To ensure the services provided are in accordance with the health aspects of their contracts, service specification and service level agreements. To work with partner organisations to provide advice of clinical quality assurance processes to enable the commissioning of high quality, responsive, and efficient nursing care. Contribute to the development and implementation of the ICBs processes and strategies for the delivery of safe and effective care from Care Home, Supported Living and Home Care providers. Support the delivery of the Framework for Enhanced Health in Care Homes and the national transformation agenda for new ways of working by, for example the production of reports, analysis of information and attendance at meetings including scrutiny and challenge. Lead on the quality assurance process with providers and where clinical and quality issues are identified, to propose the necessary changes and contribute to the development of clinical policies, processes, and strategies to effect those changes. When appropriate, assess clinical risk and escalate concerns and issues to relevant agencies, and services to ensure continuous quality service improvement. This will include participation in meetings with key stakeholders. Support the development of programme plans ensuring consistency and progress against the targets. Maintain relevant action plans and liaise with stakeholders toreport on and drive progress. Demonstrate clear understanding of adult and children safeguarding procedures and participate in the safeguarding process when required. Support specific initiatives and innovation pilots to improve quality and minimise clinical risk to individuals in care homes, supported living services and home care. Contribute to the Annual Report by maintaining the collection of data to assist in assuring quality and ensuring the provision of accurate and timely information. Undertake analyses of data to identify themes to inform future work. To support co-ordination of and participate in, relevant internal and external working groups and to provide clinical expertise and support where requested. Ensure that clinical and health-based services are delivered with consistency and to national and locally required standards. Utilising clinical knowledge and skills, monitor the review process for quality assurance policies, protocols, and guidance. Build relationships and embed efficient working practices with other health and social care colleagues providing services to the Care Homes, Supported Living services and Home Care. Ensure that all concerns regarding services are recorded and responded to in a timely manner and that appropriate action is taken. Deal with difficult and highly sensitive situations where services are being monitored for underperformance. Provide expert clinical advice and support to the ICB complaints manager in handling related complaints.