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RQIA Annual Report & Accounts 2011-12 - Regulation and Quality ...

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The team noted that the establishment of a local adult safeguarding partnership in<br />

each trust has fundamentally changed the governance of adult protection services.<br />

In addition, the work streams under the Northern Irel<strong>and</strong> Adult Safeguarding<br />

Partnership have brought a clearer focus on the safeguarding <strong>and</strong> protection of<br />

vulnerable adults. The review made a range of recommendations for those<br />

organisations involved, reinforcing the need to adhere to the guidance within the<br />

protocol in relation to governance, training <strong>and</strong> record keeping.<br />

Review of Mixed Gender Accommodation<br />

During <strong>2011</strong>-<strong>12</strong> <strong>RQIA</strong> completed a review commissioned by DHSSPS to examine<br />

the processes put in place by HSC trusts in relation to the management of care in<br />

mixed gender accommodation. In Northern Irel<strong>and</strong>, care in mixed gender<br />

accommodation has been identified as a concern by DHSSPS as a result of a<br />

number of serious adverse incidents (SAIs) reported by trusts in wards where there<br />

has been mixed gender care. Currently there are no equivalent st<strong>and</strong>ards in<br />

Northern Irel<strong>and</strong> to those in Engl<strong>and</strong>, where there is a zero tolerance policy in<br />

respect of care in mixed gender accommodation. The review report, which makes<br />

a number of recommendations for improvement, is due for publication in early<br />

20<strong>12</strong>-13.<br />

Reviews Commissioned by the Minister for Health, Social Services <strong>and</strong> Public<br />

Safety<br />

<strong>RQIA</strong> also undertook two reviews commissioned by the Minister for Health, Social<br />

Services <strong>and</strong> Public Safety: a two phase review on reporting arrangements for<br />

radiological investigations, commissioned on 18 February <strong>2011</strong>; <strong>and</strong> an<br />

independent review of incidents of pseudomonas aeruginosa in neonatal units in<br />

Northern Irel<strong>and</strong>, commissioned on 30 January 20<strong>12</strong>.<br />

<strong>RQIA</strong> Independent Review of <strong>Report</strong>ing Arrangements for Radiological<br />

Investigations - Phases One <strong>and</strong> Two)<br />

In February <strong>2011</strong>, the Minister for Health, Social Services <strong>and</strong> Public Safety<br />

commissioned this review following delays in the reporting of plain x-rays at<br />

Altnagelvin <strong>and</strong> Craigavon hospitals. <strong>RQIA</strong>‟s review team included expert advisors<br />

from across the UK, including Dr Nicola Strickl<strong>and</strong>, Registrar of the Royal College<br />

of Radiologists. The first phase examined governance arrangements across the<br />

five HSC trusts to assure patient safety <strong>and</strong> protection with regard to h<strong>and</strong>ling <strong>and</strong><br />

reporting on radiological investigations. <strong>RQIA</strong> published the first phase of this<br />

review in August <strong>2011</strong>, making <strong>12</strong> recommendations for improvement.<br />

The second phase of the review examined the circumstances leading to delays in<br />

h<strong>and</strong>ling <strong>and</strong> reporting of radiological investigations in the Southern <strong>and</strong> Western<br />

Trusts <strong>and</strong> how these delays were managed. <strong>RQIA</strong>‟s review team also met with a<br />

number of families who described the impact of these delays on their families. This<br />

phase, which was completed in December <strong>2011</strong>, made 14 further recommendations<br />

for improvement.<br />

16

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