Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee
|
|
- Phillip Poole
- 5 years ago
- Views:
Transcription
1 EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director of Finance, Performance and Information The Board to note performance and assurance provided (where relevant). The Board to refer concerns about staff retention and turnover to Integrated Workforce Committee. Purpose of Paper: To highlight performance and any areas of concern to the Board and provide assurance that appropriate action is in place, where such assurance has been obtained. Key Messages/Issues: Safer staffing on LD wards remains red-rated; a ward-by ward review is underway. Directorates have plans in place to achieve 90% safeguarding training compliance by end March. Despite new guidance which makes the target more challenging, the new Early Intervention target is on track to be achieved. The Out of Hours Service Urgent Home Visits target was breached primarily as result of an operational issue which has been addressed; there was no risk to patient safety. The Trust is on track to achieve a revised surplus of for 2015/16 before impairments. Links to Strategic Objectives: To deliver an exceptional patient experience first time, every time To provide excellent care, ensuring effective, person-centred clinical outcomes To be an employer for whom people choose to work To be an active partner, always ready to improve by working with others To be an efficient organisation providing excellent services Resource Implications, if any: Links to BAF: None To provide an additional source of assurance and highlight any gaps identified. PB53 26 January 2016 Page 1 of 2
2 EPB53/825 Has an Equality Impact Assessment been completed? N/A This is a monthly strategic report to the Board and any EIA implications will be considered via individual items Paper History: Considered by Date Summary of Outcome Initial drafts sent to relevant Executive Directors 14 January January 2016 Amended to ensure factual accuracy Amended to ensure factual accuracy PB53 26 January 2016 Page 2 of 2
3 EPB53/825 Board Committee Assurance Report - Integrated Performance Committee Date of Meeting - 8 December 2015 Key items of assurance obtained on behalf of Board Decisions/actions to be taken by Trust Board Acute Services The Committee considered an increasing trend in Emergency Readmissions as requested by the Board and concluded that it was essentially based on one spike in performance during 2015 and there was no evidence to indicate an underlying problem. The Committee noted that the Directorate was forecasting a significant year-end overspend position caused predominantly by CIP slippage. Whilst the Directorate Leadership Team remained focused on this, it was expected that this shortfall will need to be addressed Trust-wide. The Committee noted good progress being made on L3 Safeguarding Children Training and the expectation that L3 for Adults would be on track by year-end. However there is a risk of the Directorate not achieving the expected year-end target for Statutory and Mandatory Training. The Committee recognised the efforts of staff to manage and minimise the impact on patients of the planned power outages and fire stopping work across the Caludon Centre. Integrated Community Services (ICS) The Committee noted that funding for the Transforming Care Transitions Team has not been received but was assured that the CCG has committed to the funding. 4 beds on Gosford Ward are currently unoccupied. The programme, driven by the national Transforming Care initiative, is currently on track. The implications for the Brooklands site as a whole are currently under consideration. The Committee received an update on recruitment activity to support the Rehabilitation and Reablement Service with a view to reducing its reliance on agency staff. It was noted that 83 posts had been added to this Directorate as a PB53 26 January 2016 Page 1 of 4
4 EPB53/825 results of new initiatives. Child & Family Services (CFS) The Committee welcomed a significant increase in the Directorate s Appraisal performance in October from 75.44% to 83.1%. The CFS Patient Assembly Launch event took place on 11 th November and was very successful. The Committee noted high agency staff costs due to requirements for medical staffing, Health Visiting and AHP staff. An increase in Speech and Language locums is also expected due to agreed additional income from the CCG to support a reduction in the waiting list. The particular challenge of recruiting suitable medical staff in the current market conditions was highlighted, necessitating a review of skill mix. L3 Safeguarding Children Training remained below targeted levels and had been impacted by the proposed Junior Doctor industrial action. CFS has an action plan in place to deliver a 3% increase on monthly basis to achieve the year-end target. Board to note positive performance. Board to note performance. ITC The Committee noted the implications for CWPT IT Services of the Arden CSU merger with Greater East Midlands CSU to become Arden GEM CSU. CWPT IT Services have been renewed within the current SLA for 12 months from 1 st April 2016 but the subsequent impact has yet to be worked through. The Committee noted the high agency usage to cover vacancies and the challenges of staff retention in a competitive external IT market. Job roles and structure are under review to address this challenge. PB53 26 January 2016 Page 2 of 4
