Information Governance Management Framework
|
|
- Henry Greer
- 6 years ago
- Views:
Transcription
1 Framework Policy Folder / Number Folder 3 Version: 1 Ratified by: Policy No. 3.2 Audit Committee Date ratified 5 th March 2013 Name of originator/author: Name of responsible committee/individual: Senior & Security Manager, Staffordshire Commissioning Support Service Audit Committee Date issued: 5 th March 2013 Review date: March 2014 Date of first issue 5 th March 2013 Target audience: All staff, including temporary staff and contractors for NHS Stoke on Trent CCG
2 CONSULTATION AND RATIFICATION SCHEDULE Name and Title of Individual Senior & Security Manager, Staffordshire Commissioning Support Service Chief Finance, NHS Stoke on Trent Clinical Commissioning Group Date Consulted January 2013 February 2013 Name of Committee Date of Committee NHS Stoke on Trent CCG Audit Committee 5 th March 2013 NHS Stoke on Trent CCG Governing Board 26 th March 2013 VERSION CONTROL Policy Name: Version Valid From Valid To Document Path/Name 1.0 March 2013 March
3 Senior Roles within the CCG Requirement Accountable : Andrew Bartlam, Clinical Accountable Senior Risk Owner: Tony Matthews, Chief Finance Detail The Accountable of the NHS Stoke on Trent Clinical Commissioning Group and has overall accountability and responsibility for in the CCG and is required to provide assurance through the Annual Statement l that all risks to the organisation, including those relating to information, are effectively managed and mitigated. The Senior Risk Owner (SIRO) is an Executive Director of the NHS Stoke on Trent Clinical Commissioning Group Governing Body. The SIRO is expected to understand how the strategic business goals of the Trust may be impacted by information risks. The SIRO will act as an advocate for information risk on the Board and in internal discussions, and will provide written advice to the Accounting on the content of their annual Statement of Internal Control (SIC) in regard to information risk. The SIRO will provide an essential role in ensuring that identified information security threats are followed up and incidents managed. They will also ensure that the Board and the Accountable are kept up to date on all information risk issues. The role will be supported by the Staffordshire Commissioning Support Services Senior and Security Manager, the Senior Records Manager and the Caldicott Guardian, although ownership of the Risk Policy and Risk assessment process will remain with the SIRO. The SIRO will be supported through a network of Asset Owners and Administrators who have been identified and trained throughout the organisation. Caldicott Guardian: Dr Stephen Fawcett, Clinical Director Planned Care The NHS Stoke on Trent Clinical Commissioning Group Caldicott Guardian has particular responsibility for reflecting patients interests regarding the use of patient identifiable information and to ensure that the arrangements for the use and sharing of clinical information comply with the Caldicott principles. The Caldicott Guardian, supported by the Caldicott function, will advise on lawful and ethical processing of information and enable information sharing. They will ensure that confidentiality requirements and issues are represented at Board level and within the NHS Stoke on Trent Clinical Commissioning Group overall governance framework. 3
4 Organisational Lead: Hayley Jones, Senior & Security Manager (Staffordshire Commissioning Support Service) The key purpose of the role is to ensure the NHS Stoke on Trent Clinical Commissioning Group successfully manages the risks associated with & Security. The post holder will ensure the establishment of corporate standards and a consistent CCG wide approach to & Security and will be responsible for assuring the implementation of a range of policies, processes, monitoring audits and training and awareness mechanisms to ensure a high level of compliance with external assessments including the Toolkit, Care Quality Commission and the NHS Litigation Authority. The Senior and Security Manager will also be responsible for the implementation and ongoing development of the SIRO framework, ensuring that IAOs and IAAs fulfil their duties and promote an information risk management approach when dealing with information assets. Senior IG and Is manager are part of the CSU dedicated research for information governance as detailed below. Senior & Security Manager Primary Care IG Facilitator & Security 1WTE & Records []Key Policies Policies set out the scope and intent of the organisation in relation to the management of. Ratification Schedule: Policy Strategy Risk Assessment and Programme Incidents and SUIs Reporting & Policy Audit Committee Governing Board Policies are communicated to appropriate staff via the membership of the groups at which they are ratified, and through internal communications utilising the CCGs intranet site, staff briefing announcements and the RSM Tennon Policy Acceptance software. All policies are available on the CCGs intranet sites and the shared network drive. 4
