BERKSHIRE WEST CLINICAL COMMISSIONING GROUPS 2017/18 Corporate Risk Register (February 2018)
|
|
- Edwin Morton
- 5 years ago
- Views:
Transcription
1 Risk Ref. No. GBAF Strategic Objective CATEGORY: Quality Risk description, source and owner Lead: Nurse Director Q6 SO2 There is a collective risk to provider workforce management, total establishment staffing levels. All provider organisations with the local health economy have detailed risk regarding workforce. More specifically this is with reference to patient facing staff at a variety of AfC bands, within a number of clinical specialities. Therefore, there is increased reliability on bank and agency staff which pose a risk to the continuity of patient care and have a financial impact. Inherent risk score Required controls and actions to reduce/mitigate risk (with dates) Review Dates: (monthly, quarterly) Monitor/ Review body Residual Risk Score and Rating Is risk/ rating acceptable L I RR L I RRR Yes/No There are a number of methods of monitoring the workforce key performance indicators, this is completed on a monthly basis as per contractual requirement. These included: Turnover Sickness Agency spend Within the Clinical Quality Review Meetings provider commissioner interface, there are requested for deep dives relating to Human Resource issues and provider actions to mitigate significant risk. Quarterly Quality Committee Source: CCG Quality Team New risk added December 2017 Additionally vacancy rate, recruitment and retention plans are discussed during Quality assurance Visits. More recently there is the Accountable Care System workforce steering group which has been recently launched in order to address some of these issues collectively. This could include the exploration of working differently across the system in order to maintain safety and meet patient demand. Last reviewed: February 2018 AF Next review: March 2018 Quality Committee CATEGORY: Finance Lead: Chief Finance Officer (RC) 1
2 Risk Ref. No. GBAF Strategic Objective Risk description, source and owner F1 S03 The financial plan contains significant risk to delivery of agreed financial position particularly in relation to: acute contract over-performance, mental health placements CHC NCAs Impact of IR rules Source: CFO Inherent risk score Required controls and actions to reduce/mitigate risk (with dates) Review Dates: (monthly, quarterly) Monitor/ Review body Residual Risk Score and Rating Is risk/ rating acceptable L I RR L I RRR Yes/No ACS CFO Group established and meeting ACS Weekly weekly. System Efficiency Plan developed meetings for discussion with ACS groups including ACS CFO actions around 6m QIPP gap associated meetings with ACS programme. Every week CCG and RBHFT outturn position now fully aligned and over performance mitigated as at month 10. Over performance appears to be closer to CCG assumptions but this will need to be kept under review as we receive further data from RBH. A budget holder accountability framework and strengthened financial reporting are being rolled out. This will be fully implemented from m2 81/19. Recovery plan has been finalised and immediate action taken around discretionary spend FOT underspend on running costs. Regular discussion with NHS England with further mitigations being identified. Attention has shifted to the development of the 18/19 plan including system efficiency schemes. FRG QIPP and Finance Committee FRG Month end calls Twice per month NO Actions in train but need time to impact and benefits of ACS still in developm ent Last reviewed: February 2018 Acting CFO Next review: March 2018 F2 S /18 QIPP programme will not deliver as planned, resulting in reduced surplus at year end and greater financial pressure in Financial Recovery Group Risk assessed QIPP programme. QIPP group established. QIPP & Finance Committee NO (Schemes still being 2
3 Risk Ref. No. GBAF Strategic Objective Risk description, source and owner 2017/18. Source: CFO Inherent risk score Required controls and actions to reduce/mitigate risk (with dates) Review Dates: (monthly, quarterly) Monitor/ Review body Residual Risk Score and Rating Is risk/ rating acceptable L I RR L I RRR Yes/No QIPP process and documentation Programme strengthened for agreement at Q&F. Boards review at Q&F Committee. scrutiny at GBs Weekly FRG meetings Phasing of plan shared with NHS England. Deloittes report on 4 opportunities now Finance team with finalised and additional resource from NHSE input from to help with implementation. Further relevant resource from NHSE from m10. programme managers CCG risks and mitigations are being reviewed on a monthly basis and take account of potential further slippage. implanted with some back end loading of activity) F3 S03 Increased demand, and therefore acute and independent sector contract overperformance in the system, may be unaffordable and adversely affect CCG financial position Source: CFO CATEGORY: Children s, Mental Health (inc. LD), Voluntary Services Last reviewed: February 2018 Acting CFO Next review: March 2018 Marginal rate contract agreed with RBH to support cost reduction model. Discussions on fixing outturn and changing behaviour in the context of ACS working. Improved scrutiny of non-local contracts (dependent on capability of CSU staff). Raised as an ongoing issue with CSU. Over performance to date not significant but contracts do not reflect QIPP delivery. Last reviewed:february 2018 Acting CFO Next review: March2018 Contract Performance Meetings QIPP and Finance Committee GBs UCPB BCF FSG Lead: Director of Joint Commissioning (SG) NO (still seeing over performan ce in nonelective and elective activity albeit reduced M4) 3
