Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals
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SWBTB (2/10) 037 (a)<br />
Staff undertaking delegated consent will undertake training specific to the procedures they are<br />
consenting the patient to. Those staff will also be expected to compete the EIDO consent training (be<br />
informed: The medical legal resource on consent to treatment). The EIDO Consent basic user guide is<br />
accessed via the Intranet in Clinical Governance/Clinical Risk/Education & Training or found at<br />
http://swbhweb/server.php?show=conClinicalGuideline.9137<br />
All staff will be encouraged to undertake self assessment training programme using the EIDO consent<br />
training purchased by the <strong>Trust</strong>.<br />
Delegated consent training packages have been developed for procedure-specific consent training.<br />
These training packages must be used for the purpose of training staff who are not capable of<br />
performing the procedure to take consent.<br />
17 Audit and monitoring<br />
17.1 Audit<br />
1. A corporate consent audit to measure compliance with the CONSENT FOR EXAMINATION OR<br />
TREATMENT POLICY will be carried out on an annual basis<br />
2. Divisional/speciality leads for the consent audit will be identified in the speciality clinical audit<br />
forward plans<br />
3. Roles and responsibilities for the consent audit will be:<br />
• The Clinical/Divisional Director is responsible for ensuring that annual audits of the delegated<br />
consented procedures and treatments are undertaken and reported<br />
• Healthcare professionals taking consent must participate in annual audits of consent<br />
• The Clinical Effectiveness Department will co-ordinate the annual corporate audit of consent<br />
in conjunction with the <strong>Trust</strong> Consent for Treatment Group who will approve the data<br />
collection tool.<br />
• Results from the annual consent audit will be presented to the <strong>Trust</strong> Consent for Treatment<br />
Group and the Governance <strong>Board</strong>.<br />
The consent audit will review compliance with the following standards:<br />
• Patients receive a copy of the consent form<br />
• The appropriate consent form is used<br />
• All sections of the consent form are completed appropriately<br />
• Risk, benefits and alternatives of the proposed procedure are discussed with the patient and<br />
are documented by the clinician.<br />
• Consent is taken by:<br />
A Consultant<br />
A Healthcare professional capable of performing the procedure<br />
A Healthcare professional who has received specialist training<br />
• Patient consent is confirmed in cases where the consent form has not been signed on the<br />
day of the procedure<br />
21
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