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