In Attendance: Mrs G McKinnon (GMcK), Personal Assistant to Director of Acute Services

Size: px
Start display at page:

Download "In Attendance: Mrs G McKinnon (GMcK), Personal Assistant to Director of Acute Services"

Transcription

1 OPERATIONAL DIVISION MINUTES OF THE OPERATIONAL DIVISION RISK MANAGEMENT GROUP MEETING HELD AT 3.00 PM ON THURSDAY 23 MAY 2013 IN THE BOARD ROOM, HAYFIELD CLINIC, VICTORIA HOSPITAL Present: Mrs M Henderson (MH), Divisional General Manager Ambulatory Care (Chair) Mr B Gillespie (), Head of Estates Mrs J Mercer (JM), Legal Services Manager Mrs P A Cumming (PC), Risk Manager, NHS Fife Ms. S Fraser (SF), Divisional General Manager Planned Care Ms. E Connolly (EC), Directorate Nurse Manager Emergency Care Mr K Anderson (KA), ehealth Delivery Manager, NHS Fife Mr B McKenna (BMcK), HR Manager Mr D Livingstone (DL), Infection Control Manager Apologies: Mr G Cunningham (GC), Director of Acute Services Ms. J Owens (JO), Depute Director of Nursing Mrs D Clark (DC), Acting Health & Safety Team Leader (OHSAS) Dr G Birnie (GB), Medical Director Ms. C Stewart (CS), Directorate Accountant Mr S McGlashan (SMcG), Microbiology Service Manager Mrs M Ross (MR), Directorate Manager Medical Director Mrs C Duncan-Farrell (CD-F), Head of Physiotherapy In Attendance: Mrs G McKinnon (GMcK), Personal Assistant to Director of Acute Services 1 APOLOGIES Apologies noted above. 2 MINUTES OF MEETING 24 JANUARY 2013 The Minutes of the Meeting held on 24 January 2013 were accepted as an accurate record. 3 MATTERS ARISING: 3.1 Risk 2642: Compliance with EWTR PC advised she had followed this risk up with Rona King, Gordon Birnie and Brian Montgomery who felt this risk has moved/ 1

2 moved on. It was agreed that a new risk should be develop regarding staffing rotas. PC will provide a rationale to close off risk PC 3.2 Risk 951: Medical Staff - Equipment PC advised this risk has been updated but should still remain on the register. 3.3 Risk 955: Medical Staff Performance PC advised this risk has been updated but should still remain on the register. 4 DIRECTORATE RISK REPORTS: 4.1 Planned Care The Group noted the Planned Care Directorate Risk Report, and SF advised there had been a number of risk registers held within the Directorate and these have been consolidated into one risk register for Planned Care. SF advised the key risks on the Planned Care Risk Register are delivery of treatment time guarantee; continuation of medical boarders in surgical wards; and continued reliance on medical locums. SF advised 3 new risks have been added to the Planned Care Risk Register and there continues to be a financial risk in relation to the overspend position of the Directorate. SF referred to Risk 3096 and the manual handling risks associated with transporting patients up and down the gradient from Ward 5 ENT Unit to the Theatre Suite Phase 3, VHK. It was noted this corridor was not only used by Planned Care staff, and the risk may be an operational one. Following discussion to check the position regarding this risk. SF advised DatixWeb is being implemented and rolled out across the Directorate which will enable new incidents to be monitored and actioned in a more robust and timely manner. 4.2 Human Resources The Group noted the HR Directorate Risk Report, and BMcK advised the key risks within the Human Resources Directorate were in relation to the capacity of the HR Department and OHSAS service to meet future NHS Fife priorities; the diversity of the current workforce to meet the requirements of future demands; and knowledge base of managers across NHS Fife on/ 2

3 on HR policies and procedures. BMcK advised there have been a number of key actions taken to reduce and eliminate identified risks. BMcK advised risks are being managed within the Directorate. BMcK advised there has been progress in relation to absence management rates, and the February March figures looked more promising. The pre-employment health screening process is currently being reviewed with the intention of simplifying this process. BMcK advised in line with the SEAT Chief Executive agreement, a risk assessment is being carried out in 5 areas, which have been identified as being a priority. These are Anaesthetics, ICU, Emergency Medicine, Paediatrics and Obs & Gynae. These risk assessments, incorporating the trained, trainee and non-medical functions. The Protection of Vulnerable Groups (PVG) commenced last year and being rolled out within the Operational Division. eess will initially be rolled out to HR and Finance Directorates, before being rolled out to other services. This will give a far better indication of staff who are up to date with training. 4.3 ehealth The Group noted the ehealth Directorate Risk Report, and KA advised due to the nature of information technology there would continue to be risks. KA advised they would continue the improvement of security and resilience of systems across NHS Fife and advised the biggest challenge was in relation to mobile devices and work was ongoing in relation to making home working easier. KA advised Donald Wilson s name would be removed as risk owner for ehealth risks and this would be replaced by Ronald Monaghan. 4.4 Ambulatory Care The Group noted the Ambulatory Care Directorate Risk Report, and MH advised there were no new areas of concern. MH advised Ambulatory Care had addressed a number of risks and a number of successful assessments had now taken place; HSE Inspection to Laboratories; SEPA Visit to Nuclear Medicine; and HAI Inspection to QMH. MH advised within the next six months a reconciliation of the changes in the Directorate management structure in Datix would take place and follow up action take in relation to the CT Imaging Incident. 4.5 Emergency Care The Group noted the Emergency Care Directorate Report, and EC advised Margaret Dodds was now responsible for managing risk within the Directorate. EC advised the majority of incidents were/ 3