5 EPB53/825 Integrated Workforce and HR It was noted that Trust Induction attendance was below the Trust target. The Committee was assured that a previous situation when staff had started in post without attending Induction, due to staffing pressures, would not be allowed to happen again in future. The Committee was concerned about staff retention and turnover and recommends to the Board that the Integrated Workforce Committee considers this matter further. The Committee noted that the sickness absence rate had increased 0.22% compared to the previous month and was above the Trust-wide target. However compared to this period last year, performance is 0.87% lower. The management of sickness absence in the Trust continues to be a high priority. The Committee reviewed the performance of the COPE service providing psychological support to staff and noted that recovery rates compared favourably with IAPT services. The Committee was also assured that the service received positive feedback from staff. Safety & Quality The Committee noted that information on the number of fire drills carried out and the number of fire risk assessment reviews undertaken were currently being reviewed to ensure accurate reporting. The Committee noted that 12 complaints, 42 PALS enquiries and 56 compliments were received in October Cost Improvement Programme 2015/16 (CIP) The Committee noted that the Trust has underachieved against its year to date CIP target for Month 7 by 249,700 against a target of 3,582,200. Of the 76 original schemes, 42 met their target and 34 have incurred slippage. In order to partly mitigate the total slippage of 1, , contingency schemes at a value of 860,000 have been implemented. These schemes related to specific vacancies and a reduction in non-pay costs including payments for rates and reductions in travel expenses. Board to approve recommendation and refer the matter to Integrated Workforce Committee. Board to note performance. PB53 26 January 2016 Page 3 of 4
6 EPB53/825 The Committee noted that the current forecast shortfall for the year is 657,100, an increase from the previous forecast shortfall. Plans to bridge the gap continue to be developed and will be reported via the Finance Report at Board. Signature of Committee Chair: Crishni Waring Date: 14 January 2016 PB53 26 January 2016 Page 4 of 4
7 EPB53/826 Board Committee Assurance Report - Integrated Performance Committee Date of Meeting 12 January 2016 Key items of assurance obtained on behalf of Board Decisions/actions to be taken by Trust Board Acute Services Safer Staffing on LD wards at night remained red rated albeit marginal monthly improvements had been achieved since August. The Committee explored the multidimensional challenges of recruitment and retention of staff across Brooklands including uncertainty arising from the Transforming Care initiative and increasing acuity of patients. A ward by ward review of staffing levels, admission policies, acuity levels and bed numbers is underway and will inform local action plans. The Committee was assured that Acute Services has an action plan in place to ensure safeguarding training compliance exceeds 90% by end March. An in-month reduction in L3 safeguarding training compliance for adults and children has arisen from one new starter whose requirement for L3 competence was triggered as they started. The Directorate is forecasting an improved overspend position at year-end of 636k compared to 727k last month. The overspend is primarily due to CIP slippage. The Committee noted that the Trust had received additional guidance on the new national Early Intervention KPI due to take effect from April which makes it more challenging for the 50% target to be achieved. However given that the current performance is exceeding the required trajectory, the Committee was assured that the Trust will remain on course to achieve the new target. The Committee welcomed the very positive Friends and Family Test results from November with 94% of respondents Extremely Likely or Likely to recommend the service they received. Integrated Community Services (ICS) The Committee noted that the Out of Hours (OOH) service fell marginally short of its target for Urgent Home Visits seen within 2 hours due to 4 cases breaching. Whilst resourcing challenges within the service continue and are the subject of a Board to note assurance provided. Board to note assurance provided. PB53 26 January 2016 Page 1 of 6
8 EPB53/826 risk register entry, the breaches were primarily caused by an operational issue in relation to prioritisation of appointments. The Committee was assured that this had now been addressed and that there was no risk to patient safety. The Directorate was 429K underspent in November and achieved its CIP target. Although non-pay is overspent by 102K, pay is significantly underspent and some costs relating to agency are in the non-pay line. The Committee noted that the Transforming Care transition was officially launched by commissioners in December. A small team of clinicians have commenced work reviewing patients, packages of care available and crisis response. The potential threats and opportunities for the Brooklands site of the initiative were considered at an internal workshop in December with a follow-up planned for February. This will culminate in a paper initially to FPIC although the Board will also be kept appraised through the Chief Executive s report. The Committee welcomed the progress made with scaling up of the Integrated Neighbourhood Teams for Coventry and noted that c85% of posts had been staffed. Child & Family Services (CFS) Whilst