4 CMM V 12 SO2, SO3 BHFT specialist community children s nursing BHFT has served notice on the day care elements of this service from end of April 2018, with some services stopping from November for safe staffing reasons. Overnight respite will no longer be provided for children at Ryeish Green CHC packages with complex health needs continue to be provided in schools, at weekends and in homes. The special school nursing service also continues. There are risks to children with very complex health needs, and their families, resulting from the lack of specialist community children s nursing workforce, leading to reduction in respite and support packages, with potential impact on the health of the child and the resilience of the family. There is associated financial risk arising from a potential need to find alternative providers to meet the CHC packages Contracts have confirmed that this was removed from the list of commissioner requested services. The circumstances around this decision are still being investigated. The service has been requested to be put back on ( ) Contractual process being followed regards notice period and contract variation in the short term CHC & BHFT have completed a risk assessment process on all 11 children currently using the service. 9 of the 11 children alternative arrangements have been put into place which will meet the needs. Additional services are required to meet the needs of the other 2 higher needs young people. (Risk assessment process completed and signed off ) Packages have been delivered as requested and agreed and this is in place for the next 2 months till end of March. However there have been further resignations and BHFT are reviewing the impact on staffing and will be discussing these operational matters at the project board meeting on ( ) CMV Together for Child Health NO (solution not yet identified and interim actions actions not yet taking effect) Identified CCG project manager support for long term options appraisal. Project brief signed off by project board and initial draft of the service specification has been created by the Task and Finish group to be reviewed by Project board on Proactive recruitment campaign continues Last reviewed: January 2018 AF Next Review: February
5 CMV 13 (MH) SO1, SO2, S03 Mental Health and Learning Disabilities Quality Assurance There is a risk that not all people with Mental Health and Learning Disabilities have had a post discharge review. From a case load of a 146 CCG and local authority funded cases, the data showed that 55 patients have a date that indicates a review has taken place. However, the analysis showed that 43 people had no date or BHFT had not provided the information as this may not have been available on RIO. A further 48 of the 55 are out of date or older than 12 months. RISK ADDED DECEMBER 2017 The CCG has requested a recovery plan from BHFT. The 3 local authorities have been asked to provide data related to cases with split health and social care funding that they have reviewed and these records may only be available on their patient management systems and not therefore available on RIO. The CCG is also looking to develop a robust process for updating information related to patient reviews on all CCG funded cases. 27 of the 146 cases are 100% funded by the CCG and will require a review. Last reviewed: December 2017 MH Commissioning Manager Next Review: December 2017 CMMV PB CMMV Programme Board QIPP & Finance Committee NO CATEGORY: Primary Care Commissioning Committee (PCCC) Lead: ACO (HC) PrC2a S01, S02 Viability of existing providers and ability to deliver new service models described in Primary Care Strategy may be affected by capacity and staffing constraints. Source: PCCC Workforce workstream of GPFV underway and linked with broader ACS workforce strategy. Practices continue to report difficulties with staffing and GP recruitment and retention in particular. Ongoing risk assessment processes in place and staffing discussions taking place with practices identified as particularly vulnerable. Increasing reliance on locums particularly amongst APMS practices is creating financial pressures as locum fees are rising. This together with rising indemnity costs is being discussed with national primary care lead through ACS programme. Quarterly JPCCC No actions are being taken as set out in GPFV Programm e Report. Last reviewed: December 2017 PCCC Next review: March 2017 PCCC 5