5 Key Bodies A group, or groups, with appropriate authority should have responsibility for the IG agenda. Resources Details of key staff roles Group Dedicated Staff The Audit Committee is responsible for overseeing day to day issues, developing and maintaining policies, standards, procedures and guidance, coordinating and raising awareness of in the CCG. Senior & Security Manager Primary Care IG Facilitator & Security 1WTE & Records Framework Details of how responsibility and accountability for IG is cascaded through the organisation. Asset Owners Asset Administrators Caldicott Leads Dr Stephen Fawcett, Clinical Director Planned Care Asset Owners are senior individuals involved in running the relevant business. The IAOs role is to: - Understand and address risks to the information assets they own ; and - Provide assurance to the SIRO on the security and use of these assets. Asset Owners have been nominated across the whole organisation and have received specialist information risk training to allow them to be effective in their role. The Asset Administrators and will: - Ensure that policies and procedures are followed - Recognise potential or actual security incidents - Consult their IAO on incident management - Ensure that information assets registers are accurate and maintained up to date. Asset Owners have received specialist information risk training to allow them to be effective in their role. The main role of the Caldicott Lead will be to review records prior to release under the following legislation: Data Protection Act 1998 rights of access for living individuals Access to Health Records 1990 rights of access to deceased patient health records Medical Reports Act 1998 rights of access for individuals to have access to reports relating to themselves provided for employment or insurance purposes 5
6 It is a legal requirement that an appropriate health professional must approve exemptions applied to subject access requests under the Data Protection Act. Therefore the organisation must ensure that any requests for access to health records are reviewed by trained clinicians (Caldicott Leads) prior to release. Caldicott Assistants Dr Ruth Chambers Clinical Director Practice Development & Performance Caldicott Assistants are appointed to support Caldicott Leads in their role. The role of Caldicott Assistant is: To attend Caldicott Assistant training To seek advice and support from the team and Caldicott Lead(s) To adhere to local policies and procedures To obtain appropriate consent and ID before sharing/releasing information To appropriately redact information identified by the Caldicott Lead To issue approved fees notices in accordance with local procedures To share information and maintain confidentiality appropriately at all times To maintain the log (template available within the Data Protection Procedures) of requests and provide statistical information as required To update the Caldicott Issues log with any issues which are escalated to the Caldicott Guardian. Training and Guidance Staff need clear guidelines on expected working practices and on the consequences of failing to follow policies and procedures. The approach to ensuring that all staff receive training appropriate to their roles should be detailed. Confidentiality: Staff Code of Conduct Purpose of the Code: To inform staff of the need and reasons for keeping information confidential To inform staff about what is expected of them To protect the Organisation as an employer and as a user of confidential information This Code has been written to meet the requirements of: The Data Protection Act 1998 The Human Rights Act 1998 The Computer Misuse Act 1990 The Copyright Designs and Patents Act 1988 The NHS Code of Confidentiality 2003 This Code has been produced to protect staff by making them aware of the correct procedures so that they do not inadvertently breach any of these requirements. If the Code is breached then this may result in legal action against the individual and/or Organisation as well as investigation in accordance with the Organisation s disciplinary procedures. The Staff Code of Conduct will be disseminated to all staff working for the CCG and they will be required to acknowledge that they have received and understand the document. In future, any new starters to the organisation will receive a copy of this with their contract. Both should be signed and returned to the HR department and kept on file. 6