noting that CFS had achieved all monitor, regulatory and commissioning targets, the Committee was concerned about the range of capacity/demand and competitive challenges faced by the Directorate and the implications of these for patients and the Trust. The Committee noted that CFS have a number of red-rated HR indicators but there have been significant in-month improvements in KPIs such as Statutory and Mandatory training performance from 35.9% to 49.7%, Appraisal performance from 83.1% to 90.7% and L3 Safeguarding Children training from 78.0% to 84.2%. The Attendance at Induction was affected by the significant influx of new staff associated with the new Immunisations and Vaccinations contract where staff had prior operational commitments at the time of transfer. The Committee explored the significantly below par performance on Waiting Times WT4 and WT6 (AHP and Combined AHP and Consultant respectively) and was reminded that these were locally agreed indicators with no associated penalties. The lack of thresholds had meant that there was no historical cap on demand for PB53 26 January 2016 Page 2 of 6
9 EPB53/826 AHP services such as Physiotherapy and OT and the existing funding envelopes are insufficient to meet that demand. A new service specification for OT has now been agreed which will reduce access in the future but the Committee was assured that a clinically robust process is in place to ensure existing patients receive an appropriate service. A draft new service specification for Physiotherapy is currently under review. Risks relating to these issues are recorded on the Trust s Risk Register and are currently under review. Estates The Committee was concerned about the very high levels of agency usage in the Maintenance team but was assured that the most of the posts had been recruited to. The Committee explored the implications of non-compliance relating to the food safety indicator scores and recognised that there were some short-term risks which need to be managed until the Facilities Review is concluded. The Review is expected to report to FPIC in February. The Committee noted that Estates has an overspend of 160K due to unplanned expenditure incurred in supporting the Caludon decant arrangements. This is expected to be recovered. Workforce and HR The Committee noted that the Trust s Sickness Absence Policy had been benchmarked against other Trust s and found to be comparable. The Committee explored the number and value of overpayments reported and was assured that most of these are recoverable. Any unrecoverable amounts are reported as losses for write-off and approved by the Audit Committee. The Committee noted that the number of queries relating to staff without a current DBS had reduced from 96 last month to of these had no longer required a DBS in their role as a result of the change in the Trust s policy. PB53 26 January 2016 Page 3 of 6
10 EPB53/826 Safety & Quality An incident of C Difficile Infection within an inpatient ward had occurred. The patient had had two admissions to an acute hospital for surgery and was at increased risk as defined by national guidance. The Committee was assured that the patient received treatment in line with national guidance and is fully recovered. The Committee noted a complaints breach due to difficulties in the initial allocation of an investigating officer. This has been discussed by the Complaints Review Group to determine action including additional trained staff for investigations. Cost Improvement Programme 2015/16 (CIP) The Committee noted that the Trust has underachieved against its year to date CIP target for Month 7 by 375,400 against a target of 4,326,200. Of the 76 original schemes, 41 met their target and 35 have incurred slippage. In order to partly mitigate the total slippage of 1,460,100, contingency schemes at a value of 1,074,100 have been implemented. These schemes related to specific vacancies and a reduction in non-pay costs including payments for rates and reductions in travel expenses. In addition, 2 schemes are delivering savings ahead of plan at a value of 10,500. The Committee noted that the current forecast shortfall for the year is 637,700, a small decrease from the previous forecast shortfall. Plans to bridge the gap are outlined in the Finance Report. Reference Costs/ Benchmarking Reports The Committee noted that for 2014/15, the Trust has a Market Forces Factor (MFF) adjusted index of 102, broken down to 95 for Mental Health services and 117 for Physical Community services. It was recognised that changes from the previous year were in part attributable to changes in the way activity is counted and that comparison with other Trusts can be limited unless account is taken of significant variations in service mix e.g. a mental health provider that delivers mainly community based services. The Committee received a presentation summarising key benchmarking data for each Directorate based on participation in the NHS Benchmarking Network. Board to note performance. PB53 26 January 2016 Page 4 of 6
