Annual Report and Accounts - The Great Western Hospital

Steering Group, provides a quarterly data quality and completeness report, including the results of
data accuracy tests. The Data Quality Group also undertakes a Data Quality Work Programme,
which includes data quality reporting, training and awareness, clinical coding, and policies and
procedures. These corporate and operational arrangements ensure that information governance and
data quality are prioritised at all levels of the Trust.
Each year the Trust completes a comprehensive self-assessment of its information governance
arrangements by means of the NHS Information Governance Toolkit. The main Toolkit headings are:
• Information Governance Management
• Confidentiality and Data Protection Assurance
• Information Security Assurance
• Clinical Information Assurance – Health Records and Information Quality
• Secondary Use Assurance
• Corporate Information Assurance – Records Management and Freedom of Information.
These assessments and the information governance measures themselves are regularly validated
through independent internal audit. The Trust’s Information Governance Assessment Report overall
score for 2011/12 was 77% and was graded Green/Satisfactory, with a satisfactory rating in every
heading of the Information Governance Toolkit.
6.3.6 Explanatory Note for clinical Coding
The Clinical Coding Audit carried out by the Audit Commission takes a sample of 100 patients from a
selected specialty, in this years audit Trauma and Orthopaedics, as well as 100 patients randomly
selected across all specialties. The samples are therefore small and the results of the audit should
not be extrapolated further than the actual sample audited.
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