SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT

Size: px
Start display at page:

Download "SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT"

Transcription

1 Meeting of Lanarkshire NHS Board: Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT 1. PURPOSE This paper is coming to the Board: For approval For endorsement To note The purpose of this paper is to provide NHS Lanarkshire Board with an update on Learning from Adverse Events across NHS Lanarkshire. It also includes a summary of, and actions from, the recent Board seminar on Quality Assurance and Improvement held on 29 August ROUTE TO THE BOARD The content of this paper relating to adverse events has been: Prepared Reviewed Endorsed By the following Committee: Healthcare Quality Assurance & Improvement Committee 3. SUMMARY OF KEY ISSUES NHS Lanarkshire s quality vision is to achieve transformational improvement in the provision of safe, person centred and effective care for our patients and for our patients to be confident that this is what they will receive, no matter where and when they access our services. To achieve our quality vision, we are committed to transforming the quality of health care in Lanarkshire aiming to: be the safest health and care system in Scotland have no avoidable deaths reduce avoidable harm deliver care in partnership with patients that is responsive to their needs meet the highest standards of evidence based best practice be an employer of choice develop a culture of learning and improvement deliver effective and inclusive services so that all individuals, whatever their background, achieve the maximum benefit from the services and interventions provided, within available resources. In supporting the delivery of these aims this report focuses on learning from adverse events. The cover paper also provides feedback on the recent Board seminar on quality improvement.

2 Learning from Adverse Events Adverse event reporting is one of the key methods used to alert an organisation to issues that, if left unattended, may pose a serious risk to patients, staff and/or others for which it has a responsibility e.g. visitors, contractors and volunteers. Without an effective system, the organisation may be blind to some of this risk exposure and cannot make the necessary improvements to support safety. NHS Lanarkshire has in place an adverse event reporting and recording system that supports good practice and compliance with legal duties. This is underpinned by an Adverse Event Management Policy which was revised in June The Transforming Patient Safety and Quality of Care Strategy Implementation Plan for 2017/18 contains an action (11b) to ensure that learning from adverse events is embedded throughout the organisation through implementation of the Adverse Event Management Policy and associated procedures. The main body of the attached paper provides an update on the learning coming from adverse event reporting and the actions which are being taken forward to reduce the frequency of Category 1 adverse events related to falls and suicide. In doing so, it is acknowledged that the causation of these adverse events is multi-factorial and a range of interventions are necessary to make an appreciable impact on incidence. Feedback from the Board Development Session on Quality Improvement Board Development Sessions are delivered and attended by both Non-Executive and Executive Directors and supported by appropriate senior managers. The development session on 29th August 2017 focused on Quality. The session was structured around the role of the Board in: The development of the NHS Lanarkshire Quality Vision Ensuring accountability for quality outcomes Shaping the quality and safety culture Session 1 - Board Leadership for Quality This session considered the IHI Framework for Safe, Reliable and Effective Care which was published in This framework was referenced extensively in the Patient Safety Officer Executive Development Programme and Irene Barkby completed a self-assessment document during and following her attendance. The Board were split into 4 groups and each group was asked to rate themselves against the self- assessment document for each of the criteria. Session 2 - Data/Measurement needs at a Board level Information is a vital component of the Lanarkshire Quality Approach. Any Board meeting will include discussions about triangulating data, understanding data over time and approaches to measurement for quality. Board members will often be asked to understand data for one of three purposes: measurement for accountability/scrutiny, measurement for research and measurement for improvement. Interpretation of, and actions resulting from this interpretation can vary according to the purpose the data is being used for. Outcome The Director of Quality, Board Medical Director and Director of NMAHPs have been tasked with developing an Action Plan to detail the next steps required in creating the conditions to deliver the Lanarkshire Quality Approach. This Action Plan will be discussed at the next meeting of the Healthcare Quality Assurance & Improvement Committee (HQAIC) on 9th November 2017 and then presented to the Board for approval. The Director of Strategic Planning & Performance and the Director of Quality will develop an Information Management Strategy and Implementation Plan which will include, as a priority, a review of the data considered by the NHS Lanarkshire Board and sub-committees with a particular focus on visual simplicity, ease of understanding and ability to support decision making. This process 2

3 is being coordinated through the Corporate Management Team (CMT) with a paper being considered at its meeting on 27 th November Further Board development sessions on Quality will be scheduled over the next year. 4. STRATEGIC CONTEXT This paper links to the following: Corporate Objectives LDP Government Policy Government Directive Statutory Requirement AHF/Local Policy Urgent Operational Issue Other 5. CONTRIBUTION TO QUALITY This paper aligns to the following elements of safety and quality improvement: Three Quality Ambitions: Safe Effective Person Centred Six Quality Outcomes: Everyone has the best start in life and is able to live longer healthier lives; (Effective) People are able to live well at home or in the community; (Person Centred) Everyone has a positive experience of healthcare; (Person Centred) Staff feel supported and engaged; (Effective) Healthcare is safe for every person, every time; (Safe) Best use is made of available resources. (Effective) 6. MEASURES FOR IMPROVEMENT The Transforming Patient Safety and Quality of Care Strategy and implementation plan provide measures for improvement including Key Performance Indicators (KPIs) relating to adverse events. Building organisational capacity and capability in quality improvement is also a key strategic aim outlined in the plan. 7. FINANCIAL IMPLICATIONS No financial implications are identified in this paper. 8. RISK ASSESSMENT/MANAGEMENT IMPLICATIONS The Healthcare Quality Assurance and Improvement Committee and Steering Group oversee a corporate risk with controls in relation to achieving the quality and safety vision for NHS Lanarkshire. Corporate Risk Maintaining quality of care and prevention of harm and injury to patients - is rated as medium. 9. FIT WITH BEST VALUE CRITERIA This paper aligns to the following best value criteria: 3

