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

The IGSG was changed to ensure that attendance at meetings was improved with deputies
attending in place of absentees. In addition minutes were more structured to accurately
reflect the subjects discussed, outstanding and completed action logs were developed to
ensure action points were resolved, and an overall IG action plan was added as a regular
agenda item. To support the evidence required for the standards and ensure IG key subjects
are regularly discussed, monthly, quarterly and yearly reports were introduced with a
standard format for presentation.
It was also identified that IG awareness needed improving across the organisation. To
support this the intranet pages were rebranded and improved to provide a good source of
information for staff, including grouping all IG policies in one place for ease of reference. An
IG local brochure was also developed to be given to staff at training sessions.
In light of the Department of Health (DH) requirement to train staff annually in Information
Governance, the current training presentation was rebranded to incorporate all aspects of
Information Governance, and added to the Central Induction to capture all new starters. An
e-learning system was also procured which reflected the IG content of face to face training
sessions, to improve the choice to staff for completing their training and the potential to
achieve the requirements of CfH for 95% of staff to be trained annually.
Improvements were also made to the information given to patients and service users, by
rebranding the Trust website pages and updating the patient information leaflet.
An audit was undertaken of the IG policies and procedures, and any gaps where these were
missing or out of date, allocated to areas to resolve.
These improvements enabled us to submit a final assessment of 62%.
2012/13 PERFORMANCE
With a strengthened IGSG the overall managerial commitment has improved, including joint
working between standards owners where the standard covers several areas.
Several standard owners have also developed action plans for their standards and uploaded
evidence currently available, rather than waiting until the final submission date. As such the
baseline return submitted 31 st July 2012 was 28%. However, it was noted that further
improvements are required in:
• All members of the IGSG regularly attending the IGSG
• The presentation of all reports required to the IGSG
• All polices and procedures identified as requiring updating/creation completed in
2012/2013
• All standard owners reviewing the IG Toolkit standards and removing out of date
information
• All standard owners developing action plans for each of their standards to chart their
progress
There is a commitment by the IGSG to achieve at least a level 2 in all 45 standards, which as
required by the CfH will provide satisfactory assurance of the Trust’s IG compliance.
Barking, Havering & Redbridge University Hospitals NHS Trust Page 6 of 9
Information Governance Strategy Version 1.3 Issued August 2012