4 were reported from Care of the Elderly, Acute Medical Admissions and Stroke, and themes involving staff were in relation to V&A, staffing, infrastructure and personal accidents. EC advised the key improvements in the Directorate are in relation to the Senior Nurse now responsible for risk management and the Directorate has noticed the improvements made. All major and extreme incidents are escalated to senior management team and executive level in a timely manner. EC advised each speciality is developing their own risk register and bi-monthly risk meetings will be held. 4.6 Medical Director In the absence of a representative to present this report, it was agreed to remit this item to the next meeting. MR 5 DATIX RISK REGISTER PC advised there were currently 35 risks on the Risk Register, with a couple of risk recently amalgamated. Review of 5 Risks: Risk 988: Tissue Viability PC advised JO had reviewed and updated this risk in Datix. Risk 984: Spiritual Care PC advised she had written to JO to ask if this risk could be closed off. JO to prepare a summary of the risk and bring this to the next meeting to enable the Group to consider closing this risk. JO Risk 1300: Spiritual Care PC advised JO had reviewed and updated this risk in Datix. Risk 989: Equipment Failure advised there was now a good system in place to deal with equipment risk and the Equipment Management Group over the past few years had implemented replacements with available funding. to liaise with Jim Leiper to ascertain if this risk can be closed as the risk is low. Risk 1099: Capital Planning advised they have recently rationalised staff available and this risk is low. 6/ 4

5 6 NEW RISKS Gradient Risk in Corridor Outside Ward 5, VHK The Group discussed the manual handling risks in relation to the gradient risk in the corridor outside Ward 5, VHK, and enquired whether this risk should be added to the Risk Register. Following discussion, agreed to check the position and ascertain if this was an issue. 7 UPDATE ON SCOTTISH PATIENT SAFETY PROGRAMME PC advised: 2 nd phase of SPSP due for release August Sub-Groups set up to look at 4 hand based indicators. NHS Fife is a test site and there would be a small team from HIS visiting Ward 42 in June. Fife Launch of SPSP in Planned Care on 5 June and will be facilitated by Marie Paterson. 8 UPDATE ON INCIDENTS / NEAR MISSES Ward 19, QMH Incident JM advised there had been no update from the Procurator Fiscal or Police. SF advised meetings had taken place to update the Plan. DL enquired how this Plan sat with the Reducing Harm Plan, and PC advised a meeting would take place next week to discuss the Reducing Harm Plan which would be shared through the Clinical Governance Committee. 9 COMPLAINTS There were no complaint issues. 10 TERMS OF REFERENCE PC advised the OD Risk Management Group Terms of Reference was out of date and required to be updated. The Group were asked to consider the current terms of reference and to provide any comments to PC by 4 June. PC advised she would take on board any comments received and would prepare a revised Terms of Reference for the next meeting. PC advised she would also update the template for Directorates to use when completing their Directorate Risk Reports. ALL PC PC 11/ 5

6 11 LEGAL CLAIMS: Legal Claims 23 May 2013 The Group noted the details and developments of the current Level 3 Claims in excess of 25,000, and noted instructions to our solicitor to negotiate settlement in two claims. The Group noted the details of recent settlements made and JM advised there were now less needle stick injury claims but more fall claims. The Group noted the details of the two negligence settlements and one public liability settlement. 12 ANY OTHER BUSINESS: 12.1 Management of Adverse Events PC advised following the work nationally from the Ayrshire and Arran incident, the HIS visit to NHS Fife in December and the Francis Report, from 3 June 2013, NHS Fife will implement a new Adverse Events Policy as well as new Guidance and Resources for Managing Significant Adverse Events. These will replace the existing NHS Fife Incident Management Policy. PC advised the new Policy and Guidance aims to encourage staff to continue to report adverse events using DatixWeb and information will be made available to staff on the Intranet. PC advised DatixWeb alerts have been set up to advise key individuals regarding extreme and major incidents Fire Training MH advised as discussed at the OD Health & Safety Committee Meeting, Heads of Department to ensure staff are booking and attending appropriate fire training. MH advised some staff were currently using e-learning but it was noted this was not as a substitute to attending fire lecturers. to ask Iain Kelly to put out a communication to staff. 13 DATE OF NEXT MEETING Thursday 18 July 2013 at 3.00 pm in the Board Room, Hayfield Clinic, Victoria Hospital. GMcK/RiskManagementGroup-Minutes/ June

In Attendance: Gillian McKinnon (GMcK), Personal Assistant to Chief Operating Officer

In Attendance: Gillian McKinnon (GMcK), Personal Assistant to Chief Operating Officer MINUTES OF THE ACUTE SERVICES DIVISION AND CORPORATE DIRECTORATES LOCAL PARTNERSHIP FORUM HELD ON THURSDAY 18 JANUARY 2018 AT 2.00 PM IN THE STAFF CLUB, VICTORIA HOSPITAL, KIRKCALDY. Present: Paul Hayter

More information

CLINICAL GOVERNANCE STRATEGY

CLINICAL GOVERNANCE STRATEGY CLINICAL GOVERNANCE STRATEGY Clinical is the corporate responsibility for the quality of care Date: November 2014 2017 Last review date: November 2014 Next Formal Review: November 2017 Implementation Date:

More information

ST ROQUE BOARD ROOM, ASTLEY AINSLIE HOSPITAL

ST ROQUE BOARD ROOM, ASTLEY AINSLIE HOSPITAL PAPER 5.1 NHS LOTHIAN HEALTHCARE GOVERNANCE AND RISK MANAGEMENT COMMITTEE DRAFT v2 MINUTES OF MEETING of PRIMARY AND COMMUNITY SERVICES HEALTHCARE GOVERNANCE and RISK MANAGEMENT OPERATIONAL GROUP DATE:

More information

Head of Nursing, Emergency Care Directorate. PA to Associate Medical Director, Acute Services Division

