Trust Board papers November 2012 - Barking Havering and ...

More documents

Recommendations

Info

Statutory duty/ inspections Adverse publicity/ reputation Business objectives/ projects Finance including claims No or minimal impact or breech of guidance/ statutory duty Rumours Potential for public concern Insignificant cost increase/ schedule slippage Small loss Risk of claim remote Breech of statutory legislation Reduced performance rating if unresolved Local media coverage – short-term reduction in public confidence Elements of public expectation not being met 25 per cent over project budget Schedule slippage Key objectives not met Non-delivery of key objective/ Loss of >1 per cent of budget Failure to meet specification/ slippage Loss of contract / payment by results Service/business interruption Environmental impact Loss/interruption of >1 hour Minimal or no impact on the environment Loss/interruption of >8 hours Minor impact on environment Loss/interruption of >1 day Moderate impact on environment Loss/interruption of >1 week Major impact on environment Claim(s) >£1 million Permanent loss of service or facility Catastrophic impact on environment Likelihood Scoring table (L) Likelihood score 1 2 3 4 5 Descriptor Rare Unlikely Possible Likely Almost certain Barking, Havering & Redbridge University Hospitals NHS Trust Page 35 of 40 ????????????? ??/??/???? Version ?? Issued ????
Frequency How often might it/does it happen This will probably never happen/recur Do not expect it to happen/recur but it is possible it may do so Might happen or recur occasionally Will probably happen/recur but it is not a persisting issue Will undoubtedly happen/recur,possibly frequently Barking, Havering & Redbridge University Hospitals NHS Trust Page 36 of 40 ????????????? ??/??/???? Version ?? Issued ????
Page 1 and 2:
TRUST BOARD MEETING Wednesday, 7 No
Page 3 and 4:
2 Following Mr White’s concerns r
Page 5 and 6:
4 forecast in terms of community be
Page 7 and 8:
6 The Trust Board noted the Plan fo
Page 9 and 10:
8 The Co-Chair of the Improving Pat
Page 11 and 12:
TRUST BOARD MEETING Actions from Mi
Page 13 and 14:
Agenda Item Action Deadline Date Da
Page 15 and 16:
Question: Mr Skillman was pleased t
Page 17 and 18:
CQC Trust-wide Action Plan Review a
Page 19 and 20:
1.0 PURPOSE 1.1 Background This rep
Page 21 and 22:
• Review the Senior Responsible O
Page 23 and 24:
APPENDIX 1 ‐ CQC ACTION PLAN - EX
Page 25 and 26:
RECORDS records management to ensur
Page 27 and 28:
CQC Update Report 2012 Theme CQC Re
Page 29 and 30:
CQC Update Report 2012 ASSESSING &
Page 31 and 32:
CQC Update Report 2012 ASSESSING &
Page 33 and 34:
CQC Update Report 2012 pathways thr
Page 35 and 36:
CQC Update Report 2012 identified i
Page 37 and 38:
CQC Update Report 2012 outlining th
Page 39 and 40:
CQC Update Report 2012 improvements
Page 41 and 42:
CQC Update Report 2012 aware of the
Page 43 and 44:
CQC Update Report 2012 are now supe
Page 45 and 46:
CQC Update Report 2012 autumn. RECO
Page 47 and 48:
CQC Update Report 2012 of the pilot
Page 49 and 50:
EXECUTIVE SUMMARY TITLE: Informatio
Page 51 and 52:
INFORMATION GOVERNANCE STRATEGY 201
Page 53 and 54:
Information is a vital asset in ter
Page 55 and 56:
starters as well as being mandatory
Page 57 and 58:
The standards are split into the ar
Page 59 and 60:
10a Reapproval of IG training progr
Page 61 and 62:
343 Directorate Anaesthetic: Risk:
Page 63 and 64:
Table of Contents TRUST PRINCIPAL O
Page 65 and 66: BHRUT STRATEGIC OBJECTIVES WITH EAC
Page 67 and 68: DIRECTORATES RISKS REVIEW 12 10 8 6
Page 69 and 70: RISKS DETAILS PRINCIPAL RISK What c
Page 71 and 72: PRINCIPAL RISK What could prevent t
Page 77 and 78: RISK DESCRIPTORS OBJECTIVE SAFE, HI
Page 79 and 80: BOARD ASSURANCE FRAMEWORK ELEMENTS
Page 81 and 82: EXECUTIVE SUMMARY TITLE: Risk Manag
Page 83 and 84: Contents Section Page 1 Introductio
Page 85 and 86: incorporate mitigation controls wit
Page 87 and 88: “Risk Register” “Risk Registe
Page 89 and 90: potential risks they may face in ac
