Compliance and Quality Improvement Manager

Compliance and Quality Improvement Manager

The Compliance and Quality Improvement Manager is responsible for developing, implementing, and managing the Trust's compliance and quality improvement frameworks to ensure adherence to Care Quality Commission (CQC) standards and other regulatory requirements. The post holder will lead compliance programmes, conduct deep dive reviews, coordinate peer reviews and mock inspections, and drive a culture of continuous improvement across Whittington Health.

This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.

This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement

The post holder will:

• Act as the Trust's lead for regulatory compliance.
• Develop and implement structured compliance programmes, including annual reviews, mock inspections, and peer audits.
• Maintain strong relationships with regulators (e.g., CQC).
• Produce compliance reports for key committees (Quality Governance, Audit & Risk, Patient Safety).
• Coordinate the Annual Compliance, Governance, and Risk Report.
• Ensure evidence and documentation are inspection-ready.
• Embed compliance and risk management into operational practice.
• Lead quality improvement initiatives linked to compliance and patient safety.
• Support services in creating action plans post-audit or inspection.
• Facilitate deep dives and thematic reviews.
• Oversee Tendable audit schedules and ward accreditation programmes.
• Manage systematic review and updating of Trust policies.
• Ensure alignment with regulatory standards and national guidance.
• Develop internal/external materials for inspection readiness.
• Coordinate messaging around compliance and quality.
• Oversee logistical preparations for inspections.
• Work with senior leaders to build compliance capability.
• Engage medical and clinical staff in quality improvement.
• Network with other Trusts to share best practice.
• Line manage staff where required.
• Make independent decisions within scope.
• Uphold Trust values and compliance with equality, safeguarding, and data protection policies.

Whittington Health is one of London's leading integrated care organisations - helping local people to live longer, healthier lives. We provide hospital and community care services to over half a million people living in Islington and Haringey as well as those living in Barnet, Enfield, Camden and Hackney.

We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients and doing more to prevent illness in our community than ever before. We are dedicated to improving services to deliver the best for our patients and service users whether we see them in our hospital, out in our sites across North London or in their own homes.

Whittington Health NHS Trust

Job Description

Job Title: Compliance and Quality Improvement Manager Band: 8a Hours: 37.5 per week Department: Nursing and Patient Experience Base: Whittington Hospital Reports to: Associate Director of Quality Governance Accountable to: Deputy Chief Nurse

Job Summary

The Compliance and Quality Improvement Manager is responsible for developing, implementing, and managing the Trust's compliance and quality improvement frameworks to ensure adherence to Care Quality Commission (CQC) standards and other regulatory requirements. The post holder will lead compliance programmes, conduct deep dive reviews, coordinate peer reviews and mock inspections, and drive a culture of continuous improvement across Whittington Health.

This role requires close collaboration with Executive Directors, Clinical Divisions and governance teams to monitor, evaluate, and enhance compliance performance. The post holder will also oversee policy reviews, manage regulatory communications, and ensure the Trust is fully prepared for inspections.

This role requires a visible and accessible leader which will require the post holder to be on site as part of a flexible working agreement

Key Responsibilities

Regulatory Compliance and Governance

• Act as the Trusts professional lead on regulatory compliance, maintaining up-to-date knowledge of CQC and other regulatory frameworks.
• Lead on developing and implementing a structured compliance programme, including annual and responsive compliance reviews.
• Oversee a programme of peer reviews, mock inspections, and self-audits across all services.
• Analyse findings, identify areas for improvement, and ensure timely implementation of remedial action plans.
• Develop and maintain strong working relationships with external regulators, including the CQC Relationship Manager.
• Produce and present compliance reports, dashboards, and exception analyses to…