Quality and Compliance Manager

Our Vision:

Improving the health, wellbeing and lives of all our patients

Our Mission:

Our vision will be achieved by us continuing to listen, educate, empower and enable our patients to have choice and control over their health and wellbeing – they are at the heart of everything we do.

Our approach is inclusive, innovative and informed by the latest scientific knowledge and research, as well as using our clinical expertise and experience to deliver the best personalised care.

We are leading the way in research and education; we ensure women with hormonal changes are supported and informed.

Our individualised approach ensures the optimal treatment options are available and our patients are central to all decision-making processes.

Position:

As our Quality and Compliance Manager, you will collaborate with stakeholders and multidisciplinary teams across the clinic to identify opportunities for improvement and to develop robust quality systems, processes, and programmes that underpin the delivery of exceptional care and services.

You will be responsible for ensuring compliance with regulatory and accreditation standards, leading the implementation of national guidance and best practice, and managing inspection and assurance processes, including CQC readiness. Working alongside colleagues, you will influence effectively, create synergy, prioritise improvement projects, set goals, and develop, monitor, and evaluate improvement plans to ensure measurable outcomes and sustained excellence.

Requirements:

Your Responsibilities

Leadership and Strategy

• To be able to influence effectively, create synergy, prioritise projects, set goals and actions plans and measure impact
• Provide advice, support and guidance on such areas as regulatory standards and compliance, clinical effectiveness, audit, the application of national guidance and best practice, complaints resolution, and clinical negligence
• Monitor updates to CQC frameworks and guidance, adapting policies and procedures accordingly.
  
  

Governance & Quality Assurance

• Act as the site lead for quality compliance, for all regulatory inspections and accreditations
• Work with managers and leads to ensure a standardised approach to maintaining regulatory and statutory compliance, supported by effective systems for ongoing assurance and monitoring. Collaborate with teams to confirm that local arrangements are in place to achieve CQC compliance, accreditation standards, and all other regulatory requirements across the organisation, overseeing the implementation of key areas of governance including audit and assurance, risk management, safeguarding, incident and complaints management, policies and procedures, information governance, workforce training and competency compliance, and continuous quality improvement.
• Responsible for the production, provision, and presentation of all governance reports, including monthly and quarterly reports to relevant committees and any additional reporting as required. This responsibility extends to preparing and providing reports and information for evidential purposes during regulatory compliance inspections, such as those conducted by the CQC.
• Develop and deliver an annual governance work programme in which drives improvements in the quality of care and in delivering agreed quality objectives. Ensure that quality governance actively promotes and supports the implementation of sustainable improvement projects to drive continuous improvement in practice.
• Chair the Clinical Governance Committee.
  
  

Business & Operational Compliance

• Responsible for the development, implementation, review, and monitoring of a robust programme to ensure national guidance (including NICE and NCEPOD) is assessed and that practice and policy remain aligned with best practice. This includes maintaining an audit trail of gap analyses and practice changes, implementing effective horizon scanning systems to identify new guidance, and ensuring findings are shared with the Senior Management Team and Leads to inform ongoing service improvements and the delivery of high-quality care.
• Support leadership with regulatory submissions, reporting, and registration requirements.
• Ensure non-clinical compliance areas (data protection, information governance, health & safety) are robust.
• Work with management to balance compliance with operational efficiency and patient experience.
  
  

Staff Training & Engagement

• Work in partnership with the Senior Management Team to facilitate training programmes and development opportunities that build capability and confidence in quality improvement and effectiveness. Promote a culture of continuous learning by equipping staff with the knowledge, skills, and tools to implement best practice, drive innovation, and contribute to the sustained delivery of safe, high-quality care.
• Act as the point of contact for compliance queries, supporting managers and clinicians
  
  

Other information:

Skills & Knowledge

• Strong knowledge of CQC regulations, healthcare governance, and compliance frameworks.
• Proven experience in a healthcare compliance, governance, or quality management role (private clinic or independent sector preferred).
• Excellent organisational skills, with the ability to manage multiple projects and deadlines.
• Strong communication and interpersonal skills to influence at all levels.
• Attention to detail, with a proactive and solution-focused approach.
• Understanding of both clinical and business operations within private healthcare.
  
  

Desirable Qualifications

• Experience as a Registered Manager (desirable but not essential).
• Training in governance, risk management, or healthcare law.
• Knowledge of ISO standards or other quality frameworks.
• Experience liaising directly with regulators such as CQC, ICO, MHRA or HSE