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

More documents

Recommendations

Info

Committee Member Sue Hooton – Assistant Director of Nursing, Governance and Performance Ray Walker – Director of Nursing, Governance and Performance Christine Molyneux - Public Member Councillor Sandra Banawich - Public Member Councillor Brian Morris - Staffside Chairman * Replaced by 20 17/05/11 19/07/11 20/09/11 22/11/11 21/02/12 Sue Cronin, Head of Risk Management and Patient Safety N/A N/A N/A N/A N/A N/A x x x x Annual Report and Annual Accounts 2011-12 * Alan Griffiths - Public Member Councillor x
Our Risk Management Our Risk Management Policy sets out the overall aims and objectives for risk management across the Trust. These are delivered through an annual work plan set against each of the objectives. The Risk Management Policy describes a clear structured and systematic approach to the management of risk across organisational, financial and clinical activities. Our Risk Management Policy sets out both the collective responsibilities of the Trust Board and its Committees, and the individual responsibilities of the Chief Executive, Directors and all levels of staff across the Trust. The Trust Audit Committee seeks assurance that the risk management process is comprehensive, effective, complies with regulatory requirements and is fit for purpose by taking independent objective advice through the appointment of internal auditors. It also approves the Annual Governance Statement. Risk Management Policy The overall aim of the Risk Management Policy is to ensure that high-quality healthcare services are delivered with the safety, health and well-being of services users, carers and staff at the forefront of everything we do and to provide assurance through clear reporting structures that the Risk Management System across the Trust is embedded and effective. The Trust is committed to ensuring the safety of service users, staff and the public through an integrated approach to managing risk - whether financial, organisational or clinical - within systems that are open and transparent, and demonstrate sound governance. The Risk Management Work Plan is approved by the Trust Executive Team annually and is supported by the Risk Management Policy and Incident Management Policy, which set out the framework and methodology for effective risk and incident management across the Trust. Risk Management Process In pursuit of implementing effective risk management the Trust Risk Management Policy has adopted the overarching process for managing all risk within a single framework. The Risk Management Policy details the framework for identification, evaluation, analysis, treatment, control, monitoring and review of risks within a single Trust-wide Risk Register. The risk management process begins with the identification of risks throughout the Trust. Risks are identified through a number of sources including risk assessment, audit, incidents, complaints, safety alerts, external reviews and inspection, emerging financial and environmental risks and compliance with statutory and regulatory requirements. Risks are evaluated and prioritised using a qualitative approach where the risk levels (Consequence and Likelihood) are estimated. This provides an estimate of where the most serious overall risks lie and assists both the Annual Report and Annual Accounts 2011-12 21
Page 1 and 2: 5 Boroughs Partnership NHS Foundati
Page 3 and 4: 5 Boroughs Partnership NHS Foundati
Page 5 and 6: Contents Chairman and Chief Executi
Page 7 and 8: Our Profile Formed in 2002, 5 Borou
Page 9 and 10: We are actively involved in Learnin
Page 11 and 12: Trust Board Member Ray Walker - Dir
Page 13 and 14: including Adults, Learning Disabili
Page 15 and 16: Executive Director John Kelly Direc
Page 17 and 18: Committee Member Brian Marshall - N
Page 19: key safety recommendations in respe
Page 23 and 24: Statements of Assurance Provided by
Page 25 and 26: During the reporting year the Trust
Page 27 and 28: Christopher Ashman Diane French -
Page 29 and 30: Public Member Councillor 18/05/ 11
Page 31 and 32: Members 27/07/11 28/09/11 11/01/12
Page 33 and 34: The remit of the Committee is to be
Page 35 and 36: Our Strategic Themes and Objectives
Page 37 and 38: Joint Service User and Carer Forum
Page 39 and 40: For the period 1 April 2011 to 31 M
Page 41 and 42: Effective and Efficient Organisatio
Page 43 and 44: What else have we achieved against
Page 45 and 46: Increased roof and wall insulation
Page 47 and 48: Clinical Leadership and Service Imp
Page 49 and 50: in research approved by a Research
Page 51 and 52: In addition we have representation
Page 53 and 54: One of the ways we will do this in
Page 55 and 56: Well-Governed In order for any orga