11 EPB53/826 The Committee agreed that Reference Cost data at service level should be considered alongside the key benchmarking data to inform business development and cost improvement opportunities by the relevant New Business and CIP Groups. It was agreed that these should also be inputs to the Directorate-based strategy sessions currently underway and that access to all the benchmarking data available should be provided to the Executive team via a shared drive. Information and Business Intelligence Strategy The Committee welcomed the progress in implementing the strategy, in particular the delivery of new mandated data sets and integrated reporting through dashboards at various levels in the organisation. An opportunity to explore an example of a new dashboard in more detail is to be provided at a future meeting. The Committee recognised the important role that the new clinical system would play in supporting the introduction of self-service reporting and highlighted the cultural change needed to enable and take advantage of real-time data reporting. The Committee approved the refreshed strategy and objectives for Finance and Contracting The Committee noted that the Trust is on track to achieve a revised surplus of 1.582m for 2015/16 before impairments. The Trust has overachieved against the year to date revised plan by 9K. Financial pressures include overspending on nurse staffing on inpatient wards as a result of using agency staff to cover vacancies and specialling, and the shortfall in CIP forecast for year end. Debtors over 3 months have decreased by 124K compared to the previous month. Cumulative non-nhs performance against the Better Payments Practice Code at November 2015 was 98% by number which is better than target. The Trust s FSRR is 4. Patient income for services is under-recovered by 583K due to reduced occupancy at Brooklands and the Aspen Unit and decommissioning of 2 beds in the Gillliver Road Unit. PB53 26 January 2016 Page 5 of 6
12 EPB53/826 Integrated Performance The Committee noted that 8 indicators were Red-rated, 10 indicators were Amberrated and 48 indicators were Green-rated. Key exceptions are highlighted in other parts of this report. Signature of Committee Chair: Crishni Waring Date: 18 January 2016 PB53 26 January 2016 Page 6 of 6
COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP
COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality
More informationDudley & Walsall Mental Health Partnership NHS Trust Board
Dudley & Walsall Mental Health Partnership NHS Trust Board Date of Board Meeting: 29 th July 2 Subject: Performance Corporate Dashboard Month 3 Trust Board Lead: Jacky O Sullivan, Director of Performance
More informationNHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance
NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss
More informationNewham Borough Summary report
Newham Borough Summary report Item K1 September 2013 Prepared on 30/09/2013 by Support team GREEN Finance and Activity Millions AMBER RED Headlines M5 Financial position M4 activity data The QIPP net savings
More informationStrategic Risk Report 4 July 2016
Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of
More informationIntegrated Performance Report
Integrated Performance Report M06 September 2014 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Allsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An
More informationNorfolk and Suffolk NHS Foundation Trust mental health services in Norfolk
Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support
More informationAssociate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance
More informationTAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
TAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST Report to Public Trust Board meeting of the 25 th May 2017 Agenda Item 7b Title Sponsoring Executive Director Author (s) Purpose Previously considered
More informationHard Truths Public Board 29th September, 2016
Hard Truths Public Board 29th September, 2016 Presented for: Presented by: Author Previous Committees Governance Professor Suzanne Hinchliffe CBE, Chief Nurse/Deputy Chief Executive Heather McClelland
More informationNHS Cumbria CCG Transforming Care Programme Learning Disabilities
NHS Cumbria CCG Governing Body Agenda Item 07 December 2016 8 NHS Cumbria CCG Transforming Care Programme Learning Disabilities Purpose of the Report To update the Governing Body on local progress with
More informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER 2013 Date of the meeting 15/01/2014 Author Sponsoring GB member Purpose of report Recommendation Resource
More informationStrategic Risk Report 1 March 2018
Strategic Report 1 March 2018 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More informationHERTFORDSHIRE COMMUNITY HEALTH SERVICES
HERTFORDSHIRE COMMUNITY HEALTH SERVICES Minutes of the Hertfordshire Community Health Services Board Meeting Held on Thursday 22 nd July 2010 in the Boardroom, Howard Court Welwyn Garden City. Key Points
More informationSafer Nursing and Midwifery Staffing Recommendation The Board is asked to: NOTE the report
To: Board of Directors Date of Meeting: 26 th July 20 Title Safer Nursing and Midwifery Staffing Responsible Executive Director Nicola Ranger, Chief Nurse Prepared by Helen O Dell, Deputy Chief Nurse Workforce
More informationStrategic Risk Report 12 September 2016
Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More information102/14(ii) Bridgewater Board Date. Thursday 5 June Agenda item. Safe Staffing April 2014 Review
Bridgewater Board Date Thursday 5 June 2014 Agenda item 102/14(ii) Title Safe Staffing April 2014 Review Sponsoring Director Authors Presented by Purpose Dorian Williams, Executive Nurse/Director of Governance
More informationSUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs
SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPs December 2012 SUPPORTING PLANNING 2013/14 FOR CLINICAL COMMISSIONING GROUPS First published: 21 December 2012 2 Contents 1. INTRODUCTION...
