Job summary PML are seeking a Quality Improvement Lead to assist the Director of Quality (DoQ) in enhancing our existing quality improvement and management system to ensure PML continue to deliver excellent patient care across the various services we provide. The successful candidate will: be a champion for an open and transparent safety culture encouraging data driven action, to make sure lessons are learnt, and action is taken to prevent recurrent issues. be able to analyse data from internal and external sources to monitor and improve the quality of our existing services and any potential new services. have expert knowledge and understanding of Care Quality Commission (CQC) standards and legislative requirements and work with our Registered Managers to ensure all guidance is being followed. This will include tabletop reviews and mock inspections. You are probably already in a hands on quality improvement role with strong analytical skills looking for your next career move in quality improvement. This is a hybrid role although there is an expectation that this job requires primarily face to face presence but allows the successful candidate to work flexibly between On-Site, in our HQ in Bicester, Oxfordshire, and remote. This role will occasionally require the employee to travel between PML sites around Oxfordshire and South Northamptonshire. Main duties of the job Improve Quality Management System Foster an Open and Transparent Safety Culture Data-Driven Monitoring and Improvements CQC Standards and Legislative Compliance Quality Improvement Initiatives and Plans Support to Clinical Governance and Reporting Data Security and Protection Stakeholder Collaboration and Toolkit Development About us PML is a successful not-for-profit, GP-led organisation providing various NHS community and primary care clinical services to patients across Oxfordshire and Northamptonshire. We have evolved as a NHS healthcare provider since 2004 and in the last few years have grown significantly, now employing around 300 staff with a turnover of circa £16m. PML holds GMS contracts, as well as being a GP Federation representing circa 50 GP practices covering approximately 650,000 patients. We welcome applicants from a diverse range of backgrounds and circumstances and people with protected characteristics under the Equality Act 2010 Date posted 22 January 2025 Pay scheme Other Salary £50,000 to £55,000 a year FTE, Depending on Experience Contract Permanent Working pattern Full-time Reference number E0176-25-0003 Job locations Principal Medical Ltd 3 Barberry Place Bicester Oxfordshire OX26 3HA Banbury Cross Health Centre South Bar Street Banbury Oxfordshire OX16 9AD Job description Job responsibilities Improved Quality Management System Contribution: Assist the Director of Quality in improving existing quality management systems and processes to ensure consistent delivery of high-quality patient-care services. Impact: Increased operational efficiency and effectiveness leading to significant enhancements in patient outcomes across our services. Foster an Open and Transparent Safety Culture Contribution: Foster an open and transparent safety culture by encouraging incident reporting, data-driven actions and implementing preventive measures where required. Impact: Increased incident reporting rates, creating an environment of continuous improvement and improved patient safety and staff feedback. Data-Driven Monitoring and Improvements Contribution: Leverage internal and external data sources to monitor and improve service quality for existing and potential new services. Impact: Improved performance management will lead to improved service delivery and support the development of new business. CQC Standards and Legislative Compliance Contribution: Ensure compliance with Care Quality Commission (CQC) standards and legislative requirements through mock audits and service reviews. Impact: Compliance with regulatory standards is successfully maintained, service ratings are improved and patient feedback improved. Quality Improvement Initiatives and Plans Contribution: Work closely with clinical teams to introduce and facilitate annual quality improvement plans, aligned with organisational goals, to enhance patient care outcomes and improved service delivery. Impact: Continual sustained organisational growth delivered safely and consistently throughout the organisation. Support to Clinical Governance and Reporting. Contribution: As an integral member of the Clinical Governance Group, you will link with the Governance group and Board of Directors to ensure that the quality clinical services is accurately communicated to management. Impact: Aligned quality initiatives with organisational priorities while strengthening governance oversight and increasing leadership accountability. Data Security and Protection. Contribution: Collaborate closely with the Data Protection Officer to enhance the Data Security and Protection Toolkits (DPST). Impact: Data protection measures are in place for existing services and processes are in place to safely implement new services and software within the organisation. Stakeholder Collaboration and Toolkit Development. Contribution: Work closely with stakeholders across the organisation and wider community to design quality improvement toolkits to support the delivery of the organisational