SUBJECT: NHSL CORPORATE RISK REGISTER. For approval For endorsement X To note. Prepared Reviewed X Endorsed
|
|
- Osborne Hodge
- 5 years ago
- Views:
Transcription
1 Meeting of Lanarkshire NHS Board 31st August 2016 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: PURPOSE SUBJECT: NHSL CORPORATE RISK REGISTER This paper is coming to the Board: For approval For endorsement X To note 2. ROUTE TO BOARD This paper has been: Prepared Reviewed X Endorsed By the Corporate Management Team at its meeting of 22 nd August SUMMARY OF KEY ISSUES The Corporate Risk Register was previously presented to NHS Board in May Since then, the Corporate Management Team have considered the corporate risk register in June, July and August, discussing in detail emerging new risks; very high graded risks and risks exceeding the assessed level of tolerance. As a result, risk descriptions, assessed level of risk, and /or controls have been updated accordingly to reflect progress of mitigating actions and impact. For this reporting period, (June to August 2016) 3 risk has been closed, with 4 new risks identified, assessed and agreed. Through continuous review, 8 risks have been subject to material change to either the assessed level of risk, the assessed level of tolerance, or changes to the mitigating controls. The NHS Lanarkshire Corporate Risk Register outlining the current 35 risks is attached as appendix 1, with material changes for the reporting period summarised below: New Corporate Risks Identified Risk ID There is a risk that NHS Lanarkshire does not deliver on its legal duties from 31 August to provide a Named Person for every child from 0-school age as defined in the Children and Young Peoples (Scotland) Act The reasons for this include capacity within the health visiting workforce, availability of electronic systems to support the named person service and appropriate information sharing systems to meet the requirement of the Act. This is further complicated by the multi-agency nature of processes required. Risk Assessed as and owned by
2 Risk ID There is a risk to NHSL, that there is insufficient GP capacity to enable sustainable delivery of clinical services to the Community Hospitals that are dependent on the GP medical model of care. This results from less available GP s caused by the increased rate of retiral and decreased recruitment into GP training. Issues include, a change in portfolio career arrangements, age profile of existing workforce, increased part time working and less medical students choosing GP practice as a career. For NHSL, this has already resulted in closure for admissions of one community hospital, with the potential to recur in other areas, and the potential for GP practices to face significant challenges over time. Risk assessed High and owned by Mr Calum Campbell Risk ID 1413 There is a risk that NHSL will not meet the agreed locally adjusted unscheduled care performance targets as profiled over the year. Risk assessed as High and owned by Mrs Heather Knox. Risk ID There is a risk that NHSL cannot continue to provide the trauma and orthopaedic services across the three acute sites, resulting from insufficient senior clinical decision-makers. There is also the potential that this will worsen towards winter 2016 and could lead to a service collapse, impacting on patient care. Failure to redesign the service is likely to result in the Post Graduate Dean removing training accreditation and prevent a number of the Consultants being able to perform the recommended number of complex cases to sustain optimum clinical competence and outcomes. The proposed 2 site, phase one of the redesign will enable additional resilience to the service, but implementation of this will be both complex and challenging. Risk assessed as High and owned by Mr Calum Campbell Closed Risks Risk ID 1011 There is a risk that NHSL does not meet the 4 hour emergency care target that 95% of patients will wait less than 4 hours from arrival to admission, discharge or transfer for accident and emergency treatment because of the increasing emergency admissions and acuity of unwell patients, a consequence of this is the significant clinical risk/patient safety issues this presents, with patients waiting beyond 4, 8 and 12 hours and an increase in the number of 'boarders'. This risk was assessed as a very high risk, however, has been closed but will be replaced with the new risk described, taking into consideration Risk ID 1405, regarding adjustment to the LDP for NHSL specific unscheduled care performance targets Risk ID There is a risk that when the Emergency Department at the Victoria Infirmary, Glasgow is closed and relocated at the new South Glasgow Hospital, the Scottish Ambulance flow for Category A patients will result in an increase attendance at Hairmyres Hospital, requiring increased financial, bed and human resource to meet the anticipated demand. The anticipated number of Category A patients and the data set /types of admissions agreed with Glasgow did not materialise and is no longer a risk for NHSL
