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last updated 31 March 2010

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ACTION<br />

Review use of female day<br />

room on Elgar Ward<br />

Epsom following CQC visit<br />

report<br />

Review female day room at<br />

Arreton Guildford and<br />

location of male / female<br />

bedrooms and bathrooms<br />

following CQC visit report<br />

Review Consultant Nurse<br />

Audit of Mixed Sex<br />

Accommodation which was<br />

completed in October 2008<br />

Capital business case<br />

template to include<br />

reference to Privacy and<br />

Dignity and DSSA<br />

EXECUTIVE<br />

LEAD<br />

LEAD<br />

MANAGER<br />

DATE<br />

DUE<br />

MONITORING<br />

GROUP /<br />

COMMITTEE<br />

JY EJ June <strong>2010</strong> Acute Care<br />

Forum<br />

JY HW May <strong>2010</strong> Acute Care<br />

Forum<br />

JY CS May <strong>2010</strong> Acute Care<br />

Forum / ACF<br />

PK CH April <strong>2010</strong> Capital<br />

Projects<br />

Assurance<br />

Group<br />

PROGRESS<br />

piloted as a single sex ward.<br />

Matron is reviewing privacy<br />

and dignity on the Unit and 2<br />

wards are due to become<br />

single sex from May <strong>2010</strong><br />

Matron is reviewing privacy<br />

and dignity on the Unit. A<br />

female day room has been<br />

identified.<br />

Audit circulated for<br />

discussion at Matrons<br />

meeting. Audit to be taken to<br />

ACF<br />

Template to be discussed<br />

and amended at April CPAG<br />

RAG<br />

STATUS<br />

A<br />

A<br />

A<br />

A<br />

SYSTEMS AND<br />

PROCESSES<br />

DSSA is monitored<br />

regularly at the Trust Board<br />

Any privacy and dignity /<br />

DSSA breaches to be<br />

investigated and reported<br />

to the Quality Committee<br />

DSSA Delivery Plan and<br />

any DSSA breaches to be<br />

reported to commissioners<br />

MS LM April <strong>2010</strong> Trust Board Reporting agreed at <strong>March</strong><br />

Trust Board. New reporting<br />

arrangements start in April<br />

<strong>2010</strong><br />

JY HW / EJ /<br />

JR / AE /<br />

BP<br />

April<br />

Quality<br />

Committee<br />

JY AS April <strong>2010</strong> Contract<br />

Meetings<br />

Monthly exception reporting<br />

in place and linked to PSR.<br />

Formal weekly breach<br />

reporting template in place<br />

and in use. DSSA Delivery<br />

G<br />

G<br />

G<br />

DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 3 of 5

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