7 Training for all staff All staff with access to a computer will receive basic IG training through the Connecting for Health E-Learning Tool. Progress against this will be monitored by both the Training Department and the Department of Health, ensuring compliance against requirement within the IG Toolkit. For those staff that do not have computer access, additional training will be provided in the form of a taught training session, using the Connecting for Health E-Learning slides. Additional workshops will be put on for staff as required following identification of training needs through a TNA. These workshops will focus on the practical elements of the organisations policies and procedures. Security Policy & Procedures The organisations Security Policy and Procedures are central to the information governance agenda. The procedures are disseminated through a variety of media including: Intranet Team Briefings Training Workshops Policy Acceptance Software Due to the nature of the Security Procedures, these can be updated and added to several times within a 12 month period where this is the case the procedures are disseminated again to staff, acknowledging that there has been an update, using the above procedure. Incident Clear guidance on incident management procedures should be documented and staff should be aware of their existence, where to find them, and how to implement them. Training for specialist IG Roles Documented Procedures and Staff Awareness As required specialist IG training will be provided across the organisation for those staff that are given additional responsibility for IG within their areas. Current specialist training includes: Asset Owner Training Asset Administrator Training Security System Workshops Caldicott Lead Training Caldicott Assistant Training Off-site storage (archiving) champion workshops Incident in the CCG is covered in the following organisational policies and Procedures: NHS Stoke on Trent CCG Incident Risk Reporting Policy Security Policy Security Procedures Staff awareness is raised through the following ways: Staff Induction Training (All Staff) Asset Owner Training Asset Administrator Training 7
BUSINESS CONTINUITY MANAGEMENT POLICY
BUSINESS CONTINUITY MANAGEMENT POLICY A GUIDE TO BUSINESS CONTINUITY AND SERVICE RECOVERY PLANNING Version 1.2 Ratified by BHR CCGs Governing Bodies Date ratified September 2016 Name of Director Lead Marie
More informationDATA PROTECTION POLICY
DATA PROTECTION POLICY Document Number 2010/35/V1 Document Title Data Protection Policy Author Nic McCullagh Author s Job Title Information Governance Manager Department IM&T Ratifying Committee Capacity
More informationCommissioning Policy
Commissioning Policy Consultant to Consultant Referrals Version 6.0 December 2017 Name of Responsible Board / Committee for Ratification: North Staffordshire CCG Stoke on Trent CCG Date Issued: November
More informationIncident Reporting and Management Policy
Incident Reporting and Management Policy Document control Version: 1.0 Ratified by: None (Chief Officer approved) Date ratified: 04 May 2017 Name of originator/author: Lorraine Smedmor/Victoria Medhurst
More informationDATA PROTECTION ACT (1998) SUBJECT ACCESS REQUEST PROCEDURE
DATA PROTECTION ACT (1998) SUBJECT ACCESS REQUEST PROCEDURE Date effective from: 1 st September 2014 Review date: 1 st September 2017 Version number: 4.0 See Document Summary Sheet for full details Date
More informationNHS Nottinghamshire County PCT Information Governance, Management & Technology Sub-Committee. Terms of Reference
Purpose NHS Nottinghamshire County PCT Information Governance, Management & Technology Sub-Committee Terms of Reference The NHS Nottinghamshire County PCT Information Governance, Management &Technology
More informationSTATUTORY & MANDATORY TRAINING POLICY
1 Introduction STATUTORY & MANDATORY TRAINING POLICY Portsmouth City Council deliver learning and development for all of Portsmouth CCG staff through a blended approach, including e-learning and sessions,
More informationRESEARCH GOVERNANCE POLICY
RESEARCH GOVERNANCE POLICY DOCUMENT CONTROL: Version: V6 Ratified by: Performance and Assurance Group Date ratified: 12 November 2015 Name of originator/author: Assistant Director of Research Name of responsible
More informationIndependent Group Advising (NHS Digital) on the Release of Data (IGARD)
Document filename: Independent Group Advising (NHS Digital) on the Release of Data (IGARD) Directorate / Programme IGSA Project IGARD Document Reference Status Final Owner Martin Severs Version 1.6 Author
More informationAccess to Records Procedure under Data Protection Act 1998 Access to Health Records Act 1990
Access to Records Procedure under Data Protection Act 1998 Access to Health Records Act 1990 Procedure approved by: Executive Group Date: 14 November 2014 Next Review Date: September 2016 Version: 1.0
More informationBoard Report In Public Meeting Title of Paper Information Governance Annual Report inc. Caldicott Guardian Annual Activity/Assurance Reports Author(s)
Item 18.1 Board Report In Public Meeting Title of Paper Information Governance Annual Report inc. Caldicott Guardian Annual Activity/Assurance Reports Author(s) Sadie Bell, Head of Information Governance
More informationRECORDS MANAGEMENT POLICY
RECORDS MANAGEMENT POLICY Version: 5.1 Authorisation Committee: Date of Authorisation: 31 March 2010 Ratification Committee Level 1 documents): Date of Ratification Level 1 documents): Signature of ratifying
