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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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SWBTB (2/10) 037 (e)<br />

KEY TASKS ISSUES IDENTIFIED ACTION TAKEN/PLANNED LEAD TIMESCALE<br />

Co-ordination of implementation<br />

• How will the implementation plan be<br />

co-ordinated and by whom?<br />

Clear co-ordination is essential to<br />

monitor and sustain progress against<br />

the implementation plan and resolve<br />

and issues that may arise.<br />

Director of Governance and DGMs<br />

Regular review of implementation of policy at<br />

1-1 with Head of Risk Management by<br />

Director of Governance Development<br />

Director of<br />

Governance<br />

March 10<br />

Engaging staff<br />

• Who is affected directly or indirectly<br />

by the policy?<br />

• Are the most influential staff involved<br />

in the implementation?<br />

Engaging staff and developing strong<br />

working relationships will provide a<br />

solid foundation for changes to be<br />

made.<br />

This policy affects clinical staff, in<br />

particular medical staff and surgical<br />

areas, although all clinical staff are<br />

potentially affected.<br />

The Clinical Risk Lead will be involved<br />

in implementation which will assist<br />

secure buy in from the medical body of<br />

staff.<br />

Clinical Risk Lead provides induction to<br />

junior doctors which will raise awareness.<br />

Clinical Risk Lead<br />

Ongoing<br />

Involving service users and carers<br />

• Is there a need to provide information<br />

to service users and carers regarding<br />

this policy?<br />

• Are there service users, carers,<br />

representatives or local organisations<br />

who could contribute to the<br />

implementation?<br />

No.<br />

Consent is discussed with patients on a case<br />

by case basis. Any complaints, incidents or<br />

claims will be identified and reviewed at the<br />

Consent Committee to ensure effective<br />

implementation of the policy<br />

Consent Committee<br />

Ongoing<br />

Involving service users and carers will<br />

ensure that any actions taken are in<br />

the best interests of the service users<br />

and carers and that they are better<br />

informed about their care.<br />

Communication<br />

• What are the key messages to<br />

communicate to the different<br />

stakeholders?<br />

• How will these messages be<br />

The key messages relate to the new<br />

Mental Capacity Act and to the need to<br />

ensure staff are communicating fully<br />

with patients who may have difficulty<br />

communicating.<br />

- Awareness to be raised in the Staff<br />

bulletin and in Heartbeat<br />

- Mental Capacity Act training being<br />

provided to staff<br />

- Awareness raising sessions to be<br />

Head of Risk<br />

Management<br />

March 2008

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