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missing or out of date, allocated to areas to resolve.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