More informationGuidance for MRC units on HTA licence applications for storage of human samples for research purposes
Guidance for MRC units on HTA licence applications for storage of human samples for research purposes Summary In England, Wales and Northern Ireland the Human Tissue Authority (HTA) is licensing premises
More informationInformal Patients to take Leave from Adult Mental Health Inpatient Wards. Standard Operating Procedure
Informal Patients to take Leave from Adult Mental Health Inpatient Wards Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Quality Committee Date ratified: 16 June 2016 Name of originator/author:
More informationDate 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 informationSlips Trips and Falls Policy (Staff and Others)
Title Reference Slips Trips and Falls Policy (Staff and Others) HS/POL/076 Description of document The purpose of this policy is to ensure all Norfolk Community Health & Care NHS Trust staff are aware
More informationVersion 1.0. Quality, Performance & Finance. Date Ratified 31 st March 2015 Iain Stewart, Head of Direct Commissioning
Joint working with the pharmaceutical industry Policy (Template based upon DH Best Practice Guidance for Joint Working between the NHS and the Pharmaceutical Industry, February 2008) Version 1.0 Ratified
More informationSafeguarding Annual Assurance Self-assessment Tool. Sheffield Health and Social Care NHS Foundation Trust
Safeguarding Annual Assurance Self-assessment Tool Sheffield Health and Social Care Foundation Trust Introduction - About this Self-assessment This self-assessment is an assessment of your own internal
More informationThis policy sets out the framework of good practice and the principles underpinning this when conducting Clinical Audit
SECTION: 15 RISK MANAGEMENT POLICY & PROCEDURE NO: 15.02 NATURE AND SCOPE: SUBJECT: POLICY AND PROCEDURE TRUST WIDE CLINICAL AUDIT This policy sets out the framework of good practice and the principles
More informationHealth and Safety Policy
Health and Safety Policy NHS Leeds rth Clinical Commissioning Group NHS Leeds South and East Clinical Commissioning Group NHS Leeds West Clinical Commissioning Group Version: 2.1 Ratified by: NHS Leeds
More informationAccess to Health Records Procedure
Access to Health Records Procedure Version: 1.0 Ratified by: Date ratified: 11/03/2015 Name of originator/author: Name of responsible individual: Information Governance Group Medical Records Manager, Jackie
More informationSecuring excellence in IT Services. Operating Model for Community Pharmacies, Appliance Contractors, Dental Practices and Community Optometry
Securing excellence in IT Services Operating Model for Community Pharmacies, Appliance Contractors, Dental Practices and Community Optometry December 2012 Table of Contents 01 Glossary of terms 02 Introduction
More informationJOB DESCRIPTION. Standards and Compliance. Call Centres - Wakefield, York and South Yorkshire. No management responsibility
JOB DESCRIPTION Position/Title: Clinical Advisor NHS 111 Band: Directorate/Department: Location: Band 5 (Indicative) Standards and Compliance Call Centres - Wakefield, York and South Yorkshire Accountable
More informationSOP 5 PRIVACY and DATA PROTECTION
SOP 5 PRIVACY and DATA PROTECTION SOP Title Privacy and Data Protection SOP No. SOP 5 Author Julia Farmery Consulted Departments Lincolnshire Clinical Research Facility, Research and Development, Trust
More informationCLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 25) Clinical Photography Policy in the Pre-Hospital Setting. January 2017
CLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 25) Clinical Photography Policy in the Pre-Hospital Setting January 2017 DOCUMENT INFORMATION Author: Mark Ainsworth-Smith Consultant in Pre-hospital Care
More informationPolicy to Manage. Information and Records
Policy to Manage Information and Records V3.0 October 2017 Page 1 of 108 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 4 3. Scope... 5 4. Definitions / Glossary... 7 5.
More informationProcedure For Training In Use Of Human Tissue Obtained For Research Purposes
Reference Number: UHB 137 Version Number: 2 Date of Next Review: 11 TH Oct 2019 Previous Trust/LHB Reference Number: Procedure For Training In Use Introduction and Aim The Human Tissue Act 2004 (HT Act)
More informationCorporate. Research Governance Policy. Document Control Summary
Corporate Research Governance Policy Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date: Review Date:
More informationDATA QUALITY STRATEGY IM&T DEPARTMENT
DATA QUALITY STRATEGY 2016 2019 IM&T DEPARTMENT This document should be read in conjunction with the Data Quality Policy Records Keeping & Record Management Policy Version: 1 Ratified by: Date ratified:
More informationPersonal Electronic Devices Acceptable Use Policy
