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Compliance made simple
1.
2. • Healthcare Recruitment companies are facing significant
challenges in the field of candidate compliance
• COMPLi offers substantial benefits
– Fully branded service
– One-stop-shop
– Improved service quality
– Faster turnaround
– Risk transfer
– Reduced cost
– Increased Profits
3.
4. • Customised administration system (Your Branding)
• Comprehensive suite of on-line training packages
• Occupational Health
• Laboratory Services
• National network of Compliance Centres
• National coverage for mandatory training & Induction
– BLS
– Manual Handling
– Induction (TPR, BP etc.)
• On-line Criminal Records Checks
• Continuous Professional Development programs
6. The maintenance of compliance status is an integral part of
the compliance process. Often, it is treated as an
additional function. This invariably results in a breakdown
in compliance status and items “slipping through the net”.
Different elements of compliance will expire at different
times.
Compliance is an on-going process that does not stop once
compliance is achieved.
7. • Service quality issues
– Disjointed web of service suppliers difficult to control
– Compliance failures
• Cost issues
– Average annual cost per candidate £500 + excluding loss of
revenue through compliance delays and dropouts
• Risk issues
– Some current service suppliers with questionable service
standards
– Severe consequences for core business if compliance
failures detected by regulators
8. • No change
• Investment in improved internal compliance systems
• Appoint COMPLi as compliance service provider
9. • No change
– No service quality improvement
– No cost reduction
– No risk transfer
• Investment in internal systems
– Increased cost and staffing
– No risk transfer
• Third party service
– Improved service quality
– Reduced costs
– Risk transfer
11. • Business processes designed using „lean‟ techniques thereby
improving efficiency
• Substantial economies of scale that are not available to individual
companies
• Reduce double-handling of data entry and minimal manual
intervention
• Elimination of delays in achieving candidate compliance reduces the
incidence of lost fees whilst candidates are unable to work
12. • Service quality guarantee
• Agreed, measureable performance standards
• £10 million professional indemnity assurance
13. • COMPLi will be seeking accreditation with;
– Government Procurement Service (GPS)
– Care Quality Commission (CQC)
– NHS London Procurement Programme (LPP)
– Recruitment and Employment Confederation (REC)
• Service Audit and Verification for;
– Clients
– Key accounts
• NHS Trusts
• Procurement Hubs
• Consortia
• Independent Hospitals
• On-going service performance reports
– Performance statistics
– Detailed Candidate audit trail
14. Chairman
Chief Executive
Medical Quality Finance Executive
Company Key Account Executive Executive
Network Assurance Director
Medical Advisor Manager Managers Director (IT) Director (Legal)
Manager Manager (Training)
Roaming Chief OH
Accounts Team SME/Authors Programmers
Officers Advisor
Compliance Training
OH Advisors IT Support
Centres Managers
15.
16. Compliant FTW
OHA
Laboratory
Certification
Testing
Right Qualification
Specimen Health
To & Reference On-Line Practical
Collection Declaration
Work Verification
Criminal Document Occupational
Records Collection & Training Health
Checks Verification
17. • Faster turnaround time
– Reduction in dropout rate
– Improved retention
– Increase in availability
– Faster placement
– Increased profit
• Improved quality
– Reduced risk
– Enhanced reputation
• Reduction in compliance costs of up to 50%
– Increased profit
• Increased productivity
– Increased GM
– Increased profit
– Staff satisfaction
– Improved retention
18. • Improve service quality
• Reduce turnaround times
• Reduce candidate dropout rates
• Improve Candidate retention
• Enhance reputation
• Increase staff satisfaction
• Transfer risk
• Reduce administration
• Reduce internal staff requirements
• Provide comprehensive Maintenance
• Reduce compliance costs by up to 50%
• Increase revenues and GM
Editor's Notes
As is the case with all Healthcare Recruitment agencies, HCL faces significant on-going and developing challenges relating to compliance. In addition to the overwhelming cost implications, compliance is an administrative headache and distraction from HCL’s core function of recruitment. The last 10 years have seen rationalisation and consolidation within the Healthcare recruitment market. The number of agencies has reduced from over 1,500 (2002 Plimsoll report), to less than 150. The key factor responsible is the implementation of increasing compliance requirements lead by the NHS. The two elements that have proven insurmountable have been expertise and cost.Whilst the remaining companies have managed to keep their heads above water, the effect on performance and profitability has taken its toll. The use of a specialist company, which focuses on compliance, provides the highest level of expertise and, in addition to enabling its clients to focus on their core function and focus on increasing business, can deliver savings in excess of 40% on compliance costs alone.