Head of Nursing, Emergency Care Directorate. PA to Associate Medical Director, Acute Services Division IT 6F A NOTE OF THE ACUTE SERVICES DIVISION CLINICAL GOVERNANCE COMMITTEE HELD ON WEDNESDAY 2 nd April 2014 AT 10AM WITHIN THE BOARD ROOM, HAYFIELD CLINIC, VICTORIA HOSPITAL Present Mr Nick Barber Ms Lynn

More information

LOCAL DELIVERY PLAN PRIMARY CARE STRATEGIC AIMS

LOCAL DELIVERY PLAN PRIMARY CARE STRATEGIC AIMS LOCAL DELIVERY PLAN PRIMARY CARE STRATEGIC AIMS LEADERSHIP & WORKFORCE The key focus for 2015-16 is the development of a clinical strategy for NHS Fife which has a major strand of work in relation to primary

More information

The aim of this report is to provide the Board with an overview of progress in the areas of:

The aim of this report is to provide the Board with an overview of progress in the areas of: Appendix--85 Borders NHS Board CLINICAL GOVERNANCE & QUALITY UPDATE Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Programme within NHS

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 30 January 2017 Medical Education and Training: Update on Enhanced monitoring status of University Hospital Ayr Medical Department Author: Hugh Neill, Director

More information

Apologies Mr Graham Crerar, Dr Andrew Evennett, Dr Michael Foxley, Ms Joanna Macdonald, Mr Bill Reid, and Mrs Catherine Stokoe

Apologies Mr Graham Crerar, Dr Andrew Evennett, Dr Michael Foxley, Ms Joanna Macdonald, Mr Bill Reid, and Mrs Catherine Stokoe CLINICAL GOVERNANCE COMMITTEE Highland NHS Board 3 February 2015 Item 3.4 Report by Sarah Wedgwood, Chair, Clinical Governance Committee The Board is asked to: Note that the Clinical Governance Committee

More information

CLINICAL GOVERNANCE STRATEGY

CLINICAL GOVERNANCE STRATEGY CLINICAL GOVERNANCE STRATEGY Clinical Governance is the corporate responsibility for the quality of care Date: March 2009-2012 Last review date: March 2011 Next Formal Review: January 2012 Implementation

More information

Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018

Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee

More information

NHS GRAMPIAN. Minute of the Operational Management Board on Tuesday 27 October 2015, In Meeting Room 1, Summerfield House at 1.

NHS GRAMPIAN. Minute of the Operational Management Board on Tuesday 27 October 2015, In Meeting Room 1, Summerfield House at 1. NHS GRAMPIAN Minute of the Operational Management Board on Tuesday 27 October 2015, In Meeting Room 1, Summerfield House at 1.30pm Present: Paul Allen, Interim General Manager Facilities & Estates Adam

More information

Learning from adverse events. Learning and improvement summary

Learning from adverse events. Learning and improvement summary Learning from adverse events Learning and improvement summary November 2014 Healthcare Improvement Scotland 2014 Published November 2014 You can copy or reproduce the information in this document for use

More information

Internal Audit. Health and Safety Governance. November Report Assessment

Internal Audit. Health and Safety Governance. November Report Assessment November 2015 Report Assessment G G G A G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted

More information

Adverse Incident Management. Mid Highland Community Health Partnership. Report for Governance Committee

Adverse Incident Management. Mid Highland Community Health Partnership. Report for Governance Committee Adverse Incident Management Mid Highland Community Health Partnership Report for Governance Committee Introduction There are two ways risk in its broadest sense can be managed. Firstly, the proactive approach.

More information

Report by Mirian Morrison, Clinical Governance Development Manager

Report by Mirian Morrison, Clinical Governance Development Manager Highland NHS Board June 2011 Item 3.7 CLINICAL GOVERNANCE COMMITTEE Report by Mirian Morrison, Clinical Governance Development Manager The Board is asked to: Note that the Clinical Governance Committee

More information

North Herts Hospice Care Association. Job Description. Education and Practice Development Lead

North Herts Hospice Care Association. Job Description. Education and Practice Development Lead North Herts Hospice Care Association Job Description Job Title: Education and Practice Development Lead Band: 7 Responsible to: Responsible for: Accountable to: Liaises with: Director of Patient Services

More information

SAFE CARE. Scottish Patient Safety Programme. SPSP Adult Acute

SAFE CARE. Scottish Patient Safety Programme. SPSP Adult Acute SAFE CARE NHS Greater Glasgow and Clyde (NHS GGC) is committed to providing safe high quality care that our staff and patients can be proud of. Over recent years the Scottish Patient Safety Programme has

More information

IQC/2013/48 Improvement and Quality Committee October 2013

IQC/2013/48 Improvement and Quality Committee October 2013 Item 9.4 IQC/2013/48 Improvement and Quality Committee October 2013 Pressure Ulcer Prevalence Improvement Plan 1. SITUATION AND BACKGROUND This paper is to update the Improvement and Quality Committee

More information

Centralised Room Booking Policy

Centralised Room Booking Policy Policy No: OP86 Version: 1.0 Name of Policy: Centralised Room Booking Policy Effective From: 19/08/2015 Date Ratified 17/08/2015 Ratified Inter-Professional Learning Council Review Date 01/08/2017 Sponsor

More information

Welcome, Apologies for Absence and Declaration of Board Members Interest

Welcome, Apologies for Absence and Declaration of Board Members Interest DRAFT Minutes of the of the Royal Cornwall Hospitals NHS Trust held on Thursday 30 March 2017 11.00 13.00 in the Knowledge Spa, Royal Cornwall Hospital Present: Mr Jim McKenna Ms Kathy Byrne Ms Catrin

More information

Approval Discussion Assurance ( )

Approval Discussion Assurance ( ) TRUST BOARD IN PUBLIC Date: 27 th July 2017 Agenda Item: 6.2 REPORT TITLE: 2016 National Staff Survey Update SASH Action Plans Mark Preston EXECUTIVE SPONSOR: Director of Organisational Development & People

More information

Glasgow City CHP Item No. 6

Glasgow City CHP Item No. 6 Glasgow City CHP Item No. 6 CHP Committee Meeting Date: Thursday, 28 th February 2013 Paper No 2013/006 Subject: Presented by: Recommendation(s) Summary/ Background Scottish Patient Safety Programme -

More information

Report to the Board of Directors 2015/16

Report to the Board of Directors 2015/16 Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation

More information

Apologies for absence were noted from Ms Claire Dobson, Dr I Gourley, Dr J Kennedy, Professor S McLean, Mr I Mohammed.

