Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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CQC Update Report<br />
<strong>2012</strong><br />
reporting), with regular reporting<br />
between HR <strong>and</strong> Clinical<br />
Governance to ensure joint<br />
management of patient safety<br />
issues.<br />
ASSESSING &<br />
MONITORING<br />
73. Ensure that it has systems in<br />
place that allow effective<br />
sharing <strong>and</strong> learning across the<br />
whole organisation.<br />
Existing guidance on learning from<br />
serious incidents has been<br />
reviewed <strong>and</strong> KPIs for<br />
implementation have been<br />
introduced. A bi‐monthly ‘Lessons<br />
Learned’ group meets to generate<br />
shared learning. This includes<br />
using the content of Ombudsman<br />
action plans to ensure learning<br />
points are appropriately extracted<br />
<strong>and</strong> shared. A rolling programme<br />
of articles in the Link is supporting<br />
learning. Directorate <strong>Board</strong>s now<br />
review Serious Incident reports<br />
<strong>and</strong> action plans to ensure timely<br />
implementation.<br />
Clinical Directors are sent details<br />
of each relevant Serious Incident<br />
<strong>and</strong> these are agenda items for<br />
directorate clinical governance<br />
meetings until they are responded<br />
to in a suitable way.<br />
This recommendation will only be<br />
fully met when success can be<br />
demonstrated over time. CQC <strong>and</strong><br />
other stakeholders not only expect<br />
to see evidence that Serious<br />
Incidents are being dealt with<br />
internally, but also to see<br />
commissioners <strong>and</strong> other external<br />
organisations being informed<br />
when relevant.<br />
• All closed SIs are available on the <strong>Trust</strong> intranet.<br />
• Clinical Directorate Governance leads review Sis <strong>and</strong><br />
other incidents for learning.<br />
• Clinical Governance is a core topic on all monthly<br />
meeting agendas.<br />
Pam Strange<br />
MET<br />
BUSINESS<br />
AS USUAL<br />
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