More informationNHS Bradford Districts CCG Commissioning Intentions 2016/17
NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for
More information5. Does this paper provide evidence of assurance against the Governing Body Assurance Framework?
Item Number: 6.3 Governing Body Meeting: 4 February 2016 Report Sponsor Anthony Fitzgerald Director of Strategy and Delivery Report Author Anthony Fitzgerald Director of Strategy and Delivery 1. Title
More informationTitle Open and Honest Staffing Report April 2016
Title Open and Honest Staffing Report April 2016 File location WILJ2102 Meeting Board of Directors Date 25 th May 2016 Executive Summary This paper provides a stocktake on the position of South Tyneside
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 informationWorkforce and Organisational Development Committee. Minutes of the meeting held on in the Board Room, Ysbyty Gwynedd and via videoconference
Workforce and Organisational Development Committee Minutes of the meeting held on 13.3.14 in the Board Room, Ysbyty Gwynedd and via videoconference Present: Dr P Higson Ms J Dean Dr C Tillson Mr K McDonogh
More informationMethods: Commissioning through Evaluation
Methods: Commissioning through Evaluation NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy
More informationOperational Focus: Performance
Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to
More informationNewham Borough Summary report
Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Finance, Performance and Commissioning Committee Report 3. Key Messages: At the end of March 2017 the clinical commissioning
More informationGOVERNING BODY MEETING in Public 29 November 2017 Agenda Item 5.4
GOVERNING BODY MEETING in Public 29 November 2017 Paper Title Paper Author Jacki Wilkes Associate Director of Commissioning Redesign of adult and older peoples specialist mental health services pre-consultation
More informationFinancial management report for the seven months to 31 October To notify members of the financial position. To consider the financial position
NHS Board Meeting 8 December 2010 Paper 17 NHS BOARD MEETING Wednesday 8 December 2010 Subject Purpose Recommendation Financial management report for the seven months to 31 October 2010 To notify members
More informationIntegrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018
6b Integrated Performance Report Executive Summary (for NHS Fife Board Meeting) Produced in February 2018 2 Contents Integrated Performance Report: Executive Summary 5 Clinical Governance: Chair and Committee
More informationJuly (Month 4) Integrated Performance Report. John Grinnell, Director of Finance. Executive Directors. For Information For Discussion For Approval
BOARD OF DIRECTORS Subject/Title July (Month 4) Integrated Performance Report Executive Responsible Paper prepared by (if different from above) John Grinnell, Director of Finance Executive Directors Nature
More informationTAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
TAMESIDE & GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST Report to Public Trust Board meeting of the 29 th June 2017 Agenda Item 7b Title Sponsoring Executive Director Author (s) Purpose Previously considered
More informationPerformance of the NHS provider sector for the month ended 31 December 2017
Performance of the NHS provider sector for the month ended 31 December 2017 Contents Overview Performance comparisons 2.4 Employee expenses pay costs 2.5 NHS provider vacancies 1.0 Operational performance
More informationNorthumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting
Agenda item 7 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 22 February 2017 Board of Directors Meeting Title and Author of Paper: Safer Staffing Quarter 3 Report (October December,
More informationREPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
REPORT TO MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 28 May 2015 Agenda No: 6.4 Attachment: 09 Title of Document: Emergency Preparedness Response and Resilience (EPRR) Policy v0.1
More informationEXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning
EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives
More informationAnnual Complaints Report 2014/15
Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
More informationESHT Our ambition to be outstanding by 2020
ESHT 2020 Our ambition to be outstanding by 2020 June 2018 1 Contents Page 3 Page 4 Page 6 Page 8 Background 2017/18 progress Vision, values and objectives CQC ratings Page 10 What we will have achieved
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationContinuing Healthcare Policy
Continuing Healthcare Policy 1 SUMMARY This policy describes the way in which Haringey Clinical Commissioning Group (HCCG) will make provision for the care of people who have been assessed as eligible
