Sustainable & Accessible Services. Strong Partnerships X X X
|
|
- Phillip Goodwin
- 5 years ago
- Views:
Transcription
1 SUMMARY REPORT ABM University Health Board Quality and Safety Committee Date of Meeting: 23 rd February 2017 Agenda item: 5.1 Report Title Prepared by Approved and Presented by ABMU Older Persons Assurance Framework Update Amanda Hall, Interim Director of Therapies and Health Science Christine Morrell, Director of Therapies and Health Science Purpose To provide an update, interim reporting arrangements and proposed assurance plan. Corporate Objectives Healthier Communities Executive Summary Excellent Patient Outcomes & Experiences Sustainable & Accessible Services Strong Partnerships Decision Approval Information Other Fully Engaged & Skilled Workforce X X Effective Governance X X X The Health Board s Older Persons Assurance Framework is currently undergoing a major overhaul with a number of new features being incorporated. This paper outlines the key elements of the new Framework and provides an update as to progress made with this to date. Key Recommendations The Quality and Safety Committee note the progress made in relation to providing assurance. Assurance Framework Quality and Safety Committee Next Steps To finalise the development of the Older Persons Assurance Framework 1
2 MAIN REPORT ABM University Health Board Health Board Date of Meeting:23 rd February 2017 Agenda item :5.1 Subject Prepared by Approved and Presented by Development of ABMU Older Persons Assurance Framework Amanda Hall, Interim Director of Therapies and Health Science Christine Morrell, Director of Therapies and Health Science PURPOSE The purpose of this Report is to provide an update with regard to the development of an Assurance Framework regarding ABMU wide Older Person s care. KEY ISSUES ABMU Health Board is committed to improving the quality and care for older people across all areas. As described in an earlier report, there is a lack of cohesion and accuracy in regard to aligning quality, practice and service data. Previous data sets have often been high level and gleaned from a variety of sources and lack Unit specificity which leads to a disjoint in the system to learn from feedback and put things right. Therefore, we are developing a bespoke Older Persons Governance Framework and Charter for Older People, which will assist in generating measurable and meaningful outcomes and assurance. As reported at the previous meeting it is expedient to develop an assurance framework to ensure we focus on: Gathering and aligning appropriate data against meaningful measures Measures which have internal and face validity (rather than proxy measures wherever possible) Incorporating the 12 standards set by the Wales Commissioner for Older People alongside our extant Trusted to Care standards Learning and building on the Comprehensive Ward Assurance Review Pilot to include the revised Ideal Ward Toolkit and explore its specific applicability to older people Improving Patient Experience Reporting and capturing patient narrative especially when things go wrong Ensuring we focus on the whole system (e.g. to include the Review of the Mental Health and Learning Disabilities Unit) ABMU Older Persons Assurance Framework Background This was reported in detail at the previous committee meeting. Developing the Ward Assurance Toolkit and Assurance Model
3 The latest new development in the generic governance framework is a cohesive Ward Assurance model for ABMU, which is being piloted in the first instance at Morriston Delivery Unit where the approach and process, which started in November 2016 for a 3-month period, is being tested. The Pilot is currently testing the Ward Assurance Toolkit in an Electronic Format (Excel Programme) and electronic tablet devices. Once the data format contained within the Toolkit is tested and agreed, it is anticipated that it will be transferred into an electronic application written by our in house Information Technology Dept, which will be compatible with the Electronic Nursing Assessment (currently being developed in-house). Implications regarding additional resources will also be evaluated and it is predicted at this stage that we will need additional resources to gather, manage and analyse the data with IT systems in place to ease the process. Although limited in its scope due to winter hospital pressures this project has shown promising results. It is planned that all wards across ABMU will have one comprehensive review undertaken by a multi-disciplinary team (MDT) on an annual basis by the Delivery Unit using the revised Ideal ward toolkit, which has now been aligned to our Values, the Nursing and Midwifery (NMC) Code of Conduct, Health & Care Standards Themes and also incorporates the Older Persons Standards in addition to the requirements of the Older Person s Commissioner. The key features of this integrated approach are as follows: A report highlighting key findings and actions will be reported by each delivery unit at the Quality and Safety Forum on a quarterly basis For Planned Visits notice will be given to the areas prior to the review and intelligence information will be gathered to inform the team, this will include HCS annual audit, monthly care indicators, performance data, workforce data, complaints and incidents A comprehensive review may also be commissioned and will be undertaken without prior notice by a corporate MDT team for those wards/ units demonstrating poor compliance across a substantial number of indicators in the Intelligence Bundle, a threshold is to be agreed. The 15 step challenge will continue to be undertaken by members of Quality and Safety Committee to determine progress against these standards. Recognition of exceptional achievement will be facilitated via the Chairman's Awards. Unannounced Spot Check Reviews (e.g. Safe Care) will be undertaken by the Delivery Units where the ward is demonstrating poor compliance against specific Themes & Standards over a three-month period where no improvement has been made. A minimum of two unannounced spot checks are expected to be undertaken per month. The revised Quality Assurance Ideal Ward /Team Tool Kit has been developed to be utilised to provide a fully comprehensive audit ( a deep dive ) or can be broken down into single units to provide assurance of improvements where areas of concern are identified (i.e. Safe Care, Dignified Care). We have now formalised that an audit using the new Toolkit should be conducted to measure standards, and feedback provided to the chosen wards, with an aim to provide healthcare staff with information to allow them to assess and adjust their performance.
