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

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Continue to publish monthly High-level Trend Reports<br />

Continue to publish quarterly benchmarking reports comparing <strong>Trust</strong><br />

achievement levels against, national, regional and local <strong>Trust</strong>s<br />

Continue liaison with and training for operational teams to support<br />

improvement of data quality across all services<br />

Continue to liaise with Consultants and their medical teams in relation to<br />

clinical coding and the availability of discharge and clinical information.<br />

The <strong>Trust</strong> has implemented actions following the <strong>Monitor</strong> ‘dry run’ exercise<br />

which looked at quality issues for data reporting against a number of <strong>Monitor</strong><br />

targets.<br />

Compliance with CQC Essential Standards of Quality and Safety<br />

5 <strong>Boroughs</strong> <strong>Partnership</strong> <strong>NHS</strong> <strong>Foundation</strong> <strong>Trust</strong> is required to register with the<br />

Care Quality Commission and its current registration status is registered<br />

without conditions. The Care Quality Commission has not taken enforcement<br />

action against 5 <strong>Boroughs</strong> <strong>Partnership</strong> <strong>NHS</strong> <strong>Foundation</strong> <strong>Trust</strong> during 2011/12.<br />

During 2011/12 the <strong>Trust</strong> was inspected by the Care Quality Commission as<br />

part of their targeted inspection programme to review services for people with<br />

learning disabilities. The review was to establish if in-patients experience<br />

effective, safe and appropriate care and treatment and support that meets<br />

their needs and protects their rights and whether they are protected from<br />

abuse. The <strong>Trust</strong> has maintained registration without conditions. However, the<br />

CQC visits identified some actions needed to maintain compliance with two<br />

standards inspected during Q4 of 2011/12.<br />

The <strong>Trust</strong> responded to the Care Quality Commission’s reports with an action<br />

plan which is now fully completed. From a <strong>Trust</strong>-wide perspective the <strong>Trust</strong><br />

needs to feel confident that its processes are meeting the needs of all our<br />

service users. The <strong>Trust</strong> has put a programme of work in place to self-assess<br />

itself against the CQC Standards to ensure compliance is maintained across<br />

the <strong>Trust</strong>.<br />

Compliance with the 16 Essential Standards of Quality and Safety are<br />

reported on a comparison dashboard via the Corporate Performance Report<br />

within the Safety and Quality dataset. The dashboard shows compliance<br />

measured by the <strong>Trust</strong> alongside the data issued monthly in the CQC Quality<br />

and Risk Profile.<br />

<strong>NHS</strong> Pension Scheme<br />

As an employer with staff entitled to membership of the <strong>NHS</strong> Pension<br />

Scheme, control measures are in place to ensure all employer obligations<br />

contained within the Scheme regulations are complied with. This includes<br />

ensuring that deductions from salary, employer’s contributions and payments<br />

into the Scheme are in accordance with the Scheme rules and that member<br />

Pension Scheme records are accurately updated in accordance with the<br />

timescales detailed in the Regulations.<br />

<strong>Annual</strong> Report and <strong>Annual</strong> Accounts 2011-12 161

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