More informationIntegrated Performance Report
To provide a safe and effective healthcare service to all our communities in the East of England Integrated Performance Report Meeting Date: July 2016 Data: The month of June (May for Clinical & HART)
More informationWaiting Times Report Strategic. Thematic Goals
Strategic Improved Quality of Care Transformation - Prevention & Wellbeing Thematic Goals Waiting Times Report 2016-17 Transformation through Integration Improved Access to Services Improved Value This
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 informationNHS Wales Delivery Framework 2011/12 1
1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater
More informationNHS England (London) Assurance of the BEH Clinical Strategy
NHS England (London) Assurance of the BEH Clinical Strategy NHS England (London) Assurance of the BEH Clinical Strategy Status Report 8 th September 203 - Version.0 2 Contents. Overview & Executive Summary
More informationGOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 5.2
GOVERNING BODY MEETING in Public 27 September 2017 Paper Title Report Author Neil Evans Turnaround Director Referral Management s Contributors John Griffiths Date report submitted 20 September 2017 Dean
More informationPerformance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director
Sutton CCG Clinical Commissioning Group Governing Body Date Thursday, 06 September 2018 Document Title Lead Director (Name and Role) Clinical Sponsor (Name and Role) Performance and Quality Report Sean
More informationReview of Inpatient Nursing Establishment, Capacity and Capability Review
Appendix 2 Review of Inpatient Nursing Establishment, Capacity and Capability Review Mental Health Group September 2015 Review March 2016 Author: Heidi Cater, Head of Nursing, Mental Health Page 1 of 15
More informationPerformance and Delivery/ Chief Nurse
Governing Body 26th May 2017 Quality and Performance Report 22nd May 2017 Author: Other contributors: Executive Lead Audience Eileen Clark - Acting Director of Clinical Performance and Delivery/ Chief
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Chief Executive Officer s Business Report 3. Key Messages: This report provides an overview of important clinical commissioning
More informationIntegrated Performance Report
Integrated Performance Report M12 March 2015 Presented by: Paul Bostock (Chief Operating Officer) Des Holden (Medical Director) Fiona Alsop (Chief Nurse) Paul Simpson (Chief Financial Officer) An Associated
More informationJob Description and Person Specification
Job Description and Person Specification Chief Nursing Officer / Director of Infection Prevention and Control RESPONSIBLE TO: ACCOUNTABLE TO: LIAISES WITH: Chief Executive Chief Executive Executive and
More informationTrust Board Meeting: Wednesday 13 May 2015 TB
Trust Board Meeting: Wednesday 13 May 2015 Title Update on Quality Governance Framework Status History For information, discussion and decision This paper has been presented to Quality Committee in April
More informationPerformance of the NHS provider. sector for the quarter ended 30. June 2018
Performance of the NHS provider sector for the quarter ended 30 June 2018 Contents Overview at Q1 2018/19 Performance comparisons 2.3 Income analysis 2.4 Employee expenses pay costs 1.0 Operational performance
More informationNHS Herts Valleys Clinical Commissioning Group Board Meeting 14 April 2016
NHS Herts Valleys Clinical Commissioning Group Board Meeting 14 April 2016 Title 2015/16 Annual Report and Accounts proposed approval process Agenda Item: 13 Purpose (tick one only) Decision or Approval
More informationTHE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date 19 th December 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient
More informationIntegrated Corporate Performance Report. August Page 1 of 9
Integrated Corporate Performance Report August Page of 9 Integrated Corporate Performance Report... Introduction The Integrated Corporate Performance Report (ICPR) includes: An Executive Summary - highlights
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 January 2018 Agenda No: 7.1 Attachment: 6 Title of Document: South West London Health & Care Partnership one year on Report Author:
More informationQuality Framework Healthier, Happier, Longer
Quality Framework 2015-2016 Healthier, Happier, Longer Telford & Wrekin Clinical Commissioning Group (CCG) makes quality everyone s business. Our working processes are designed to ensure we all have the
More informationOPERATIONAL PERFORMANCE REPORT: March Swindon Community Health Services Overview
OPERATIONAL PERFORMANCE REPORT: March 2018 Swindon Community Health Services Overview 1.0 Introduction This overview brings to the attention of committee members the key areas of Community Health Service