6 PrC2c iii S02 High number of special measures practices indicates that quality improvements are required and may affect viability of these practices going forward. Source: JPCCC iii) NWR CCG Special measures practices (Circuit Lane and Priory Avenue surgeries) Practices re-inspected, reports awaited. Ongoing dialogue underway with the provider with regard to staffing levels and the financial impact of high vacancy levels/locum costs. Patient complaints are also currently rising and there is a level of concern regarding access and continued management of administrative tasks. CCG continues to provide support to these practices and progress is being monitored by Nurse Director and Director of Primary Care. Should the issues not be resolved there remains a risk of contract failure resulting in approximately 16,000 patients for whom alternative provision would be required. Many of the practices potentially affected have limited capacity and/or are already predicting significant growth. General points: All other practices have now been inspected. 1 is rated Requires Improvement, others Good Quality Framework and Dashboard incorporating risk indicators is now in place and will support proactive conversations with practices facing particular challenge. Feeds into consolidated Primary Care Quality Report. As reported previously have also provided guidance to practices on preparing for CQC visits. Further work to be undertaken to agree support to be provided to Requires Improvement practices (of which there is 1 in NWR). Quarterly JPCCC No CCG continuing to work with provider to stabilise these surgeries and considerin g options should financial/s taffing models issues not be resolved. Last reviewed: December 2017 PCCC Next review: March 2017 PCCC 6
7 PrC6 SO1, SO2 Lack of effective Primary Care Support Services through Primary Care Support England (PCSE, provided by Capita) will have adverse impact on GMS/PMS/APMS service delivery including availability of medical records, list management, registrar and pension payments, availability of clinical supplies and timely completion of changes to the performers list Capita contract is managed by NHSE at a national level. Rectification plan currently in place and regular updates being received through TV Primary Care Forum showing progress made. PCSE updates also going to practices directly. CCG Primary Care Contracts Manager also monitoring issues. NHSE TV local team liaising with local NET (National Engagement Team) manager around practice specific issues. CATEGORY: A&E Delivery Board Lead: Operations Director (MM) Last reviewed: December 2017 PCCC Next review: March 2017 PCCC PCCC No but to be reviewed following next PCSE presentati on to Primary Care Forum and any further feedback from practices. UC1 S01, S02 There is a risk that A&E 4 hour performance at RBFT may not be sustainable with potential resulting breach of national constitutional performance target. Source: Directors meeting YTD performance (as at w/e 11th February) is 91.2% therefore the 95% target remains at risk. Top three reasons for breaches in w/e 11th February were Bed Management, A&E Assessment and Waiting for Specialist Opinion Acute. The A&E Delivery Board meet monthly. The work plan for 2017/18 is monitored by the A&EDB and the UCOG. UCOG continue to focus on operational delivery. There are 3 times weekly (increased to daily in times of increased pressure) system resilience calls focusing on supporting patient flow. Urgent Care Programme Board Urgent Care Ops Group QIPP & Finance NHS E / NHS I YES (Performance is above average for the South Central Region and supporting actions and firm controls are in place.) A&E performance now routinely includes WBCH MIU and Reading Walk in Centre. The A&E Delivery Board also monitor sole type 1 performance at the RBH (76.53% w/e 11th February) Last reviewed: February 2018 AW Next review: March
8 8
9 Risk Assessment Tool (Risk Matrix) The CCG has adopted a risk assessment tool, which is based on a 5 x 5 matrix (Used by Risk Management AS/NZS 4360:1999, revised 2004). The risk matrix shown below is drawn from the National Patient Safety Agency A Risk Matrix for Risk Managers guidance published in January Risk assessment involves assessing the possible consequences of a risk should it be realised, against the likelihood of the realisation (i.e. the possibility of an adverse event, incident or other element occurring which has the potential to damage or threaten the achievement of objectives or of service delivery). Risks are measured according to the following formula: Likelihood x Impact All risks need to be rated on two scales - Likelihood and Impact (consequences), using the scales below. Likelihood To establish the Likelihood score go to the Likelihood definition scale below. Choose the most appropriate likelihood of the event occurring again from the five rows. The likelihood score is the number at the left hand end of the row. Level Detail Description examples 1 Rare: May occur only in exceptional circumstances 2 Unlikely: Could occur at some time 3 Possible: Might occur at some time 4 Likely: Will probably occur in most circumstances 5 Almost certain: Is expected to occur in most circumstances 9
10 Impact (consequences, severity) To establish the Impact score use the Impact definition scale below. For the risk/issue you have identified, consider what would happen if this risk were to be realised and choose the most appropriate row. The Impact score is the number at the top left-hand end of the selected row Descriptor Negligible/Insignificant Low (Green) Moderate High Very High Objectives/Projects Insignificant cost increase / schedule slippage. Barely noticeable reduction in scope or quality < 5% over budget / schedule slippage or minor reduction in quality / scope 5-10% over budget /schedule slippage or reduction in scope or quality % over budget / schedule slippage or failure to meet secondary objectives > 25% over budget / Schedule slippage or doesn't meet primary objectives Injury (Physical/Psychological) Minor injury not requiring first aid or no apparent injury Minor