Personal Electronic Devices Acceptable Use Policy Version 1.0 Purpose: For use by: This document is compliant with /supports compliance with: This document supersedes: Approved by: To advise Trust staff
More informationHealth & Safety Policy
The Dales School Health and Safety Guidance Appendix 1 Health & Safety Policy Title Health & Safety Policy Author Head of Health & Safety Approved by Management Board Issue date 4 th October 2017 Review
More informationFair Processing Strategy
Fair Processing Strategy March 2014 Fair Processing Strategy v8 2014.03.25 Page 1 of 15 NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning
More informationJob Description. CNS Clinical Lead
Job Description CNS Clinical Lead POST: BASE: ACCOUNTABLE TO: REPORTS TO: RESPONSIBLE FOR: CNS Clinical Lead St John s Hospice Head of Nursing and Quality Head of Nursing and Quality Community Clinical
More informationCentral Alerting System (CAS) Policy
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray
More informationVersion: 5 Date Issued: 24 October 2017 Review Date: 24 October 2020 Document Type: Policy. Sharps Safety Policy Quick Reference Guide
Sharps Safety Policy Version: 5 Date Issued: 24 October 2017 Review Date: 24 October 2020 Document Type: Policy Contents Page Paragraph Executive Summary 2 1 Introduction 3 2 Scope 3 3 Purpose 3-4 4 Definitions
More informationProf. Paula Whitty Director of Research, Innovation and Clinical Effectiveness. Author(s) (name and designation) Date ratified January 2015
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Clinical Audit Policy NTW(C)52 Medical Director Prof. Paula Whitty Director of Research, Innovation and Clinical
More informationHealth & Safety Policy
Health & Safety Policy Title Health & Safety Policy Author Head of Health & Safety Approved by Management Board Issue date 1 st May 2015 Review date March 2018 (or sooner if necessary) Links to other procedures
More informationJOB DESCRIPTION. Service Manager AMH Inpatient Services. Enhanced CRB with Both Barred List Check
JOB DESCRIPTION JOB TITLE: BAND: HOURS AND: DURATION Service Manager AMH Inpatient Services Agenda for Change Band 8B As specified in the job advertisement and the Contract of Employment AGENDA FOR CHANGE
More informationWARD MANAGER. Ward Manager/Specialty Sister
WARD MANAGER JOB TITLE: Ward Manager/Specialty Sister SALARY: Band 7 ACCOUNTABLE TO: Head of Nursing Medicine POST SUMMARY Strong, leadership qualities are needed at this level. It is critical to the quality
More informationQUALITY COMMITTEE. Terms of Reference
QUALITY COMMITTEE Terms of Reference CONSTITUTION 1. The Board of Directors approved the establishment of the Quality Committee (known as the Committee in these terms of reference) for the purpose of:
More informationPARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN. Information Sharing Policy Sharing and Publishing information about NHS Complaints. Version 2.
PARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN Information Sharing Policy Sharing and Publishing information about NHS Complaints Version 2.0 Page 1 of 8 Document Control Title: Policy Information Sharing
More informationBeing Open and Duty of Candour Policy
Version Date Purpose of Issue/Description of Change Review Date 3 4 5 March 2010 July 2011 June 2012 Incorporating new NPSA Being Open Framework Revision against 2010/11 NHSLA Standards Review against
More informationInformation Lifecycle and Records Management Policy
Information Lifecycle and Records Management Policy This Policy describes mandatory guidance for the policies, processes, practices, services and tools used by the organisation to manage its information
More informationComplaints, Compliments and Concerns (CCC) Policy
Complaints, Compliments and Concerns (CCC) Policy Central and North West London NHS Foundation Trust (CNWL) is committed to providing quality NHS services and adopting best practice in listening and responding
More informationCOMMISSIONING FOR QUALITY FRAMEWORK
This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version COMMISSIONING FOR QUALITY FRAMEWORK Document Title: Commissioning for Quality Framework
More informationSystmOne COMMUNITY OPERATIONAL GUIDELINES
SystmOne COMMUNITY OPERATIONAL GUIDELINES Guidelines IM&T 11 Date: August 2007 Document Management Title of document SystmOne Community Operational Guidelines Type of document Guidelines IM&T 11 Description
More informationPORTER S AVENUE DOCTORS SURGERY UPDATE
Concordia Health Ltd Primary Care PORTER S AVENUE DOCTORS SURGERY UPDATE April 2018 Concordia Health Ltd Primary Care Summary of changes Agreement National Data Guardian Security Review (NDGSR) Compliance
More informationClinical Lead. Contract of Employment
JOB DESCRIPTION AND PERSON SPECIFICATION FOR Clinical Lead AGENDA FOR CHANGE BAND Band 7 HOURS AND DURATION As specified in the job advertisement and the Contract of Employment AGENDA FOR CHANGE REF NO
More informationJob Description NHS Dumfries and Galloway Occupational Health and Safety Services
