Quality and Compliance Lead

Key Responsibilities

Leadership:

• Support the quality and compliance programs across the hospital, promoting a culture of continuous improvement and patient safety.
• Provide guidance and support to departmental managers and staff on quality and compliance standards and practices.
• Act as a role model for adherence to healthcare regulations and best practices, fostering a culture of compliance throughout the organization.
• Works closely with the Quality and Compliance Manager to Organize and lead quality committees, driving discussions on performance metrics, audit results, and improvement plans.

Strategic Development

• Support the implementation of a strategic plan for quality and compliance management, aligned with the hospital’s mission and goals.
• Use data analytics to identify trends, monitor performance, and develop targeted quality improvement initiatives.
• Collaborate with the Manager and senior leadership to integrate quality and compliance goals into the hospital's broader organizational strategy.
• Support the hospital’s efforts in achieving and maintaining accreditation and certification from regulatory bodies.

Governance

• Ensure compliance with all local, national, and international regulations and standards related to healthcare quality and safety.
• Maintain and update hospital policies, procedures, and protocols to reflect current best practices and regulatory requirements.
• Oversee internal audits and inspections, identifying non-compliance issues and implementing corrective actions.
• Coordinate with external auditors and regulatory bodies during reviews, inspections, and accreditation processes.

Other Responsibilities

• Conduct regular audits and assessments to monitor compliance with quality and safety standards.
• Develop and deliver training programs on quality improvement, patient safety, and regulatory compliance for all staff levels.
• Manage the hospital's incident reporting system, ensuring that incidents are properly reported, investigated, and resolved.
• Analyse quality and compliance data to identify areas for improvement and develop action plans.
• Work in collaboration with the Quality and Compliance Manager, Director of Quality Governance and other directors to achieve JCI accreditation.
• Ensuring clinical practice is based on validated research, and participating in quality assessment, research and clinical audits
• In collaboration Head of Nursing and the Chief Nursing Officer, upholds the code of conduct and professional scope of practice of the nursing profession

Equality and Diversity

• Act as lead for Equality & Diversity in the Clinical Operations Team to ensure the development and effective implementation of a strategy, set of policies, procedures and monitoring and control systems are in place.

Personal and Staff Development

• Actively engages in personal development to strengthen your capacity in the role and support the development of other staff in the team.
• Support the development of high potential employees, providing a structured approach to mentoring and developing critical talent at all levels of management

Communications And Working Relationships

• Work closely with clinical and non-clinical teams to ensure alignment on quality and compliance goals.
• Communicate effectively with regulatory agencies, accreditation bodies, and other external stakeholders.
• Engage with patients and families to gather feedback and address concerns
• related to quality and safety.
• Participate in multidisciplinary meetings, case reviews, and quality improvement sessions to promote a culture of safety and accountability.

Organizational Responsibilities

• Report to the Quality and Compliance Manager or equivalent senior leadership, contributing to the strategic planning and development of quality initiatives.
• Represent the quality and compliance team in hospital-wide committees, working groups, and strategic planning sessions.
• Support the hospital’s accreditation and compliance processes by ensuring adherence to standards and best practices.
• Engage in initiatives aimed at enhancing patient care, safety, and operational efficiency across the hospital.

Qualifications

Essential

• Bachelor’s degree in Healthcare Administration, Nursing, or related field;
• Relevant certifications (e.g., Certified Professional in Healthcare Quality for Quality and Compliance Managers).

Desirable

• Masters in related subject
• Professional qualification in a relevant subject

Experience

• At least 5 years experience in compliance, quality assurance, or regulatory affairs in the medical device or pharmaceutical industry.
• Previous experience of JCI or CQC accreditation or regulatory authorities
• Experience with policy development, implementation, and quality improvement initiatives.
• Demonstrated success in managing teams, budgets, and projects, and working with multidisciplinary teams.

Desirable

• Experience in a managerial or supervisory role within a healthcare setting

Management and Leadership

• Inspirational and visible leader, with first class communication skills, capable of engaging audiences at all levels
• Ability to think and act strategically, developing practical, innovative and creative solutions to the management of issues and complex problems related to the department
• Ability to identify opportunities to improve business outcomes through partnership at all levels
• Well-developed management skills, with the ability to build and lead large teams
• Highly effective influencing and negotiating skills, with the ability to develop partnerships and alliances across a diverse range of stakeholders
• Politically astute and resilient, with the ability to manage conflict and ambiguity
• Outcome focused, with the capability and tenacity to drive the agenda forward
• Financially literate and commercially astute, with a sophisticated understanding of commercially orientated performance and financial management including contract management
• Shares the AMCE’s vision and values
• Commitment to clinical governance / improving quality of patient care

Personal Attributes

• Professional attitude towards work
• Shares the AMCE’s vision
• Proactive and organised
• Commitment to clinical governance / improving quality of patient care
• Has personal and professional credibility and commands the respect of colleagues peers 
• Is supportive and approachable and capable of inspiring confidence in staff members
• Commitment to caring for others
• Ability to adapt to living in a new country and new culture accordingly
• High levels of honesty and integrity