3 Risk ID 1390 There is a risk that by undertaking an essential Patient Notification exercise for a cohort of patients who were treated in NHSL, there is the potential that the reputation of NHSL will be adversely impacted on, as will the potential for an increase in claims and complaints. Notification exercise stepped down with report prepared reflecting communications and management of exercise. Changes of Note for Specific Risks Risk Description of the Risk & ID 1385 In order to deliver a balanced budget, there is a risk that NHSL will not be able to realise the required savings for 2016/17, with the potential to impact adversely on current and subsequent years financial planning. Additional control regarding CMT monitoring of outputs from CRES and the new ideas workshop. Noted engagement regarding national initiatives with some suggested changes to be concluded. 572 There is a risk that HAI will not be adequately prevented and subsequently controlled, within NHSL, resulting from inconsistency in compliance with guidelines, Policies & Procedures. This has the potential to adversely affect patients, staff, the public and the Corporate Objectives. The assessed level of tolerance has been reviewed and reduced from to, commensurate with the NHSL risk appetite statement in that NHSL has a low appetite for risktaking in pursuit of its principal objectives 1295 There is a risk that NMC registrants fail to meet the enhanced requirements of revalidation as set out in the provisional NMC Guidance (2015). This could result due to a lack of individual awareness and failure to take appropriate actions in preparation to meet the new requirements, resulting in the inability to revalidate successfully on time. Risk to sustainability of clinical services due to potential shortages of key clinical staff. The assessed level of tolerance has been reviewed and reduced from to commensurate with the NHSL risk appetite statement in that NHSL has a low appetite for risktaking in pursuit of its principal objectives 980 There is the risk that with the implementation of the new national eees (electronic employee support system) to replace the SWISS system, there will be a loss of reliable information with a potential impact on recruitment, payroll, workforce monitoring. Risk Owner Mrs Laura Ace Mr Kenny Small 3
4 The current assessed level of risk has increased from to, (recognising the national project, this is based on the impact for NHSL) 1128 There is a risk that NHSL will be unable to maintain and sustain the provision of safe clinical services resulting from the available medical resource, including training and non-training grades, and recruitment and retention of medical staff. Full review of controls and new actions for mitigation There is a risk that NHSL does not adequately protect patients from a range of harm / injury through inconsistent application of safe systems that could be detrimental to patient outcomes and patient safety. Full review of controls and new actions for mitigation. 982 There is a risk that there will not be enough National Education for Scotland (NES) trained appraisers to meet the demand for medical appraisal with the potential to adversely impact on revalidation, and subsequent employment of medical staff. Full review of controls and new actions for mitigation There is a risk that NHS Lanarkshire does not deliver on its legal duties from 31 August to provide a Named Person for every child from 0-school age as defined in the Children and Young Peoples (Scotland) Act The reasons for this include capacity within the health visiting workforce, availability of electronic systems to support the named person service and appropriate information sharing systems to meet the requirement of the Act. This is further complicated by the multi-agency nature of processes required. Dr I Wallace Dr I Wallace Dr I Wallace In light of the recent Supreme Court ruling, and delay in the commencement of provisions within Parts 4 and 5 of the Act, the assessed level of risk has been reduced from to at present and will be subject to further review when the new timescales are advised. 4