Apologies for absence were noted from Ms Claire Dobson, Dr I Gourley, Dr J Kennedy, Professor S McLean, Mr I Mohammed. CONFIRMED MINUTES OF THE MEETING OF THE FIFE DRUGS AND THERAPEUTICS COMMITTEE HELD AT 12.30PM ON WEDNESDAY 4 OCTOBER 2017 IN MEETING ROOM 2, WARD 6, VICTORIA HOSPITAL, KIRKCALDY. Present: Dr Frances Elliot

More information

BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013

BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013 Borders NHS Board BOARD CLINICAL GOVERNANCE & QUALITY UPDATE MARCH 2013 Aim The aim of this report is to provide the Board with an overview of progress in the areas of: Patient Safety Person Centred Health

More information

Redesign of Front Door

Redesign of Front Door Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager

More information

Financial management report for the seven months to 31 October To notify members of the financial position. To consider the financial position

Financial management report for the seven months to 31 October To notify members of the financial position. To consider the financial position NHS Board Meeting 8 December 2010 Paper 17 NHS BOARD MEETING Wednesday 8 December 2010 Subject Purpose Recommendation Financial management report for the seven months to 31 October 2010 To notify members

More information

NHS FIFE - Balanced Scorecard 2012/13

NHS FIFE - Balanced Scorecard 2012/13 NHS FIFE - Balanced Scorecard 2012/13 Improving Health - 1 Patient & Staff Experience - 2 Planning for Service Improvement - 3 Delivery & Efficiency - 4 Smoking Cessation 01 Delayed Discharge 09 Stroke

More information

Facilities Shared Services Programme

Facilities Shared Services Programme Facilities Shared Services Programme Hard FM Short Life Working Group - Phase 2 Terms of Reference Owner: Jim Leiper Author: Clare Adams Contact: James.Leiper@nhs.net Clareadams1@nhs.net Date Published:

More information

Board of Directors Meeting

Board of Directors Meeting Board of Directors Meeting Date: 30 July 2008 Agenda item: 10.2, Part 1 Title: Prepared by: Presented by: Action required: Elaine Hobson, Director of Operations Elaine Hobson, Director of Operations The

More information

Sample CHO Primary Care Division Quality and Safety Committee. Terms of Reference

Sample CHO Primary Care Division Quality and Safety Committee. Terms of Reference DRAFT TITLE: Sample CHO Primary Care Division Quality and Safety Committee Terms of Reference AUTHOR: [insert details] APPROVED BY: [insert details] REFERENCE NO: [insert details] REVISION NO: [insert

More information

RBCH Actions to meet CQC Essential Standards

RBCH Actions to meet CQC Essential Standards RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity

More information

This paper provides an update on the the recent national SPSP conference the programme of work for Tissue Viability Acute Adult Care SPSP

This paper provides an update on the the recent national SPSP conference the programme of work for Tissue Viability Acute Adult Care SPSP Greater Glasgow and Clyde NHS Board Board Meeting December 2016 Board Paper No. 16/81 Scottish Patient Safety Programme Update 1. Background The Scottish Patient Safety Programme (SPSP) is one of the family

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 17a Ayrshire and Arran NHS Board Monday 27 March 2017 Revenue Plan for 2017/18 Author: Derek Lindsay, Director of Finance Sponsoring Director: John G Burns, Chief Executive Date: 20 March 2017 Recommendation

More information

APPENDIX 7C BENEFITS REALISATION PLAN

APPENDIX 7C BENEFITS REALISATION PLAN APPENDIX 7C BENEFITS REALISATION PLAN 150804 Shropshire Future Fit SOC v2.2 Appendices APPENDICES Draft Benefits Realisation Plan V0.9 150415 FutureFit Benefits Realisation Plan V0.9 Page 1 The purpose

More information

North Ayrshire Council Tenancy Support Housing Support Service

North Ayrshire Council Tenancy Support Housing Support Service North Ayrshire Council Tenancy Support Housing Support Service 7 Glasgow Street Ardrossan KA22 8EW Inspected by: (Care Commission Officer) Type of inspection: Isobel Dumigan Announced Inspection completed

More information

Healthcare Improvement Scotland (HIS) Improvement Plan for the Review of Significant Adverse Events

Healthcare Improvement Scotland (HIS) Improvement Plan for the Review of Significant Adverse Events Healthcare Improvement Scotland (HIS) Improvement Plan for the Review of Significant Adverse Events This document sets out the actions that NHS Ayrshire and Arran will complete to give assurance to the

More information

Jo Mitchell, Head of Assurance & Compliance (EFM) Policy to be followed by (target staff) Distribution Method

Jo Mitchell, Head of Assurance & Compliance (EFM) Policy to be followed by (target staff) Distribution Method Slips, Trips and Falls policy (Non-patient) Type: Policy Register No: 17020 Status: Public Developed in response to: Trust requirements Best Practice Contributes to CQC Outcome number: 15 Consulted With