improvement plans. Impact: Sustained high-quality patient care across all services. Outcomes of Contributions Improved patient safety and satisfaction levels. Achieved and sustained compliance with CQC and legislative requirements. Strengthened clinical governance and reporting systems. Enhanced organisational reputation and service ratings. Promote a culture of transparency, innovation, and continuous improvement. Key Behaviours At Principal Medical Ltd (PML), the key behaviours and values centre around providing high-quality, community-based healthcare. PML emphasises integrity, innovation, and collaboration among healthcare professionals to deliver efficient primary and community health services. The organisation values teamwork and reinvests surpluses into services to benefit patients and support General Practice.These values align with PMLs mission to improve patient outcomes and ensure cost-effective care across their network in Oxfordshire and Northamptonshire. Integrity and Ethical Leadership: Upholds integrity and high ethical standards, ensuring that all quality improvement initiatives align with PMLs core values of improving patient outcomes and delivering high-quality, community-based healthcare services. Leads with transparency and accountability to promote trust and excellence in care delivery. 2. Collaboration and Teamwork: Fosters strong collaboration across clinical and operational teams, as well as external stakeholders, to identify and implement quality improvement strategies that align with PMLs patient-first mission. Promotes a culture of teamwork and shared responsibility for achieving measurable improvements in healthcare outcomes. 3. Innovation and Continuous Improvement: Drives a culture of innovation and continuous improvement by using data-driven methodologies to enhance care quality and operational efficiency. Ensures quality initiatives focus on achieving sustainable improvements that benefit patients and the community. 4. Adaptability: Demonstrates resilience and adaptability in a fast-paced and evolving healthcare environment. Effectively balances competing priorities while maintaining compliance with healthcare regulations, CQC standards and organisational goals to deliver excellent quality outcomes. Job description Job responsibilities Improved Quality Management System Contribution: Assist the Director of Quality in improving existing quality management systems and processes to ensure consistent delivery of high-quality patient-care services. Impact: Increased operational efficiency and effectiveness leading to significant enhancements in patient outcomes across our services. Foster an Open and Transparent Safety Culture Contribution: Foster an open and transparent safety culture by encouraging incident reporting, data-driven actions and implementing preventive measures where required. Impact: Increased incident reporting rates, creating an environment of continuous improvement and improved patient safety and staff feedback. Data-Driven Monitoring and Improvements Contribution: Leverage internal and external data sources to monitor and improve service quality for existing and potential new services. Impact: Improved performance management will lead to improved service delivery and support the development of new business. CQC Standards and Legislative Compliance Contribution: Ensure compliance with Care Quality Commission (CQC) standards and legislative requirements through mock audits and service reviews. Impact: Compliance with regulatory standards is successfully maintained, service ratings are improved and patient feedback improved. Quality Improvement Initiatives and Plans Contribution: Work closely with clinical teams to introduce and facilitate annual quality improvement plans, aligned with organisational goals, to enhance patient care outcomes and improved service delivery. Impact: Continual sustained organisational growth delivered safely and consistently throughout the organisation. Support to Clinical Governance and Reporting. Contribution: As an integral member of the Clinical Governance Group, you will link with the Governance group and Board of Directors to ensure that the quality clinical services is accurately communicated to management. Impact: Aligned quality initiatives with organisational priorities while strengthening governance oversight and increasing leadership accountability. Data Security and Protection. Contribution: Collaborate closely with the Data Protection Officer to enhance the Data Security and Protection Toolkits (DPST). Impact: Data protection measures are in place for existing services and processes are in place to safely implement new services and software within the organisation. Stakeholder Collaboration and Toolkit Development. Contribution: Work closely with stakeholders across the organisation and wider community to design quality improvement toolkits to support the delivery of the organisational improvement plans. Impact: Sustained high-quality patient care across all services. Outcomes of Contributions Improved patient safety and satisfaction levels. Achieved and sustained compliance with CQC and legislative requirements. Strengthened clinical governance and reporting systems. Enhanced organisational reputation and service ratings. Promote a culture of transparency, innovation, and continuous improvement. Key Behaviours