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

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

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

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

enforcement action against 5 <strong>Boroughs</strong> <strong>Partnership</strong> <strong>NHS</strong> <strong>Foundation</strong> <strong>Trust</strong><br />

during 2011/12<br />

The <strong>Trust</strong> was assessed against the National Health Service Litigation<br />

Authority Risk Management Standards in December 2011 at Level 1 and<br />

achieved 100% compliance<br />

The <strong>Trust</strong> appointed KPMG to provide its counter fraud service from 1<br />

October 2011. The <strong>Trust</strong> has access to a Local Counter Fraud Specialist<br />

(LCFS) who delivers both a pro-active and reactive counter fraud service.<br />

The Audit Committee have approved a work plan and they receive regular<br />

progress reports from the LCFS. The <strong>Trust</strong> is committed to creating a<br />

lasting and robust anti-fraud culture throughout the organisation. During<br />

the year, fraud awareness amongst staff has been enhanced via initiatives<br />

such as fraud awareness training at both induction and bespoke<br />

presentations to staff groups. Awareness is further enhanced with the<br />

twice-yearly publication of a fraud newsletter and other initiatives. During<br />

2011 the <strong>Trust</strong> has also taken steps to respond to the Bribery Act - raising<br />

awareness and publishing information on the intranet. A Counter Fraud<br />

Policy and Response Plan have been posted to the <strong>Trust</strong>’s intranet which<br />

explains the steps that must be taken if fraud or corruption is suspected.<br />

The plan is reviewed on an annual basis<br />

National Patient Survey, National Staff Survey results and an in-house<br />

<strong>Trust</strong> Service User experience survey<br />

Mental Health Act Commission visits and reports<br />

Participation in a Quality Improvement Programme set up by the Royal<br />

College of Psychiatrists that benchmarks prescribing practice across all<br />

participating mental health trusts known as Prescribing Observatory for<br />

Mental Health (POMH)<br />

<strong>Annual</strong> audit by all educational establishments involved; the Deanery<br />

Assessment of medical training programmes and educational reviews by<br />

Chester University, John Moores University, University College of<br />

Lancashire and Liverpool University.<br />

This <strong>Annual</strong> Governance Statement has been developed following:<br />

The development and Board review of the Assurance Framework<br />

KPMG Internal Audit review of the Board Assurance Framework that<br />

provided a judgement of substantial assurance<br />

KPMG Internal Audit review of the <strong>Trust</strong>’s Corporate Governance<br />

Arrangements that provided a judgement of substantial assurance<br />

KPMG Internal Audit review of the Risk Management process that<br />

provided a judgement of substantial assurance<br />

KPMG Internal Audit review of the Information Governance Toolkit<br />

submission that provided a judgement of substantial assurance<br />

172<br />

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

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