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Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

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Paper D<strong>NHS</strong> <strong>Leicester</strong> City <strong>Board</strong> <strong>Meeting</strong>12 May 2011The survey questionnaires were distributed by clinical staff to <strong>the</strong>ir patients with<strong>the</strong> advice that staff should not help <strong>the</strong> patients to complete <strong>the</strong> survey, butshould refer patients to <strong>the</strong> Ujala Resource Centre helpline if <strong>the</strong>y required anyhelp. Approximately 5000 questionnaires were distributed; 954 responses werereceived, giving a response rate <strong>of</strong> 19%.Overall <strong>the</strong> findings reflected positively on LCCHS, patients were generallyhappy with <strong>the</strong> way <strong>the</strong>y were cared for by our staff; when a procedure ortreatment was carried out, 94% <strong>of</strong> patients felt happy that <strong>the</strong> risks and benefitswere explained to <strong>the</strong>m, 93% felt that <strong>the</strong>y understood what would happen, and98% were given enough privacy during this process.Where comments were critical or negative <strong>the</strong>y tended to fall into severalcategories, including appointments and booking systems – how <strong>the</strong>se can beconfusing or non-intuitive; waiting times; keeping to appointment times;continuity <strong>of</strong> care and have <strong>the</strong> same health pr<strong>of</strong>essional visit; car parking andrude or impolite behaviour by some staff.The report demonstrates that patients positively rate <strong>the</strong> care <strong>the</strong>y havereceived. Ten questions showed a measurable improvement over <strong>the</strong> previoussurvey in 2009/10 and eight maintained <strong>the</strong> same high scores as last year,giving an overall 2% average improvement in scores.It was RESOLVED:- to note <strong>the</strong> report.PS/11/59To Receive a Report on <strong>the</strong> Compliance with <strong>the</strong> Care QualityCommission’s Essential Standards <strong>of</strong> Quality and SafetyNichola Crust informed <strong>the</strong> <strong>Board</strong> that providers <strong>of</strong> health care services arerequired to demonstrate ongoing compliance with <strong>the</strong> Care QualityCommission’s ‘Essential Standards <strong>of</strong> Quality and Safety’ as a condition <strong>of</strong>maintaining registration. The work undertaken by LCCHS to ensure it remainscompliant with those standards was described to <strong>the</strong> <strong>Board</strong>.LCCHS has a robust integrated governance structure and oversightand scrutiny <strong>of</strong> <strong>the</strong> organisation’s performance against national, regional andlocal standards generally has been maintained by <strong>the</strong> Clinical Governance,Health and Safety, and Finance and Performance Committees on behalf <strong>of</strong> <strong>the</strong>Provider Services <strong>Board</strong>. LCCHS has collated evidence throughout <strong>the</strong> year.However, to add external scrutiny to this process, <strong>the</strong> organisation has held twoConfirm and Challenge sessions led by a panel comprising an Independent<strong>Board</strong> Member, <strong>the</strong> Head <strong>of</strong> <strong>the</strong> <strong>NHS</strong> East Midlands Internal Audit Service and<strong>the</strong> Associate Director for Quality and Development. A thirdConfirm and Challenge session is scheduled to take place in April 2011and this will review <strong>the</strong> evidence supporting <strong>the</strong> remaining fouroutcomes.The Quality and Risk Pr<strong>of</strong>ile (QRP) is published by <strong>the</strong> CQC eachmonth; and <strong>the</strong> most recent QRP was published in February 2011 and this9

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