5 NHSL Corporate Risk Profile September 2015 August 2016 The following demonstrates the risk profile for NHSL over an annual period. NHSL Corporate Risk Profile as at 22 nd August 2016 From the 35 live corporate risks, the profile, plotted by likelihood x impact = assessed level of risk, is shown in the heat map below: LIKELIHOOD IMPACT Minor Moderate Major Extreme Score Almost Certain 5 1 Likely 4 1 Possible Unlikely Rare *Directional Arrows denote change in level of assessment for the overall risk profile, full risk register can be viewed in Appendix 1. Corporate Objectives All corporate risks are aligned to the 3 primary corporate objectives agreed as Effective, Person Centred and Safe : High Very High Totals Effective Person - Centred Safe Totals
6 Risk Types The 35 risks have been further described and set out as risk types below: High Very High Totals Business Clinical Reputation Staff Totals Very High Graded Risks The 2 very high business risks within this period will potentially have the highest impact on effectiveness for NHSL and are subject to review on a monthly basis: Risk ID Risk Title 1385 Financial Balance for Year 2016/ Cost Effective Primary Care Prescribing Risk Type Primary Risk Owner Corporate Objective Business Effective Mrs Laura Ace Business Effective Dr Iain Wallace Corporate Risks Exceeding Tolerance The following demonstrates the change in the risk tolerance profile over an annual period, both in numbers and further expressed as a percentage of the total number of corporate risks. 6
7 From the 35 risks, there are 20 (57%) where the current assessed level of risk is higher than the tolerance set, with the detail set out below: ID Opened Date Title Risk Owner Risk level (current) Risk level (Tolerance) Key Actions /01/2016 NHSL Ability to realise the required savings within year 2016/17 Mrs Laura Ace /02/2010 Cost Effective Prescribing Dr Iain Wallace /02/2013 Reconfiguration of beds Mr C for Older Peoples Services Campbell, Mr H Stevenson, Ms J Hewitt /03/2014 Sustainability of Safe and Effective Medical Input to Clinical Services /05/2016 Delivery of the Local Delivery Plan (LDP) /06/2016 GP ability to sustain current GP medical model of care to community hospital and, overtime, sustain delivery of GP Services /07/2015 Provision of Clinical Services Required Dr Iain Wallace Mr C Campbell, Mr C Sloey Mr Calum Campbell Mr Calum Campbell Very High Very High High High High High High Schemes from new ideas workshop to be confirmed by October 2016 CRES schemes to be subject to risk assessment for impact on service delivery Consideration for nationally mandated initiatives and policy changes that facilitate the realisation of the balance of the total efficiency savings requirement Project Management and Improvement Approach to Change, linked to Transforming Primary care objectives Nominated project lead, sponsor, project board with infrastructure and improvement support Bed Modelling Plan developing Detailed Investment Plans for Integrated Care Fund Review of continuing care eligibility and associated bed requirements NHSL wide Health Care Strategy Trauma & Orthopaedic Service Review Deanery action plans in response to GMC / Deanery Visits Board discussion Review of LDP targets and NHSL targets for highest achievement and least impact Transforming Primary Care Programme Board Scope non-medical led clinical service model NHSL Healthcare Strategy Communication Plan /11/2015 Increasing Reliance on IM&T Mr Colin Sloey High Undertake planned workbench exercise to test disaster recovery plans for core systems /08 /2016 Sustaining a safe Trauma Mr Calum and Orthopaedic Service Campbell for Patients across NHSL. High Appointment of Service Manager and Clinical Lead Implementation and Monitoring of Impact of Interim move to a 2 site service 7