Job Description NHS Dumfries and Galloway Occupational Health and Safety Services Part Time Occupational Health Physician 2 sessions (0.2wte) 8 hours per week 1. JOB IDENTIFICATION Job Title: Part time
More informationPolicy No. (HR30) Whistleblowing Policy and Procedure (Raising Concerns at Work)
Policy No. (HR30) Whistleblowing Policy and Procedure (Raising Concerns at Work) The following personnel have direct roles and responsibilities in the implementation of this policy: All Trust Staff Version:
More informationProcedure for Discharge from Inpatient Units including 48 hour Follow Up. (Wotton Lawn only)
Procedure for Discharge from Inpatient Units including 48 hour Follow Up (Wotton Lawn only) Version: Version 3 Consultation: Ratified by: Date ratified: Name of originator/author: Date issued: July 2012
More informationGCP Training for Research Staff. Document Number: 005
GCP Training for Research Staff Document Number: 005 Version: 1 Ratified by: RFL Committee Date ratified: 03.06.2014 Name of originator/author: Directorate: Department: Name of responsible individual:
More informationCLINICAL GOVERNANCE AND QUALITY COMMITTEE. Final - Terms of Reference - Final
CLINICAL GOVERNANCE AND QUALITY COMMITTEE Final - Terms of Reference - Final CONSTITUTION 1. The Board of Directors approved the establishment of the Clinical Governance and Quality Committee (known as
More informationCarers Strategy
Carers Strategy 2015 2017 UHSM Vision, Mission, Values and Strategic Intent Vision to become a top 10 NHS provider in the country Mission to improve the health and quality of life for all our patients
More informationDocument Title: Training Records. Document Number: SOP 004
Document Title: Training Records Document Number: SOP 004 Version: 1 Ratified by: RFL Committee Date ratified: 03.06.2014 Name of originator/author: Directorate: Department: Name of responsible individual:
More informationPatient Safety, Quality & Risk Committee Terms of Reference
Patient Safety, Quality & Risk Committee Terms of Reference Status: Chair: Clerk: Frequency of meetings: Quorum: Sub Committee of the Trust Board Non Executive director Associate Director of Governance
More informationImplied Consent Model and Permission to View
NHS CRS - Summary Care Record, Implied consent model and Permission to view Programme NPFIT Document Record ID Key Sub-Prog / Project Summary Care Record NPFIT-SCR-SCRDOCS-0025.02 Prog. Director James
More informationInternal 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 informationNHS WOLVERHAMPTON CLINICAL COMMISSIONING GROUP CONSTITUTION
NHS WOLVERHAMPTON CLINICAL COMMISSIONING GROUP CONSTITUTION Version: [78] NHS England Effective Date: 1 December 2015 April 2017 CONTENTS Part Description Page Foreword 1 1 Introduction and Commencement
More informationJOB DESCRIPTION DIRECTOR OF SCREENING. Author: Dr Quentin Sandifer, Executive Director of Public Health Services and Medical Director
JOB DESCRIPTION DIRECTOR OF SCREENING Author: Dr Quentin Sandifer, Executive Director of Public Health Services and Medical Director Date: 1 November 2017 Version: 0d Purpose and Summary of Document: This
More informationBurton Hospitals NHS Foundation Trust POLICY DOCUMENT. On: 26 October Review Date: October Department Responsible for Review:
POLICY DOCUMENT Burton Hospitals NHS Foundation Trust COMPLAINTS POLICY AND PROCEDURE Approved by: Quality Committee On: 26 October 2017 Review Date: October 2020 Corporate / Division Corporate Clinical
More informationContract of Employment
JOB DESCRIPTION AND PERSON SPECIFICATION FOR Deputy Sister / Deputy Charge Nurse AGENDA FOR CHANGE BAND Band 6 HOURS AND DURATION As specified in the job advertisement and the Contract of Employment AGENDA
More informationSection 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights
Section 132 of the Mental Health Act 1983 Procedure for Informing Detained Patients of their Legal Rights DOCUMENT CONTROL: Version: 11 Ratified by: Mental Health Legislation Sub Committee Date ratified:
More informationDid Not Attend (DNA) and Cancellation Policy and Operational Guidelines
Did Not Attend (DNA) and Cancellation Policy and Operational Guidelines Document Number Version Ratified By & Date Name of Approving Body(s) & Date(s) FPE-004 V1 Safety and Effectiveness Sub-Committee
More informationDocument Title: Informed Consent for Research Studies
Document Title: Informed Consent for Research Studies Document Number: SOP003 Staff involved in development: Job titles only Document author/owner: Directorate: Department: For use by: RM&G Manager, R&D
More informationAgenda Item: REPORT TO PUBLIC BOARD MEETING 31 May 2012
Agenda Item: 5.1.1 REPORT TO PUBLIC BOARD MEETING 31 May 2012 Title Lead Director Author(s) Purpose Previously considered by Ratification of the Strategy for the Care of Older People Siobhan Jordan, Director
More informationDeputise and take charge of the given area regularly in the absence of the clinical team leader who has 24 hour accountability and responsibility.