4 Vision and leadership Effective partnerships Governance and accountability Use of resources Performance management Equality Sustainability 10. EQUALITY AND DIVERSITY IMPACT ASSESSMENT An E&D Impact Assessment has been completed Yes No An assessment has been completed for the Transforming Patient Safety & Quality of Care Strategy. 11. CONSULTATION AND ENGAGEMENT The Transforming Patient Safety and Quality of Care Strategy Implementation Plan for 2017/18 was approved by the Healthcare Quality Assurance and Improvement Committee in July ACTIONS FOR THE BOARD With respect to category 1 adverse events the Board is asked to note: work which is currently being taken forward in relation to falls and suicide prevention the number and overall performance for the closure of category 1 adverse events In relation to the recent Quality seminar the Board is asked to note that: an Action Plan detailing the next steps required to create the conditions to deliver the Lanarkshire Quality Approach will be discussed at the next meeting of HQAIC and then presented to the Board for approval an Information Management Strategy and Implementation Plan is being developed and will include a review of the data considered by the NHS Lanarkshire Board and sub-committees further Quality Assurance and Improvement Board seminars will be held in 2018 Approval Endorsement Identify further actions Note Accept the risk identified Ask for a further report 13. FURTHER INFORMATION For further information about any aspect of this paper, please contact Lesley Anne Smith, Director of Quality. Telephone: Iain Wallace Medical Director 4

5 1. LANARKSHIRE QUALITY APPROACH QUALITY ASSURANCE AND IMPROVEMENT LEARNING FROM ADVERSE EVENTS 1.1 NHS Lanarkshire is committed to delivering world leading, high quality, innovative health and social care that is person-centred. Our ambition is to be a quality-driven organisation that cares about people (patients, their relatives and carers, and our staff) and is focused on achieving a healthier life for all. Through our commitment to a culture of quality we aim to deliver the highest quality health and care services for the people of Lanarkshire. 1.2 Adverse event reporting is one of the key methods for alerting an organisation to issues that, if left unattended, may pose a serious risk to either the patients in its care, the staff it employs or to others for which it has a responsibility e.g. visitors, contractors, volunteers etc. Without an effective system, the organisation may be blind to some of this risk exposure, and cannot make the necessary improvements to support safety. 1.3 NHS Lanarkshire has in place an incident reporting and recording system that supports good practice and compliance with legal duties. This is underpinned by an Adverse Event Management Policy which was revised in June This policy sets out how NHS Lanarkshire will identify and manage adverse events, with a clear emphasis on transparency, prompt remedial action, and learning for quality improvement so that recurrence of adverse events is minimised. The policy also emphasises our commitment to supporting patients and/or their families/carers and staff when adverse events occur. NHS Lanarkshire is committed to promoting an open and honest culture, based on understanding why things go wrong, supporting those affected and working hard to minimise the impact and the recurrence of adverse 1.5 A Category 1 significant adverse event is an event that fulfils at least one of the following: An event which caused or had the potential to cause serious harm to an individual or group of individuals (patients or staff); An unusual or unexpected clinical or non clinical event with or without an adverse outcome that has the potential for significant learning; An event that may cause reputational damage to the organisation, or undermines public confidence in the organisation to deliver safe services. It is important that we carry out a review of these events in a timely manner in order that we can take prompt remedial action, support patients and/or their families/carers and staff when adverse events occur, and to ensure learning for quality improvement so that recurrence of adverse events is minimised. 5

6 2. ANALYSIS OF CATEGORY 1 ADVERSE EVENTS 2.1 Reports continue to be produced monthly to monitor compliance with the 90 day timeline for review of category 1 adverse events. These are shared widely within the organisation including senior and operational management teams. 2.2 During the time period from June 2016 to May 2017 a total of 124 category 1 adverse events were recorded on the Datix system. 118 of these events have been reviewed and closed. Work is ongoing to ensure the others are closed within the near future. 2.3 The most frequent category 1 event (42%) was categorised as Slips, Trips & Falls with the majority occurring within Care of the Elderly wards in the three acute hospital sites. A category 1 fall is one which results in serious harm such as a fracture of a long bone. 2.4 The next highest category 1 event (14%) is Self Harm with the majority of incidents occurring out with the Board s premises. All suicides of people who have been in contact with Mental Health Services within the previous 12 months are defined as Category 1 adverse events and these comprise the majority under this category. 2.5 More detail on how the Board is responding to category 1 adverse events in these two areas is outlined below. 3. FALLS Background 3.1 The Board has identified reducing falls, particularly falls resulting in harm, as its top patient safety priority. As a result Category 1 falls (falls with harm) are reviewed each week at the Corporate Management Team (CMT) Quality Huddle. 3.2 Following a 12% reduction in falls in acute hospitals in 2015 there has been no further improvement in the overall falls rate (fig 1). In addition, despite significant focus on this issue there has been no improvement in the acute hospital falls with harm rate (fig 2). 6

