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

• Review the Senior Responsible Officers (SROs) to align with the new management
and executive structures.
• Ensure the Operational leads are appropriate and aligned with the organisational
structures.
• Where appropriate, to develop measurable objectives and incorporate into a revised
Action Plan
• Reformat the Action Plan to facilitate improved navigation for users and external
stakeholders
• Integrate the evidence inventory to the action plan, improving access to users and
stakeholders.
• Drafting of a formal response to the internal draft Audit Report.
• This assessment was presented to the Quality and Safety Committee on the 16 th October.
• This revised Action Plan was presented to the Transformation Board on the 17 th October.
This work has been undertaken in conjunction with the Internal Audit report conducted by
Park Hill in August 2012. A formal response to this report is due to be presented at the next
Audit Committee.
3.0 EXCEPTION REPORT
The Exception report below highlights that 6 of the original 81 recommendations are
assessed as PART MET. This recognises the timescales involved in completion, or the
strategic context by which it is influenced.
The current Trust assessment finds that none of the original 81 recommendations remains
‘NOT MET’
The action plan and evidence log for this are attached at Appendix 2. Where sufficient
evidence of progress has been made, continued progress continues via ‘Business as Usual’
with Clinical Directors being accountable for delivery and achievement on a routine basis.
Where appropriate this is monitored via the Trust Audit Programme, and clinical governance
structures.
4.0 THE WAY FORWARD
As a result of the work to meet the recommendations of the original action plan, there have
been significant moves to establish good practice and embed this in the routine workings of
the Trust.
The evidence and supporting documentation will be migrated as appropriate to a web based
page. Evidence is currently restricted to those individuals who can access shared secured
drives on the Trust system.
These include :
• New Senior Management Team
• New Clinical Leadership structures in place
• Revised Clinical Governance Structure
• Robust Audit Programme
• Improved Communications (Internal and External)
• Revised Performance Management arrangements.
• Use of shared drives for the archiving and sharing of evidence.
Other helpful documents can be found at :
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