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Occupations and Terms of Reference › HR manager

Universal terms of reference · POS-163 · version 1.0 · status: draft · next review 2027-10-27

HR manager

To run the day-to-day people function, so that vacancies are filled fairly, staff are supported, and employment law and policy are followed.

Each part of this page links to the related trainings, competencies and policies. The links are the same for every facility, so an organisation can see at a glance what a role requires and what it is trained in.

Job description

Job summary. You run HR operations. You manage recruitment, employee relations, HR policy, staff records and the HR team, and make sure employment practice is fair and compliant.

Reports to: Chief human resources officer.

Leads or supervises: HR officers, recruitment officer and occupational health nurse.

What you do on a typical day

Working conditions and demands

What good looks like

Place in the organogram

Reporting line, from the top: see the organogram on the Occupations page. The lines above and below this role are listed in section 3.

1. Golden rules

These rules apply in every setting.

2. Identification

Item Detail
Position code POS-163
ISCO-08 1212 (skill level 4)
ESCO to map
Department Human resources
Facility types Hospital, Ambulatory, Transport, Medevac, Fitness, Aesthetic

3. Reporting line and working relationships

Reports to: POS-009. Supervises: POS-164, POS-165, POS-170.

Works with Nature of the relationship
Chief human resources officer Sets people strategy; HR manager runs it.
Chief nursing officer Nursing vacancies and competence.
Chief medical officer Medical staffing.

4. Key accountabilities

Domain Accountability Evidence of delivery Checked Linked competencies Linked trainings Linked policies Standards
Recruitment Runs fair recruitment and pre-employment checks. All appointments have complete checks Monthly C-02 T-08 POL-EQUAL · POL-SAFEG 2
Employee relations Handles employee cases fairly and within policy timeframe. Cases closed within policy timeframe Monthly C-03 T-08 POL-WHISTLE · POL-EQUAL 2
HR policy Applies and advises on HR policy. Policy queries answered within 5 working days Monthly C-01 T-08 POL-EQUAL 2

5. Decision rights

The post holder decides Consults or escalates
Recruitment decisions within the approved establishment Dismissals and legal claims (CHRO and legal counsel)
Casework decisions within HR policy Matters of conduct requiring a formal hearing (CHRO)

6. Qualifications and experience

ID Qualification Mandatory Validity
Q-01 Degree in HR management, psychology or a related field Yes Lifetime
Q-02 Professional HR qualification (CIPD, SHRM or national equivalent) or working towards it No Lifetime
ID Experience Minimum years Mandatory
E-01 HR operations and employee relations experience 5 Yes

7. Training requirements

Recommended common practice. Each facility adapts the list to its national law. Essential items apply in every setting; recommended items apply where resources allow.

ID Training Tier When Validity Linked policies Linked competencies
T-01 Facility induction essential at_entry Once POL-WHISTLE · POL-EQUAL · POL-DATA –
T-02 Safeguarding adults essential periodic Every 3 year(s) POL-SAFEG –
T-03 Safeguarding children essential periodic Every 3 year(s) POL-SAFEG –
T-04 Data protection and confidentiality essential annual Every 1 year(s) POL-DATA –
T-05 Incident reporting and open disclosure essential periodic Every 2 year(s) POL-INC –
T-06 Governance, accountability and assurance recommended periodic Every 3 year(s) – –
T-07 Emergency and major incident command essential annual Every 1 year(s) POL-INC –
T-08 Speaking up, inclusion and equality leadership essential periodic Every 2 year(s) POL-WHISTLE · POL-EQUAL C-01 · C-02 · C-03

8. Health, fitness and language

ID Requirement Frequency Tier Minimum in low-resource settings
H-03 Fitness-to-work assessment at entry and after serious illness or injury Every 12 months recommended Fitness check at entry
Language Level Mandatory
Official language of the country of practice professional Yes
English working Yes

9. Competencies by level

ID Competency Foundation Practitioner Expert Assessed by Revalidate Linked trainings
C-01 HR policy and employment law Applies HR policy Advises managers Designs HR policy HR audit Every 12 months T-08
C-02 Fair recruitment and selection Supports selection Runs selection panels Designs recruitment standards Recruitment audit Every 12 months T-08
C-03 Employee relations and casework Handles simple cases Manages complex cases Designs fair case handling Case audit Every 12 months T-08

10. Performance evaluation

ID Indicator Target Data source Frequency
PI-01 Pre-employment checks complete before start 100% HR file audit Quarterly
PI-02 Vacancy time to fill set by facility recruitment data Quarterly
PI-03 Employee cases closed within timeframe 95% or more casework log Monthly

11. Career ladder and promotion

Level Role Minimum experience to move on Qualifications Competency minimums Trainings required Assessment
Executive HR manager 5 years (recommended) Q-01, Q-02 C-01 practitioner, C-03 practitioner T-08 Executive appointment and performance review

12. Policies the post holder follows

Each policy is a standard template that the facility adopts and adapts. Templates are maintained centrally, so every facility works from the same version.

POL-SAFEG · Safeguarding adults and children
Purpose: Protect patients from abuse, neglect and harm, and make sure every concern is recognised and acted on.
Scope: All staff, volunteers and contractors.
Key rules:
  • Recognise signs of abuse and neglect and record them factually.
  • Report every concern to the designated safeguarding lead the same shift.
  • Do not investigate alone.
  • Share information only as the safeguarding procedure allows.
Linked trainings: T-08 · T-09 · Review every 12 months · Template 0.1 (draft)
POL-DATA · Data protection and confidentiality
Purpose: Keep patient and staff information private, secure and used only for care and legal purposes.
Scope: All staff who access records or systems.
Key rules:
  • Access only the records needed for your work.
  • Keep records secure; do not leave screens or paper unattended.
  • Do not share information without a lawful basis.
  • Report any breach to the data protection officer within 24 hours.
Linked trainings: T-10 · Review every 12 months · Template 0.1 (draft)
POL-WHISTLE · Speaking up (whistleblowing)
Purpose: Let staff raise patient safety or conduct concerns without fear of reprisal.
Scope: All staff.
Key rules:
  • Raise a concern with your line manager or the named speaking-up officer.
  • If that route fails, escalate to the board or the national regulator.
  • Retaliation against anyone who speaks up is a disciplinary offence.
  • Concerns are recorded, investigated and the outcome given to the person raising them.
Linked trainings: T-01 · Review every 12 months · Template 0.1 (draft)
POL-EQUAL · Equality, diversity and inclusion
Purpose: Give every patient and colleague fair access, respectful treatment and reasonable adjustments.
Scope: All staff and patients.
Key rules:
  • Treat every person with dignity regardless of background.
  • Make reasonable adjustments, including interpreters, for language and disability.
  • Report discrimination through the speaking-up route.
  • Monitor access and outcomes by group.
Linked trainings: T-01 · Review every 24 months · Template 0.1 (draft)
POL-INC · Incident reporting and open disclosure
Purpose: Report and learn from incidents and near misses, and tell patients honestly when things go wrong.
Scope: All staff.
Key rules:
  • Report every incident and near miss the same shift.
  • Give the patient and family an honest account and an apology where appropriate (open disclosure).
  • Take immediate action to protect others.
  • Learn: contribute to the review and follow the agreed actions.
Linked trainings: T-11 · T-05 · Review every 12 months · Template 0.1 (draft)

13. Standards that name this role

2

14. Record history

Date Change Approved by
2026-10-27 Draft record, batch 1 of the position build Awaiting approval

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