7 3.3 During the Patient Safety Collaborative some pilot teams at Wishaw General managed to achieve a 58% reduction in falls with harm, however, despite best efforts it not been possible to replicate this elsewhere. Actions in response to falls data 3.4 Recognising this lack of progress, the Patient Safety team has developed a work programme in collaboration with senior nurses on each acute hospital and the Practice Development Unit. Between April and August 2017 activities have focussed on developing new operational definitions for falls, improving Datix and testing new documentation. A falls leads group has been established to support this work. 3.5 The Care Assurance and Accreditation Standards (CAAS) falls standard has been implemented in acute hospitals. Each ward/department has a falls link nurse and process measurement and testing is ongoing. Practice Development and the Patient Safety team have been working collaboratively to develop the measurement plan and infrastructure to support CAAS. 3.6 The Lanarkshire Community Falls Service consists of a Falls Register Team and a Specialist Falls Team. They work across Lanarkshire supporting staff in North & South HSCP s to implement The Prevention and Management of Falls in Community: a Framework for Action (Scottish Government 2014). 3.7 The team have developed an education and training framework that is currently being rolled out across Lanarkshire. To date, 4000 patients have had a falls conversation. The team also links to acute hospitals across the 3 sites and contributes to Acute Care Prevention and Management of Falls and the CAAS programme. 3.8 NHS Lanarkshire, in partnership with National Services Scotland, has undertaken a project to improve continence in care homes. An outcome of this Health Foundation funded project has been a reduction in falls in both care home pilot sites. 3.9 The Chief Nursing Officer s Excellence in Care initiative will have a focus on falls measurement as part of its first wave of measures Healthcare Improvement Scotland (HIS) Living Well in Communities teams have been supporting development and implementation of the Scottish Ambulance Service s Falls pathway in the North and South Health and Social Care Partnerships In response to individual category 1 adverse event reviews, learning points are shared widely across Board services. An example is attached as Appendix 1. 7

8 Further planned actions 3.12 The Director of NMAHPs has commissioned a whole system falls group, to be chair by the Director of AHPs. The remit of this group includes: To draft, agree and have authorised a whole system, cross corporate Falls Prevention Strategy; Identifying and collectively agree upon gaps/areas of improvement in current service delivery, as matched against the nationally recognised best practice; In support of the whole systems falls group, a one-off falls summit is being arranged to bring together a number of work streams with the aim of better understanding the reasons for our current performance. 4. SUICIDES 4.1 Following regular review of category 1 adverse events at the Healthcare Quality and Assurance Steering Group, Dr Linda Findlay, Consultant Psychiatrist and Associate Medical Director for South Health and Social Care Partnership, was asked to update the Group on the learning that had taken place from suicide reviews. As noted above, suicides are included within the second most frequent category 1 of adverse event Self harm. Following this presentation, Dr Findlay led a session on this topic at the Healthcare Quality and Assurance Committee. 4.2 In introducing the topic, Dr Findlay provided some background information on suicides nationally including gender, age and deprivation profile. She also explained the approach being taken nationally and locally with respect to suicide prevention including the lessons learned from serious adverse event reviews. 4.3 Since 2002 there has been a 19% reduction in the suicide rate broadly in line with the target set at that time as part of the Choose Life strategy and action plan. 4.4 Based on 2015 data there is an overall downward trend for both Health and Social care Partnership areas. There were 72 deaths by suicide in 2015 representing a reduction for the fifth consecutive year and an overall reduction of 15% since Of the 72 deaths, 24 involved individuals who were known to our mental health and learning disability services at the time of their death or had input from services in the preceding 12 months. 4.5 NHS Lanarkshire has the fourth lowest death rate from suicide in Scotland. However, inequalities remain a key issue. In Scotland in , the suicide rate was more than three times higher in the most deprived decile of the population compared to the least deprived. Nonetheless, it should be noted that this difference has reduced between and Improvements to reduce the incidence of suicide have been taken forward through North and South Lanarkshire Choose Life Implementation Groups. These groups have been successful in coordinating the collective efforts of mental health teams and partner agencies. 4.7 In order to learn from adverse events involving suicide, a review is undertaken into all deaths where the person has been in contact with mental health services in the 12 months prior to their death. From these reviews improvements have been taken forward in the following areas of practice. Risk assessment and management o o Changes to the definition of constant observation Multi-disciplinary team (MDT) decision-making around reducing observation levels 8

9 o Relational security the knowledge and understanding staff have of the patient and their environment; and the translation of that information into appropriate responses and care o Involvement of patients and their families in risk assessment and discharge planning o Addressing environmental risks such as ligature points o The use of safety plans o Management of unplanned absence o Introduction of a discharge pause Distress brief interventions Stigma Free Lanarkshire Suicide first aid training 4.8 In response to individual category 1 adverse event reviews, learning points are shared widely across Board services. An example is attached as Appendix CONCLUSION 5.1 It is vital that the Board has an effective system to review and learn from adverse events. It is essential that adverse event reviews are carried out in a timely manner to maximise learning and ensure corrective actions are put in place to reduce the likelihood of a similar event occurring again. It is also important for patients, their families/carers and staff that reviews conclude promptly. This report focuses on category 1 serious adverse events and particularly on the actions being taken forward to reduce falls with harm and prevent suicide. 9