Page 57 and 58: Financial Viability This theme rela
Page 59 and 60: continues to perform well and impro
Page 61 and 62: in April 2012. By April 2013 more t
Page 63 and 64: Workforce Management and Experience
Page 65 and 66: Top Four Rankings Progress 2010 to
Page 67 and 68: New Bottom Four Rankings 2011 Botto
Page 69 and 70: Jobcentre Plus has awarded the symb
Page 71 and 72:
Financial Review of the Year We hav
Page 73 and 74:
Details of salaries and allowances
Page 75 and 76:
Speaking Your Language This Annual
Page 77 and 78:
5 Boroughs Partnership NHS Foundati
Page 79 and 80:
Involving Service Users in Patient
Page 81 and 82:
In particular, we took part in 100
Page 83 and 84:
These statements are included as Ap
Page 85 and 86:
Quality & Safety priorities 2012-13
Page 87 and 88:
2.4.3 Participation in Clinical Aud
Page 89 and 90:
Name of Audit Number of cases submi
Page 91 and 92:
The percentage of records which inc
Page 93 and 94:
Part 3 - Other Information 3.1 Trus
Page 95 and 96:
Knowsley Integrated Provider Servic
Page 97 and 98:
Monitor Targets 2011-12 Threshold Y
Page 99 and 100:
Domain Patient Safety 99 Trust Qual
Page 101 and 102:
3.4 Trust-wide Achievements 3.4.1 W
Page 103 and 104:
3.5.3 Advancing Quality Programme A
Page 105 and 106:
Productive Mental Health Wards Prod
Page 107 and 108:
The table below shows the Trust’s
Page 109 and 110:
3.7 Engaging with and Listening to
Page 111 and 112:
3.7.4 Further examples of Engagemen
Page 113 and 114:
3.8.2 Messages from Warrington LINk
Page 115 and 116:
Quality Accounts - 5 Boroughs 2011/
Page 117 and 118:
Warrington LINk Statement 5 Borough
Page 119 and 120:
Knowsley LINk 5 Boroughs Partnershi
Page 121 and 122:
Wigan Borough Local Involvement Net
Page 123 and 124:
Re: 5 Boroughs Partnership NHS Foun
Page 125 and 126:
Knowsley Overview and Scrutiny Boar
Page 127 and 128:
11 May 2012 Many thanks for sharing
Page 129 and 130:
Appendix 2 - National Patient Surve
Page 131 and 132:
Fig 2. The results from the Trust
Page 133 and 134:
Service users are asked to complete
Page 135 and 136:
Appendix 4 Director’s Statement o
Page 137 and 138:
Appendix 5 Monitor External Assuran
Page 139 and 140:
Assurance work performed I conducte
Page 141 and 142:
Appendix 6 Performance against CQUI
Page 143 and 144:
Indicator Name Goal Year-end positi
Page 145 and 146:
EFFECTIVENESS TCS Mental Health Pat
Page 147 and 148:
Total June July August September Oc
Page 149 and 150:
5 Boroughs Partnership NHS Foundati
Page 151 and 152:
Independent Auditor’s Report to t
Page 153 and 154:
Certificate I certify that I have c
Page 155 and 156:
I have delegated responsibility for
Page 157 and 158:
Policy and Guidance A range of clin
Page 159 and 160:
Directors attending the Trust Opera
Page 161 and 162:
Continue to publish monthly High-le
Page 163 and 164:
These include Business Continuity a
Page 165 and 166:
Internal and External Stakeholders
Page 167 and 168:
Board throughout the year. The Qual
Page 169 and 170:
The Audit Committee provides an app
Page 171 and 172:
Group Chaired by Functions Business
Page 173 and 174:
The Trust maintains a status of reg
Page 175 and 176:
Foreword to the Accounts 5 Boroughs
Page 177 and 178:
Prior period adjustments TOTAL COMP
Page 179 and 180:
Financed by taxpayers' equity: Mino
Page 181 and 182:
Public Dividend Capital repaid Publ
Page 183 and 184:
Statement of Cash Flows For the Per
Page 185 and 186:
Notes to the accounts 1. Accounting
Page 187 and 188:
Notes to the Accounts - 1. Accounti
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
4. Other operating income 2011/12 2
Page 199 and 200:
6. Operating leases As lessee Payme
Page 201 and 202:
7. Employee costs and numbers conti
Page 203 and 204:
203 7. Employee costs and numbers c
Page 205 and 206:
205 7. Employee costs and numbers c
Page 207 and 208:
8. Retirement benefits continued. T
Page 209 and 210:
209 9. Better Payment Practice Code
Page 211 and 212:
13. Intangible assets Software lice
Page 213 and 214:
14. Property, plant and equipment 2
Page 215 and 216:
14. Property, plant and equipment c
Page 217 and 218:
14. Property, plant and equipment c
Page 219 and 220:
16. Non-current assets for sale and
Page 221 and 222:
17. Capital commitments There are n
Page 223 and 224:
19.3 Ageing of impaired receivables
Page 225 and 226:
23. Other liabilities Current Non-c
Page 227 and 228:
25. Contingences 25.1 Contingent li
Page 229 and 230:
26.2 Financial liabilities NHS Trad
Page 231 and 232:
Further information on the NHS Foun
Page 233 and 234:
30. Third Party Assets The Trust he
Page 235 and 236:
Annual Report and Annual Accounts 2
show all

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

Create successful ePaper yourself

Delete template?

Save as template?