Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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SWBTB (2/10) 037 ALIGNMENT TO OBJECTIVES AND INSPECTION CRITERIA: High quality of care Strategic objectives Annual priorities NHS LA standards Core Standards Standard 4 ‘Clinical Care’ SfBH Core Standards and CQC Regulation 18 Auditors’ Local Evaluation IMPACT ASSESSMENT (Indicate with ‘x’ all those that apply in the second column): Financial Business and market share Clinical x Workforce Environmental Legal & Policy Equality and Diversity Patient Experience x Communications & Media Risks PREVIOUS CONSIDERATION: Policy reviewed at Consent Group and was approved at the Governance Board at its meeting held on 5 February 2010 Page 2
SWBTB (2/10) 037 (a) 1 Introduction 1.1 Why consent is crucial Patients have a fundamental legal and ethical right to determine what happens to their own bodies. Valid consent to treatment is therefore absolutely central in all forms of healthcare, from providing personal care to undertaking major surgery. Seeking consent is also a matter of common courtesy between health professionals and patients. 1.2 This policy The Department of Health has issued a range of guidance documents on consent, and these should be consulted for details of the law and good practice requirements on consent. This policy sets out the standards and procedures in this Trust, which aim to ensure that health professionals are able to comply with the guidance. While this document is primarily concerned with healthcare, social care colleagues should also be aware of their obligations to obtain consent before providing certain forms of social care, such as those that involve touching the patient or client. One of the foundation stones of this policy is that the consultant responsible for a patient is responsible for ensuring that a valid consent is taken and that the patient’s wishes are respected throughout. 1.3 What consent is – and isn’t “Consent” is a patent’s agreement for a health professional to provide care. Patients may indicate consent non-verbally (for example by presenting their arm for their pulse to be taken), orally, or in writing. For the consent to be valid, the patient must: • Have capacity to take the particular decision; • Have received sufficient information to take it; and • Not be acting under duress. The context of consent can take many different forms, ranging from the active request by a patient of a particular treatment (which may or may not be appropriate or available) to the passive acceptance of a health professional’s advice. In some cases, the health professional will suggest a particular form of treatment or investigation and after discussion the patient may agree to accept it. In others, there may be a number of ways of treating a condition, and the health professional will help the patient to decide between them. Some patients, especially those with chronic conditions, become very well informed about their illness and may actively request particular treatments. In many cases, ‘seeking consent’ is better described as ‘joint decision-making’: the patient and health professional should come to an agreement on the best way forward, based on the patient’s values and preferences and the health professional’s clinical knowledge. Where an adult patient lacks the mental capacity (either temporarily or permanently) to give or withhold consent for themselves, no-one else can give consent on their behalf unless they have been given the authority to do so under a Lasting Power of Attorney or as a court appointed deputy. However, treatment may be given if it is in their best interests, as long as it has not been refused in advance in a valid and applicable advance directive. For further details on advance directives see the 1
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SWBTB (2/10) 026 AGENDA Trust Board
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SWBTB (2/10) 026 18 Any other busin
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MINUTES approved as true and accura
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MINUTES expectation that there woul
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MINUTES however the structure would
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MINUTES which was reported to be un
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MINUTES Mr Cash asked which communi
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MINUTES Mr Seager presented an upda
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SWBTB (2/10) 025 (a) Next Meeting:
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SWBTB (2/10) 035 TRUST BOARD DOCUME
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SWBTB (2/10) 035 PREVIOUS CONSIDERA
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SWBTB (2/10) 035 (a) Contents Page
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SWBTB (2/10) 035 (a) 2. Methodology
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SWBTB (2/10) 035 (a) 2.3 Reach 780
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SWBTB (2/10) 035 (a) 7
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SWBTB (2/10) 035 (a) 3. Option Pref
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SWBTB (2/10) 035 (a) Table 3 Comple
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SWBTB (2/10) 035 (a) • A number o
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SWBTB (2/10) 035 (a) • Satisfied
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SWBTB (2/10) 035 (a) • Bad experi
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SWBTB (2/10) 035 (a) Table 5 Focus
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SWBTB (2/10) 035 (a) Some women kne
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SWBTB (2/10) 035 (a) • Reputation
