Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportThe percentage of records in thepublished data which included the validGeneral Practitioner Registration Codewas 100% for admitted patient care:100% for outpatient care; and 100% foraccident and emergency care.Additional Information:Collecting the correct NHS number andsupplying correct information to SUS(Secondary User Service) is importantbecause:l It is the only National Unique PatientIdentifierl It supports safer patientidentification practicesl It helps create a complete record,linking every episode of care acrossorganisationsThis standard covers the specific issueof capture of NHS numbers. The widerdata quality measures and assuranceon Information Governance are coveredunder the next standard.Statement Seven:Information Governance ToolkitAttainment LevelsAll NHS Trusts are required to completean annual Information Governanceassessment via the InformationGovernance Toolkit. The self-assessmentmust be submitted to Connecting forHealth, with all evidence uploaded by 31March 2013.The Trust’s Information GovernanceToolkit Version 10 assessment overallscore for 2012/13 was 76% but wasgraded Not Satisfactory, as the Trusthad achieved a score of at least a Level2 in all but one of the 45 requirements.This overall score includes 14 standardsgraded at Level 3, which is the maximumscore that can be attained on anystandard.Additional Information:The Trust’s overall score of 76%represents an increase in complianceof 4% from its 2011/12 Version 9submission. However, as noted theTrust’s submission was graded NotSatisfactory overall. In order to attainSatisfactory status, organisations arerequired to achieve a score of at leasta Level 2 in all of the 45 requirements.During 2012/13, the Trust did not meetthis target in one requirement in relationto Clinical Coding, which was gradedat a Level 1. This specific standardrequired the Trust to evidence a codingerror rate based upon the ClinicalCoding Audit Methodology set out bythe NHS Classifications Service. TheTrust has taken the decision to insteadadhere to the Charlson Index - thecomorbidity coding standards requiredby Dr Foster. Additional checks havebeen carried out to confirm that, werethe Trust to adhere to the Connectingfor Health coding standards, it wouldbe compliant with the requirements ofthe Information Governance Toolkit.The Trust has contacted the CareQuality Commission and Monitor toexplain the reason for this, as well ashighlighting the issue with Connectingfor Health.During 2012/13 the Trust hasenhanced its Information Governancearrangements by revising all the corepolicy documents to provide clearerand more practical guidance for staff.The list of Information Asset Ownersfor the Trust has also been recentlyupdated to ensure that all areas haddesignated an Information AssetOwner and they were aware of theirresponsibilities and have undertakeninitial/refresher training relevant to therole.At the same time there has been anincrease in the number of InformationGovernance incidents reported, whichdemonstrates growing awareness ofInformation Governance as a resultof mandatory training. This included72Annual Report and Accounts 2012/13