5 Boroughs Partnership NHS Foundation Trust Annual ... - Monitor

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The findings from this work will inform any areas of improvement, which
we will act upon. We expect our self declaration to return to ‘Green’ once
any actions have been implemented.
3.6.3 Monitor Reporting Requirements 2011-12
Monitor is the regulator of Foundation Trusts and it is required that we
publish the following in our Quality Report:
The Director’s Statement of Responsibility (Appendix 4)
External assurance on the content of the Quality Report to ensure it is
in line with Monitor’s requirements and is consistent with other
information (Appendix 5)
External assurance on two mandated performance indicators in the
Quality Report: (Any one of the following to be determined by the
Council of Members)
- 100% CPA patients receiving follow up within 7 days of
discharge from hospital
- Minimising delayed transfers of care
- Access to Crisis Resolution Home Treatment
Assurance on one locally-selected quality priority indicator in the
Quality Report to be agreed by the FT governor/ membership.
3.6.4 Care Quality Commission Mental Health Act Commissioner
The Trust has a dedicated team of Mental Health Law Administrators who
work across the Trust and who are the primary link with the Care Quality
Commission in relation to the work of its Mental Health Act
Commissioners. The Commissioners regularly visit wards to ensure
compliance with the provisions of the Act. The Mental Health Act
administrators - in partnership with clinical staff - ensure that all elements
of the operation and implementation of the mental health legislation are
processed in accordance with the requirements of the Act.
A Mental Health Law Implementation Group comprising the administrators
and clinical and managerial staff, undertake monitoring of the
implementation of the legislation and other operational issues.
In addition, Associate Hospital Managers (who are independent lay
people) are an integral part of the operation of the Act. They undertake the
duties of the Trust Board for the purposes of hearings and reviews in
relation to the detention of patients and are also involved in the operation
of this Mental Health Implementation monitoring Group.
3.6.5 External assurance report against Monitor indicators
See Auditor’s report - Appendix 5
3.6.6 External assurance report against the Quality Report
See Auditor’s report – Appendix 5
Annual Report and Annual Accounts 2011-12