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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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

Securing and sustaining change No significant barriers have been Monitor practices in relation to consent via Consent Committee ongoing<br />

• Have the likely barriers to change and<br />

realistic ways to overcome them been<br />

identified?<br />

identified – medical staff are keen to<br />

ensure consent is properly obtained.<br />

the Consent committee and ensure training is<br />

provided as above<br />

• Who needs to change and how do you<br />

plan to approach them?<br />

• Have arrangements been made with<br />

service managers to enable staff to<br />

attend briefing and training sessions?<br />

• Are arrangements in place to ensure<br />

the induction of new staff reflects the<br />

policy?<br />

Initial barriers to implementation need<br />

to be addressed as well as those that<br />

may affect the on-going success of the<br />

policy.<br />

Evaluation<br />

• What are the main changes in practice<br />

that should be seen from the policy?<br />

• How might these be evaluated?<br />

• How will lessons learned from<br />

implementation of this policy be fed<br />

into the organisation?<br />

Evaluating and demonstrating the<br />

benefits of new policy is essential to<br />

promote the achievements of those<br />

involved and justify changes that have<br />

been made.<br />

Reduction in numbers of incidents /<br />

reduction in severity of incidents which<br />

do occur<br />

To be evaluated via the Consent Committee<br />

to ensure the policy is not adversely<br />

impacting on any patient groups<br />

Consent Committee<br />

Ongoing<br />

Other consideration<br />

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