About this role
Job summary
We are looking for an Operations & Compliance Lead to join our Leadership Team and play an important role in ensuring our practice remains safe, compliant, well maintained and fit for the future.
This varied and responsible role works closely with the Practice Manager and wider clinical and operational leadership team. You will take ownership of the practices operational compliance framework across all three sites, ensuring inspections, servicing, audits, risk assessments, policies and statutory requirements are completed and appropriately recorded.
You will need to keep abreast of requirements arising from CQC, legislation, NHS England, the GMS contract, local commissioning arrangements and other national requirements affecting general practice. You will be organised and proactive, able to identify what needs to be done, coordinate contractors or specialists and ensure actions are followed through.
This is not a technical maintenance role. You will coordinate the right people to undertake specialist work, from Legionella testing and fire equipment servicing to health and safety audits, equipment calibration, premises security and building maintenance, ensuring nothing is overlooked and compliance can be evidenced.
We are looking for someone practical and solutions-focused, with excellent attention to detail and the confidence to take ownership.
If you take pride in making sure things are done properly and want to make a real difference, we would love to hear from you.
Main duties of the job
The Operations & Compliance Lead is a key member of the Leadership Team at Mortimer Medical Practice, responsible for ensuring the practices premises, operational systems, health and safety arrangements and compliance requirements are effectively managed across all three sites.
Reporting to the Practice Manager and working with the wider Leadership Team, you will provide proactive oversight of the practices operational and compliance framework, ensuring checks, inspections, servicing, audits, risk assessments, policies and remedial actions are completed within appropriate timescales.
You will maintain a clear understanding of requirements arising from CQC standards, relevant legislation and statutory guidance, NHS England, the GMS contract, local commissioning arrangements and other national requirements affecting general practice. You will ensure compliance can be evidenced and that identified risks and improvements are addressed promptly.
This is a practical, proactive role. You will not undertake specialist maintenance or technical work yourself, but will identify what is required, arrange appropriately qualified contractors or specialists and ensure records and certificates are maintained.
Working across Kingsland, Orleton and Leintwardine, you will help ensure Mortimer Medical Practice remains safe, secure, compliant, well maintained and fit for purpose, supporting smooth day-to-day operations and providing assurance to the Partners, Practice Manager and Leadership Team.
About us
Mortimer Medical Practice is a well-established rural dispensing GP practice serving approximately 9,000 patients across three sites in Kingsland, Orleton and Leintwardine, in the heart of Herefordshire. We are a community-focused practice with a strong reputation for high-quality, patient-centred care and lasting relationships with our communities.
We are proud of our friendly, knowledgeable and supportive multidisciplinary team. Our culture is built on respect, kindness, professionalism and collaboration, with a strong focus on open communication, continuous learning and developing our people.
The practice is led by an experienced Partnership of GP Partners and a Managing Partner, supported by a strong operational leadership team including an Assistant Practice Manager, Operations & Compliance Lead, Dispensary Manager, Care Navigation Team Leader and Lead Nurse. This collaborative structure supports shared leadership and continuous improvement.
Our three-site rural setting provides a varied and rewarding working environment where teamwork, adaptability and a hands-on approach are highly valued. We embrace innovation where it benefits patients and staff, while retaining the personal, community-focused values at the heart of general practice.
At Mortimer Medical Practice, people are encouraged to contribute, develop professionally and take pride in making a positive difference to the health and wellbeing of our patients.
