Clinical Compliance Officer

Posting date:	19 December 2025
Salary:	£31,000 per year
Additional salary information:	£31000 a year
Hours:	Full time
Closing date:	19 January 2026
Location:	Ipswich, IP3 8LX
Company:	NHS Jobs
Job type:	Permanent
Job reference:	B0291-25-0049

Summary

JOB SUMMARY To manage the annual programme of clinical audits and together with the Matron for bedded care drive forward quality improvement work. The post holder will support individual staff members in carrying out audits, carry out their own audits, and work to drive forward the Hospices quality improvement agenda. Will provide administrative support for clinical governance activities, coordinate the review of care-related policies and procedures, and support the production of the annual Quality Account. KEY ACCOUNTABILITIES Provide administrative support to the clinical governance function, including agenda preparation, accurate minute taking, action and decision log maintenance, and meeting follow up. Responsible for the coordination of the review and approval of care related policies and procedures, supporting policy owners with the production of revised policies, using the agreed template, and coordinating approval of policies in a timely manner. Coordinate the production of the annual quality account, working with identified leads to produce their content for the report including quality account priority leads. Develop a thorough understanding of the Vantage system and, in particular, the modules which support incidents, risks and complaints. Ensure patient safety information is displayed on the patient safety boards in a timely manner. To work with the Matron for bedded care, Director of Care and the Care team leads and other individual staff members to ensure that the annual clinical audit programme is, in a timely manner, formulated, carried out, and accurately reported. To work with the leadership of the Care Directorate to use clinical incident and clinical outcomes data to inform the creation and design of clinical audit and quality improvement work. To support clinical audit at the design, data collection, analysis, reporting, and recommendation stages. To support and advise individual staff members carrying out particular audits and other quality improvement work, including with reporting and data visualisation. To be able to present data and findings, both verbally and in writing, to diverse audiences in a manner that is intelligible, concise, accurate, and accessible. To monitor and promote compliance with actions, escalating concerns where necessary. To ensure clinical audit reports are of an acceptable standard. To present completed clinical audits to the Quality Assurance and Improvement Group Support production of quarterly care and clinical governance reports and annual quality accounts To support the patient experience agenda, including gathering, analysing, and reporting as required and the Hospice Engagement Group. To support participation in national and regional audits, as required. To manage and coordinate the updating of all care related policies and procedures. To assist in administering the Vantage incident, complaints, policies and risk management system. To develop and manage the Vantage Clinical Audit module. To liaise with the SystmOne support Officer and business intelligence team to extract clinical data for audit purposes. To have a working understanding of Care Quality Commission regulations. To stay current with clinical audit best practice and quality improvement in general. To participate, where appropriate, in the formulation and revision of policies and procedures relating to quality and audit. To support the Hospice with CQC Provider Information Requests and any other work relating to inspection. To manage the CQC Compliance Vantage module. To support care directorate staff with clinical governance processes, as required. Promote a safeguarding is everyones business culture. Ensure adherence with relevant Infection Prevention and Control policies and procedures. GENERAL Where you are a member of a professional body you are required to conform to the professional standards set by that body. You are required to ensure your registration is current and practice continuous professional development. Because of the special nature of the hospice and its work the post holder may on occasion be asked to undertake other duties to help maintain our high standard of care; to uphold the hospice values at all times. THIS JOB DESCRIPTION IS NOT NECESSARILY EXHAUSTIVE AND MAY BE SUBJECT TO REVIEW BY THE DIRECTOR OF CARE IN CONJUNCTION WITH THE POST HOLDER