4 We are currently in the process of refining reporting arrangements which are meaningfully aligned to our Standards, have internal validity and provide best evidence of safe practice. In addition, we have begun the process of separating out the data which has been generic in the past to ensure we are tapping into older peoples experience and to increase the strength of our analysis we have extended the data collection to those above 50 (in keeping with the Welsh Government definition of the older person). We hope to delineate the data and the analyses in accordance with age bands above 50 (60+/70+/80+/90+). We are currently testing this facility to ensure accuracy. Developing the Older Persons Assurance Framework Following the re-organisation of the Health Board into Unit Structures we are in the process of developing an Older Persons Framework Group to ensure that we oversee the management of the care of the Older Person across the Health Board. We have reviewed and revised the Clinical Sub Groups to represent the new Unit structures to include: Dementia Falls Continence Nutrition Tissue Viability End of Life Care These newly re-constituted groups, which meet regularly, are setting the strategic direction, policy development and implementation and ensuring best practice and cohesive service models across the whole system. The Units are currently in the process of creating effective structures to oversee and manage the Older Persons agenda and will report to the above sub groups on a regular basis. There is likely to be revised metrics for measurement of the above elements of care (e.g. severity of fall) following the implementation of the Nurse Staffing (Wales) Act 2016, which will be incorporated into the framework. These reformed and revised groups have new Terms of Reference and refreshed visions and strategic directions aligned to the priorities of the Health Board and national directives. Each group will have the responsibility of overseeing implementation on both a pan Health Board and individual Unit basis and will report directly on the Older Persons standards on a regular basis to either the Quality and Safety Forum or the Quality and Safety Committee. Patient Experience Feedback We are taking into account the developments and impact the Health Board review of Volunteering and the implementation of Ward Hostesses will have on data gathering, patient experience and qualitative measurement of patient feedback. We are revising the internal volunteering vision and aligning it to priorities within the Health Board which will include gathering data directly from patients using the Friends and Family test. We are in the early stages of developing a monthly audit day starting with Singleton Hospital to ensure that we target older patients on our wards on a systematic basis we will also build in the gathering of qualitative data and narrative as per the Older Person Commissioner for Wales requirements.