JOB DESCRIPTION AND Public Health Nurse School Nurse PERSON SPECIFICATION FOR: AGENDA FOR CHANGE BAND: Band 6 HOURS AND DURATION; As specified in the job advertisement and the Contract of Employment AGENDA
More informationMATERNITY SERVICES RISK MANAGEMENT STRATEGY
Trust Board Agenda Item 8.3 Enc 10 Appendix 1 January 2012 MATERNITY SERVICES NORTH CUMBRIA MATERNITY SERVICES RISK MANAGEMENT STRATEGY 2011-13 DOCUMENT CONTROL Author/Contact Head Of Midwifery / Clinical
More informationPersonal Identifiable Information Policy
Personal Identifiable Information Policy Page 1 of 24 Document Management Title of document Type of document Description IG2 Personal Identifiable Information Policy Policy This Policy supports the Information
More informationImprovement Plan in response to recommendations outlined in the Independent Investigation into the Care and Treatment of P 14 June 2017
Improvement Plan in response to recommendations outlined in the Independent Investigation into the Care and Treatment of P 14 June 2017 RAG key: Completed In progress Outstanding RECOMMENDATION 1 Black
More informationBUSINESS CONTINUITY MANAGEMENT POLICY
BUSINESS CONTINUITY MANAGEMENT POLICY UNIQUE REFERENCE NUMBER: AC/XX/068/V1.1 DOCUMENT STATUS: Approved by Audit & Gov Committee - 20 July 2017 DATE ISSUED: August 2017 DATE TO BE REVIEWED: August 2020
More informationAnnual Review of NHS Outreach Library Services in North Staffordshire
NHS Library and Information Services Annual Review of NHS Outreach Library Services in North Staffordshire Clare Powell Lindsay Snell Outreach Librarians June 2012 Clinical Education Centre, University
More informationDate ratified November Review Date November This Policy supersedes the following document which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Cleaning Policy NTW(O)71 James Duncan Deputy Chief Executive / Executive Director of Finance Steve Blackburn Deputy
More informationClinical Audit Policy
Clinical Audit Policy DOCUMENT CONTROL Version: 5 Ratified by: Quality Assurance Group Date ratified: 3 July 2017 Name of originator/author: Clinical Quality Lead Senior Clinical Audit Facilitator Name
More informationMortality Policy. Learning from Deaths
Mortality Policy Learning from Deaths Name of Author and Job Title: Frank Jacobs, Datix project manager Ian Brandon, Head of governance and risk Name of Review/ Development Body: Ratification Body: Mortality
More informationBriefing: Quality governance for housing associations
25 March 2014 Briefing: Quality governance for housing associations Quality and clinical governance in housing, care and support services Summary of key points: This paper is designed to support housing
More informationAPPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF
APPROVED CLINICIAN (AC) POLICY FOR MEDICAL STAFF Version: 1 Ratified by: Date ratified: August 2015 Title of originator/author: Title of responsible committee/group: Date issued: August 2015 Review date:
More informationJob Description. Hours: 37.5 Last updated: April 2015 Worrall House 30 Kingshill Ave Kent ME19 4AE AFC Banding: 4
Job Description Job Title: Occupational Therapy Technical Instructor Responsible to: Occupational Therapist Hours: 37.5 Last updated: April 2015 Base: Worrall House 30 Kingshill Ave Kent ME19 4AE AFC Banding:
More informationCREATIVE SOLUTIONS FORUM. Terms of Reference
CREATIVE SOLUTIONS FORUM Terms of Reference Version 3 June 2016 OVERVIEW Services and commissioners are seeing an increase in the numbers of people presenting with highly complex pictures of substance
More informationChild Protection Supervision Policy. Version No:1.3. Review: May 2019
Livewell Southwest Child Protection Supervision Policy Version No:1.3 Review: May 2019 Notice to staff using a paper copy of this guidance The policies and procedures page of Livewell Southwest Intranet
More informationPlan For VIPs and Protected Persons
Plan For VIPs and Protected Persons Reference No: P_CoG_19 Version 1 Ratified by: LCHS Trust Board Date ratified: 13 th September 2016 Name of originator / author: Head of Communications Name of responsible
More informationSafeguarding Children Policy
Safeguarding Children Policy DOCUMENT CONTROL Version: 12.1 Ratified by Quality and Safety Sub Committee Date ratified: 4 September 2017 Name of originator/author: Associate Nurse Director Children s Care
More informationIncident Management Plan
Incident Management Plan Document Control Version 2 Name of Document NHS Guildford and Waverley CCG Incident Management Plan Version Date 1st October 2016 Owner Director of Governance and Compliance [Accountable