8 /06/2016 Unscheduled Care Performance Mrs Heather Knox High Continuous review of performance WGH Action Plan /03/2015 Maintaining quality of care and prevention of harm and injury to patients Dr Iain Wallace /10/2015 Child Protection Revised and refreshed Patient Safety Strategic plan for endorsement by HQAIC August 16 Review of all Child Protection Policies To set-up a CP Cat 1 Group /10/2009 Minimising the risk of HAI across NHSL Infection Control and Prevention Team (ICPT) Annual Workplan 16/ /02/2010 Adult Support and Protection Strategic Enhancement Plan through Public Protection Group /06/2015 NMC Revalidation of Nurses and Midwives Revalidation Steering Group overseeing implementation and monitoring progress, with reporting to HQAIC /06/2015 Nursing - Availability of Specialist Practitioners Workforce and workload planning process underway /08/2012 Insufficient number of trained NES Appraisers for Medical Staff Dr Iain Wallace Sourcing appraisers from outwith NHSL to address short-term gaps /05/2016 Engagement and consultation for the NHSL Healthcare Strategy Mr C Campbell, Mrs K Hamilton Communication Plan in place to coincide with timelines for Healthcare Strategy /11/2015 Risk of cyber attack in respect of stored NHSL data /09/2012 National Change of HR / Workforce electronic Systems from SWISS to EEES Mr Colin Sloey Mr Kenny Small Undertake assessment through the new National Information Governance Improvement Measurement Framework : gap analysis of security systems. Negotiation with Scottish Government to release expected funding to deliver national programme, and NHSL as the exemplar site 4. STRATEGIC CONTEXT This paper links to the following: Corporate Objectives X LDP Government Policy Government Directive Statutory Requirement AHF/Local Policy Urgent Operational Issue Other X : Corporate Governance 8
9 5. CONTRIBUTION TO QUALITY This paper aligns to the following elements of safety and quality improvement: Three Quality Ambitions: Safe X Effective X Person Centred X 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) X X 6. MEASURES FOR IMPROVEMENT The risk register process is subject to monitoring and review monthly through the Corporate Management Team, and quarterly through the Risk Management Process Compliance Reporting, with onwards reporting to the Audit Committee. 7. FINANCIAL IMPLICATIONS There are no financial implications to consider with this paper at the meeting, although individual risks may have specific financial implication. 8. RISK ASSESSMENT/MANAGEMENT IMPLICATIONS No further risk analysis is required. 9. FIT WITH BEST VALUE CRITERIA This paper aligns to the following best value criteria: Vision and leadership X Effective partnerships Governance and accountability Use of resources X Performance management X Equality Sustainability X 10. EQUALITY AND DIVERSITY IMPACT ASSESSMENT An Equality and Diversity Impact Assessment is not required for this paper as the risks apply equally. 9
10 11. CONSULTATION AND ENGAGEMENT The risks expressed and quantified within the register are subject to discussion and review regularly in a number of forums. 12. ACTIONS FOR THE BOARD Board members are asked to: Approval Endorsement X Identify further actions Note Accept the risk identified Ask for a further report Approve the attached corporate risk register; Endorse the recent amendments, current NHSL risk profile, very high graded risks and key actions for those risks where the assessed level of risk exceeds the tolerance, as outlined within the paper; Note that all risks have an identified assurance committee, which has delegated responsibility for oversight of the relevant risks at every meeting Accept the level of risk and tolerance identified 13. FURTHER INFORMATION For further information about any aspect of this paper, please contact: Dr Iain Wallace Mrs C McGhee Medical Director Corporate Risk Manager
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 informationSUBJECT: QUALITY ASSURANCE AND IMPROVEMENT
Meeting of Lanarkshire NHS Board: Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: QUALITY ASSURANCE AND IMPROVEMENT 1. PURPOSE
More informationNHSL LANARKSHIRE CORPORATE RISK REGISTER January Mitigating Controls
659 01/08/2009 Failure to deal effectively with major emergency There is a risk that NHS Lanarkshire is unable to prevent or effectively manage a major emergency, potentially resulting from the passive
More informationSUBJECT: 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 informationSUBJECT: 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 informationSUBJECT: 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 informationWAITING TIMES 1. PURPOSE
Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE
More informationSUBJECT: 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 informationFallside 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 informationAyrshire 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 information1. 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 information2. This year the LDP has three elements, which are underpinned by finance and workforce planning.
