Project Manager CQC and Service Improvement

NEMS Community Benefit Services Ltd; Mansfield, Nottingham; Hybrid; GBP 40,000 - 55,000; Full time

Job summary

A community-oriented healthcare organization in Mansfield is looking for a proactive Project Manager focused on CQC and service improvement. This role involves coordinating CQC readiness, overseeing actions from inspections, and managing service improvement projects. The ideal candidate should have healthcare experience, a degree-level education, and formal project management qualifications. Flexible working options are available, allowing for a combination of remote and onsite responsibilities.

Benefits

Flexible working

Compressed hours

Remote working options

Qualifications

• Previous experience of working within a healthcare setting.
• Knowledge of Quality Governance.
• Previous experience of leading on projects.

Responsibilities

• Lead and coordinate CQC readiness and always ready programme.
• Oversee delivery of actions from CQC inspections and audits.
• Develop and monitor CQC action plans.

Skills

Project management

Stakeholder engagement

Risk management

Healthcare experience

Report writing

Education

Degree Level Education

Project management qualification (e.g. PRINCE2, Agile, QSIR, APM)

Job description

Project Manager - CQC and Service Improvement

The Project Manager CQC & Service Improvement will play a pivotal role in supporting NEMS to deliver high quality, safe, and well led services. The post holder will act as the dedicated project management lead for CQC readiness and regulatory compliance, initially for approximately three days per week, reducing as the programme stabilises.

Alongside this, the post holder will provide project management support for wider service improvement initiatives across NEMS, working as part of the Business Improvement Team under the direction of the Head of Business Improvement.

This role requires a dynamic, organised, and proactive project manager with strong stakeholder engagement skills, capable of working at pace across multiple services and professional groups.

Main duties of the job

CQC Project Management (Primary focus approx. 3 days per week initially)

• Lead and coordinate NEMS CQC readiness and the always ready programme.
• Oversee delivery of actions arising from CQC inspections, audits, and external reviews.
• Analyse historical CQC reports and external audits to identify themes, risks, and required actions.
• Develop, maintain, and monitor CQC action plans, ensuring timely progress and escalation where required.
• Manage CQC-related risk logs and ensure alignment with the organisational risk register.
• Prepare high quality reports and updates for the Executive Team, Board, and governance forums.
• Coordinate responses to CQC enquiries, concerns, and information requests.
• Maintain accurate CQC registration information, including Statement of Purpose updates.
• Manage the flow of data and evidence to the CQC.
• Support and coordinate meetings, focus groups, and site engagement relating to CQC assessment.

About us

NEMS CBS is a high quality, high performing not-for-profit organisation which delivers integrated urgent care and urgent primary care services to over 1 million patients. We are responsive, adaptable and continually evolving, with a reputation for delivering locally tailored, safe, effective and cost-efficient services with high levels of patient satisfaction.

We are committed to investing in our people and have an established programme of learning and development, successfully developing our own Urgent Care Practitioners and Advanced Clinical Practitioners.

NEMS currently operates three main services: (1) Integrated Urgent Care across Nottinghamshire serving a patient population of over 1 million, including home visiting, remote consultation and clinical assessment services; (2) Urgent Treatment Centre provision located within the A&E Department at QMC; (3) A 24-hour walk-in urgent primary care service adjacent to Kings Mill Hospital A&E, Mansfield.

Job responsibilities

Job Summary

The Project Manager CQC & Service Improvement will play a pivotal role in supporting NEMS to deliver high quality, safe, and well led services. The post holder will act as the dedicated project management lead for CQC readiness and regulatory compliance, initially for approximately three days per week, reducing as the programme stabilises.

Alongside this, the post holder will provide project management support for wider service improvement initiatives across NEMS, working as part of the Business Improvement Team under the direction of the Head of Business Improvement.

This role requires a dynamic, organised, and proactive project manager with strong stakeholder engagement skills, capable of working at pace across multiple services and professional groups.

KeyRelationships

• NEMS Executive Team
• Head of Business Improvement
• Head of Quality Governance & IG
• NEMS Leadership & Management Teams
• Operational and Clinical Teams
• ICS Partners and Commissioners
• CQC representatives

Main Duties of the Role

CQC Project Management (Primary focus approx. 3 days per week initially)

• Lead and coordinate NEMS CQC readiness and always ready programme.
• Oversee delivery of actions arising from CQC inspections, audits, and external reviews.
• Analyse historical CQC reports and external audits to identify themes, risks, and required actions.
• Develop, maintain, and monitor CQC action plans, ensuring timely progress and escalation where required.
• Manage CQC-related risk logs and ensure alignment with the organisational risk register.
• Prepare high quality reports and updates for the Executive Team, Board, and governance forums.
• Coordinate responses to CQC enquiries, concerns, and information requests.
• Maintain accurate CQC registration information, including Statement of Purpose updates.
• Manage the flow of data and evidence to the CQC.
• Support and coordinate meetings, focus groups, and site engagement relating to CQC assessment.

• Deliver training and briefings to staff involved in CQC processes.
• Lead and coordinate mock inspections across all NEMS sites, producing action plans and monitoring implementation.
• Work closely with clinical, operational, estates, digital, and comms teams to ensure regulatory requirements are understood and embedded.
• Maintain and update CQC evidencest statements and Quality Improvement documentation.

Wider Service Improvement Project Management

• Lead and manage multiple improvement projects simultaneously, ensuring delivery on time, within scope, and within budget.
• Support the development, implementation, and evaluation of service changes, digital improvements, and new clinical pathways.
• Work with project leads, clinicians, and senior leaders to define objectives, deliverables, and timelines.
• Develop detailed project plans including resource allocation, risk management, and stakeholder engagement strategies.
• Produce highlight reports and updates for governance groups and senior stakeholders.
• Identify benefits, support benefits realisation, and ensure alignment with NEMS strategy and NHS priorities.
• Foster a culture of continuous improvement and innovation across project teams.
• Present project updates at internal and external meetings as required.

Person Specification

Experience

• Previous experience of working within a healthcare setting
• Knowledge of Quality Governance
• Previous experience of leading on projects
• Understanding of local and national policies in relation to regulatory requirements
• Experience of report writing
• Experience managing risk logs, action plans, and governance documentation
• Organise self and use own initiative
• Excellent interpersonal skills and empathetic
• Team player
• Previous experience of CQC delivery plans
• Operating in NHS or social care commissioned services
• Experience in urgent primary care services

Qualifications

• Degree Level Education
• Experience of working in a similar project management or service improvement role
• Formal project management qualification (e.g., PRINCE2, Agile, QSIR, APM) Educated to degree level
• Governance or CQC-specific training

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.

Full-time, Flexible working, Home or remote working, Compressed hours