Each of the primary objectives lead to two main outcomes;Increased market shareIncreased profitability
All the components of COMPLi’s service are delivered, through our on-line portal which client branded. The system provides full administration, delivery and reporting functions which enable our clients to monitor progress in real-time.All documentation, such as FTW’s, training certificates, RTW and qualification/registration documentation is attached to each candidate record and available for review, printing and audit purposes.
All healthcare recruitment companies use a variety of third party service providers. This is difficult to manage and the responsibility resides with the agency to consolidate the disparate information. There is no requirement for third party providers to be registered or audited. Many of the third party providers do not meet the service standards required of client organisations under the terms of their framework agreements and SLA’s. This leaves agencies exposed to audit failure and potential removal from agreements with no recourse.
See option appraisal on following slide.
HCL could leave things as they are at present. However, there are documented issues that have not yet been fully resolved both with internal arrangements and external service suppliers. Furthermore, the company is incurring costs that are significantly higher than necessary in order to try to achieve full compliance.HCL could invest more money in improving internal compliance management systems. However, this would increase costs rather than reduce them and there is no guarantee that full compliance would be achieved even then.COMPLi will significantly improve service quality, reduce costs and transfer risk.
Service QualityAt present, compliance management within HCL is viewed as an overhead. This is true of most other healthcare recruitment companies too. This often results in compliance management being treated like the poor relative and starved of resources. It is also manifested in staff outside compliance teams ‘cutting corners’ and flouting regulations in order to achieve sales targets. This can go as far as outright fraud in the form of counterfeit or forged documentation.Since COMPLI generates profit solely through the delivery of compliance management services, compliance is never viewed as an overhead. Compliance management is the sole focus of COMPLi’s business. COMPLi never starves compliance management of resources or flouts regulation. We live or die by the quality of our compliance management service.All business processes are designed in close collaboration with client organisations to ensure that specific client needs are satisfactorily addressed.COMPLi operates a formal quality assurance system that is totally transparent to client organisations. All suppliers of services to COMPLi are required to sign up to this system as an integral part of their service supplier contracts.COMPLi will appoint an Account Manager to liaise with HCL’s Head of Clinical Governance and Compliance. COMPLIAccount Managers are required to obtain formal client feedback on a monthly basis and direct that feedback, unedited, to COMPLi senior management.COMPLi operates a formal complaints procedure that engages senior management at an early stage and ensures that no complaint is ever trivialised.
Costs to HCL will be reduced by the following measures:COMPLi business processes have been designed using ‘lean’ techniques to ensure that every step in every process is necessary and efficient. First-hand experience has shown that many existing in-house compliance management business processes contain duplicated, inefficient or redundant steps.The IT platform utilised by COMPLi to deliver its service eliminates avoidable delay and reduces the requirement for manual intervention. The system is structured in such a way as to ensure that every client, candidate and service supplier has instant access to real time data whenever it is needed. Prompts are issued whenever action is required or whenever a time limit is approaching or has expired. COMPLI’s system delivers substantial improvements in productivity by speeding up every aspect of compliance management and eliminating human error.There is a substantial cost to HCL, in the form of lost revenue, for every day’s delay in achieving candidate compliance. The Compli system ensures that all avoidable delays are minimised. Real time data access, automated prompting and tight performance management regimes ensure that candidates are cleared to work with the absolute minimum of delay.Mistakes are expensive. The Compli system has been designed to minimise the incidence of avoidable errors. Tight performance management systems within COMPLI ensure that neither COMPLi staff, nor any of their suppliers, make avoidable errors.
Risk TransferThere is an old saying that ‘to err is human’. In other words, everyone makes mistakes. At present, the whole of candidate compliance risk is shouldered by HCL. Mistakes made by HCL staff, or any of their suppliers, could have very serious consequences for the business as a whole. COMPLi carries professional indemnity insurance in excess of £10 million. Hence, in the unlikely event that HCL were to suffer loss because of a service supplied by COMPLi, HCL could claim adequate financial compensation. Furthermore, COMPLi operates an ‘open book’ policy towards industry regulators. Regulators will be actively and enthusiastically invited to inspect COMPLi processes on a regular basis to assure themselves of the quality of the Compli service. In this manner, the risk of an adverse audit report is radically reduced provided all compliance processes are handled by COMPLi.