More 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 informationCouncil of Members. 20 January 2016
Council of Members 20 January 2016 Feedback on election process: Council of Members Chair and Deputy Chair Malcolm Hines, Chief Financial Officer Minutes of last meeting: 14 October 2015 Dr. Richard Proctor,
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Status Internal Purpose: The attached paper provides an update of progess made in UHMB
More informationAppendix 1: Croydon Clinical Commissioning Group Risk Register and Board Assurance Framework - 9th April 2013
Appendix 1: Croydon Clinical Register and Board Assurance Framework - 9th April 2013 Principal to Delivery Key Assurance on we have in in our are 1. To achieve financial sustainability in three years (2013-2014
More information2017/18 Trust Balanced Scorecard
ITEM 8b ENC 9 2017/18 Trust Balanced Scorecard Author: Performance Management Team March 2017 The purpose of this paper is to provide an update on the development of the 2017/18 Balanced Scorecard for
More informationBusiness Case Authorisation Cover Sheet
Business Case Authorisation Cover Sheet Section A Business Case Details Business Case Title: Directorate: Division: Sponsor Name Consultant in Anaesthesia and Pain Medicine Medicine and Rehabilitation
More informationMonthly Nurse Safer Staffing Report October 2017
Monthly Nurse Safer Staffing Report October 2017 Trust Board November 2017 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid
More informationSBAR Report phase 1 Maternity, Gynaecology & Neonatal services
North Wales Maternity, Gynaecology, Neonatal and Paediatric service review SBAR Report phase 1 Maternity, Gynaecology & Neonatal services Situation The Minister for Health and Social Services has established
More informationAgenda Item number: 9.1. Maggie Bayley, Director of Nursing and Quality
Board meeting date: 15 December, 2011 Agenda Item number: 9.1 Enclosure: 6 Title Quality report Accountable Director: Authors(name & title): Maggie Bayley, Director of Nursing and Quality Maggie Bayley,
More informationAdult Social Care Assessment & care management In-house care services
Adult Social Care Assessment & care management In-house care services Service Plan 2015/16 Date 19/03/15 Final Directorate: Education Health and Social Care 1. Introduction Policy Context The Adult Social
More informationSOMERSET PARTNERSHIP NHS FOUNDATION TRUST AGENCY SELF CERTIFICATION CHECKLIST. Report to the Trust Board 22 November 2016
SOMERSET PARTNERSHIP NHS FOUNDATION TRUST AGENCY SELF CERTIFICATION CHECKLIST Report to the Trust Board 22 November 2016 Sponsoring Director: Authors: Purpose of the report: Key Issues and Recommendations:
More informationShetland NHS Board. Board Paper 2017/28
Board Paper 2017/28 Shetland NHS Board Meeting: Paper Title: Shetland NHS Board Capacity and resilience planning - managing safe and effective care across hospital and community services Date: 11 th June
More informationInpatient and Community Mental Health Patient Surveys Report written by:
2.2 Report to: Board of Directors Date of Meeting: 30 September 2014 Section: Patient Experience and Quality Report title: Inpatient and Community Mental Health Patient Surveys Report written by: Jane
More informationThe safety of every patient we care for is our number one priority
HUMBER NHS FOUNDATION TRUST INFECTION PREVENTION AND CONTROL STRATEGY 2015-2017 1. Introduction Healthcare associated infections (HCAI) continue to be a major cause of patient harm and although nationally
More informationWEST HAMPSHIRE PERFORMANCE REPORT. Based on performance data available as at 11 th January 2018
WEST HAMPSHIRE PERFORMANCE REPORT Based on performance data available as at 11 th January 2018 1 CCG Quality and Performance Executive Summary Introduction: The purpose of this report is to provide an
More informationNQB safe sustainable and productive staffing
NQB safe sustainable and productive staffing Jacqueline McKenna Deputy Director of Nursing NHS Improvement NHS Providers HR Network 21 July 2016 Patient Safety function from NHS England (including National
More informationMain body of report Integrating health and care services in Norfolk and Waveney
Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of
More informationPublic Services Reform (Scotland) Bill. Scottish Independent Hospitals Association
Public Services Reform (Scotland) Bill Scottish Independent Hospitals Association The following submission is presented to the Health and Sport Committee of the Scottish Government as an outline of the
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 informationA concern means any complaint, claim or reported patient safety incident.
