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

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Group Chaired by Functions<br />

Business<br />

Stream<br />

Performance<br />

Meetings<br />

Information<br />

Governance<br />

Management<br />

Group<br />

Assistant<br />

Director/Business<br />

Manager<br />

Assistant Director<br />

of Nursing &<br />

Safeguarding<br />

Reports and shares risk-related issues,<br />

complaints management/audit findings/<br />

improvement and local learning.<br />

Reports to Corporate Quality,<br />

Performance and Risk Forum.<br />

Receives reports on progress towards<br />

achieving the Information Governance<br />

Toolkit (IGT) and approves the yearly IGT<br />

submission.<br />

Regularly monitors Information<br />

Governance objectives and information<br />

risks and incidents, including the<br />

Caldecott Issues Log, to ensure<br />

appropriate actions are undertaken and<br />

lessons are learnt.<br />

Reports to the Clinical Governance and<br />

Clinical Risk Committee.<br />

Internal Audit Devises a yearly risk-based Internal Audit<br />

Plan based on the Assurance<br />

Framework to provide external<br />

assurances to the Audit Committee and<br />

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

Clinical Audit Clinical audit is the assessment of the<br />

processes and/or the outcome of care.<br />

Its aim is to stimulate and support national<br />

and local quality improvement<br />

interventions and, through re-auditing to<br />

assess the impact of such interventions.<br />

5BP in full demonstrates this through the<br />

clinical audit calendar.<br />

Outcomes from clinical audit are reported<br />

to Clinical Effectiveness Panel and via the<br />

Research and Audit Forum for review of<br />

recommendations and action plans.<br />

In addition my review is also informed by other explicit reviews/assurance<br />

mechanisms:<br />

<strong>Annual</strong> Report and <strong>Annual</strong> Accounts 2011-12 171

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