10 Appendix 1 10

11 Appendix 2 11

SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT

SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT ITEM 7A Meeting of Lanarkshire Lanarkshire NHS Board NHS Board 28 March 2018 Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk 1. PURPOSE SUBJECT: QUALITY ASSURANCE

More information

SUBJECT: NHSL CORPORATE RISK REGISTER. For approval For endorsement X To note. Prepared Reviewed X Endorsed

SUBJECT: 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 information

SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT

SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT Meeting of Lanarkshire NHS Board: 31. 05. 2017 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk 1. PURPOSE SUBJECT: QUALITY ASSURANCE AND

More information

SUBJECT: Medical Staffing Update Report 1. PURPOSE

SUBJECT: Medical Staffing Update Report 1. PURPOSE Meeting of Lanarkshire NHS Board: Wednesday 25 March 2015 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: Medical Staffing Update

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

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

SUBJECT: Palliative Care Strategy and Associated Deployment of Hospice Beds

SUBJECT: Palliative Care Strategy and Associated Deployment of Hospice Beds NHS Lanarkshire Board 31 January 2018 Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: Palliative Care Strategy and Associated Deployment of Hospice Beds

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

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

SUBJECT: Healthcare Associated Infection (HCAI) Reporting Template

SUBJECT: Healthcare Associated Infection (HCAI) Reporting Template Meeting of Lanarkshire NHS Board: 31 uary 2018 Lanarkshire NHS Board Kirklands Bothwell G71 8BB Telephone: 098 855500 www.nhslanarkshire.org.uk SUBJECT: Healthcare Associated Infection (HCAI) Reporting

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 9 Ayrshire and Arran NHS Board Monday 26 March 2018 Delivering the new 2018 General Medical Services Contract in Scotland in the context of Primary Care Development Author: Vicki Campbell, Programme

More information

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,

More information

Staff Health, Safety and Wellbeing Strategy

Staff Health, Safety and Wellbeing Strategy Staff Health, Safety and Wellbeing Strategy 2013-16 Prepared by: Effective From: Review Date: Lead Reviewer: Hugh Currie Head of Occupational Health and Safety 31 st January 2013 01 st April 2014 Patricia

More information

NHS GRAMPIAN. Clinical Strategy

NHS GRAMPIAN. Clinical Strategy NHS GRAMPIAN Clinical Strategy Board Meeting 02/06/2016 Open Session Item 9.1 1. Actions Recommended The Board is asked to: 1. Note the progress with the engagement process for the development of the clinical

More information

Incident Reporting and Management Policy

Incident 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 information

Policy for the Reporting and Management of Incidents Including Serious Incidents. Version Number: 006

Policy for the Reporting and Management of Incidents Including Serious Incidents. Version Number: 006 CONTROLLED DOCUMENT Policy for the Reporting and Management of Incidents Including Serious Incidents CATEGORY: CLASSIFICATION: PURPOSE Controlled Number: Document Policy Governance To set out the principles

More information

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health

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

NHS LANARKSHIRE LOCAL DELIVERY PLAN 2017/18

NHS LANARKSHIRE LOCAL DELIVERY PLAN 2017/18 NHS LANARKSHIRE LOCAL DELIVERY PLAN 2017/18 1 INTRODUCTION 2 2 NATIONAL HEALTH & SOCIAL CARE DELIVERY PLAN LANARKSHIRE S RESPONSE 3 2.1 Health & Social Care Integration 3 2.1.1 Measuring performance under

More information

3.3 Overarching Steering Group Transforming Nursing and Midwifery Roles

3.3 Overarching Steering Group Transforming Nursing and Midwifery Roles TRANSFORMING NURSING AND MIDWIFERY ROLES Aim 1.1 To highlight to Committee the ongoing work the Scottish Government Chief Nursing Officer (CNO) office and Scottish Executive Nurse Directors (SEND) are

More information

Community Health Partnerships (CHPs) Scheme of Establishment for Glasgow City Community Health and Social Care Partnerships

Community Health Partnerships (CHPs) Scheme of Establishment for Glasgow City Community Health and Social Care Partnerships EMBARGOED UNTIL MEETING Greater Glasgow NHS Board Board Meeting Tuesday 19 th April 2005 Board Paper No. 2005/33 Director of Planning and Community Care Community Health Partnerships (CHPs) Scheme of Establishment

More information

NHS GRAMPIAN. Grampian Clinical Strategy - Planned Care

NHS 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 information

Quality Strategy and Improvement Plan

Quality Strategy and Improvement Plan Quality Strategy and Improvement Plan 2015-2018 STRATEGY DOCUMENT DETAILS Status: FINAL Originating Date: October 2015 Date Ratified: Next Review Date: April 2018 Accountable Director: Strategy Authors:

