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

starters as well as being mandatory for all Trust staff as part of the Trust’s IG training
program, requiring all staff to undertake IG training annually, either at face to face
presentations or by e-learning.
The Director of Clinical Governance and the Executive Chief Information Officer will
ensure that IG requirements are reflected in the annual Clinical Governance
Development plan and ICT strategy.
IG PROCESS
The wide range of processes covered by the IG Toolkit and the diversity of specialisation
resulted in the IGSG taking the decision that responsibility for IG within the Trust should not
be allocated to one individual or department. The Trust approach is to identify senior
managers who will have responsibility for the management and co-ordination of IG
Requirements. These senior staff will be Executive Directors, Directorate Managers or, in
some cases, General Managers. They will be referred to in IG documentation as
Requirement Owners. All Requirement Owners will be full members of the Information
Governance Steering Group. Other staff with specific areas of expertise will be co-opted onto
the Group when required.
As there is often an overlap between IG Requirements, by agreement; one Requirement
Owner may provide evidence for another IG Requirement. However, the identified
Requirement Owner has ultimate responsibility for ensuring that the Requirement is complete
and with evidence uploaded to support the compliance level.
The IG Lead will be supporting the standard owners in developing their action plans, and is
responsible for submitting the baseline, performance and final assessment to CfH. The
Director of Planning and Performance will sign off a report from the IG Toolkit, to confirm he
has authorised the final submission for 31st March 2013.
The Trust’s IG performance will be monitored by the IGSG throughout the year with reports
that monitor achievements against requirements. These regularly presented reports and
minutes of the IGSG meetings where they were approved, will provide the evidence to be
uploaded into the IG Toolkit.
In February 2013 an independent audit will be undertaken of a selection of IG standards, to
highlight to standard owners changes and improvements required before the final
submission.
PAST PERFORMANCE
Although in 2010/11 64% IG compliance was reported to CfH, following further review the
IGSG considered that evidence submitted needed strengthening, policies and procedures
needed to be improved and updated, and the IGSG governance strengthened to reflect a
more structured approach to completing the requirements. With a baseline return of only 9%
in July 2011, reliance was being placed on old evidence submitted, which was now either not
fit for purpose or required updating.
Barking, Havering & Redbridge University Hospitals NHS Trust Page 5 of 9
Information Governance Strategy Version 1.3 Issued August 2012