5 The next phase of our older persons experience feedback initiative is to use incidents and complaints in a systematic manner to triangulate the information we glean from data sources. The Older Persons Charter To strengthen our commitment to being a Rights-Based Health Board we are currently developing the Older Persons Charter. We launched this initiative at a Changing for the Better event on the 8 th December with 200 people in attendance. Following this event we held 4 locality based stakeholder events and have a few smaller events organised during February we are in the process of collating the engagement event comments and creating the Charter. Once ratified and launched the Charter will guide us in our service delivery and create a greater senses of what is important to the people we treat we will then be held accountable as a Health Board and formal outcome measures will be agreed as to how to evaluate success. The Older Persons Dashboard We have reviewed the Older Persons Dashboard and have aligned the KPIs against the standards in a more meaningful and robust way. We have systematically removed a number of the KPIs and have added new ones where appropriate. Our greatest challenge as a Health Board is patient engagement numbers and data sourcing. We are hoping to address the former by lowering the age limit to 50 and by conducting monthly feedback audits as previously described. Whilst the latter is complicated because we have a range of data sources to manage: SNAP11 Datix Health and Care Standards audit Myrddin Patient Experience feedback CHKS Mortality Reviews Stage 1 Therefore it is an imperative to improve the data source against the standard being evaluated and to date we are testing the face and internal validity of the newly refined dashboard. Closing comments Pulling this together we will then align all the components of the aforementioned with the key performance indicators and standards and measurement changes into a revised reporting arrangement for the Quality and Safety Committee with a refined dashboard which captures higher acuity validated data. This process should be finalised with full reporting arrangements agreed by June 2017 and it is envisaged that the new reporting system will be in place and ready to be presented in its new format to the Quality and Safety Committee in August In the interim the Committee will receive regular updates as to progress of this phased development and implementation of the Older Persons Assurance system. RECOMMENDATIONS The Quality and Safety Committee note the above developmental assurance plan
6 and timeline update and approve the interim arrangements.
Quality Assurance Framework Toolkit
Quality Assurance Framework Toolkit Project Lead: CHARLOTTE HIGGINS Sponsored by: RORY FARRELLY Acting Chief Operating Officer/Deputy Chief Executive & Director of Nursing and Patient Experience 1 INDEX
More informationDebbie Edwards Interim Deputy Director of Nursing Gail Naylor- Executive Director of Nursing & Midwifery. Safety & Quality Committee
Report to Trust Board of Directors Date of Meeting: 29 July 2014 Enclosure Number: 7 Title of Report: Author: Executive Lead: Responsible Sub- Committee (if appropriate): Executive Summary: Ward Accreditation
More informationLearning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.
Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss
More informationLearning 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 informationPATIENT AND SERVICE USER EXPERIENCE STRATEGY
PATIENT AND SERVICE USER EXPERIENCE STRATEGY APRIL 2017 TO MARCH 2020 Date 24 March 2017 Version Final Version Previously considered by The Patient Experience Group version 0.1 draft The Executive Management
More informationHealth 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 informationVision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15
Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers
More informationAppendix 1 MORTALITY GOVERNANCE POLICY
Appendix 1 MORTALITY GOVERNANCE POLICY 1 Policy Title: Executive Summary: Mortality Governance Policy For many people death under the care of the NHS is an inevitable outcome and they experience excellent
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 informationNot considered by the Executive Team
Agenda Item: 2.1 MENTAL HEALTH & LEARNING DISABILITIES COMMITTEE Date of Meeting: Oct 2016 Subject : Approved and Presented by: Prepared by: Other s and meetings considered at: Considered by Executive
More informationTRUST BOARD. Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director. Jo Hunter, Deputy Chief Nurse. Mary Heritage, Assistant Director of Quality
TRUST BOARD Document Title: Presenter: Quality Report Jo Hunter, Deputy Chief Nurse Authors: Contact details for further information: Jo Furley, Interim Chief Nurse Dr Ben Lobo, Medical Director Jo Hunter,
More informationQuality Strategy