PUTTING THINGS RIGHT ANNUAL REPORT -2017 Introduction The Putting Things Right Annual Report provides information on the progress and performance of Powys Teaching Local Health Board (hereafter, the health
More informationPaper 5.0 SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE.
SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE December 2015 Version 2.2 Paper 5.0 1 Purpose This document sets out the proposed new
More informationQuality 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 informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators April Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Indicators April 2011 Report to: Trust Board 24 May 2011 Report from: Sponsoring Executive: Aim of Report / Principle Topic: Review History to date:
More informationWOLVERHAMPTON CLINICAL COMMISSIONING GROUP QUALITY & SAFETY COMMITTEE
Wolverhampton Clinical Commissioning Group WOLVERHAMPTON CLINICAL COMMISSIONING GROUP QUALITY & SAFETY COMMITTEE Minutes of the Quality and Safety Committee Meeting held on Tuesday 12 th May 2015 Commencing
More informationQuality & Safety Sub-Committee
Quality & Safety Sub-Committee Agenda Item QS/029/16 Date: 17/03/2016 Report Title FOIA Exemption Prepared by Presented by Action required Supporting Executive Director Safer Staffing No Exemption Janet
More informationDelegated Commissioning Updated following latest NHS England Guidance
Delegated Commissioning Updated following latest NHS England Guidance 13th August 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England (Direct
More informationCommittee is requested to action as follows: Richard Walker. Dylan Williams
BetsiCadwaladrUniversityHealthBoard Committee Paper 17.11.14 Item IG14_60 NameofCommittee: Subject: Summary or IssuesofSignificance StrategicTheme/Priority / Valuesaddressedbythispaper Information Governance
More informationEAST & NORTH HERTS, HERTS VALLEYS CCGS SAFEGUARDING CHILDREN & LOOKED AFTER CHILDREN TRAINING STRATEGY
EAST & NORTH HERTS, HERTS VALLEYS CCGS Page 1 of 16 DOCUMENT CONTROL SHEET Document Owner: Directors of Nursing and Quality Document Author(s): Beverly Mukandi - Deputy Designated Nurse Safeguarding Children,
More informationCharge Nurse Manager Adult Mental Health Services Acute Inpatient
Date: February 2013 DRAFT Job Title : Charge Nurse Manager Department : Waiatarau Acute Unit Location : Waitakere Hospital Reporting To : Operations Manager Adult Mental Health Services for the achievement
More informationBoard of Directors. Approval Discussion Information Assurance
Report Title: Executive/NED Lead: Report author(s): Previously considered by: Board of Directors Tuesday, 31 October 17 Board Assurance Framework & Corporate Risk Register Ann Alderton, Company Secretary
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 30 January 2017 Medical Education and Training: Update on Enhanced monitoring status of University Hospital Ayr Medical Department Author: Hugh Neill, Director
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationSAFE STAFFING GUIDELINE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline title SAFE STAFFING GUIDELINE SCOPE 1. Safe staffing for nursing in accident and emergency departments Background 2. The National Institute for
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 informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 th January 2018 Agenda No: 7.2 Attachment: 7 Title of Document: Acute Sustainability at Epsom & St Helier University Hospitals NHS
More informationNURSE STAFFING REPORT
NURSE STAFFING REPORT INTRODUCTION This paper fulfills the nationally mandated, post Francis II requirement for monthly Board Reports detailing achievement against required nurse staffing levels. This
More informationPrimary Care Strategy. Draft for Consultation November 2016
Primary Care Strategy Draft for Consultation November 2016 1 Introduction Welcome to the Isle of Wight CCG s draft Primary Care Strategy. The CCG is required to develop and publish a strategy that sets
More informationMental Health Crisis Pathway Analysis
Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking
More informationPrimary Care Commissioning Committee. Phil Davis, Head of Primary Care, NHS Hull CCG. Hayley Patterson, Assistant Primary Care Contracts Manager,
Item: 7.2 Report to: Date of Meeting: Subject: Presented by: Author: Primary Care Commissioning Committee 27 th April 2018 Primary Care Update Hayley Patterson, Assistant Primary Care Contracts Manager,
More information