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

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3. FINANCIAL IMPLICATIONS/IMPACT ON CURRENT FORECAST: 4. DELIVERABLES Level 2 or above in all 45 IG Toolkit standards to achieve satisfactory IG compliance 5. KEY PERFORMANCE INDICATORS Compliance with the IG toolkit AGREED AT ______________________ MEETING OR REFERRED TO: __________________________ DATE: ____________________________ DATE: ____________________________ REVIEW DATE (if applicable) ___________________________ 2
INFORMATION GOVERNANCE STRATEGY 2012/2013 Barking, Havering & Redbridge University Hospitals NHS Trust Page 1 of 9 Information Governance Strategy Version 1.4 Issued October 2012
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: EXECUTIVE SUMMARY TITLE: Informatio
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 and 116:
Consequence score (severity levels)
Page 117 and 118:
Frequency How often might it/does i
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
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Trust Board papers November 2012 - Barking Havering and ...

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