Project Manager - CQC and Service Improvement

Project Manager - CQC and Service Improvement

The Project Manager CQC & Service Improvement will play a pivotal role in supporting NEMS to deliver high quality, safe, and well led services. The post holder will act as the dedicated project management lead for CQC readiness and regulatory compliance, initially for approximately three days per week, reducing as the programme stabilises.

Alongside this, the post holder will provide project management support for wider service improvement initiatives across NEMS, working as part of the Business Improvement Team under the direction of the Head of Business Improvement.

This role requires a dynamic, organised, and proactive project manager with strong stakeholder engagement skills, capable of working at pace across multiple services and professional groups.

CQC Project Management (Primary focus approx. 3 days per week initially)

• Lead and coordinate NEMS CQC readiness and the always ready programme.
• Oversee delivery of actions arising from CQC inspections, audits, and external reviews.
• Analyse historical CQC reports and external audits to identify themes, risks, and required actions.
• Develop, maintain, and monitor CQC action plans, ensuring timely progress and escalation where required.
• Manage CQC-related risk logs and ensure alignment with the organisational risk register.
• Prepare high quality reports and updates for the Executive Team, Board, and governance forums.
• Coordinate responses to CQC enquiries, concerns, and information requests.
• Maintain accurate CQC registration information, including Statement of Purpose updates.
• Manage the flow of data and evidence to the CQC.
• Support and coordinate meetings, focus groups, and site engagement relating to CQC assessment.

NEMS CBS is a high quality, high performing not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. We are responsive, adaptable and continually evolving, with a reputation for delivering locally tailored, safe, effective and cost-efficient services with high levels of patient satisfaction.

We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners and Advanced Clinical Practitioners.

NEMS currently operates three main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Treatment Centre provision located within the A&E Department at QMC; (3) A 24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.

Job Summary

The Project Manager CQC & Service Improvement will play a pivotal role in supporting NEMS to deliver high quality, safe, and well led services. The post holder will act as the dedicated project management lead for CQC readiness and regulatory compliance, initially for approximately three days per week, reducing as the programme stabilises.

Alongside this, the post holder will provide project management support for wider service improvement initiatives across NEMS, working as part of the Business Improvement Team under the direction of the Head of Business Improvement.

This role requires a dynamic, organised, and proactive project manager with strong stakeholder engagement skills, capable of working at pace across multiple services and professional groups.

• NEMS Executive Team
• Head of Business Improvement
• Head of Quality Governance & IG
• NEMS Leadership & Management Teams
• Operational and Clinical Teams
• ICS Partners and Commissioners
• CQC representatives

CQC Project Management (Primary focus approx. 3 days per week initially)

• Lead and coordinate NEMS CQC readiness and always ready programme.
• Oversee delivery of actions arising from CQC inspections, audits, and external reviews.
• Analyse historical CQC reports and external audits to identify themes, risks, and required actions.
• Develop, maintain, and monitor CQC action plans, ensuring timely progress and escalation where required.
• Manage CQC-related risk logs and ensure alignment with the organisational risk register.
• Prepare high quality reports and updates for the Executive Team, Board, and governance forums.
• Coordinate responses to CQC enquiries, concerns, and information requests.
• Maintain accurate CQC registration information, including Statement of Purpose updates.
• Manage the flow of data and evidence to the CQC.
• Support and coordinate meetings, focus groups, and site engagement relating to CQC assessment.

• Deliver training and briefings to staff involved in CQC processes.
• Lead and coordinate mock inspections across all NEMS sites, producing action plans and monitoring implementation.
• Work closely with clinical, operational, estates, digital, and comms teams to ensure regulatory requirements are understood and embedded.
• Maintain and update CQC…