Quality Strategy 2017-2020 Contents 05 Foreword 06 Introduction 06 Equality & Diversity 07 Context for this Strategy 08 Definition of Quality 10 Quality Objectives 10 Strategic Quality Objectives 16 Quality
More informationQuality Assurance Framework. Powys thb provided and commissioned services Quality and Safety Committee November 2013
Quality Assurance Framework Powys thb provided and commissioned services Quality and Safety Committee November 2013 1 Background Together for Health vision for NHS Wales 6 domains of quality Effectiveness
More informationJoint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse
TRUST BOARD IN PUBLIC REPORT TITLE: Date: 28 March 2013 Agenda Item: 2.4 Joint Chief Nurse and Medical Director s Report Susan Aitkenhead, Chief Nurse EXECUTIVE SPONSOR: Dr. Des Holden, Medical Director
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 informationPATIENT EXPERIENCE AND INVOLVEMENT STRATEGY
Affiliated Teaching Hospital PATIENT EXPERIENCE AND INVOLVEMENT STRATEGY 2015 2018 Building on our We Will Together and I Will campaigns FOREWORD Patient Experience is the responsibility of everyone at
More informationQUALITY STRATEGY
NHS Nene and NHS Corby Clinical Commissioning Groups QUALITY STRATEGY 2017-2021 Approved: By the Joint Quality Committee on 11 April 2017 Ratified: By the NHS Corby Clinical Commissioning Group on 25 April
More informationNorthumberland, 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 informationPatient Experience Strategy
Patient Experience Strategy 2013 2018 V1.0 May 2013 Graham Nice Chief Nurse Putting excellent community care at the heart of the NHS Page 1 of 26 CONTENTS INTRODUCTION 3 PURPOSE, BACKGROUND AND NATIONAL
More informationPlease indicate: For Decision For Information For Discussion X Executive Summary Summary
Governing Body 22 March 2017 Details Part 1 X Part 2 Agenda Item No. 10 Title of Paper: Board Member: Author: Presenter: PAHT Quality Improvement Plan Catherine Jackson, Executive Nurse Catherine Jackson,
More 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 informationSpecialist mental health services
How CQC regulates: Specialist mental health services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We make
More informationRBCH Actions to meet CQC Essential Standards
RBCH Actions to meet CQC Essential Standards REGULATION 17 How the regulation was not being met Patients, their relatives, and staff told us about incidents where people had not been treated with dignity
More informationREVIEW AND UPDATE OF THE COMMITTEE WORK PROGRAMME
AGENDA ITEM 3.1 14 June 2013 REVIEW AND UPDATE OF THE COMMITTEE WORK PROGRAMME Executive Lead: Committee Chair Author: Assistant Director of Patient Safety & Quality Contact Details for further information:
More informationThe Care Values Framework
The Care Values Framework 2017-2020 1 States of Guernsey An electronic version of the framework can be found at gov.gg/carevaluesframework Contents Foreword from the Chief Secretary Page 05 Chief Nurse
More informationChildren and Families Service Quality Assurance Framework
Children and Families Service Quality Assurance Framework 2016-2018 [IL0: UNCLASSIFIED] Document Control Version Date Summary of Changes Changes Made by Draft / V001 28 July 2016 First draft of the Quality
More informationDRAFT. 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 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 September 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient Services
More informationPublic 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 informationQuality Assurance Committee Annual Report April 2017 March 2018
Quality Assurance Committee Annual Report April 2017 March 2018 Quality Assurance Committee Annual Report April 2017 March 2018 1. Introduction The role of the quality assurance committee is to provide
More informationCCDM Programme Standards
CCDM Programme Standards Standard 1.0 CCDM Governance Standard 1.0 The CCDM governance councils (organisation and ward/unit) ensure that care capacity demand management is planned, coordinated and appropriate
More informationQuality 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 informationDirect Commissioning Assurance Framework. England
Direct Commissioning Assurance Framework England NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning Development Finance Human Resources
More informationPatient Experience Strategy
Patient Experience Strategy Published: June 2017 Find us online at cornwallft 1.Introduction At Cornwall Partnership NHS Foundation Trust (CFT) we believe in delivering high quality care. We care deeply
More informationRoyal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016
Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action
More 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 informationDelivering Local Health Care
Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by
More informationPatient Experience. Framework