More information

MISSION IMMEDIATE ACTIONS RESPONSIBILITIES. Triage of patients in Emergency Centre according to protocol

MISSION IMMEDIATE ACTIONS RESPONSIBILITIES. Triage of patients in Emergency Centre according to protocol TRIAGE OFFICER Triage of patients in Emergency Centre according to protocol Get briefing from Emergency Centre Medical Commander Triage patients as they arrive, according to protocol Preparation of areas

More information

University Hospitals Bristol NHS Foundation Trust Organisation Structure

University Hospitals Bristol NHS Foundation Trust Organisation Structure University Hospitals Bristol NHS Foundation Trust Organisation Structure Chairman Chief Executive Non-Executive Directors: Executive Directors: Divisions: Women s & Children s Medicine Surgery, Head &

More information

The aim of this report is to provide the Borders NHS Board with an overview of progress in the areas of Safe, Effective and Person Centred Care.

The aim of this report is to provide the Borders NHS Board with an overview of progress in the areas of Safe, Effective and Person Centred Care. Borders NHS Board CLINICAL GOVERNANCE AND QUALITY REPORT Aim The aim of this report is to provide the Borders NHS Board with an overview of progress in the areas of Safe, Effective and Person Centred Care.

More information

Strategic Leadership Team

Strategic Leadership Team Strategic Leadership Team Who s Who 2015 The Strategic Leadership Team The Strategic Leadership Team (SLT) came together in April 2015 and now meets monthly, bringing together leaders from across North

More information

CLINICAL AND CARE GOVERNANCE STRATEGY

CLINICAL AND CARE GOVERNANCE STRATEGY CLINICAL AND CARE GOVERNANCE STRATEGY Clinical and Care Governance is the corporate responsibility for the quality of care Date: April 2016 2020 Next Formal Review: April 2020 Draft version: April 2016

More information

POLICY ON LONE WORKING JANUARY 2012

POLICY ON LONE WORKING JANUARY 2012 POLICY ON LONE WORKING JANUARY 2012 Author: Sheena Gordon V&A Co-ordinator Responsible Director: Ian Reid Director of HR Approved by: Health and Safety Forum Date for Review: January 2014 Version: 2.0

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 6 Ayrshire and Arran NHS Board Monday 11 December 2017 SPSP Update: Acute Adult Programme Author: Laura Harvey, QI Lead for Acute Services, Person Centred & Customer Care Sponsoring Director: Liz

More information

April Clinical Governance Corporate Report Narrative

April Clinical Governance Corporate Report Narrative April 14 - Clinical Governance Corporate Report Narrative ITEM 7B Narrative has been provided where there is something of note in relation to a specific metric; this could be positive improvement, decline

More information

Daisy Hill Hospital Profile

Daisy Hill Hospital Profile Daisy Hill Hospital Profile 2012 Daisy Hill Hospital Profile Mairead McAlinden, Southern Trust Chief Executive, and Chair Roberta Brownlee welcome Health Minister Edwin Poots on a recent visit to Daisy

More information

Montgomery Place Care Home Service Children and Young People 4 Montgomery Place Kilmarnock KA3 1JB Telephone:

Montgomery Place Care Home Service Children and Young People 4 Montgomery Place Kilmarnock KA3 1JB Telephone: Montgomery Place Care Home Service Children and Young People 4 Montgomery Place Kilmarnock KA3 1JB Telephone: 01563 543926 Inspected by: George Stewart Morag McGill Type of inspection: Unannounced Inspection

More information

PATIENT SAFETY, QUALITY & RISK COMMITTEE

PATIENT SAFETY, QUALITY & RISK COMMITTEE PATIENT SAFETY, QUALITY & RISK COMMITTEE Minutes of the Patient Safety, Quality & Risk Committee Thursday, 6 th March 2014 West Herts Meeting Room, Willow House Watford General Hospital Chair: Mahdi Hasan

More information

BOARD OF DIRECTORS OPEN MEETING MINUTES, ACTIONS & DECISIONS

BOARD OF DIRECTORS OPEN MEETING MINUTES, ACTIONS & DECISIONS BOARD OF DIRECTORS OPEN MEETING MINUTES, ACTIONS & DECISIONS Date: Thursday 13 April 2017 Time: 09:30-11:45 Venue: Present: In Attendance: Conference Room, Field House, Bradford Royal Infirmary Non-Executive

More information

A concern means any complaint, claim or reported patient safety incident.

A concern means any complaint, claim or reported patient safety incident. PUTTING THINGS RIGHT ANNUAL REPORT -2017 Introduction The Putting Things Right Annual Report provides information on the progress and performance of Powys Teaching Local Health Board (hereafter, the health

More information

Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome:

Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: TRUST BOARD Date of Meeting: Agenda Item No: 6.2 Enclosure: 4 17/1/02012 Intended Outcome: For noting For information For decision Title of Report: Update on Clinical Strategy Aims: To brief Trust Board

More information

Home is Best Ltd Housing Support Service 20 Ballewan Crescent Blanefield Glasgow G63 9HW

Home is Best Ltd Housing Support Service 20 Ballewan Crescent Blanefield Glasgow G63 9HW Home is Best Ltd Housing Support Service 20 Ballewan Crescent Blanefield Glasgow G63 9HW Type of inspection: Unannounced Inspection completed on: 29 July 2014 Contents Page No Summary 3 1 About the service

More information

ROTATIONS & ALLOCATIONS FAQS FOR DOCTORS IN TRAINING

ROTATIONS & ALLOCATIONS FAQS FOR DOCTORS IN TRAINING ROTATIONS & ALLOCATIONS FAQS FOR DOCTORS IN TRAINING I have not received formal notification of my placement, when will this be available? You should receive formal notification of your placement from