Job description Job responsibilities
Operations, Premises and Facilities
Maintain oversight of the condition, safety, security and functionality of all three practice premises. Coordinate and monitor practice maintenance, ensuring issues are identified, prioritised and resolved appropriately. Arrange and oversee appropriate servicing, inspection and maintenance contracts, using competent and appropriately qualified contractors where required. Liaise with tradespeople, contractors, suppliers and external organisations and ensure work is completed to an appropriate standard and within agreed timescales. Oversee cleaning arrangements, window cleaning, carpet cleaning, waste management, shredding and other premises-related contracts. Manage and monitor issues relating to drainage, plumbing, boilers, lifts, car parks and other building infrastructure. Maintain appropriate records of servicing, inspections, certificates, contracts and remedial works. Health Safety and Compliance
Support the practice in meeting its obligations under relevant health and safety legislation, CQC requirements, NHS England guidance and other statutory or contractual requirements. Coordinate annual health and safety, security, access/egress and clinical waste audits, ensuring that recommendations and actions are appropriately addressed. Maintain and review relevant risk assessments, including COSHH and premises-related risks. Oversee fire safety arrangements, including servicing of fire equipment and completion of required checks. Coordinate Legionella monitoring and testing and ensure appropriate remedial action is taken where required. Ensure appropriate arrangements are in place for PAT testing, medical device calibration, centrifuge servicing and other equipment checks. Maintain oversight of infection prevention and control requirements relating to the practice environment and premises. Ensure appropriate records and evidence are maintained to demonstrate compliance during internal and external audits or inspections. Escalate significant risks, compliance concerns or overdue actions promptly to the Practice Manager. Regulatory & Statutory Requirements
Maintain an up-to-date compliance schedule covering statutory inspections, servicing, testing, audits, certificates and contractual requirements. Monitor requirements arising from CQC, NHS England, the GMS contract, local commissioning arrangements, legislation, statutory guidance and national primary care requirements. Coordinate the review and updating of relevant practice policies and procedures. Monitor and action relevant alerts, including NHS, cyber security, safety and operational alerts. Ensure that appropriate evidence is retained to demonstrate that required actions have been completed. Coordinate relevant premises documentation including EPC/DEC requirements, EIHR and six-facet survey inspections. Ensure appropriate arrangements are in place for music licensing, waste transfer documentation and other statutory or contractual obligations. Premises Security & Business Continuity
Maintain oversight of premises security across all three sites. Manage keyholder arrangements and ensure appropriate access controls are maintained. Oversee alarms and other security systems, including servicing and maintenance. Coordinate security audits and ensure identified actions are addressed. Identify premises-related risks that could affect service continuity and escalate these appropriately. Work with the Practice Manager and wider Leadership Team to support business continuity and resilience arrangements. Equipment, Assets & Infrastructure
Maintain an accurate practice asset register and ensure appropriate servicing, maintenance and replacement arrangements are identified. Coordinate calibration and servicing of relevant clinical and non-clinical equipment. Ensure equipment requiring specialist inspection or maintenance is referred to appropriately qualified providers. Oversee maintenance of equipment such as wheelchairs, couches and centrifuges. Monitor the condition of practice infrastructure and identify potential future maintenance or replacement requirements. Contracts, Suppliers & Contractors
Maintain a central record of premises, facilities, compliance and maintenance contracts. Undertake regular supplier and contractor reviews to ensure services remain appropriate, effective and value for money. Obtain quotations and arrange contractors where specialist work is required, in accordance with practice procedures. Ensure contractors provide appropriate certification, documentation and evidence of completed work. Monitor contractor performance and escalate concerns where standards or timescales are not met. Coordinate annual rent reviews and liaise with relevant landlords or property representatives as required. Environmental & Sustainability Responsibilities
Support implementation and ongoing development of the practice Green Plan. Identify opportunities to improve environmental sustainability, energy efficiency, waste management and resource use across the practice. Monitor relevant premises and environmental requirements and support the practice in meeting applicable NHS and local expectations. Information, Risk & Assurance
Maintain effective compliance and risk registers, ensuring actions have clear ownership and deadlines. Provide regular updates to the Practice Manager and Leadership Team on outstanding compliance actions, risks and areas requiring investment. Prepare appropriate documentation and evidence for CQC inspections, audits, reviews and internal governance processes. Ensure that compliance information is accurate, accessible and kept up to date. Work collaboratively with clinical and operational leads where compliance responsibilities overlap. Support the practice in developing a culture where health, safety, compliance and risk management are everyone's responsibility. Undertake other duties commensurate with the role and level of responsibility, as required by the GP Partners or Managing Partner. General Leadership Responsibilities
Act as an active member of the Mortimer Medical Practice Leadership Team. Work collaboratively with the Practice Manager, Assistant Practice Manager and other managers and clinical leads. Provide practical advice and guidance to colleagues on premises, operational and compliance matters. Take ownership of issues within the scope of the role and follow them through to resolution. Identify opportunities to improve systems, processes and the working environment. Maintain confidentiality and comply with practice policies and procedures. Attend all relevant leadership and wider practice meetings as required. Place of Work:
The usual place of work for this role will be Leintwardine Surgery, which will serve as the postholder's primary base. However, given the nature of the role, regular travel between Kingsland, Orleton and Leintwardine will be required to oversee premises, compliance, health and safety and operational requirements consistently across all three sites.
