Quality and Compliance Lead at Deloitte

Job Summary

• The Quality and Compliance Lead is responsible for ensuring that healthcare services meet regulatory standards and quality benchmarks, while also driving continuous improvement in care delivery. This role involves supporting the Quality and Compliance Manager in developing, implementing, and overseeing quality management systems and compliance programs that adhere to healthcare regulations, accreditation standards, and organizational policies. The Quality and Compliance Lead conducts regular audits and inspections to assess adherence to established protocols, identifies areas of non-compliance or risk, and implements corrective actions to address any issues.
• In addition, the Quality and Compliance Lead supports the Manager with monitoring performance metrics and quality indicators, analyzing data to identify trends, and working with clinical and administrative teams to develop and execute quality improvement initiatives. The Quality and Compliance Team play a key role in ensuring that all staff are trained in compliance requirements and best practices, and they facilitate ongoing education to maintain high standards of care.
• The role requires strong knowledge of regulatory requirements, quality management principles, and healthcare best practices. Working with the Quality and Compliance Manager, the Quality and Compliance Lead collaborates closely with other departments to ensure integrated and efficient compliance processes and provides regular reports to senior leadership on quality and compliance performance. They are essential in fostering a culture of excellence and accountability, ensuring that the organization consistently delivers safe, effective, and high-quality patient care.

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