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services

More information

Ms Lyndsey Hands, Graduate Trainee (observer) Mrs Sandra MacDonald (minutes) ACTION

Ms Lyndsey Hands, Graduate Trainee (observer) Mrs Sandra MacDonald (minutes) ACTION CONFIRMED MINUTES OF THE MEETING OF THE FIFE DRUGS AND THERAPEUTICS COMMITTEE HELD AT 12.30PM ON WEDNESDAY 16 AUGUST 2017 IN MEETING ROOM 2, WARD 6, VICTORIA HOSPITAL, KIRKCALDY. Present: Mrs Evelyn McPhail

More information

Please indicate: For Decision For Information For Discussion X Executive Summary Summary

Please indicate: For Decision For Information For Discussion X Executive Summary Summary Governing Body 22 March 2017 Details Part 1 X Part 2 Agenda Item No. 10 Title of Paper: Board Member: Author: Presenter: PAHT Quality Improvement Plan Catherine Jackson, Executive Nurse Catherine Jackson,

More information

NHS GRAMPIAN Minute of the Grampian Area Partnership Forum (GAPF) held on Wednesday 26 October 2016 at 2.00pm

NHS GRAMPIAN Minute of the Grampian Area Partnership Forum (GAPF) held on Wednesday 26 October 2016 at 2.00pm NHS GRAMPIAN Minute of the Grampian Area Partnership Forum (GAPF) held on Wednesday 26 October 2016 at 2.00pm in Fulton Clinic Meeting Room, Royal Cornhill Hospital Approved Present: Malcolm Wright, Interim

More information

National Waiting Times Centre Board. Clinical Governance Committee

National Waiting Times Centre Board. Clinical Governance Committee Board Strategy National Waiting Times Centre Board Name Q-Pulse No Summary Associated documents Target audience Board-Strategy-3 Outlines the Board s approach to delivery of safe and effective care through

More information

Title of report Freedom to Speak Up Guardian (FSUG) Trust Board in public

Title of report Freedom to Speak Up Guardian (FSUG) Trust Board in public Title of report Freedom to Speak Up Guardian (FSUG) Trust Board in public Date: Thursday 26 th July 2018 Agenda item: 6.2 Executive sponsor Report author(s) Report discussed previously: (name of subcommittee/group

More information

Apologies were received from Linda Boyd, Lesley Cantell, Dan Doherty, Elaine McFadden, Linda Mair, Sinclair Molloy and Marlene Murty.

Apologies were received from Linda Boyd, Lesley Cantell, Dan Doherty, Elaine McFadden, Linda Mair, Sinclair Molloy and Marlene Murty. HEALTH, SAFETY & WELLBEING COMMITTEE Friday 18 March 2011 Board Room, Biggart Hospital, Prestwick Present: Dr Wai-yin Hatton, (Co-Chair) (In the Chair) Mr S Donnelly, Partnership Facilitator (Co-Chair)

More information

2. This year the LDP has three elements, which are underpinned by finance and workforce planning.

2. This year the LDP has three elements, which are underpinned by finance and workforce planning. Directorate for Health Performance and Delivery NHSScotland Chief Operating Officer John Connaghan T: 0131-244 3480 E: john.connaghan@scotland.gsi.gov.uk John Burns Chief Executive NHS Ayrshire and Arran

More information

MINUTES PROFESSIONAL NURSING & MIDWIFERY STRATEGY GROUP. 24th August 2004

MINUTES PROFESSIONAL NURSING & MIDWIFERY STRATEGY GROUP. 24th August 2004 Agenda Item No. 102/04 MINUTES PROFESSIONAL NURSING & MIDWIFERY STRATEGY GROUP 24th August 2004 Present: Andrew Harrington Deputy Director of Nursing, Quality & Risk (Acting Chair) Tracey Collins Acting

More information

Agency Board Meeting 24 July 2018

Agency Board Meeting 24 July 2018 Agency Board Meeting 24 July 2018 Board Report Number: SEPA 32/18 Health and Safety Performance Report Quarter 1 2018/19 Summary: Risks: Financial Implications: Staffing Implications: Environmental and

More information

Non-Executive Board Member. Cllr M Kitts-Hayes Non-Executive Board Member

Non-Executive Board Member. Cllr M Kitts-Hayes Non-Executive Board Member APPROVED Minute of Meeting of the NHS Grampian Clinical Governance Committee on Friday 19 August 2016 at 9.30am in the Conference Room, Summerfield House, Eday Road, Aberdeen Present: Professor M Greaves

More information

Job Planning Driving Improvement Ensuring success for consultants, the service and for improved patient care

Job Planning Driving Improvement Ensuring success for consultants, the service and for improved patient care Job Planning Driving Improvement Ensuring success for consultants, the service and for improved patient care Dr Jeremy Cashman Associate Medical Director Delivering successful job planning The 2003 contract

More information

1.3 At the present time there are 370 post-graduate medical trainees within NHS Lanarkshire across all services

1.3 At the present time there are 370 post-graduate medical trainees within NHS Lanarkshire across all services APPENDIX 4 MODERNISING MEDICAL CAREERS 1. Background 1.1 Modernising Medical Careers (MMC) is a UK-wide reform of all postgraduate medical training involving introduction of a two-year foundation programme

More information

Version: 3.0. Effective from: 29/08/2012

Version: 3.0. Effective from: 29/08/2012 Policy No: RM51 Version: 3.0 Name of policy: Learning from Experience Policy A systematic approach to incident, complaint and clai management, analysis and sharing safety lessons Effective from: 29/08/2012

More information

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN - UPDATED August 2010 RECOMMENDATION

More information

NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)

NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with

More information

Fallside Road Bothwell G71 8BB Telephone:

Fallside Road Bothwell G71 8BB Telephone: Lanarkshire NHS Board Kirklands Hospital Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk Meeting of Lanarkshire NHS Board, held on Wednesday 30 th April 2014 at 9.30am

More information

Minute of the above meeting held at 2:00 pm on Tuesday 14 March 2017 in the Board Room, Kings Cross, Hospital.