More information

Page 1 of 26. Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014

Page 1 of 26. Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014 Clinical Governance report prepared for NHS Lanarkshire Board Report title Clinical Governance Corporate Report - November 2014 Clinical Quality Service Page 1 of 26 Print Date:18/11/2014 Clinical Governance

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

JOB DESCRIPTION. Head of Mental Health, Learning Disability and Addictions. Director, North Ayrshire Health & Social Care Partnership

JOB DESCRIPTION. Head of Mental Health, Learning Disability and Addictions. Director, North Ayrshire Health & Social Care Partnership JOB DESCRIPTION 1. JOB DETAILS Job Title: Responsible to: Responsible for:. Location: Head of Mental Health, Learning Disability and Addictions Director, North Ayrshire Health & Social Care Partnership

More information

WAITING TIMES REPORT

WAITING TIMES REPORT Meeting of Lanarkshire Lanarkshire NHS Board NHS Board: Kirklands 25 March 2015 Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk 1. PURPOSE This paper is coming to the Board:

More information

Cambridgeshire and Peterborough Sustainability and Transformation Partnership

Cambridgeshire and Peterborough Sustainability and Transformation Partnership Cambridgeshire and Peterborough Sustainability and Transformation Partnership Governance Framework November 2017 Page 1 of 28 Contents 1. Introduction 2. Sustainability and Transformation Partnership 3.

More information

Learning from Deaths Framework Policy

Learning from Deaths Framework Policy Learning from Deaths Framework Policy Profile Version: 1.0 Author: Dr Nigel Kennea, Associate Medical Director (Mortality) Executive/Divisional sponsor: Medical Director Applies to: All staff Date issued:

More information

FOREWORD Introduction from the Chief Executive 2 BACKGROUND 3 OUR TRUST VALUES 4 OUR AIMS FOR QUALITY 5 HOW WE MEASURE QUALITY 16

FOREWORD Introduction from the Chief Executive 2 BACKGROUND 3 OUR TRUST VALUES 4 OUR AIMS FOR QUALITY 5 HOW WE MEASURE QUALITY 16 Contents FOREWORD Introduction from the Chief Executive 2 BACKGROUND 3 OUR TRUST VALUES 4 OUR AIMS FOR QUALITY 5 - Our achievements so far - Our aims for quality 2017 2020 AIM 1: AIM 2: AIM 3: AIM 4: Reducing

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

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

IMPROVING QUALITY. Clinical Governance Strategy & Framework

IMPROVING QUALITY. Clinical Governance Strategy & Framework IMPROVING QUALITY Clinical Governance Strategy & Framework NHS GREATER GLASGOW & CLYDE Approval: Quality & Performance Committee Responsible Director: Medical Director Custodian: Head of Clinical Governance

More information

2017/ /19. Summary Operational Plan

2017/ /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 information

Item No: 14. Meeting Date: Wednesday 8 th November Glasgow City Integration Joint Board

Item No: 14. Meeting Date: Wednesday 8 th November Glasgow City Integration Joint Board Item No: 14 Meeting Date: Wednesday 8 th November 2017 Glasgow City Integration Joint Board Report By: David Williams, Chief Officer Contact: Susanne Millar, Chief Officer, Strategy & Operations / Chief

More information

Driving and Supporting Improvement in Primary Care

Driving and Supporting Improvement in Primary Care Driving and Supporting Improvement in Primary Care 2016 2020 www.healthcareimprovementscotland.org Healthcare Improvement Scotland 2016 First published December 2016 The publication is copyright to Healthcare

More information

Knowledge for healthcare: A briefing on the development framework

Knowledge for healthcare: A briefing on the development framework Developing people for health and healthcare Knowledge for healthcare: A briefing on the development framework for NHS library and knowledge services in England 2015-2020 Library and Knowledge Services

More information

Quality Improvement Strategy 2017/ /21

Quality Improvement Strategy 2017/ /21 Quality Improvement Strategy 2017/18-2020/21 Contents Section Title Page Number Foreword from Chair and Chief Executive 2 Section 1 Introduction What does Quality mean to us? What do we want to achieve

More information

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni Agenda item 9 ii) Northumberland, Tyne and Wear NHS Foundation Trust Board of Directors Meeting Meeting Date: 25 October 2017 Title and Author of Paper: Clinical Effectiveness (CE) Strategy update Simon

More information

Briefing Session. January 2018 /

Briefing Session. January 2018 / Briefing Session 1 Changes as a result of Melissa s Story Guidelines for the management of early pregnancy complications developed by the HSE Clinical Programme for Obs & Gynae All Maternity units have

More information

QUALITY STRATEGY

QUALITY STRATEGY QUALITY STRATEGY 2012-2016 SPONSOR: Sue Hardy Director of Nursing Signature: AUTHORS: Sue Hardy Director of Nursing Denise Flowers Associate Director Clinical Effectiveness APPROVED BY: Southend University

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Greater Glasgow and Clyde Stobhill Hospital, Glasgow Intensive Psychiatric Care Units Service Profile Exercise ~ November 009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and

More information

Prevention and control of healthcare-associated infections

Prevention and control of healthcare-associated infections Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process

More information

EMPLOYEE HEALTH AND WELLBEING STRATEGY

EMPLOYEE HEALTH AND WELLBEING STRATEGY EMPLOYEE HEALTH AND WELLBEING STRATEGY 2015-2018 Our community, we care, you matter... Document prepared by: Head of HR Services Version Number: Review Date: September 2018 Employee Health and Wellbeing

More information

Executive Summary / Recommendations

Executive Summary / Recommendations Learning Disability Change Programme A Strategy for the Future Proposed Service Specification for Adult Learning Disability Services in Greater Glasgow & Clyde Executive Summary / Recommendations 1 1.