More informationHealthcare 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 informationQUICK REFERENCE TO CALDICOTT & THE DATA PROTECTION ACT 1998 PRINCIPLES
QUICK REFERENCE TO CALDICOTT & THE DATA PROTECTION ACT 1998 PRINCIPLES What is Caldicott? The term Caldicott refers to a review commissioned by the Chief Medical Officer. A review committee, under the
More informationReplacement. Supersedes: Complaints Procedure ( ) and the Patient Advice and Liaison Service Policy ( )
Corporate Complaints: Standard Operating Procedure Document Control Summary Status: Replacement. Supersedes: Complaints Procedure (28.10.10) and the Patient Advice and Liaison Service Policy (28.07.11)
More informationResearch Policy. Date of first issue: Version: 1.0 Date of version issue: 5 th January 2012
Research Policy Author: Caroline Mozley Owner: Sue Holden Publisher: Caroline Mozley Date of first issue: Version: 1.0 Date of version issue: 5 th January 2012 Approved by: Executive Board Date approved:
More informationPOLICY FOR SPONSORSHIP OF ACTIVITIES, JOINT WORKING AND TRAINING AND EDUCATION BY THE PHARMACEUTICAL INDUSTRY WITH
POLICY FOR SPONSORSHIP OF ACTIVITIES, JOINT WORKING AND TRAINING AND EDUCATION BY THE PHARMACEUTICAL INDUSTRY WITH NOTTINGHAMSHIRE CLINICAL COMMISSIONING GROUPS Contents 1. Background... 3 2. Purpose of
More informationLOCKED DOORS AND DOOR CONTROL POLICY
LOCKED DOORS AND DOOR CONTROL POLICY Version: 3 Ratified by: Senior Managers Operational Group Date ratified: November 2013 Title of originator/author: Mental Health Legal Strategies Lead Title of responsible
More informationSABP/INFORMATIONSECURITY- SUMMARY CARE RECORD ACCESS/0003
SABP/INFORMATIONSECURITY- SUMMARY CARE RECORD ACCESS/0003 PROCEDURE NAME REASON FOR PROCEDURE WHAT THE PROCEDURE WILL ACHIEVE? WHO NEEDS TO KNOW ABOUT IT? Summary Care Record Access Procedure Permission
More informationData Provision Notice
Data Provision Notice Transformation Indicator Return (TIR) Information Asset Owner: Stephen Smith Version: 1.0 Published: 10 January 2018 The Health and Social Care Information Centre is a non-departmental
More informationPerformance and Quality Committee
Title: NHS Continuing Health Care Choice Policy (addendum to Cornwall Wide Patient Choice, Equity and Fair Access Policy) Developed by: Document type: Policy library: NHS Kernow Policy Policies Sub Section:
More informationCorporate/General Finance
Document title: Policy and Guidance for Joint Working with the Pharmaceutical Industry (including rebate schemes) & Commercial Sponsorship of Meetings/Training Events CCG document ref: Author / originator:
More informationManagement of Audio-visual Records Policy
F Management of Audio-visual Records Policy Please be aware that this printed version of the Policy may NOT be the latest version. Staff are reminded that they should always refer to the Intranet for the
More informationMHRA Findings Dissemination Joint Office Launch Jan Presented by: Carolyn Maloney UHL R&D Manager
MHRA Findings Dissemination Joint Office Launch Jan. 2012 Presented by: Carolyn Maloney UHL R&D Manager Purpose of presentation To feed back abridged findings from March 2011 MHRA Statutory Systems Inspection
More informationPatient Experience Strategy
Patient Experience Strategy 2013 2018 V1.0 May 2013 Graham Nice Chief Nurse Putting excellent community care at the heart of the NHS Page 1 of 26 CONTENTS INTRODUCTION 3 PURPOSE, BACKGROUND AND NATIONAL
More informationMandatory Training Policy
Mandatory Training Policy Policy HR 16 January 2008 Document Management Title of document Mandatory Training Policy Type of document Policy HR 16 Description Target Audience To ensure that all staff have
More informationWorking with Information Governance INFORMATION GOVERNANCE REFRESHER TRAINING WORK BOOK
Working with Information Governance INFORMATION GOVERNANCE REFRESHER TRAINING WORK BOOK Name: Date:.. Training Material & Assessment. Accreditation for Completed Assessments Included 1 IG Refresher Training
More informationDepartment. Clinical Coding. Comment / Changes / Approval Initial version published on Tarkanet.
Policy and Procedures Document Control Title Policy and Procedures Author Directorate Finance and Performance Version Date Issued Status 1.0 Jun Final 2002 1.1 Jun Revision 2003 2.0 Feb Final 2007 2.1
More informationPolicy on Sponsorship and Joint Working with the Pharmaceutical Industry and other Commercial Organisations
Policy on Sponsorship and Joint Working with the Pharmaceutical Industry and other Commercial Organisations Page 1 of 23 DOCUMENT CONTROL Policy Title: Purpose: Supersedes: This policy applies to: Circulation:
More information