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SWBTB (2/10) 035 (a) Young people p
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SWBTB (2/10) 035 (a) Table 7 Showin
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SWBTB (2/10) 035 (a) home birth wou
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SWBTB (2/10) 035 (a) Black Caribbea
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SWBTB (2/10) 035 (a) White and Blac
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SWBTB (2/10) 035 (a) • Labour Par
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SWBTB (2/10) 035 (a) Role Number of
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SWBTB (2/10) 035 (a) Appendix 1 Foc
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SWBTB (2/10) 035 (a) Appendix 2 Pro
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SWBTB (2/10) 035 (a) Postcode Area
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SWBTB (2/10) 035 (a) Chart 2: Women
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SWBTB (2/10) 035 (a) Chart 6: Women
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SWBTB (2/10) 035 (a) Chart 10: Wome
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SWBTB (2/10) 035 (a) Appendix 5 Com
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SWBTB (2/10) 045 IMPACT ASSESSMENT
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SWBTB (2/10) 045 (a) MATERNITY SERV
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SWBTB (2/10) 045 (a) All consultant
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SWBTB (2/10) 045 (a) strategy the S
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SWBTB (2/10) 045 (a) These efforts
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SWBTB (2/10) 045 (a) risk women in
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SWBTB (2/10) 045 (a) • Shorter la
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SWBTB (2/10) 045 (a) Benefit Descri
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SWBTB (2/10) 045 (a) From the compl
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SWBTB (2/10) 045 (a) Concerns about
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SWBTB (2/10) 045 (a) Stages 5 - 9:
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SWBTB (2/10) 037 (b) Appendix G THE
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SWBTB (2/10) 037 (d) Sandwell and W
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SWBTB (2/10) 037 (d) Introduction T
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SWBTB (2/10) 037 (d) What are the m
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SWBTB (2/10) 037 (d) How do I begin
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Frequently asked Questions SWBTB (2
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SAPG OCT 09 - 11 - SWBTB (2/10) 037
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SWBTB (2/10) 037 (d) Q5) Who was in
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SWBTB (2/10) 037 (d) Appendix B San
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SWBTB (2/10) 037 (d) 4d The EIA rev
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SWBTB (2/10) 037 (d) Date: Contact
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SWBTB (2/10) 037 (e) KEY TASKS ISSU
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KEY TASKS ISSUES IDENTIFIED ACTION
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SWBTB (2/10) 029 ALIGNMENT TO OBJEC
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SWBTB (2/10) 038 ALIGNMENT TO TRUST
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SWBTB (2/10) 038 (a) From 2010/11 M
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SWBTB (2/10) 038 (a) Median rate 2.
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SWBTB (2/10) 038 (a) Audit and Trai
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SWBTB (2/10) 046 (a) Compliance Cri
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3 Provide suitable and sufficient i
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SWBTB (2/10) 027 (a) PEAT Expendit
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SWBTB (2/10) 039 (a) Theme Triggers
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SWBTB (2/10) 029 (a) INTRODUCTION S
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In terms of affordability the follo
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SMOCS Sandwell PEC HoBt PEC Childre
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As reported last month, the date fo
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Les Williams Programme Director 201
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Respiratory The Project Lead post h
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With the revised activity / afforda
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SANDWELL AND WEST BIRMINGHAM HOSPIT
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Exec Lead RK R0 Readmission Rates I
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Exec Lead RK RK YTD 09/10 No. 6388
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SWBTB (2/10) 042 (a) SANDWELL AND W
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SWBTB (2/10) 043 DOCUMENT TITLE: SP
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SWBTB (2/10) 043 (a) DEVELOPING THE
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SWBFC (1/10) 010 Finance and Perfor
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SWBFC (1/10) 010 this be adopted as
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SWBFC (1/10) 010 The Committee was
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SWBFC (1/10) 010 8.2 Actions and de
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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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