Minute of the above meeting held at 2:00 pm on Tuesday 14 March 2017 in the Board Room, Kings Cross, Hospital. Item 3.1 Please note any items relating to Board business are embargoed and should not be made public until after the meeting STAFF GOVERNANCE COMMITTEE Minute of the above meeting held at 2:00 pm on Tuesday

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Spire Gatwick Park Hospital Povey Cross Road, Horley, RH6 0BB

More information

Bereavement Policy. 1 Purpose of Policy 2. 2 Background 2. 3 Staff Responsibilities 3. 4 Operational Issues and Local Policies/Protocols/Guidelines 4

Bereavement Policy. 1 Purpose of Policy 2. 2 Background 2. 3 Staff Responsibilities 3. 4 Operational Issues and Local Policies/Protocols/Guidelines 4 Trust Policy and Procedure Bereavement Policy Document Ref. No: PP(16)252 For use in: For use by: For use for: Document owner: Status: All areas of the Trust All Trust staff The dying, their relatives

More information

NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011)

NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011) NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with the

More information

BOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016

BOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016 Borders NHS Board BOARD CLINICAL GOVERNANCE AND QUALITY UPDATE FEBRUARY 2016 Aim This report aims to provide the Board with an overview of progress in the areas of: Patient Safety Clinical Effectiveness

More information

Ashfield Healthcare Nurse Agency Ashfield House Resolution Road Ashby-de-la-Zouch LE65 1HW

Ashfield Healthcare Nurse Agency Ashfield House Resolution Road Ashby-de-la-Zouch LE65 1HW Ashfield Healthcare Nurse Agency Ashfield House Resolution Road Ashby-de-la-Zouch LE65 1HW Inspected by: Amanda Cross Type of inspection: Unannounced Inspection completed on: 27 May 2014 Contents Page

More information

Apologies for absence were received from Mrs P Murray; Cllr I Whyte; Mr R Burley; Dr I Mckay; Ms L Campbell; Mr D Bolton; Mr J Forrest

Apologies for absence were received from Mrs P Murray; Cllr I Whyte; Mr R Burley; Dr I Mckay; Ms L Campbell; Mr D Bolton; Mr J Forrest LOTHIAN NHS BOARD PAPER 17 HEALTHCARE GOVERNANCE & RISK MANAGEMENT COMMITTEE Minutes of the Meeting of the Healthcare Governance and Risk Management Committee held at 9.00am on Tuesday 17 th April 2007

More information

CONTROLLED DOCUMENT. All Managers. All Employees. Page 1 of 30. Health and Safety Policy Issued: 26/01/2017

CONTROLLED DOCUMENT. All Managers. All Employees. Page 1 of 30. Health and Safety Policy Issued: 26/01/2017 CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: PURPOSE Controlled Document Number: Health and Safety Policy Policy Health and Safety Policy covering scope and responsibilities for health and safety in UHB

More information

MINUTES CRITICAL CARE COMMITTEE MEETING 23 AUGUST, 2004

MINUTES CRITICAL CARE COMMITTEE MEETING 23 AUGUST, 2004 Agenda Item No 99/04 MINUTES CRITICAL CARE COMMITTEE MEETING 23 AUGUST, 2004 Present: Maxine McVey Head of Nursing, Surgery, Anaesthesia & Burns & Plastics (Acting Chair) Gordon Bingley Senior Nurse, ITU,

More information

ACS Care at Home Ltd Support Service Care at Home Lister House 203/207 Lochleven Road Lochore Lochgelly KY5 8HU Telephone:

ACS Care at Home Ltd Support Service Care at Home Lister House 203/207 Lochleven Road Lochore Lochgelly KY5 8HU Telephone: ACS Care at Home Ltd Support Service Care at Home Lister House 203/207 Lochleven Road Lochore Lochgelly KY5 8HU Telephone: 01592 862162 Inspected by: Karen Mack Louise Curtis Aileen Scobbie Type of inspection:

More information

Review of Leeds Teaching Hospitals NHS Trust (Postgraduate Medical)

Review of Leeds Teaching Hospitals NHS Trust (Postgraduate Medical) Review of Leeds Teaching Hospitals NHS Trust (Postgraduate Medical) Quality Assurance of Local Education and Training Providers Guidance From 1 April 2015 Health Education England, working across Yorkshire

More information

SUBJECT: CLINICAL GOVERNANCE

SUBJECT: CLINICAL GOVERNANCE Meeting of Lanarkshire NHS Board Lanarkshire NHS Board Kirklands 25 September 2013 Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk 1. PURPOSE SUBJECT: CLINICAL GOVERNANCE

More information

Mrs Janet McKay, Non-Executive Board Member Cllr Douglas Reid, Non-Executive Board Member Board Member

Mrs Janet McKay, Non-Executive Board Member Cllr Douglas Reid, Non-Executive Board Member Board Member Paper 14 Minutes of NHS Ayrshire & Arran Audit Committee Meeting held on Wednesday 22 November 2017 at 14:15 hours in meeting room 1, Eglinton House, Ailsa Hospital Present Mr Alistair McKie, (Chair) Non-Executive

More information

Measuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013

Measuring for improvement The new CQC hospital programme. Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 Measuring for improvement The new CQC hospital programme Professor Sir Mike Richards Chief Inspector of Hospitals King s Fund 6 th November 2013 1 Our purpose and role Our purpose We make sure health and

More information

JOB DESCRIPTION. Clinical Governance and Quality, Borders General Hospital. Clinical Governance Facilitator for Patient Safety.