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability, and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade.
We may close this vacancy early if we receive a sufficient number of suitable applications, so early application is encouraged.
Person Specification
Skills Essential
Excellent organisational and time-management skills, with strong attention to detail. Ability to maintain effective compliance schedules, records and action plans. Strong communication and interpersonal skills, with the ability to work effectively with colleagues, contractors and external organisations. Ability to coordinate and manage contractors and suppliers effectively. Strong problem-solving skills, with a practical and solutions-focused approach. Ability to identify potential risks and take appropriate action or escalate where necessary. Good general IT skills and confidence using digital systems to maintain records and monitor compliance. Ability to interpret policies, guidance and regulatory requirements and translate these into practical actions. Ability to prioritise and manage multiple tasks across three sites.
Desirable
Knowledge of CQC requirements and the regulatory environment within general practice. Knowledge of NHS England and primary care contractual requirements. Experience using compliance management systems or digital audit platforms. Experience of developing risk registers, compliance trackers or audit programmes.
Qualities and Attributes Essential
Highly organised, methodical and conscientious. Proactive, reliable and willing to take ownership of issues from identification through to resolution. Practical and resourceful, with the confidence to find solutions rather than simply identify problems. Strong attention to detail and commitment to maintaining accurate records and evidence. Approachable and able to build positive working relationships with colleagues at all levels. Confident and professional when dealing with contractors, suppliers and external organisations. Able to work independently while recognising when to seek guidance or escalate concerns. Calm and resilient, with the ability to manage competing demands in a busy environment. Committed to high standards of safety, compliance and patient care. Flexible and willing to travel between all three practice sites as required. Comfortable being a visible and active member of the Leadership Team.
Desirable
A genuine interest in improving the working environment and operational efficiency of the practice. An interest in sustainability and reducing the environmental impact of healthcare services. Experience of working in a rural or community-focused organisation.
Experience Essential
Experience of working in an operational, facilities, compliance or administrative management role. Experience of coordinating contractors, suppliers and external organisations. Experience of maintaining records, schedules, certificates and compliance documentation. Experience of identifying issues, assessing risks and ensuring appropriate actions are completed. Experience of managing competing priorities and working to deadlines. Experience of working collaboratively with colleagues across an organisation.
Desirable
Experience within primary care, healthcare or another regulated environment. Experience of working with CQC requirements or other healthcare regulatory frameworks. Experience of premises management across multiple sites. Experience of coordinating health & safety, fire safety, Legionella, COSHH or infection prevention and control requirements. Experience of working with NHS England, ICBs or other healthcare commissioning organisations.
Qualifications Essential
This is not intended to be an exhaustive list of responsibilities. This is a role which requires flexibility and adaptability, and it is expected that you will participate in a wide range of activities which are appropriate to your position, level of expertise and employment grade. We may close this vacancy early if we receive a sufficient number of suitable applications, so early application is encouraged.
Desirable
Health & Safety qualification or training. IOSH, NEBOSH or equivalent qualification. Qualification or training relating to facilities, compliance, risk management or infection prevention and control.
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 Mortimer Medical Practice
Address Kingsland
Leominster
Herefordshire
HR6 9QL
United Kingdom
Employer's website https://www.mortimergpsurgery.co.uk/ (Opens in a new tab)