Page 91 and 92: 4.1.1 Quality and Safety Committee
Page 93 and 94: • Financial risks: risks associat
Page 95 and 96: Proactive risk assessment enables t
Page 97 and 98: Trust’s risk matrix and will popu
Page 99 and 100: Risk Grading Staff Group Evidence R
Page 101 and 102: 4.8 RISK REGISTER The Risk Register
Page 103 and 104: 5.1 Consultation and Communication
Page 105 and 106: The Trust recognises the importance
Page 107 and 108: timescale with supporting evidence
Page 109 and 110: Checklist for the Review and Approv
Page 111 and 112: Equality Impact Assessment Tool To
Page 113 and 114: Plan for Dissemination of Procedura
Page 115: Consequence score (severity levels)
Page 119 and 120: Appendix 3 Framework for Risk Manag
Page 121 and 122: Risk Register inventory they are ex
Page 123 and 124: 2. DECISION REQUIRED: CATEGORY: The
Page 125 and 126: • A review of data capture to ens
Page 127 and 128: Pilot Wards Division Discharges Per
Page 129 and 130: Workforce Appraisals - the actions
Page 131 and 132: Delayed transfers of care (DTOC) -
Page 133 and 134: EXECUTIVE SUMMARY TITLE: Emergency
Page 135 and 136: • Training competencies are being
Page 137 and 138: Appendix A: Trajectory for all type
Page 139 and 140: would welcome feedback from the Tru
Page 141 and 142: Maternity Services Monthly Performa
Page 143 and 144: 4. Capping The maternity service is
Page 145 and 146: 7. Obstetric Assessment Unit (OAU)
Page 147 and 148: 10. Serious Incidents Reported Inci
Page 149 and 150: 12. Maternity Dashboard The dashboa
Page 151 and 152: It should also be noted that the ta
Page 153 and 154: Priority Action Lead Monitoring Too
Page 155 and 156: Priority Action Lead Monitoring Too
Page 157 and 158: Contents Section No: Description Pa
Page 159 and 160: 3. Complaints Activity 3.1 Total Co
Page 161 and 162: 3.5 Themes General care issues and
Page 163 and 164: Corporate Non Clinical Category Num
Page 165 and 166: order to resolve concerns. Particul
Page 167 and 168:
The findings of the review were tha
Page 169 and 170:
SELF-CERTIFICATION RETURNS Organisa
Page 171 and 172:
12 AA - Quality Improvement Strateg
Page 173 and 174:
TFA Progress BHR University Hospita
Page 175 and 176:
25 TFA - Final IBP /; LTFM Dec-12 H
Page 177 and 178:
Effectiveness GOVERNANCE RISK RATIN
Page 179 and 180:
Safety 4b MRSA Enter Are you below
Page 181 and 182:
FINANCIAL RISK RATING BHR Universit
Page 183 and 184:
CONTRACTUAL DATA BHR University Hos
Page 185 and 186:
4 Single Sex Accommodation Breaches
Page 187 and 188:
TITLE: EXECUTIVE SUMMARY BOARD/GROU
Page 189 and 190:
causes/ Not specified' will be remo
Page 191 and 192:
Staff In Post Starters & Leavers FT
Page 193 and 194:
TURNOVER Actual Versus Target Annua
Page 195 and 196:
FTE Lost due to Sickness Absence by
Page 197 and 198:
The data on the previous page has b
Page 199 and 200:
Indicator Target Apr-12 May-12 Jun-
Page 201 and 202:
Starters *¹ 7.00 3.60 5.00 7.43 6.
Page 203 and 204:
EXECUTIVE SUMMARY TITLE: COST IMPRO
Page 205 and 206:
Month 6 CIP Performance Workstream
Page 207 and 208:
Governance The Cost Improvement Pro
Page 209 and 210:
1 REPORT TO: REPORT FROM: Trust Boa
Page 211 and 212:
3 Preparations for winter planning
Page 213 and 214:
5 Preparing the Payment by Results
Page 215 and 216:
7 People with dementia to receive m
Page 217 and 218:
9 Clinical Patient Management and H
Page 219 and 220:
102/2012 Apologies Apologies were r
Page 221 and 222:
Action Members were advised that ac
Page 223 and 224:
Action 115/2012 Any Other Business
Page 225 and 226:
EXECUTIVE SUMMARY TITLE: Finance Re
Page 227 and 228:
1. EXECUTIVE SUMMARY Monthly I&E Ru
Page 229 and 230:
Trust I&E summary by Division/Direc
Page 231 and 232:
Income by POD In Month Year to date
Page 233 and 234:
Devolved income Annual Budget Forec
Page 237 and 238:
4. BALANCE SHEET Balance Sheet Curr
Page 239:
6. Business Unit Summaries Attached
show all

Trust Board papers November 2012 - Barking Havering and ...

Create successful ePaper yourself

Delete template?

Save as template?