Directorate for Health Performance and Delivery NHSScotland Chief Operating Officer John Connaghan T: 0131-244 3480 E: john.connaghan@scotland.gsi.gov.uk John Burns Chief Executive NHS Ayrshire and Arran
More informationSCOTTISH 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 informationWAITING 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: Geraint Davies, Director of Commercial Services
Report to : Trust Board of Directors Date of Report: 15/05/2015 Agenda Item: 0/15 Date of Meeting : 28 May 2015 Subject Report from Purpose : Report on Corporate Risk Register : Geraint Davies, Director
More 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 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 informationCLINICAL 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 informationSupporting the acute medical take: advice for NHS trusts and local health boards
Supporting the acute medical take: advice for NHS trusts and local health boards Purpose of the statement The acute medical take has proven to be a challenge across acute hospital trusts and health boards
More informationChief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer
Governing Body Assurance Framework (July/August 2016) Introduction The Governing Body Assurance Framework identifies the CCG s principal, strategic objectives and the principal risks to their delivery.
More informationAppendix 1: Integrated Urgent Care Service Update. 1. Purpose
Appendix 1: Integrated Urgent Care Service Update 1. Purpose The purpose of this paper is to provide Governing Body members across the collaborative CCGs with an update on the progress of the Integrated
More informationCLINICAL GOVERNANCE STRATEGY
CLINICAL GOVERNANCE STRATEGY Clinical is the corporate responsibility for the quality of care Date: November 2014 2017 Last review date: November 2014 Next Formal Review: November 2017 Implementation Date:
More informationNHS 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 informationTrauma & Orthopaedics Service Redesign July 2016
Trauma & Orthopaedics Service Redesign July 2016 1 List of Contents 1 Introduction 2 Background 3 Case for Change 4 Stakeholder Engagement 5 Implementation 6 Capacity 7 Finance 8 Programme Risk 9 Conclusion
More informationNORTH LANARKSHIRE HEALTH AND SOCIAL CARE PARTNERSHIP SHADOW INTEGRATION BOARD - 7 July Kirklands Hospital, Bothwell, 7 July 2015 at 1.30 pm.
Kirklands Hospital, Bothwell, 7 July 2015 at 1.30 pm. Note of Meeting of the NORTH LANARKSHIRE HEALTH AND SOCIAL CARE PARTNERSHIP SHADOW INTEGRATION BOARD PRESENT Councillor Smith (Chair) and Councillors
More informationINTEGRATION SCHEME (BODY CORPORATE) BETWEEN WEST DUNBARTONSHIRE COUNCIL AND GREATER GLASGOW HEALTH BOARD
INTEGRATION SCHEME (BODY CORPORATE) BETWEEN WEST DUNBARTONSHIRE COUNCIL AND GREATER GLASGOW HEALTH BOARD This integration scheme is to be used in conjunction with the Public Bodies (Joint Working) (Integration
More informationA meeting of NHS Bromley CCG Governing Body 25 May 2017
South East London Sector A meeting of NHS Bromley CCG Governing Body 25 May 2017 ENCLOSURE 4 SOUTH EAST LONDON 111 AND GP OUT OF HOURS MEMORANDUM OF UNDERSTANDING SUMMARY: The NHS England Commissioning
More informationCLINICAL 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 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 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 informationItem 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 informationNHS BOARD COMMITTEE ANNUAL REPORT Andrew Docherty, Consultant Cardiologist
NHS BOARD COMMITTEE ANNUAL REPORT 2014-2015 Name of : Area Clinical Forum Chair Andrew Docherty, Consultant Cardiologist Members Tyra Smyth Maureen Lees Claire James Gordon Stewart Mike Devine Mhairi Simpson
More informationEXECUTIVE MEDICAL DIRECTOR JOB DESCRIPTION. Medical Education Leads Clinical Directors (professional leadership) Director of Clinical Audit
EXECUTIVE MEDICAL DIRECTOR JOB DESCRIPTION Job Title: Accountable to: Responsible for: Executive Medical Director Chief Executive Director of Research & Development Medical Education Leads Clinical Directors
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 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 informationDriving 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 informationMedical Revalidation Responsible Officer Report¹
Medical Revalidation Responsible Officer Report¹ 1. EXECUTIVE SUMMARY LTHT is a designated body with 1247 doctors assigned to it for the 2016-17 appraisal year, of whom 96% completed their yearly appraisal
More informationNHS Board Workforce Projections 2017 NHS LANARKSHIRE. Table of Contents
NHS Board Workforce Projections 2017 NHS LANARKSHIRE Table of Contents 1. Overall 1.1 Comments / Data Quality Issues / Direction of Travel 1.2 Brief Information on Workforce Cost Savings (non-staff) i.e.