injury or illness, first aid treatment needed RIDDOR / Agency reportable Major injuries, or long term incapacity / disability (loss of limb Death or major permanent incapacity Patient Experience /Outcome Unsatisfactory patient experience not directly related to patient care Unsatisfactory patient experience - readily resolvable Complaints/Claims Locally resolved complaint Justified complaint peripheral to clinical care Service Business/Interruption Loss / interruption > 1 hour HR /Organisational Short term low staffing level development Temporarily reduces service quality (< 1 day) Staffing and Competence Loss / interruption > 8 Hours Ongoing low staffing level reduces service quality Mismanagement of patient care, short term effects (less than a week) Below excess claim. Justified Complaint involving lack of appropriate care Loss / interruption > 1 day Late delivery of key objective / service due to lack of staff. Minor error due to ineffective training. Ongoing unsafe staffing level Financial Small loss Loss > 0.1% of budget Loss > 0.25% of budget Inspection/Audit Minor recommendations. Recommendations given. Reduced rating. Challenging Minor noncompliance with Noncompliance with Recommendations. standards standards Noncompliance with core standards Adverse Publicity/Reputation Rumours Local Media - short term. Minor effect on staff morale. Local Media - long term. Significant effect on staff morale Serious mismanagement of patient care, long term effects (more than a week) Claim above excess level. Multiple justified complaint Loss / interruption > 1 week Uncertain delivery of key objective / service due to lack of staff. Serious error due to ineffective training Loss > 0.5% of budget Enforcement Action. Low rating. Critical report. Major non compliance with core standards National Media < 3 Days Totally unsatisfactory patient outcome or experience Multiple claims or single major claim Permanent loss of service or facility Non delivery of key objective / service due to lack of staff. Loss of key staff. Critical error due to insufficient training Loss > 1% of budget Prosecution. Zero Rating. Severely critical report National Media > 3 Days. MP Concern (Questions in House) 10
11 Likelihood Risk Score/Rating To calculate the inherent risk score/rating: Select the appropriate row for Likelihood and the appropriate column for Impact. The square where the rows intersect represent the risk score/rating, e.g. a risk with a likelihood of 2 and an impact of 3 would be scored as 6 and rated YELLOW (M = Medium). The colour codings categorise risk as follows: Low (Green), Medium (Yellow), High (Amber), Very high (Red). [This table may not be applicable for all situations. If this is the case, the table sets out a scale of parameters which can be used as comparable measures.] Please note: The inherent risk score/rating should not take into account the controls and assurances already in place to manage the risk. These should be taken into account when calculating the residual risk score. Risk Scoring Matrix The 'Impact' and 'Likelihood' scores are multiplied together to calculate the inherent risk score see example above. Impact L L L L L 2 L L M M H 3 L M H H VH 4 L M H VH VH 5 L H VH VH VH 11
November NHS Rushcliffe CCG Assurance Framework
November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015
More informationStrategic Risk Report 4 July 2016
Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of
More informationQuality Impact Assessment Policy
Quality Impact Assessment Policy Date: February 2016 Version: 2.1 Review Due: February 2018 Reader information Reference Directorate Document purpose Q005 Quality The purpose of this policy is to set out
More informationStrategic Risk Report 1 March 2018
Strategic Report 1 March 2018 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More informationModerate injury requiring professional intervention. Requiring time off work for 4-14 days. Increase in length of hospital stay by 4-15 days
APPENDIX 1 SHCCG Risk Scoring Matrix Taken from NPSA Risk Matrix for Managers (January 2008) Table 1 Consequence scores Choose the most appropriate domain for the identified risk from the left hand side
More informationQuality and Equality Integrated Impact Assessment Policy
Subject: Quality and Equality Integrated Impact Assessment Policy Meeting: NHS MK CCG Shadow Board Date of Meeting: 2 October 2012 Report of: Alison Jamson, NHSMK&N Introduction NHS Milton Keynes Clinical
More informationStrategic Risk Report 12 September 2016
Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More informationSOUTH EAST COAST AMBULANCE SERVICE NHS TRUST. General Risk Assessment Form
Assessment No. General Risk Assessment Form Completed by and role: Karen Dawes PTS Manager Initial assessment date: 14.09.12 Location of the risk: Vehicle General Assessment of GJ52 GZA Task / Hazard being
More informationRisk Assessment Scoring and Matrix
Risk Assessment Scoring and Matrix Appendix 2 Consequence score (severity levels) and examples of descriptors 1 2 3 4 5 Domains Negligible Minor Moderate Major Catastrophic Impact on the safety of patients,
More informationChief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer
Governing Body Assurance Framework (July/August 2016) Introduction The Governing Body Assurance Framework identifies the CCG s principal, strategic objectives and the principal risks to their delivery.