JOB DESCRIPTION. Clinical Governance and Quality, Borders General Hospital. Clinical Governance Facilitator for Patient Safety. JOB DESCRIPTION 1. Job Identification Job Title: Clinical Risk Facilitator Job Reference: Department & Base: Responsible To: Hours of Work: Date JD Written / Updated: SS911 Clinical Governance and Quality,

More information

Operations Manager Orthopaedic Surgery

Operations Manager Orthopaedic Surgery Date: June 2017 Job Title : Operations Manager Department : Orthopaedic Service Location : All WDHB sites, including North Shore and Waitakere Hospitals Reporting To Clinical/Management Partnership : :

More information

NHS GRAMPIAN. Minute of Meeting of GRAMPIAN NHS BOARD held in Open Session at am on 2 February 2017 CLAN House, 120 Westburn Road, Aberdeen

NHS GRAMPIAN. Minute of Meeting of GRAMPIAN NHS BOARD held in Open Session at am on 2 February 2017 CLAN House, 120 Westburn Road, Aberdeen APPROVED NHS GRAMPIAN Minute of Meeting of GRAMPIAN NHS BOARD held in Open Session at 10.30 am on 2 February 2017 CLAN House, 120 Westburn Road, Aberdeen Present Professor Stephen Logan Mrs Amy Anderson

More information

Trust Board Meeting: Wednesday 13 May 2015 TB

Trust Board Meeting: Wednesday 13 May 2015 TB Trust Board Meeting: Wednesday 13 May 2015 Title Update on Quality Governance Framework Status History For information, discussion and decision This paper has been presented to Quality Committee in April

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 26 March 2018 Financial Management Report for the 11 months to 28 February 2018 Author: Bob Brown, Assistant Director of Finance Governance and Shared Services

More information

St Peter s Hospital. Guildford Road Chertsey, Surrey KT16 0PZ Anaesthetic Department Direct Line: College Tutor: Dr Robert Menzies

St Peter s Hospital. Guildford Road Chertsey, Surrey KT16 0PZ Anaesthetic Department Direct Line: College Tutor: Dr Robert Menzies St Peter s Hospital Guildford Road Chertsey, Surrey KT16 0PZ Anaesthetic Department Direct Line: 01932 722153 College Tutor: Dr Robert Menzies http://www.multimap.com/maps/?qs=&countrycode=gb&maptype=&overview=#map

More information

Background and initial problem

Background and initial problem Case Title Trust Background and initial problem Fatigue-minimising, flexible e-rostering in the Emergency Department and the impact on Junior Doctors morale The Whittington Hospital, London What are you

More information

Clare Donnelly Unison Elizabeth Rankin Unison Ross McCulloch RCN Co Chair LD SPF. Stephen Fullerton Unison

Clare Donnelly Unison Elizabeth Rankin Unison Ross McCulloch RCN Co Chair LD SPF. Stephen Fullerton Unison NHS Greater Glasgow & Clyde Item No 7(b) Mental Health Partnership Staff Partnership Forum Minutes from a meeting held on 15 th January 2010, 9.30am, Board Room 1, Dalian House PRESENT: Staff Side Gordon

More information

HEI self-assessment. Completing the self-assessment - Guidance to NHS boards

HEI self-assessment. Completing the self-assessment - Guidance to NHS boards HEI self-assessment Completing the self-assessment - Guidance to NHS boards INTRODUCTION This document should be read in conjunction Healthcare Improvement Scotland healthcare associated infection (HAI)

More information

Biggart Dementia Project

Biggart Dementia Project Biggart Dementia Project Report 2009 / 2010 1.0 Situation 1.1 In NHS Ayrshire & Arran it has been identified that there is a need for improved education and training that supports staff in secondary care

More information

Director of Strategy, Corporate Affairs and ICT. Caroline Landon Chief Operating Officer

Director of Strategy, Corporate Affairs and ICT. Caroline Landon Chief Operating Officer MINUTES OF A PATIENT SAFETY AND QUALITY COMMITTEE MEETING Held on Friday, 25 November 2016 between 9.00am and 11.30am in the Conference (Pink) Room, Ground Floor, St Helier Hospital PRESENT: - Pat Baskerville

More information

Final 18/8/09 August 2009(9) Northern Trust Corporate Register of Top Risks

Final 18/8/09 August 2009(9) Northern Trust Corporate Register of Top Risks Final Copy @ 18/8/09 August 2009(9) Northern Trust Corporate Register of Top s Existing 1 To improve services as set out in TDP in response to PFA. Failure to discharge statutory Child Care functions,

More information

Isle of Wight NHS Primary Care Trust:

Isle of Wight NHS Primary Care Trust: WESSEX FOUNDATION SCHOOL TRUST PROFILES Isle of Wight NHS Primary Care Trust Address Website The Trust and Hospital St Mary s Hospital Newport Isle of Wight PO30 5TG Tel: 01983 534 231 Fax: 01983 521 963

More information

Date 4 th September 2015 Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate Director of Quality Laura Rowe, Compliance Manager

Date 4 th September 2015 Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate Director of Quality Laura Rowe, Compliance Manager TB 099/15 Meeting title Report title Trust Board Risk Management Strategy Date 4 th September 2015 Lead director Report author FOI status Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate

More information

Healthcare Governance Committee Monday 5 June 2017 at 9.30am Room 2, Training Centre, Ayrshire Central Hospital

Healthcare Governance Committee Monday 5 June 2017 at 9.30am Room 2, Training Centre, Ayrshire Central Hospital Healthcare Governance Committee Monday 5 June 2017 at 9.30am Room 2, Training Centre, Ayrshire Central Hospital Present: Ms Claire Gilmore (Chair) Non-Executives: Mrs Margaret Anderson Dr Janet McKay Miss

More information