents determining root causes and producing recommendations for action to prevent re-occurrences and ensuring lessons learned are shared with the organisation

Facilitate the strategic use of management information including the development, monitoring and maintaining KPIs, identifying organisation wide performance issues which may breach any contract or compliance standards relating to regulatory bodies.

Monitor and plan continuous compliance improvement by proactively benchmarking performance using internal and external comparators, best practice and benchmarking

Regularly analyse complex data from multiple sources to enable the production of relevant timely and accurate management information and board reports.

Implement and continuously improve the governance systems and procedures across the organisation.

Support the informatics officer and clinical administrators to create and implement sustainable procedures for record-keeping and information retrieval to comply with agreed governance standards and current regulation.

Assure the integrity of reports, identifying and highlighting deviations from agreed standards.

Oversee the implementation of effective information governance through the development and auditing of appropriate policies and procedures completion of the annual Data Security Toolkit including ensuring all staff have completed the necessary training and compliance with GDPR, Data Protection Act and other relevant legislation.

Give direction to and support staff in the use of tools and templates and develop enhancements to processes and reporting.

Work with the Director of Care to provide appropriate evidence to ensure that the hospice consistently meets and can evidence relevant Key Lines of Enquiry (CQC)

Ensure compliance with all contractual requirements in order to meet the terms of the Standard NHS Contract and ensure that all data returns required are submitted to deadline.

Monitor and provide regular reports to the management team and the Board of Trustees on all agreed targets, support the relevant member of staff to co-ordinate the planning and completion of any required audits and ensure that appropriate corrective action is taken.

Ensure IT systems are used fully and appropriately to support the work of the hospice, and motivate, support and monitor staff in the use of IT to maximise efficiency.

Support the SIRO and Caldicott Guardian with any information governance or confidentiality requirements and where appropriate develop and implement information sharing agreements

Support and assist staff to develop and promote a positive health and safety culture

Provide advice, guidance, training, and support to managers and staff regarding their compliance responsibilities (health and safety, information governance incident reporting etc.) and develop processes / documentation to assist them in the production of suitable and sufficient risk assessments

Develop and implement effective monitoring and audit systems to measure performance

Undertake in collaboration with relevant managers proactive and reactive inspections and audits to measure / monitor compliance with policies, specific statutory legislation and standards in line with current priorities developing action plans where compliance is not achieved

Liaise with statutory bodies in relation to all aspects of compliance, preparing reports, notifying of breaches and in collaboration with the relevant manager, developing action plans to achieve compliance.

Develop and deliver specialist-training programmes on health and safety, information governance and risk management issues to a range of staff and volunteers both for mandatory requirements and to improve awareness.

Support the operations manager in the development, population, management and implementation of the organisations Business Continuity Plan, Emergency Preparedness Plan and associated response.

Carry out simply safety tours, hazard observations and analysis on patterns / trends of risks to determine recommendations for controls to prevent harm

Support the induction process of new and inexperienced members of staff to be familiar with local environment, policies and procedures.

Working with the relevant managers ensure that any risks of non-compliance are identified and mitigated and reported in accordance with procedures and regulations

Provide advice and support to senior staff and trustees on the governance and compliance matters.

On-board and where appropriate, train, new employees or less experienced staff in accordance with the departmental need, ensuring all staff are competent and confident in their duties and understand relevant systems.

Manage a delegated budget, through the maintenance of effective resource management of people, stock, products, equipment, cash receipts and floats. Report any variances to expected expenditure and resource usage.

Maintain personal and professional competencies and development in particular in H&S, GDPR and CQC standards. Make changes to own practice where required and offer suggestions for improving services where appropriate.

All Staff Responsibilities

All staff must safeguard the integrity, confidentiality and availability of sensitive information at all times, this includes information relating to patients, individual staff records, colleagues and contracts. Employees of the Organisation are required to comply with the Organisation’s Principles of Data Protection and Quality.

All staff are required to understand and comply with all relevant policies both Organisation-wide and departmental and to carry out duties in accordance with Butterwick Hospice Care Code of Conduct, NMC, CQC, fundraising information and financial standards and current legislation

All staff are required to take responsibility for attending statutory and mandatory training, and identify their training and development needs.

All staff must take responsibility for managing their own health, safety and wellbeing in accordance with departmental policy and legislation.

All staff will adhere to, and follow good infection control practices and other related policies and guidelines.

All staff have a statutory duty to safeguard children and vulnerable adults during the course of their duties and promote the welfare of children and young people. Employees must be aware of what to do if they have any concerns.

All staff will undergo an annual performance assessment and agree a personal development plan which will ensure that the objectives of the employee, department and organisation are achieved

All staff are personally accountable for improving and maintaining own knowledge and competence.

All staff will be aware of and support the working practices of any volunteers assisting with daily workload

Standards of Business Conduct

The post holder will be required to comply with the Company’s Standing Orders and Standing Financial Instructions and, at all times, deal honestly with Butterwick Hospice Care, with colleagues and all those who have dealing with the Company including clients, patients, service users and other suppliers and stakeholders.