More informationReducing emergency admissions
A picture of the National Audit Office logo Report by the Comptroller and Auditor General Department of Health & Social Care NHS England Reducing emergency admissions HC 833 SESSION 2017 2019 2 MARCH 2018
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 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 informationLanarkshire 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 informationNovember NHS Rushcliffe CCG Assurance Framework
November 2015 NHS Rushcliffe CCG Assurance Framework ASSURANCE FRAMEWORK SUMMARY No. Lead & Sub Committee Date placed on Assurance Framework narrative Residual rating score L I rating in 19 March 2015
More informationHealth and Social Care Integration North Lanarkshire Integration Scheme
Health and Social Care Integration North Lanarkshire Integration Scheme 1. INTRODUCTION 1.1 North Lanarkshire Council, NHS Lanarkshire and our service user/carer; Third and Independent Sector partners,
More informationNHS 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 informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationIntegration 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 informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationNHS GRAMPIAN. Grampian Clinical Strategy - Planned Care
NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which
More informationMeeting of Governing Body
Meeting of Governing Body Date: 7 August 2018 Time: 1.30pm Location: Clevedon Hall, Elton Rd, Clevedon, North Somerset, BS21 7RQ Agenda number: 10.3 Report title: Business Continuity Policy Report Author:
More informationStrategic 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 informationREVIEW OF WEST GLASGOW MINOR INJURIES SERVICES OPTION APPRAISAL INFORMATION
REVIEW OF WEST GLASGOW MINOR INJURIES SERVICES OPTION APPRAISAL INFORMATION August 2017 1 CONTENTS Option appraisal process 3 Option appraisal flow chart 5 Options 6 Benefits criteria 7 Option appraisal
More informationSUBJECT: 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 informationSIGNIFICANT ADVERSE EVENT REVIEW REPORT WEB MALWARE INCIDENT
Report Author(s) Commissioned By SIGNIFICANT ADVERSE EVENT REVIEW REPORT Kerri Todd, AHPM Lesley Anne Smith, DoQ Calum Campbell, Chief Executive, NHS Lanarkshire Incident Date 12/05/2017 Date of notification
More informationT Organisational Risk Register
Foundation Trust Board of Directors 29 March 2017 T Organisational Register Situation At each meeting the Board receives the summary Organisational Register (ORR) highlighting any risk changes and updates
More information1.3 At the present time there are 370 post-graduate medical trainees within NHS Lanarkshire across all services
APPENDIX 4 MODERNISING MEDICAL CAREERS 1. Background 1.1 Modernising Medical Careers (MMC) is a UK-wide reform of all postgraduate medical training involving introduction of a two-year foundation programme
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 informationEMPLOYEE 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 informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report June 2011 (Data available as at end April 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with the
More informationScottish Ambulance Service Annual Review 2014/15 Self-Assessment
Scottish Ambulance Service Self-Assessment Section 1- Introduction The aim of this Annual Review Self-Assessment document is to provide information on the performance of Scottish Ambulance Service for
More informationInternal Audit. Health and Safety Governance. November Report Assessment
November 2015 Report Assessment G G G A G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted
More informationNHS DUMFRIES AND GALLOWAY ANNUAL REVIEW 2015/16 SELF ASSESSMENT
NHS DUMFRIES AND GALLOWAY ANNUAL REVIEW 2015/16 SELF ASSESSMENT Chapter 1 Introduction This self assessment sets out the performance of NHS Dumfries and Galloway for the year April 2015 to March 2016.
