Compliance Officer -CQC Monitoring in Luton

Are you passionate about driving quality and excellence in Primary Care? Lea Vale Medical Group are looking for a proactive and detail-oriented Compliance Officer to join our friendly and forward-thinking team. This is a fantastic opportunity to play a key role in maintaining our high standards, ensuring we continue to deliver safe, effective, and compassionate care to our patients. You will be part of a supportive, collaborative team that values innovation, continuous learning, and working together to make a difference.

Main duties of the job

As the Compliance Officer, you will play a vital role in maintaining continuous compliance with Care Quality Commission (CQC) regulations and other statutory requirements. Working closely with the leadership team and Managing Partner, you will develop, monitor, and maintain systems that ensure the practice remains compliant. This is an excellent opportunity for someone who enjoys teamwork and who takes pride in supporting colleagues to deliver safe, effective, and compassionate care to our patients.

About us

We are a CQC outstanding rated practice who believes in delivering high quality primary care services through effective teamwork and constant learning. We are looking for staff who share the same teamworking ethics to join our team. We learn from the past but are always looking to the future. This is true for when we look for new staff as well; your skills and experience will be what make you suitable for this role but we are more interested in your ideas for the future! How you want to develop yourself and how that will improve our practice and the service we offer to our patients.

Job responsibilities

• CQC and Regulatory Compliance
  • Maintain up-to-date knowledge of CQC standards and the Single Assessment Framework (SAF) as they apply to Primary Care.
  • Conduct regular audits and self-assessments against CQC requirements.
  • Develop and maintain compliance registers, policies, and evidence portfolios.
  • Coordinate and prepare documentation for CQC inspections and external visits.
  • Support the implementation and monitoring of any actions required following inspections or audits.
  • Ensure policies and procedures are reviewed, updated and communicated to staff regularly.
  • Maintain comprehensive evidence for compliance under the five CQC domains (Safe, Effective, Caring, Responsive, Well-led).
• Governance and Risk Management
  • Assist in maintaining the practices risk register and ensure mitigation plans are in place.
  • Monitor incident reports, complaints, and significant events to identify patterns or learning needs.
  • Ensure that learning from complaints, audits, and incidents is documented and shared appropriately.
  • Support the Managing Partner and wider leadership team in maintaining governance frameworks.
• Training and Staff Support
  • Monitor mandatory training compliance for all staff.
  • Support staff in understanding their roles in maintaining compliance.
  • Deliver or coordinate compliance-related training and awareness sessions.
  • Ensure compliance with GDPR, NHS Digital, and information governance requirements.
  • Support safe handling, storage, and sharing of patient and staff information in line with legislation.
  • Review and improve internal compliance systems and processes.
  • Benchmark performance and compliance levels against local and national standards.
  • Work with the management team to identify opportunities for improvement and innovation.

Person Specification

Qualifications

• Educated to A-Level standard or equivalent.
• Evidence of ongoing professional development.
• Training in healthcare management, quality assurance, or CQC compliance and governance.

Experience

• Experience working in a healthcare, primary care, or regulated environment.
• Experience conducting audits or compliance reviews.
• Knowledge of governance frameworks and risk management.
• Experience working within a GP surgery or NHS setting.
• Experience preparing for CQC inspections.
• Experience developing or delivering staff training.

Knowledge and Skills

• Understanding of CQC regulations and the Single Assessment Framework (SAF), including the five key categories: Safe, Effective, Caring, Responsive, and Well-led.
• Strong organisational and analytical skills.
• Excellent communication (verbal and written) and interpersonal skills.
• Ability to manage multiple priorities and meet deadlines.
• Understanding of NHS contractual and regulatory frameworks.
• Knowledge of Quality Improvement (QI) tools.
• Experience using SystmOne.

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.

Depending on experience Equivalent to Band 5 or 6 - AFC depending on experience.