Appendix 2 Patient Experience Framework N.B. Staff should be discouraged from printing this document. This is to avoid the risk of out of date printed versions of the document. The Intranet should be referred
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 informationFollow-up to A Place to Call Home Review Local Authority Self-evaluation Pro Forma
Follow-up to A Place to Call Home Review Local Authority Self-evaluation Pro Forma Organisation City and County of Swansea Accountable officer and job title E-mail Peter Field Contracts Officer Peter.Field@Swansea.gov.uk
More informationQuality, Safety & Experience (QSE) Committee. Minutes of the Meeting Held on Wednesday 29 th March 2017 in the Boardroom, Carlton Court, St Asaph
1 Minutes QSE Public 29.3.17 V1.0 Present: Quality, Safety & Experience (QSE) Committee Minutes of the Meeting Held on Wednesday 29 th March 2017 in the Boardroom, Carlton Court, St Asaph Mrs Margaret
More informationEmergency Ambulance Services Committee Report CHIEF AMBULANCE SERVICES COMMISSIONER S UPDATE REPORT
AGENDA ITEM 3.2 22 MARCH 2016 Emergency Ambulance Services Committee Report CHIEF AMBULANCE SERVICES COMMISSIONER S UPDATE REPORT Executive Lead: Chief Ambulance Services Commissioner Author: Chief Ambulance
More informationQuality Improvement Strategy
Quality Improvement Strategy The Board s Strategic Implementation Plan 2014 2017 Approved at Betsi Cadwaladr University Health Board on Following approval at the Board, there are some minor amendments
More informationCare and Social Services Inspectorate Wales. Care Standards Act Inspection Report BLUEBIRD CARE (NEWPORT) Newport
Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report BLUEBIRD CARE (NEWPORT) Newport Type of Inspection Full Dates of inspection 22 and 26 January 2018 Date of publication
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 informationQuality 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 informationNHS East and North Hertfordshire Clinical Commissioning Group. Quality Committee. Terms of Reference Version 4.0
NHS East and North Hertfordshire Clinical Commissioning Group Quality Committee Terms of Reference Version 4.0 1. Introduction 1.1 The Quality Committee (the committee) is established in accordance with
More informationNHS Rushcliffe CCG Governing Body Meeting. CCG Improvement and Assurance Framework. 15 March 2018
RCCG/GB/18/039 NHS Rushcliffe CCG Governing Body Meeting 15 March 2018 Introduction 1. This paper provides the Governing Body with an update on the progress being made by the Greater Nottingham CCGs in
More 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 informationSAFEGUARDING CHILDREN SUPERVISION POLICY
SAFEGUARDING CHILDREN SUPERVISION POLICY Approved by Safeguarding Committee Submitted by: Head of Safeguarding Children Approved on: 6 th December 2010 Review Date: December 2013 Version: 2.0 Index Page
More informationSkills for Care and the Care Bill frequently asked questions
Skills for Care and the Care Bill frequently asked questions Why is the Care Bill important? The Care Bill aims to simplify and improve on existing legislation for adult social care in England. The requirements
More informationImplementation of Quality Framework Update
Joint Committee Meeting 26 January 2016 Title of the Committee Paper Framework Update Executive Lead: Director of Nursing & Quality Assurance Author: Director of Nursing & Quality Assurance Contact Details
More informationPutting patients at the heart of everything we do
Putting patients at the heart of everything we do Nursing, Midwifery, Allied Health Professionals (NMAHP) Research Strategy Tomorrow s health is in our hands today 2015-2020 Introduction The Trust s vision
More informationModernising Learning Disabilities Nursing Review Strengthening the Commitment. Northern Ireland Action Plan
Modernising Learning Disabilities Nursing Review Strengthening the Commitment Northern Ireland Action Plan March 2014 INDEX Page A MESSAGE FROM THE MINISTER 2 FOREWORD FROM CHIEF NURSING OFFICER 3 INTRODUCTION
More informationGovernance and Quality Committee Review. Wendy Pugh Director of Operations and Nursing. Innovation Tom Jinks - Governance Manager.
Board meeting date: 29 th May 2013 Agenda Item number:10.1 Enclosure:5 Title and Quality Committee Review Accountable Director: Author (name & title): Wendy Pugh Director of Operations and Nursing Rosie
More informationInternal Audit. Health and Safety Governance. November Report Assessment
November 2015 Report Assessment G G G A G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted
More informationQuality and Safety Strategy
Quality and Safety Strategy 2017-2020 Vision statement ESHT combines community and hospital services to provide safe, compassionate, and high quality care to improve the health and wellbeing of the people
More informationKEY AREAS OF LEARNING FROM THE FRANCIS REPORT
