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

4.1.1 Quality and Safety Committee
The Committee meets six times per year and the core membership comprises two Non
Executives, of whom one acts as Chairman, the Director of Nursing, the Medical Director and the
Clinical Governance Director. The purpose of the Committee is to provide assurance to the Trust
Board on all aspects of patient safety, patient outcomes and patient experience. Attendance from
finance and human resources will be dependent on agenda topics for discussion.
The key risk management responsibilities of the Quality & Safety Committee are as follows:
• To make recommendation on the quality aspects of implementing the Board’s objectives
based on consideration of the adequacy of controls, action plans and sources of
assurance relating to major risks escalated from the Trust’s Risk Register to the Board
Assurance Framework.
• To review and make recommendations relation to the Trust’s performance with particular
focus on proposed changes to its strategic directions, i.e. re-structuring of organisational
service and care delivery framework. Ensuring that the impact of any organisational
change is risk assessed to ensure delivery of safe, quality patient care and effective levels
of performance and outcome.
• To develop and monitor a Dashboard of key performance indicators that incorporate topics
such as mortality data, incidents/near misses, claims, complaints and findings of
investigations into serious incidents/events. Ensuring the monitoring data is measurable
and incorporates maternity and general acute services and enables the Committee to
define priorities and make recommendations.
• To provide strategic leadership for ensuring systems and processes are in place
throughout the organisation to support risk management, quality assurance and
governance.
The Committee’s full terms of reference are available on the Trust Intranet. The Quality and
Safety Committee reports to the Trust Board.
4.1.2 Audit Committee
The Audit Committee has responsibility for assuring that appropriate financial and corporate
governance risk management arrangements are in place. The Committee meets not less than
four times per year and the membership comprises not less than three Non Executives, of whom
one acts as Chairman. The Director of Finance, the Financial Controller, the Chief Internal
Auditor, and a representative of the External Auditors normally attend meetings.
The key risk management responsibilities of the Audit Committee are to review:
• the establishment and maintenance of an effective system of internal control and risk
management;
• the adequacy of all risk control related disclosure statements, together with any
accompanying Head of Internal Audit Statement, prior to endorsement by the Board;
• the structures, processes and responsibilities for identifying and managing key risks facing
the organisation;
• Policies for ensuring that there is compliance with relevant regulatory, legal and code of
conduct requirements as set out in the Department of Health Directions and other relevant
guidance.
The Audit Committee receives information on a number of topics primarily on the Trust’s financial
position, assurance framework, local development plans, corporate objectives, counter fraud
issues, charitable funds and reports from both the internal and external auditors.
Barking, Havering & Redbridge University Hospitals NHS Trust Page 10 of 40
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