Nicky SpeakmanSpecialist Associate
My career began as a podiatrist in the late eighties and I worked for seventeen years as a clinician with high risk patients in Southport hospital and in the community. I took a secondment opportunity and worked with older peoples services across health and social care and as a project manager for the implementation of a newly commissioned stroke service in Southport hospital.
I moved into the public health directorate in NHS Sefton and I worked with partners in health and social care and the voluntary sector to commission services to reduce health inequalities and to improve health and well-being. In 2009 I gained a post-graduate certificate in health care commissioning from the University of Teeside.
I left the NHS in 2011 to run a small charity and I was successful in bidding for funding for the delivery of public health projects.
I took up the position of hospital inspector for the Care Quality Commission in April 2015 and following a lengthy induction I now work in the Lancashire team inspecting and regulating hospital care and independent health care in the North West of England. CQC looks at five domains during their inspections; these are safe, effective, caring, responsive and well-led. We look at a range of information and data that relates to the services that is being inspected and then we undertake a site visit where we interview staff and patients and look at further evidence to corroborate and triangulate our evidence.
We also review the governance, risk management, risk assurance and quality assurance of services and produce a report which is based on all our findings. This is then published on the website of the hospital or independent health care setting.