KEY AREAS OF LEARNING FROM THE FRANCIS REPORT The public inquiry provided detailed and systematic analysis of what contributed to the failings in care at Mid Staffordshire NHS Foundation Trust. It identified
More informationResponse to recommendations made in the Independent review into Liverpool Community Health NHS Trust
To: The Board For meeting on: 22 March 2018 Agenda item: 8 Report by: Ian Dalton, Chief Executive Officer Report on: Response to recommendations made in the Independent review into Liverpool Community
More informationYork Teaching Hospital NHS Foundation Trust. Caring with pride. The Nursing and Midwifery Strategy
York Teaching Hospital NHS Foundation Trust Caring with pride The Nursing and Midwifery Strategy 2017-2020 1 To be a nurse, a midwife or member of care staff is an extraordinary role. What we do every
More informationTrust Board Meeting: Wednesday 14 May 2014 TB Monitor Quality Governance Framework. For discussion and decision
Trust Board Meeting: Wednesday 14 May 2014 TB2014.61 Title Monitor Quality Governance Framework Status History For discussion and decision Previous self-assessments against Monitor s Quality Governance
More informationTransforming Mental Health Services Formal Consultation Process
Project Plan for the Transforming Mental Health Services Formal Consultation Process June 2017 TMHS Project Plan v6 21.06.17 NOS This document can be made available in different languages and formats on
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 information5 Boroughs Partnership NHS Foundation Trust. Quality Account Version: QA FINAL
5 Boroughs Partnership NHS Foundation Trust Quality Account 2016-2017 Version: QA FINAL 1 Contents Part 1- Our Commitment to Quality 1.1 Our Quality Report / Quality Account 2016-17...5 1.2 Chief Executive
More informationPatient Experience & Engagement Strategy Listen & Learn
Patient Experience & Engagement Strategy 2017 2022 Listen & Learn This Strategy is divided into three sections: Section 1: Strategy Section 2: Objectives and Action Plan for 17-18 Section 3: Appendices
More informationQuality and Safety Committee Date of Meeting: 23 rd February 2017 Agenda item : 4.5
SUMMARY REPORT ABM University Health Board Quality and Safety Committee Date of Meeting: 23 rd February 2017 Agenda item : 4.5 Report Title Prepared, Approved and Presented by Review of the Blood Glucometry
More informationENCLOSURE: J. Date of Trust Board 29 February Pressure Ulcer Clinical Improvement Programme. Purpose of Report
ENCLOSURE: J Date of Trust Board 29 February 2012 Title of Report Purpose of Report Abstract Pressure Ulcer Clinical Improvement Programme This paper provides a progress report on our work in support of
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationIndicators 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 informationCare and Social Services Inspectorate Wales. Care Standards Act Inspection Report
Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report Marie Curie Cancer Care (Nursing Agency) Mamhilad House Block C Mamhilad Park Estate Pontypool NP4 0HZ Type of Inspection
More informationQUALITY COMMITTEE. Terms of Reference
QUALITY COMMITTEE Terms of Reference This Committee will report to NHS Halton CCG Governing Body on the development, improvement and monitoring of all areas of quality. This will include clinical effectiveness,
More informationSupporting all NHS Trusts to achieve NHS Foundation Trust status by April Ipswich Hospital NHS Trust NHS East of England Department of Health
TFA document Supporting all NHS Trusts to achieve NHS Foundation Trust status by April 2014 Tripartite Formal Agreement between: Ipswich Hospital NHS Trust NHS East of England Department of Health Introduction
More informationRoyal College of Nursing Response to Care Quality Commission s consultation Our Next Phase of Regulation
General Comments Royal College of Nursing Response to Care Quality Commission s consultation Our Next Phase of Regulation As noted in our response last year to the first part of this consultation exercise,
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 informationSolent. NHS Trust. Patient Experience Strategy Ensuring patients are at the forefront of all we do
Solent NHS Trust Patient Experience Strategy 2015-2018 Ensuring patients are at the forefront of all we do Executive Summary Your experience of our services matters to us. This strategy provides national
More informationWelsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report
Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following
More informationGovernance Review. Welsh Ambulance Services NHS Trust
Governance Review Welsh Ambulance Services NHS Trust May 2017 This publication and other HIW information can be provided in alternative formats or languages on request. There will be a short delay as alternative
More informationAdults and Safeguarding Committee 19 March Implementing the Care Act 2014: Carers; Prevention; Information, Advice and Advocacy.