More informationLeeds West CCG Governing Body Meeting
Agenda Item: LW2015/115 FOI Exempt: N Leeds West CCG Governing Body Meeting Date of meeting: 4 vember 2015 Title: Delegated Commissioning of Primary Medical Services Lead Governing Body Member: Dr Simon
More information20 February 2018 Paper No: 18/04 DELIVERING THE NEW 2018 GENERAL MEDICAL SERVICES CONTRACT IN SCOTLAND
NHS Greater Glasgow & Clyde NHS Board Meeting David Leese, Chief Officer Renfrewshire HSCP and Lead Chief Officer Primary Care Support 20 February 2018 Paper No: 18/04 DELIVERING THE NEW 2018 GENERAL MEDICAL
More informationAnnual Report
Equality and Diversity Steering Group Annual Report 2012-2013 April 2013 1 Contents Page No Introduction 3 Equality Act 2010 3 NHS Lanarkshire s Equality and Diversity Reporting Structure Equality and
More informationDUNDEE INTEGRATION SCHEME
DUNDEE INTEGRATION SCHEME This Integration Scheme is to be used in conjunction with the Public Bodies (Joint Working) (Integration Scheme) (Scotland) Regulations 2014. These regulations can be found at
More informationMEMORANDUM OF UNDERSTANDING
MEMORANDUM OF UNDERSTANDING Memorandum of Understanding Co-Commissioning Between NHS England Lancashire And South Cumbria And Clinical Commissioning Groups 1 Memorandum of Understanding (MoU) for Primary
More informationFull Business Case. County Hospital Outpatients (Executive Summary) May Contents
County Hospital Outpatients (Executive Summary) May 2016 Contents 1 Executive Summary 1 1.1 Introduction & Background 1 1.2 Commissioner and Stakeholder Support 1 1.3 Capital Programme 2 1.4 Case of Need
More informationNES NES/17/25 Item 8a (Enclosure) March 2017 NHS Education for Scotland Board Paper Summary 1. Title of Paper 2. Author(s) of Paper
NES Item 8a March 2017 NES/17/25 (Enclosure) NHS Education for Scotland Board Paper Summary 1. Title of Paper NHS Education for Scotland Local Delivery Plan (LDP) 2017-18. 2. Author(s) of Paper Donald
More informationNHS Governance Clinical Governance General Medical Council
NHS Governance Clinical Governance General Medical Council Thank you for the opportunity to respond to this call for evidence. The GMC has a particular role in clinical governance, as outlined below, and
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT Date of Governing Body Meeting: Title of Report: Key Messages: Finance, Performance and Commissioning Committee Report At the end of September 2017 we have reported an inyear deficit
More informationIUC and Vanguard. Greater Nottingham Integrated Urgent Care 1
IUC and Vanguard The 2016/17 Vanguard funding has been confirmed at 1.3M This funding is to deliver the 8 elements of Integrated Urgent Care by March 2017 With careful management of funds we will be able
More informationMinute of the above meeting held at 9:30am on Thursday 21 April 2016 in the Board Room, Level 10, Ninewells Hospital, Dundee.