More information

Public Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009)

Public Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009) Public Health Skills and Multidisciplinary/multi-agency/multi-professional April 2008 (updated March 2009) Welcome to the Public Health Skills and I am delighted to launch the UK-wide Public Health Skills

More information

High level guidance to support a shared view of quality in general practice

High level guidance to support a shared view of quality in general practice Regulation of General Practice Programme Board High level guidance to support a shared view of quality in general practice March 2018 Publications Gateway Reference: 07811 This document was produced with

More information

Reducing Risk: Mental health team discussion framework May Contents

Reducing Risk: Mental health team discussion framework May Contents Reducing Risk: Mental health team discussion framework May 2015 Contents Introduction... 3 How to use the framework... 4 Improvement area 1: Unscheduled absence and managing time off the ward... 5 Improvement

More information

Patient Safety Strategy

Patient Safety Strategy Patient Safety Strategy 2015-18 Culture will trump rules, standards and control strategies every single time, and achieving a vastly safer NHS will depend far more on major cultural change than on a new

More information

Learning from Deaths Policy. This policy applies Trust wide

Learning from Deaths Policy. This policy applies Trust wide Learning from Deaths Policy This policy applies Trust wide Document control page Name of policy Learning from Deaths Policy Names of linked Learning from Deaths Procedure procedures Accountable Medical

More information

Standards of Proficiency for Higher Specialist Scientists

Standards of Proficiency for Higher Specialist Scientists Standards of Proficiency for Higher Specialist Scientists July 2015 Version 1.0 Review date: 31 July 2016 Contents Introduction... 3 About the Academy Register - Practitioner part... 3 Routes to registration...

More information

Item No. 9. Meeting Date Wednesday 6 th December Glasgow City Integration Joint Board Finance and Audit Committee

Item No. 9. Meeting Date Wednesday 6 th December Glasgow City Integration Joint Board Finance and Audit Committee Item No. 9 Meeting Date Wednesday 6 th December 2017 Glasgow City Integration Joint Board Finance and Audit Committee Report By: Contact: Sharon Wearing, Chief Officer, Finance and Resources Allison Eccles,

More information

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS Background People across the UK are living longer and life expectancy in the Borders is the longest in Scotland. The fact of having an increasing

More information

Inpatient and Community Mental Health Patient Surveys Report written by:

Inpatient 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 information

Learning from Deaths Policy

Learning from Deaths Policy Learning from Deaths Policy The Learning from Deaths Policy sets out the minimum acceptable standards of the national learning from deaths programme. Policy group General Document Detail Version 1 Approved

More information

Patient Safety. At the heart of all we do

Patient Safety. At the heart of all we do Patient Safety At the heart of all we do Introduction from our Medical Director Over the last 15 years it has been recognised that patient safety problems exist throughout the NHS as they do in every health

More information

Meeting of Bristol Clinical Commissioning Group Governing Body. Title: Bristol CCG Management of Serious Incidents Agenda Item: 17

Meeting of Bristol Clinical Commissioning Group Governing Body. Title: Bristol CCG Management of Serious Incidents Agenda Item: 17 Meeting of Bristol Clinical Commissioning Group Governing Body To be held on Tuesday 22 December 2015 commencing at 13:30 at the Greenway Centre, Doncaster Road, Bristol, BS10 5PY Title: Bristol CCG Management

More information

NHS Greater Glasgow and Clyde. Workforce Plan 2015/16

NHS Greater Glasgow and Clyde. Workforce Plan 2015/16 NHS Greater Glasgow and Clyde Workforce Plan 2015/16 Contents 1 Section One... 5 1.1 Introduction to the Workforce Plan... 6 1.2 An overview of NHS Greater Glasgow and Clyde... 8 1.3 Staff Governance...

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

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary

More information

Lanarkshire NHS Board, Kirklands, Fallside Road, Bothwell, Glasgow, G71 8BB Telephone

Lanarkshire NHS Board, Kirklands, Fallside Road, Bothwell, Glasgow, G71 8BB Telephone Paper submitted by Professor Ewan B Macdonald to Lanarkshire Health Board Meeting 28 th September 2011 Lanarkshire NHS Board, Kirklands, Fallside Road, Bothwell, Glasgow, G71 8BB Telephone 01698 858300

More information

NHS FORTH VALLEY Annual Plan Incorporating DRAFT Local Delivery Plan

NHS FORTH VALLEY Annual Plan Incorporating DRAFT Local Delivery Plan NHS FORTH VALLEY Annual Plan 2017-18 Incorporating DRAFT Local Delivery Plan 2017-18 NHS Forth Valley Annual Plan 2017-18 (incorporating DRAFT LDP) Page 2 of 66 Contents FOREWORD... 4 1 Introduction...