Adults and Safeguarding Committee 19 March 2015 Title Report of Wards Implementing the Care Act 2014: Carers; Prevention; Information, Advice and Advocacy Dawn Wakeling (Adult and Health Commissioning
More informationResponse to the Department for Education Consultation on the Draft Degree Apprenticeship Registered Nurse September 2016 Background
Response to the Department for Education Consultation on the Draft Degree Apprenticeship Registered Nurse September 2016 Background This document sets out our response to the Department for Education s
More informationFT Keogh Plans. Medway NHS Foundation Trust
FT Keogh Plans Medway NHS Foundation Trust July 2014 KEY Delivered On Track to deliver Some issues narrative disclosure Not on track to deliver Medway - Our improvement plan & our progress What are we
More informationAll Wales Nursing Principles for Nursing Staff
All Wales Nursing Principles for Nursing Staff 1 Introduction The purpose of the paper is to respond to the Welsh Governments Staffing Principles for Nurse Staffing within Wales. These principles set out
More informationA Maternity Network for Wales
A Maternity Network for Wales Scoping Paper July 2013 Introduction This scoping exercise arises from a recommendation made in the Health and Social Care Committee s report One-day Inquiry into Stillbirth
More informationSafeguarding Vulnerable People Annual Report
Safeguarding Vulnerable People Annual Report 2014-2015 1. Purpose of report The purpose of this report is to provide assurance that the Trust is fulfilling its responsibilities to promote the safety and
More informationMORTALITY REVIEW POLICY
MORTALITY REVIEW POLICY Version 1.3 Version Date July 2017 Policy Owner Medical Director Author Associate Director of Patient Safety & Quality First approval or date last reviewed July 2017 Staff/Groups
More informationJOB DESCRIPTION. The hospital has been consistently growing over the past few years, almost doubling since 2008.
JOB DESCRIPTION JOB TITLE: Modern Matron CLINICAL UNIT: Paediatrics BASE: The Portland Hospital for Women and Children MANAGED BY: Children s Services Manager ACCOUNTABLE TO: Chief Nursing Officer HOSPITAL
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More informationJoint Audit and Quality, Safety & Experience (QSE) Committees
1 Present: Joint Audit and Quality, Safety & Experience (QSE) Committees Minutes of the Meeting Held on Tuesday 11 th October 2016 in the Boardroom, Optic Centre, St Asaph Mr Ceri Stradling Mrs Margaret
More informationNHS Sickness Absence Rates. January 2016 to March 2016 and Annual Summary to
NHS Sickness Absence Rates January 2016 to March 2016 and Annual Summary 2009-10 to 2015-16 Published 26 July 2016 We are the trusted national provider of high-quality information, data and IT systems
More informationPrimary 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 informationMortality Report Learning from Deaths. Quarter
Mortality Report Learning from Deaths Quarter 3 2017 Introduction In December 2016 the CQC report Learning, Candour and accountability: A review of the way NHS Trusts review and investigate the deaths
More informationStatus: Information Discussion Assurance Approval. Claire Gorzanski, Head of Clinical Effectiveness
Report to: Trust Board Agenda item: Date of Meeting: 2 October 2017 SFT3934 Report Title: Annual quality governance report 2016-2017 Status: Information Discussion Assurance Approval X Prepared by: Executive
More informationEducation and Training Interventions to Improve Patient Safety
Health Education England Education and Training Interventions to Improve Patient Safety Health Education England Implementation Plan 2016 2018 Developing people for health and healthcare www.hee.nhs.uk
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 informationReport to Cabinet. 19 April Day Services for Older People (Key Decision Ref. No. SMBC1621) Social Care
Agenda Item 4 Report to Cabinet 19 April 2017 Subject: Presenting Cabinet Member: Day Services for Older People (Key Decision Ref. No. SMBC1621) Social Care 1. Summary Statement 1.1 On 18 May 2016, Cabinet
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Clinical Assurance Toolkit (CAT) Strategy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Clinical Assurance Toolkit (CAT) Strategy Effective: January 2014 Review: January 2015 1. Introduction The Trust s Nursing and Midwifery Strategy,
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 informationFOREWORD 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 informationQuality and Governance Committee. Terms of Reference
Quality and Governance Committee Terms of Reference 1. Constitution 1.1 The Clinical Commissioning Group s Governing Body hereby resolves to establish a Committee of the Governing Body known as the Quality
More informationCOMMUNITY AND OLDER PEOPLE S MENTAL HEALTH SERVICE FRAMEWORK FOR:
MINDING THE GAP COMMUNITY AND OLDER PEOPLE S MENTAL HEALTH SERVICE FRAMEWORK FOR: GOVERNANCE ASSURANCE AND PERFORMANCE. 1. INTRODUCTION AND CONTEXT Providing, delivering and developing the highest standards
More informationEQuIPNational Survey Planning Tool NSQHSS and EQuIP Actions 4.
Standard 1: Governance for safety and Quality and Standard 2: Partnering with Consumers Section 1 Governance, Policies, Business decision making, Organisational / Strategic planning, Consumer involvement
More information