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

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evaluation and prioritisation of risks within the management decision-making<br />

process.<br />

The Risk Management Policy clearly describes the process for authority to<br />

manage risk within the <strong>Trust</strong> - with low-level risk being managed locally and<br />

high-level risk escalated to the <strong>Trust</strong> Executive Team and reported to the<br />

<strong>Trust</strong> Board. The <strong>Trust</strong> Board receives bi-monthly reports on the current<br />

status and management of all risks within the <strong>Trust</strong>. Directors attending the<br />

<strong>Trust</strong> Operational Performance Team meetings review high-level risks<br />

monthly and in further detail at the Clinical Governance and Clinical Risk<br />

Committee, which is a sub-committee of the <strong>Trust</strong> Board.<br />

Risk movement and control is monitored monthly at the <strong>Trust</strong> Operational<br />

Performance Management meetings where accountabilities for risk control<br />

and risk movement are discussed. The operational groups for managing risk<br />

are the Business Stream Risk and Performance meetings (that receive a<br />

monthly Business Stream Risk Report) and the Corporate Quality,<br />

Performance and Risk Forum, which receives a monthly Safety and Quality<br />

Metrics Report.<br />

Overview of the arrangements in place to govern service quality<br />

This year the <strong>Trust</strong> has produced its third annual Quality Report. Our Quality<br />

Report is published alongside our <strong>Annual</strong> Report, which we will continue to<br />

produce each year and make available as a public statement of our<br />

commitment to improving quality and safety in the <strong>Trust</strong>.<br />

Improving on 2011-12 Quality Measures<br />

The <strong>Trust</strong>’s quality priorities for 2011-12 have been monitored by the <strong>Trust</strong> for<br />

the past year. Although the <strong>Trust</strong> achieved these priorities, they will continue<br />

to be reported on for the following year. Details of our 2011-12 priorities are<br />

included in the annual Quality Report – see page 93.<br />

<strong>Trust</strong> Quality Improvement Plan<br />

The <strong>Trust</strong> has developed a Quality Improvement Plan for 2012-13 which<br />

includes:<br />

Quality and Safety Priority Indicators 2012-13 (as above)<br />

Actions arising from the National Patient Survey results<br />

Actions arising from the <strong>Trust</strong> Patient Experience Survey results<br />

Safety and quality actions from external regulator’s visits/reports<br />

Actions relating to data quality in the <strong>Monitor</strong> External Assurance<br />

review.<br />

The Quality Improvement Plan will be published on the <strong>Trust</strong>’s internet site<br />

following publication of the Quality Accounts.<br />

22<br />

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

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