At Principal Medical Ltd (PML), the key behaviours and values centre around providing high-quality, community-based healthcare. PML emphasises integrity, innovation, and collaboration among healthcare professionals to deliver efficient primary and community health services. The organisation values teamwork and reinvests surpluses into services to benefit patients and support General Practice.These values align with PMLs mission to improve patient outcomes and ensure cost-effective care across their network in Oxfordshire and Northamptonshire. Integrity and Ethical Leadership: Upholds integrity and high ethical standards, ensuring that all quality improvement initiatives align with PMLs core values of improving patient outcomes and delivering high-quality, community-based healthcare services. Leads with transparency and accountability to promote trust and excellence in care delivery. 2. Collaboration and Teamwork: Fosters strong collaboration across clinical and operational teams, as well as external stakeholders, to identify and implement quality improvement strategies that align with PMLs patient-first mission. Promotes a culture of teamwork and shared responsibility for achieving measurable improvements in healthcare outcomes. 3. Innovation and Continuous Improvement: Drives a culture of innovation and continuous improvement by using data-driven methodologies to enhance care quality and operational efficiency. Ensures quality initiatives focus on achieving sustainable improvements that benefit patients and the community. 4. Adaptability: Demonstrates resilience and adaptability in a fast-paced and evolving healthcare environment. Effectively balances competing priorities while maintaining compliance with healthcare regulations, CQC standards and organisational goals to deliver excellent quality outcomes. Person Specification Skills Essential Proven leadership and management skills Excellent interpersonal skills, including influencing, motivating and negotiating Excellent oral, listening and written communication skills Able to initiate, plan, manage and deliver high priority projects Advanced IT skills with knowledge of all Microsoft Office software, advanced keyboard skills and expertise in Word and Excel Experience Essential Knowledge and understanding of managing and investigating serious incidents. Knowledge and understanding of CQC inspection standards Ability to anlayse Patient record systems such as EMIS or System One Knowledge of quality management reporting systems e.g. GP Teamnet, DATIX, Experience and robust knowledge in governance and quality assurance framework Experienced in preparation and delivery of high-level reports and policies Leading and facilitating meetings involving a large number of clinical and non clinical staff to develop and embed a strong safety culture Developing trusting and supportive relationships with a wide range of clinical and managerial staff Evidence of change management Evidence of managing complaints Experience at a senior level within healthcare organisations Making presentations to senior professionals Able to think strategically Qualifications Essential Masters level or equivalent level of relevant quality and safety management experience. Evidence of professional knowledge in Quality and Safety systems including clinical governance and risk management processes with a focus on quality improvement Desirable Qualification in management / leadership Clinical qualification Person Specification Skills Essential Proven leadership and management skills Excellent interpersonal skills, including influencing, motivating and negotiating Excellent oral, listening and written communication skills Able to initiate, plan, manage and deliver high priority projects Advanced IT skills with knowledge of all Microsoft Office software, advanced keyboard skills and expertise in Word and Excel Experience Essential Knowledge and understanding of managing and investigating serious incidents. Knowledge and understanding of CQC inspection standards Ability to anlayse Patient record systems such as EMIS or System One Knowledge of quality management reporting systems e.g. GP Teamnet, DATIX, Experience and robust knowledge in governance and quality assurance framework Experienced in preparation and delivery of high-level reports and policies Leading and facilitating meetings involving a large number of clinical and non clinical staff to develop and embed a strong safety culture Developing trusting and supportive relationships with a wide range of clinical and managerial staff Evidence of change management Evidence of managing complaints Experience at a senior level within healthcare organisations Making presentations to senior professionals Able to think strategically Qualifications Essential Masters level or equivalent level of relevant quality and safety management experience. Evidence of professional knowledge in Quality and Safety systems including clinical governance and risk management processes with a focus on quality improvement Desirable Qualification in management / leadership Clinical qualification Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Employer details Employer name Principal Medical Limited Address Principal Medical Ltd 3 Barberry Place Bicester Oxfordshire OX26 3HA Employer's website https://www.principal-medical.co.uk (Opens in a new tab)