Item 8.1 Minute NHS Tayside TAYSIDE NHS BOARD Minute of the above meeting held at 9:30am on Thursday 21 April 2016 in the Board Room, Level 10, Ninewells Hospital, Dundee. Present Non Executive Members
More informationInternal Audit. Equality and Diversity. August 2017
August 2017 Report Assessment G G G G A 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 or
More informationNHS GRAMPIAN. Local Delivery Plan (LDP) 2016/17 Progress Report on Primary Care Chapter
NHS GRAMPIAN Board Meeting 06.04.17 Open Session Item 8 Local Delivery Plan (LDP) 2016/17 Progress Report on Primary Care Chapter 1. Actions Recommended The Board is asked to: Note and endorse the progress
More informationNHS GRAMPIAN. Local Delivery Plan, Asset Management Plan and Health Transport Action Plan
NHS GRAMPIAN Board Meeting 02/07/2016 Open Session Item 7 Local Delivery Plan, Asset Management Plan and Health Transport Action Plan 1. Actions Recommended The Board is asked to consider and approve the:
More informationNational 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 informationIntegrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee
EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director
More informationKey Objectives To communicate business continuity planning over this period that is in line with Board continuity plans and enables the Board:
Golden Jubilee Foundation Winter Plan 2016/2017 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This plan
More informationItem 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 informationTrust Board Meeting : Wednesday 11 March 2015 TB
Trust Board Meeting : Wednesday 11 March 2015 Title Business Case for the Refurbishment and Reconfiguration of the bed based areas of the Emergency Assessment Unit at the John Radcliffe Hospital, to deliver
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 informationLearning 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 informationRevalidation Annual Report
Paper 31 14 Revalidation Annual Report 2013-14 Purpose of Document: To provide the Board with a report on the first year s experience with medical revalidation in Public Health Wales. Board/Committee to-
More informationNHS ENGLAND BOARD PAPER
NHS ENGLAND BOARD PAPER Paper: PB.28.09.2017/07 Title: Update on Winter resilience preparation 2017/18 Lead Director: Matthew Swindells, National Director: Operations and Information Purpose of Paper:
More 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 informationThe impact of a flu or norovirus outbreak could have a significant impact on health and social services and could involve:
NHS National Waiting Times Centre Winter Plan 2010/11 Introduction This plan outlines the proposed action that would be taken to deliver our key business objectives supported by contingency planning. This
More informationBusiness Continuity and Emergency Management. Policy Statement
Business Continuity and Emergency Management Policy Statement Owner DATE Amendments S. Rowe 29/09/2016 Policy Update P. Mould Draft Incident & BC Policy v-01 1. Introduction 1.2 Business Continuity Management
More informationNHS Borders. Local Report ~ November Clinical Governance & Risk Management: Achieving safe, effective, patient-focused care and services
NHS Borders Local Report ~ November 2009 Clinical Governance & Risk Management: Achieving safe, effective, patient-focused care and services NHS Borders Local Report ~ November 2009 Clinical Governance
More informationServices for older people in South Lanarkshire
Services for older people in South Lanarkshire June 2016 Report of a joint inspection of adult health and social care services June 2016 Report of a joint inspection The Care Inspectorate is the official
More informationHealthy Working Lives and Health Promoting Health Service
Healthy Working Lives and Health Promoting Health Service Purpose of Report The purpose of this report is to outline proposals and a framework for taking forward work around Healthy Working Lives and Health
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 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 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 informationSupply of Fusidic Acid Cream 2% by Community Pharmacists for the treatment of impetigo in patients 2 years of age and over.
Supply of Fusidic Acid Cream 2% by Community Pharmacists for the treatment of impetigo in patients 2 years of age and over. November 2017 Review Nov 2019 Signatures of those developing the Patient Group
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 informationJoint framework: Commissioning and regulating together
With support from NHS Clinical Commissioners Regulation of General Practice Programme Board Joint framework: Commissioning and regulating together A practical guide for staff January 2018 Publications
More informationAyrshire and Arran NHS Board
Paper 12 Ayrshire and Arran NHS Board Monday 26 March 2018 Financial Management Report for the 11 months to 28 February 2018 Author: Bob Brown, Assistant Director of Finance Governance and Shared Services
More informationStrategic planning in Renfrewshire Health and Social Care Partnership
Page 1 of 31 Page 2 of 31 Contents Page 1. About this inspection 4 2. The Renfrewshire context 5 3. Our inspection of the partnerships strategic planning 7 4. Summary and conclusion 26 Appendix 1 Quality
More informationAppendix 1: Public Health Business Plan: Priority One - Effective public health commissioning
Appendix 1: Public Health Business Plan: Priority One - Effective public health commissioning Activity 1. Develop Public Health strategic commissioning plan in line with the Public health Outcomes Framework
More information