Chase Lodge Hospital
Compliance and HR Manager
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Compliance & HR Manager
Chase Lodge Health Group
Covering Chase Lodge Hospital (Mill Hill, NW7), Haringey Hospital (Green Lanes, N8) and Abbey Wood Hospital (SE2)
Reports to: Chief Executive Officer & CQC Registered Manager
Location: On-site across all three hospital sites (remote working by negotiation)
Hours: 3 days per week initially, with availability to increase as the group expands
Salary: Competitive, dependent on experience
Contract: Permanent
About the Group
Chase Lodge Health Group is a growing, vertically integrated independent healthcare provider delivering hospital, day-surgery, diagnostic, laboratory, pharmacy, and outpatient specialist services to both private and NHS patients. We are scaling a modern day-hospital and urgent-care model across three London sites, with expanding capability in surgery, imaging, and oncology-related services. As the group grows, robust governance and compliance are central to our strategy. We are seeking a capable, self-directed Compliance & HR Manager to hold this function across all three sites and act as the operational backbone of our regulatory and workforce compliance.
The Role
Reporting directly to the CEO (who is also the CQC Registered Manager), you will take delegated responsibility for the group's compliance, governance, and human-resources functions across all three hospitals. This is a broad, hands-on role suited to someone who is comfortable working autonomously, moving between sites, and holding multiple regulatory workstreams at once.
The post is offered initially on a three-day-per-week basis. Given the pace of the group's development, the successful candidate should be available to increase their hours as the workload grows. The role is predominantly on-site across the three locations; any remote working will be agreed by negotiation and structured around on-site inspection, audit, and staff-facing commitments.
Key Responsibilities
Regulatory Compliance & CQC Governance
- Act as the CEO's delegate on day-to-day CQC compliance across all three registered locations, maintaining readiness against the CQC Single Assessment Framework at all times.
- Plan, conduct, and document a rolling programme of clinical and non-clinical audits, tracking actions through to closure.
- Undertake and maintain risk assessments across sites (clinical, health & safety, fire, COSHH, infection prevention and control, and environmental).
- Own the compliance calendar: monitor and diarise all licence, registration, certification, and insurance renewals, escalating well ahead of expiry. This includes, but is not limited to, CQC registration, controlled-drugs governance, the pharmacy WDA(H)/MHRA obligations, IRMER/radiation and imaging-equipment compliance, and pathology/laboratory accreditation requirements.
- Manage the group's insurance portfolio renewals and evidence trail (medical malpractice, employers' liability, public liability, buildings, and equipment).
- Maintain the policy and procedure library, ensuring documents are current, version-controlled, ratified, and accessible across all sites.
- Operate the incident-reporting and governance framework, including logging, investigation support, duty-of-candour tracking, and trend analysis for governance meetings.
- Support information governance and data protection compliance, including the Data Security and Protection Toolkit (DSPT) and GDPR obligations.
- Prepare the group for CQC inspections and third-party audits (insurer, NHS commissioner, MHRA, UKAS-aligned laboratory reviews), and coordinate responses and action plans arising from them.
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Human Resources
- Manage the full staff onboarding process across all sites, including offer administration, contracts, and pre-employment checks.
- Deliver and document staff inductions and coordinate mandatory and role-specific training, maintaining a live training-compliance matrix.
- Conduct and evidence safer-recruitment checks: right-to-work verification, DBS, professional registration and revalidation status, references, and occupational-health clearance.
- Support compliance with the group's Skilled Worker sponsor licence, maintaining accurate records and meeting UKVI reporting and record-keeping duties.
- Maintain personnel records, coordinate the appraisal and revalidation cycle, and support the CEO with employee-relations matters as they arise.
- Contribute to workforce planning, HR policy development, and the embedding of a consistent people framework across the three sites.
- Prepare compliance and HR reporting for the CEO and for governance meetings.
- Act as a point of contact across sites for compliance and HR queries, promoting a consistent culture of safety, accountability, and documentation.
- Take on additional delegated compliance, governance, and HR tasks commensurate with the role as the group develops.
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Person Specification
Essential
- Demonstrable experience in a compliance, governance, or quality role within a CQC-regulated healthcare setting.
- Working knowledge of the CQC Single Assessment Framework and the regulatory environment for independent hospitals.
- Sound understanding of HR practice, including safer recruitment and pre-employment checks.
- Highly organized, methodical, and able to manage multiple concurrent workstreams and deadlines independently.
- Confident working across multiple sites and comfortable with the travel this involves.
- Precise, evidence-led approach to documentation and record-keeping.
Desirable
- Familiarity with any of: controlled-drugs governance, WDA(H)/MHRA requirements, IRMER/radiation compliance, laboratory accreditation, or Skilled Worker sponsor licence duties.
- Relevant qualification in quality/compliance, HR (e.g., CIPD) or healthcare governance.
- Experience supporting CQC inspections or insurer/commissioner audits.
To Apply
Please submit a CV and a short covering statement outlining your relevant experience and current notice period. Salary will be discussed at interview and reflects the successful candidate's experience.
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