Role Information:
We are seeking a highly focused and experienced Quality Assurance Manager to actively lead on the implementation of clinical governance and assurance frameworks within the centre. This position will play a pivotal role in overseeing quality assurance and ensuring that compliance with all healthcare regulatory requirements is embedded in both clinical and non-clinical teams across our unique, private patient day-case centre and in the on-going development of our world class patient care. We require an individual who can ensure that the best practice standards become part of the day-to-day business for the Welbeck centre, through collaboration, partnership and close working relationships with centre leadership and core teams.
Job Responsibilities
You will work predominantly Monday-Friday around the core hours of 9-6pm, however will need to be flexible to meet the needs of the centre which has extended opening hours and potential for weekend services. This position as Quality Assurance Manager is a senior managerial position, promoting clinical leadership through all aspects of the role by initiating optimal clinical standards, and facilitating effective communications with clinicians and teams. You will be creating, applying and monitoring governance systems to ensure the implementation of the Welbeck Quality Assurance and Governance Strategy. This role is line managed by the Clinical Services Director but has a close working relationship with the Registered Manager for the centre, as well as working with the Welbeck Health Group Chief Clinical Officer, Clinical Quality Team and Subject Matter Experts (SMEs) to implement specific projects for compliance and improvement.
Leadership, Engagement and Education
• Promote and embed a culture of informed questioning, challenge, trend analysis and information triangulation to ensure lessons are learned
• Champion the benefits of clinical governance, providing training and support to staff at all levels on governance processes and quality improvement
• Facilitate the provision of trend data and benchmarking insights to drive innovation and share best practice across departments
Quality Assurance and Governance
• Lead and co-ordinate the centre’s clinical governance and quality assurance programmes to ensure safe and high-quality patient care
• Review and analyse quality, safety, and governance data, using Welbeck systems to identify trends, and deliver improvement actions
• Produce high-quality governance reports for the Quality Assurance Performance Improvement Committee and other governance committees
Regulatory Compliance and Risk Management
• Support the centre in achieving and maintaining a ‘Good’ or higher rating in regulatory inspections
• Prepare the centre for CQC inspections, working proactively with department leads to ensure readiness to demonstrate compliance
• Co-ordinate action plans in response to external inspections and audits, ensuring timely implementation and monitoring of improvements
Incident and Complaint Management
• Manage the complaints process, ensuring that all complaints are investigated and appropriately closed with a focus on learning and resolution
• Support Patient Safety Incident Investigations (PSII), contributing to or leading investigations using tools such as Root Cause Analysis
• Ensure that incidents are reported, analysed, and closed appropriately, and that learning is shared across the centre and the wider Welbeck group
Data and Evidence Management
• Ensure robust data collection systems are in place to monitor compliance with national policies and internal standards
• Provide timely, accurate quality data and insights to support strategic objectives and operational decision-making
• Work with clinical teams to ensure centre wide audit cycles are completed, and results are acted upon to improve patient care and outcomes
Experience / Qualifications
Essential
• Registered nurse or AHP with valid NMC or HCPC registration
• Knowledge of the components of quality governance including risk management
• Experience in working in quality governance in a healthcare environment
• Have experience of CQC inspections and/or readiness
• Must have excellent report and letter writing skills, alongside good IT skills including Excel and PowerPoint presentations
• Demonstrable strong communication skills, with a range of individuals
• Must have evidence of developing successful partnership working and implementing change
• Show compassionate and drive by being able to showcase excellent patient care
• Be able to utilise your leadership skills to demonstrate and implement clinical best practice
• The successful candidate will be able to demonstrate excellence in:
o Leadership & people management skills – ability to think and plan strategically and tactically
o Adaptability and agility - flexibility in approach and attitude
o Communications skills – presenting, influencing, persuading and negotiating with a range of stakeholders
o Collaboration – building partnerships and strategic working relationships
o Integrity and resilience – focused on high standards and able to support and enable others to do the same
o Problem solving skills – able to analyse complex problems and implement practical workable solutions
o Planning, organisation and delegation skills – highly developed to prioritise competing work demands
Desirable
• Experience of private healthcare market
• Experience in quality improvement, benchmarking, and project facilitation
• Strong analytical and reporting skills with the ability to interpret complex data and translate findings into actions
• Knowledge of national quality initiatives, patient safety strategies, and current healthcare regulatory developments
• Familiarity with governance and incident reporting platforms used in private or NHS settings
Applicants should send CV and cover letter to welbeck@compassltd.co.uk