More informationNHS Herts Valleys Clinical Commissioning Group Board Meeting 14 April 2016
NHS Herts Valleys Clinical Commissioning Group Board Meeting 14 April 2016 Title 2015/16 Annual Report and Accounts proposed approval process Agenda Item: 13 Purpose (tick one only) Decision or Approval
More informationThe following tables define the impact and likelihood scoring options and the resulting score: - Risk score. Category
LIKELIHO OD NHS Eastern Cheshire Clinical Commissioning Group: Quality Impact Assessment Tool v1 Overview This tool involves an initial assessment (stage 1) to quantify potential impacts (positive or negative)
More informationPerformance and Delivery/ Chief Nurse
Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief
More informationProcedure for the Management of Incidents and Serious Incidents
Procedure for the Management of Incidents and Serious Incidents This Procedure outlines the key actions staff should undertake in the management of incident and Serious Incidents occurring in NHS Lambeth
More information: Geraint Davies, Director of Commercial Services
Report to : Trust Board of Directors Date of Report: 15/05/2015 Agenda Item: 0/15 Date of Meeting : 28 May 2015 Subject Report from Purpose : Report on Corporate Risk Register : Geraint Davies, Director
More informationIntegrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee
EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director
More informationNorfolk and Suffolk NHS Foundation Trust mental health services in Norfolk
Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support
More informationPOLICY ON THE IMPLEMENTATION OF NICE GUID ANCE
POLICY ON THE IMPLEMENTATION OF NICE GUID ANCE Document Type Corporate Policy Unique Identifier CO-019 Document Purpose To outline the process for the implementation and compliance with NICE guidance and
More informationStewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager
Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to RECEIVE and APPROVE the Emergency Department Service Continuity Plan (Princess Royal Hospital site). Trust Board Date Thursday
More informationNHS ENGLAND BOARD PAPER
NHS ENGLAND BOARD PAPER Paper: PB.28.09.2017/07 Title: Update on Winter resilience preparation 2017/18 Lead Director: Matthew Swindells, National Director: Operations and Information Purpose of Paper:
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationAPPENDIX 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 informationHERTFORDSHIRE COMMUNITY HEALTH SERVICES
HERTFORDSHIRE COMMUNITY HEALTH SERVICES Minutes of the Hertfordshire Community Health Services Board Meeting Held on Thursday 22 nd July 2010 in the Boardroom, Howard Court Welwyn Garden City. Key Points
More informationClinical Pharmacists in General Practice March 2018
Clinical Pharmacists in General Practice March 2018 1. Background Following a successful national pilot programme, the General Practice Forward View committed over 100million to support an extra 1,500
More informationAdult Social Care Assessment & care management In-house care services
Adult Social Care Assessment & care management In-house care services Service Plan 2015/16 Date 19/03/15 Final Directorate: Education Health and Social Care 1. Introduction Policy Context The Adult Social
More informationWelsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report
Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following
More informationApologies Lay Member Financial Management & Audit
Primary Care Commissioning Committee Unratified Minutes of the Public Meeting held on Thursday 2 August 2018, 09:30 10:45 Committee Room, Gedling Civic Centre, Arnot Hill Park Members Mike Wilkins (MW)
More informationImproving patient access to general practice
Report by the Comptroller and Auditor General Department of Health and NHS England Improving patient access to general practice HC 913 SESSION 2016-17 11 JANUARY 2017 4 Key facts Improving patient access
More informationHalton. Local system review report Health and Wellbeing Board. Background and scope of the local system review. The review team
Halton Local system review report Health and Wellbeing Board Date of review: 21-25 August 2017 Background and scope of the local system review This review has been carried out following a request from
More informationRoyal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016
Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action
More informationCommissioning Strategy for General Practice
Commissioning Strategy for General Practice 2016-2021 Section Contents Page Foreword 3 1 Executive Summary 4 2 Introduction 7 3 Setting the scene 10 4 The case for change 23 5 Developing our strategy 25
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY AND URGENT CARE BOARD UPDATE
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY AND URGENT CARE BOARD UPDATE Date of the meeting 17/05/2017 Author Sponsoring GB member Purpose of Report Recommendation Stakeholder
More informationGOVERNING BOARD. Governing Board Assurance Framework. Date of Meeting 16 March 2016 Agenda Item No 6. Title
GOVERNNG BOARD Date of Meeting 16 March 2016 Agenda tem No 6 Title Governing Board Assurance Framework Governing Board members reviewed the GBAF s and process at a development session on 10 February 2016.