More information

NHS LANARKSHIRE & NHS GREATER GLASGOW & CLYDE Paper No 06/67 CHP SOUTH OPERATING MANAGEMENT (PERFORMANCE MANAGEMENT) COMMITTEE

NHS LANARKSHIRE & NHS GREATER GLASGOW & CLYDE Paper No 06/67 CHP SOUTH OPERATING MANAGEMENT (PERFORMANCE MANAGEMENT) COMMITTEE NHS LANARKSHIRE & NHS GREATER GLASGOW & CLYDE Paper No 06/67 CHP SOUTH OPERATING MANAGEMENT (PERFORMANCE MANAGEMENT) COMMITTEE Note of a meeting held on Monday 10 th July 2006 at 9.30 am in the Committee

More information

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework Solent NHS Trust Allied Health Professionals (AHPs) Strategic Framework 2016-2019 Introduction from Chief Nurse, Mandy Rayani As the executive responsible for providing professional leadership for the

More information

Strategic Plan for Fife ( )

Strategic Plan for Fife ( ) www.fifehealthandsocialcare.org Strategic Plan for Fife (2016-2019) Summary Document Supporting the people of Fife together Foreword NHS Fife and Fife Council are working together in a new Integrated Health

More information

Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper. 2.0 Delegated Opportunities, Benefits and Risks

Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper. 2.0 Delegated Opportunities, Benefits and Risks Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper 1.0 Introduction This paper provides a briefing to the Wandsworth CCG Board on our progress in developing a Primary

More information

HEALTH AND SAFETY POLICY

HEALTH AND SAFETY POLICY NHS GREATER GLASGOW AND CLYDE HEALTH AND SAFETY POLICY November 2015 Lead Manager: K. Fleming Head of Health and Safety Responsible Director A. MacPherson Director of Human Resources and Organisational

More information

Case Study - SPT Community Transport

Case Study - SPT Community Transport Public Social Partnership: Case Study - SPT Community Transport A Case Example from the Organisational Learning Champions Gallery February 2017 Public Social Partnership: SPT Community Transport Strathclyde

More information

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde Integration Scheme Between Glasgow City Council and NHS Greater Glasgow and Clyde December 2015 Page 1 of 60 1. Introduction 1.1 The Public Bodies (Joint Working) (Scotland) Act 2014 (the Act) requires

More information

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Agenda Item 3.3 27 JANUARY 2016 Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Executive Lead: Director of Planning & Performance Author: Assistant

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

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services

NHS GRAMPIAN. Local Delivery Plan - Mental Health and Learning Disability Services NHS GRAMPIAN Board Meeting 01.06.17 Open Session Item 8 Local Delivery Plan - Mental Health and Learning Disability Services 1. Actions Recommended The Board is asked to: Note the context regarding the

More information

Agenda item 8.5. Meeting date: Meeting / committee: Board of Directors. 24 th June Title: Emergency Preparedness Annual Report 2013/14.

Agenda item 8.5. Meeting date: Meeting / committee: Board of Directors. 24 th June Title: Emergency Preparedness Annual Report 2013/14. Agenda item 8.5 Meeting / committee: Board of Directors Meeting date: 24 th June 2014 Title: Preparedness Annual Report 2013/14 Purpose: This report outlines and summarises the activities and actions undertaken

More information

Slips Trips and Falls Policy (Staff and Others)

Slips 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 information

NHS Lanarkshire Workforce Plan March 2017

NHS Lanarkshire Workforce Plan March 2017 NHS Lanarkshire Workforce Plan 2017-2020 March 2017 SECTION 1: CONTEXT 1.1 Introduction & Purpose of the Plan The 2017-2020 NHS Lanarkshire (NHSL) Workforce Plan has been developed using the Six Steps

More information

NHS Greater Glasgow and Clyde. Workforce Plan 2014/15. New South Glasgow Hospitals. New South Glasgow Hospitals

NHS Greater Glasgow and Clyde. Workforce Plan 2014/15. New South Glasgow Hospitals. New South Glasgow Hospitals NHS Greater Glasgow and Clyde Workforce Plan 2014/15 New Maryhill Health Centre, opening Q1, 2015 New Possilpark Health Centre, opened Feb 14 New South Glasgow Hospitals New South Glasgow Hospitals Contents

More information

Job Title: Head of Patient &Public Engagement and Patient Services Directorate: Corporate Affairs Department: Patient and Public Engagement

Job Title: Head of Patient &Public Engagement and Patient Services Directorate: Corporate Affairs Department: Patient and Public Engagement Job Description Job Title: Head of Patient &Public Engagement and Patient Services Directorate: Corporate Affairs Department: Patient and Public Engagement Grade 8b Tenure: Permanent Location of Post:

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

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014

MEETING 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 information

BGS Bladder and Bowel Health Conference 2016

BGS Bladder and Bowel Health Conference 2016 Health Foundation Improvement Project Promoting continence in care homes Alice Macleod Nurse Advisor National Procurement IMPROVEMENT GRANT & PROJECT ADVICE Introduction The Health Foundation is supporting

More information

Intensive Psychiatric Care Units

Intensive Psychiatric Care Units NHS Lothian St John s Hospital, Livingston Intensive Psychiatric Care Units Service Profile Exercise ~ November 2009 NHS Quality Improvement Scotland (NHS QIS) is committed to equality and diversity. We

More information

Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18.

Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. South Lanarkshire - Whole System Pathway Indicators identified capture key data across the whole H&SC system, primarily based around supporting

More information

MENTAL HEALTH AND WELL BEING SUPPORT GROUP. REPORT OF VISIT TO BORDERS 26 June Report of Visit to Borders 26 June 2001 (Pages 1 to 4)

MENTAL HEALTH AND WELL BEING SUPPORT GROUP. REPORT OF VISIT TO BORDERS 26 June Report of Visit to Borders 26 June 2001 (Pages 1 to 4) MENTAL HEALTH AND WELL BEING SUPPORT GROUP REPORT OF VISIT TO BORDERS 26 June 2001 Report of Visit to Borders 26 June 2001 (Pages 1 to 4) The 6 Month Progress Report - December 2001 (Pages 5 to 9) 1 MENTAL

More information

Mental Health Social Work: Community Support. Summary

Mental Health Social Work: Community Support. Summary Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix

More information

COMMISSIONING FOR QUALITY FRAMEWORK

COMMISSIONING 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 information

A SURVEY OF THE USE OF AN ASSESSMENT AND TREATMENT UNIT FOR ADULTS WITH LEARNING DISABILITY IN LANARKSHIRE OVER A SIX YEAR PERIOD ( )

A SURVEY OF THE USE OF AN ASSESSMENT AND TREATMENT UNIT FOR ADULTS WITH LEARNING DISABILITY IN LANARKSHIRE OVER A SIX YEAR PERIOD ( ) The British Journal of Developmental Disabilities Vol. 54, Part 2, JULY 2008, No. 107, pp. 89-99 A SURVEY OF THE USE OF AN ASSESSMENT AND TREATMENT UNIT FOR ADULTS WITH LEARNING DISABILITY IN LANARKSHIRE

More information

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8

DRAFT 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 information

grampian clinical strategy

grampian clinical strategy healthfit caring listening improving grampian clinical strategy 2016 to 2021 1 summary version For full version of the Grampian Clinical Strategy, please go to www.nhsgrampian.org/clinicalstrategy Document

More information

1. NHS Tayside Independent review by Grant Thornton UK on financial governance in NHS Tayside, including endowment funds

1. NHS Tayside Independent review by Grant Thornton UK on financial governance in NHS Tayside, including endowment funds Director-General Health & Social Care and Chief Executive NHSScotland Paul Gray T: 0131-244 2790 E: dghsc@gov.scot Jenny Marra MSP Convener Public Audit and Post-Legislative Scrutiny Committee 21 May 2018

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

Elaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing

Elaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion

More information

Quality Strategy. CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July Head of Clinical Quality & Patient Safety

Quality Strategy. CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July Head of Clinical Quality & Patient Safety Quality Strategy Document Document Status Equality Impact Assessment Draft None Document Ratified/ CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July 2016 Review Date September

More information

The State Hospitals Board for Scotland. Transfer/Discharge Care Programme Approach (CPA) and Multi Agency Public Protection Arrangements (MAPPA)

The State Hospitals Board for Scotland. Transfer/Discharge Care Programme Approach (CPA) and Multi Agency Public Protection Arrangements (MAPPA) The State Hospitals Board for Scotland Transfer/Discharge Care Programme Approach (CPA) and Multi Agency Public Protection Arrangements (MAPPA) Annual Review (01 July 2015 30 June 2016) Page 1. Introduction

More information

INVERCLYDE COMMUNITY HEALTH AND CARE PARTNERSHIP - DRAFT SCHEME OF ESTABLISHMENT

INVERCLYDE COMMUNITY HEALTH AND CARE PARTNERSHIP - DRAFT SCHEME OF ESTABLISHMENT EMBARGOED UNTIL DATE OF MEETING Greater Glasgow and Clyde NHS Board Board Meeting Tuesday 17 th August 2010 Board Paper No. 2010/34 Director of Corporate Planning and Policy/Lead NHS Director Glasgow City

More information

SCOTTISH AMBULANCE SERVICE LOCAL DELIVERY PLAN

SCOTTISH AMBULANCE SERVICE LOCAL DELIVERY PLAN SCOTTISH AMBULANCE SERVICE 2014-15 LOCAL DELIVERY PLAN Scottish Ambulance Service National Headquarters Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB 14 March 2014 1 List of Contents Section 1:

More information

Patient Experience Strategy

Patient 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 information

Health and Safety Strategy

Health and Safety Strategy NHS Newcastle Gateshead Clinical Commissioning Group Health and Safety Strategy Document Status Equality Impact Assessment Document Ratified/Approved By Final No impact Quality, Safety and Risk Committee

More information

Quality Strategy (Refreshed March 2015)

Quality Strategy (Refreshed March 2015) Quality Strategy 2012-2017 (Refreshed March 2015) 1 Table of Contents 1. Executive Summary... 3 2. Drivers for improvement... 4 2.1 The Trust s ambition - vision and mission... 4 2.2 Corporate Strategy...

More information

DRAFT. Rehabilitation and Enablement Services Redesign

DRAFT. Rehabilitation and Enablement Services Redesign DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to

More information

Performance and Delivery/ Chief Nurse

Performance 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 information