More informationRBCH 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 informationNHS England (London) Assurance of the BEH Clinical Strategy
NHS England (London) Assurance of the BEH Clinical Strategy NHS England (London) Assurance of the BEH Clinical Strategy Status Report 8 th September 203 - Version.0 2 Contents. Overview & Executive Summary
More informationEMBEDDING A PATIENT SAFETY CULTURE
EMBEDDING A PATIENT SAFETY CULTURE October 2011 Robert J. Bell The NHS (2005) DEPARTMENT OF HEALTH STRATEGIC HEALTH AUTHORITIES PRIMARY CARE TRUSTS ACUTE CARE TRUSTS Manage and integrate primary care for
More informationVision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15
Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers
More informationPlease 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 informationMEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014
MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement
More informationReviewing and Assessing Service Redesign and/or Change Proposals
Reviewing and Assessing Service Redesign and/or Change Proposals RCN guidance CLINICAL PROFESSIONAL RESOURCE Acknowledgements Helen Donovan, RCN Professional Lead for Public Health Nursing David Dipple,
More informationTRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS DIRECTOR OF OPERATIONS
TRUST BOARD MEETING 24 JULY 2013 PERFORMANCE REPORT MONTH 3 def Agenda Item: 10c PURPOSE PREVIOUSLY CONSIDERED BY Objective(s) to which issue relates * Risk Issues (Quality, safety, financial, HR, legal
More informationBristol, North Somerset and South Gloucestershire Clinical Commissioning Group Governing Body Meeting In- Common
Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group Governing Body Meeting In- Common Date: Tuesday, 5 th December 2017 Time: 13.30 Location: Vassall Centre. Gill Avenue, Fishponds,
More informationMarginal Rate Emergency Threshold. Executive Summary
Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationT Organisational Risk Register
Foundation Trust Board of Directors 29 March 2017 T Organisational Register Situation At each meeting the Board receives the summary Organisational Register (ORR) highlighting any risk changes and updates
More informationBOARD PAPER - NHS ENGLAND. Title: Board Assurance Framework (incorporating the organisation s strategic risks)
Paper NHSE121312 BOARD PAPER - NHS ENGLAND Title: Board Assurance Framework (incorporating the organisation s strategic risks) Clearance: National Director, : Bill McCarthy Purpose of paper: To update
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Finance, Performance and Commissioning Committee Report 3. Key Messages: At the end of March 2017 the clinical commissioning
More informationNewham Borough Summary report
Newham Borough Summary report Item K1 September 2013 Prepared on 30/09/2013 by Support team GREEN Finance and Activity Millions AMBER RED Headlines M5 Financial position M4 activity data The QIPP net savings
More informationInpatient and Community Mental Health Patient Surveys Report written by:
2.2 Report to: Board of Directors Date of Meeting: 30 September 2014 Section: Patient Experience and Quality Report title: Inpatient and Community Mental Health Patient Surveys Report written by: Jane
More informationApprove Ratify For Discussion For Information
NHS North Cumbria CCG Governing Body Agenda Item 2 August 2017 10 Title: General Practice Update Report August 2017 Purpose of the Report This is the first report on General Practice since the CCG boundary
More informationA meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018
A meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018 ENCLOSURE 7 PROPOSAL FOR ENHANCED MEDICAL SUPPORT TO BROMLEY CARE HOMES SUMMARY: Bromley CCG gained agreement at the CCG Clinical
More informationRecommendations of the NH Strategy
Urgent care Newark Hospital should continue to provide sub-acute care1, based on the existing ambulance diversion protocol. Refine the ambulance protocol to include additional sub-acute presentations that
More informationPrimary Care Quality Assurance Framework (Medical Services)
PCC/15/021 Primary Care Quality Assurance Framework (Medical Services) 1.0 Introduction: From the 1 April 2015 the responsibility for monitoring quality and responding to concerns arising from General
More informationAyrshire 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 information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationAgenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality
Board meeting date: 15 December, 2011 Agenda Item number: 9.1 Enclosure: 6 Title Quality report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Maggie Bayley,
More informationAny Qualified Provider: your questions answered
Any Qualified Provider: your questions answered September 8, 2011 These answers cover a range of questions about the detail of Any Qualified Provider on integrated care, competition and procurement, liability
More informationCommunity capacity mapping
Community capacity mapping Enabling timely discharge Contents # Content 1 Ensuring timely discharge 2 Reason for delays, London 2016 3 Themes relating to capacity issues 4 Proposed model 5 Key stakeholders
More informationSUPPORT FOR VULNERABLE GP PRACTICES: PILOT PROGRAMME
Publications Gateway Reference 04476 For the attention of: NHS England Directors of Commissioning Operations Clinical Leaders and Accountable Officers, NHS Clinical Commissioning Groups Copy: NHS England
More informationInvestment Committee: Extended Hours Business Case (Revised)
PAPER 06 Investment Committee: Extended Hours Business Case (Revised) OVERALL STRATEGY 1. SaHF Care Closer to Home This Extended Hours Business Case is developed within the context of Shaping a Healthier
More informationQuarterly Reporting Template - Guidance
Quarterly Reporting Template - Guidance Notes for Completion The data collection template requires the Health & Wellbeing Board to track through the high level metrics and deliverables from the Health
More informationBedfordshire, Luton and Milton Keynes. Sustainability and Transformation Plan. Central Brief: February 2018
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan Central Brief: February 2018 Issue date: February 2018 News Transforming care closer to home Our ambition is to build high quality,
More informationProject Initiation Document Review of Community Nursing Services in Wyre Forest
Project Initiation Document Review of Community Nursing Services in Wyre Forest Contents Page 1. Management Summary 1 2. Introduction 1 2.1 Purpose of Document 1 2.2 Background 2 3. Project Definition
More informationCCG Finance and Performance Committee Minutes of Meeting held on Tuesday 17 th March 2015, 9:00-10:30am Sovereign Court, Hounslow
CCG Finance and Performance Committee Minutes of Meeting held on Tuesday 17 th March 2015, 9:00-10:30am Sovereign Court, Hounslow Present In Attendance Prash Gupta (PG) HCCG (Chair) Natasha Malhotra (NM)
More informationJoint framework: Commissioning and regulating together
With support from NHS Clinical Commissioners Regulation of General Practice Programme Board Joint framework: Commissioning and regulating together A practical guide for staff January 2018 Publications
More informationOPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview
OPERATIONAL PERFORMANCE REPORT: March 2018 Swindon Community Health Services Overview 1.0 Introduction This overview brings to the attention of committee members the key areas of Community Health Service
More information10.1 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY BOARD UPDATE. Date of the meeting 19/07/2017 Author
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING A&E DELIVERY BOARD UPDATE Date of the meeting 19/07/2017 Author Sponsoring Board member Purpose of Report M Wood, Director of Service Delivery
More informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April Ipswich Hospital NHS Trust NHS East of England Department of Health
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Ipswich Hospital NHS Trust NHS East of England Department of Health Introduction
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER 2013 Date of the meeting 15/01/2014 Author Sponsoring GB member Purpose of report Recommendation Resource
More informationDocument Details Title
Document Details Title Quality and Equalities Impact Assessment (QEIA) Process Guidance Trust Ref No 2046-45852 Local Ref (optional) Main points the document This document explains the process for QEIA,
More informationAgenda Item 5.1 Appendix 11 CWM TAF UNIVERSITY LOCAL HEALTH BOARD
CWM TAF UNIVERSITY LOCAL HEALTH BOARD MINUTES OF THE MEETING OF THE PRIMARY CARE COMMITTEE HELD ON 26 AUGUST 2015 AT YNYSMEURIG HOUSE, ABERCYNON PRESENT: Professor D Mead Mr J Palmer Mr G Bell Cllr C Jones
More informationMinutes of Priory Avenue Patient Participation Group 13 Jan 2016
Present: Francis Brown (Chair), Anthony Hughes, Geoffrey Million, John Flinn, Julie Pammenter (BHFT), Peter Lennon, Raymond Guthrie, Sylvia Page and Sue Lloyd. Observers: Colin Ferguson and Sheila Smith.
More information5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?
Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title
More informationGoverning Body meeting on 13th September 2018
Governing Body meeting on 13th September 2018 Report from the Chair of the Integrated Governance Committee (IGC) Date of Meetings Reported: 9 th August 2018 Key achievements Author: Martin Wilkinson, Chair
More informationNHS Standard Contract (Accountable Care Models) [(fully integrated)] [(partially integrated)] 2017/18 and 2018/19 Service Conditions
NHS Standard Contract (Accountable Care Models) [(fully integrated)] [(partially integrated)] 2017/18 and 2018/19 Service Conditions NHS Standard Contract (Accountable Care Models) 2017/18 and 2018/19
More informationNHS East and North Hertfordshire Clinical Commissioning Group. Quality Committee. Terms of Reference Version 4.0
NHS East and North Hertfordshire Clinical Commissioning Group Quality Committee Terms of Reference Version 4.0 1. Introduction 1.1 The Quality Committee (the committee) is established in accordance with
More informationCommissioning for Quality Assurance and Improvement using an Appreciative Enquiry Approach Policy/Procedure December 2014
Commissioning for Quality Assurance and Improvement using an Appreciative Enquiry Approach Policy/Procedure December 2014 Insert heading depending on line length; please delete other cover options once
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
More informationSUBJECT: NHSL CORPORATE RISK REGISTER. For approval For endorsement X To note. Prepared Reviewed X Endorsed
Meeting of Lanarkshire NHS Board 31st August 2016 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk 1. PURPOSE SUBJECT: NHSL CORPORATE RISK
More informationIntegrated Performance Report
Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An
More informationAdult and Community Services Overview Committee
Page 1 Delayed Transfer of Care Adult and Community Services Overview Committee 9 Date of Meeting 20 January 2016 Officer Director for Adult & Community Services Subject of Report Delayed Transfers of
More informationNHS Dorset Clinical Commissioning Group Governing Body Meeting Financial Position as at 31 st July C Hickson, Head of Management Accounts
NHS Dorset Clinical Commissioning Group Governing Body Meeting Financial Position as at 31 st July 2013 9.4 Date of the meeting 18/09/2013 Author Sponsoring GB member Purpose of report Recommendation Resource
More informationShakeel Sabir Head of MERIT Vanguard
MERIT Excellence, Resilience Innovation & Training Jointly developing Mental Health Service in the West Midlands Shakeel Sabir Head of MERIT Vanguard Background - New care models Multispecialty community
More informationNorthumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary
Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies
More informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
More informationWe 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. Liverpool Heart & Chest Hospital NHS Foundation Trust Thomas
More informationSWLCC Update. Update December 2015
SWLCC Update Update December 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England Working together to improve the quality of care in South West
More informationDelegated Commissioning of Primary Medical Services Briefing Paper
Appendix One Delegated Commissioning of Primary Medical Services Briefing Paper 1.0 Introduction Swindon CCG has been jointly commissioning Primary Medical Services with NHS England under co-commissioning
More informationRisk Register Summary Analysis Report
1. Corporate Risk Register High risks There are 11 risks currently categorised as High, i.e. scoring 15 or more using the risk grading matrix set out in appendix 1. 1. 1819 Risk of poor patient experience
More informationTRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality
TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,
More informationNHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story
NHS Providers Strategy Directors Network meeting Five Year Forward View and Vanguards - Birmingham Community Healthcare NHS Trust our story Lorraine Thomas Director of Business and Organisational Development
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationStrategic Commissioning Plan for Primary Care: Hull Primary Care Blueprint
APPENDIX 1: 1. Vision and context The vision for the Blueprint being proposed is consistent with the CCG s Hull 2020 Transformation Programme and the direction of travel and new models of care outlined
More informationThe Local Health Economy : Understanding Finance in the NHS
The Local Health Economy : Understanding Finance in the NHS Connaught Hall, Attleborough 20 May 2015 Ann Donkin, Accountable Officer Introduction to NHS Finance Complex to describe, both internally and
More informationFT Keogh Plans. Medway NHS Foundation Trust
FT Keogh Plans Medway NHS Foundation Trust July 2014 KEY Delivered On Track to deliver Some issues narrative disclosure Not on track to deliver Medway - Our improvement plan & our progress What are we
More informationNEXT STEPS ON THE FIVE YEAR FORWARD VIEW: NHS PROVIDERS ON THE DAY BRIEFING
31 March 2017 NEXT STEPS ON THE FIVE YEAR FORWARD VIEW: NHS PROVIDERS ON THE DAY BRIEFING This briefing is a NHS Providers summary of the Next Steps on the NHS Five Year Forward View document (FYFVNS for
More informationNHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018
RCCG/GB/18/039 NHS Rushcliffe CCG Governing Body Meeting 15 March 2018 Introduction 1. This paper provides the Governing Body with an update on the progress being made by the Greater Nottingham CCGs in
More informationINTEGRATION TRANSFORMATION FUND
MEETING DATE: 12 December 2013 AGENDA ITEM NUMBER: Item 6.6 AUTHOR: JOB TITLE: DEPARTMENT: Caroline Briggs Director of Commissioning NHS North Lincolnshire Clinical Commissioning Group REPORT TO THE CLINICAL
More informationGOVERNING BODY. Corporate Objective addressed by this paper (please select one or more with an X):
Enclosure: H Agenda item: 12 GOVERNING BODY Title of paper: Governing Body Assurance Framework (GBAF) Report Date of meeting: September 2018 Presented by: Yvonne Leese Prepared by: Diane Goodenough Title:
More informationis asked to NOTE the update provided on fragile services.
Recommendation DECISION NOTE (select) Reporting to: The Trust Board is asked to NOTE the update provided on fragile services. Trust Board Date Thursday 27 th July 2017 Paper Title Brief Description Services
More information