Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

More documents

Recommendations

Info

Action required, including Recommendations:Members of the Board are asked note the contents of the report and approve thedeclaration of compliance with the requirements of Eliminating Mixed SexAccommodationLinks with the Assurance Framework (Risks, Controls and Assurance):This report links principally to risk S3: CQC Registration:Failure to maintain existing systems to assure the Board that basic outcome standardsare being met.Summary of Constitutional / Financial/ Legal / PPI / Equality and DiversityImplications:Devon Partnership NHS Trust is required to be compliant with all standards set byregulation.Links to Strategic Aims:Safe X Recovery-focused XTimely X Sustainable XPersonalisedXThis report references:CQCRegulationsAll outcome areasPage 36 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 7DEVON PARTNERSHIP NHS TRUSTBOARD OF DIRECTORSMeeting on 29 March 2012QUALITY, COMPLIANCE AND THE EXPERIENCE OF USING SERVICES1. Purpose of the reportTo inform the Board of Directors of: The Trust’s progress with its quality improvement plans The current level of compliance with regulatory and internal standards of practice The reported experience of using services The quality of the care environment2. ProvenanceThe Trust has developed a quality improvement framework based on the measurementof regulatory compliance, standards of practice and the evaluation of services bypeople who use them. These measures are combined with other quality andperformance information to allow monitoring through team dashboards.3. Key points for the Board to note3.1 This report will have been considered in detail at the Quality and Safety Committee on22 March 20123.2 The Trust is required to review and refresh its statement of compliance with therequirements of Eliminating Mixed Sex Accommodation. There have been no reportablebreaches in the past twelve months and the Board is asked to approve the publicationof the statement in section 10 (page 14)3.3 The Trust has agreed the Commissioning for Quality and Innovation (CQUIN) targetsfor 2012 /13. These targets have been agreed through reference to national mandatorytargets and local commissioner and provider priorities.3.4 The Heads of Profession and Practice are working with modern matrons and seniormanagers to improve the reliability of the provider compliance assessment (PCA)checking process. This will enable the Board of Directors to have improved confidencein KPI 290 which is the principle measure of assurance in relation to team levelassessments of compliance with CQC outcome standards.3.5 The Care Quality Commission Mental Health Act inspectorate have carried out a reviewof Community Treatment Orders (CTOs) within the Trust. The findings of the reviewwere still awaited at the time of writing.3.6 A quality, safety and effectiveness dashboard has been agreed with commissioners.From April 2012, this will form the basis of the Trust’s monthly contract quality reviewsand will be included in future quarterly reports to the Board. A modified version iscurrently being piloted with commissioners.Page 37 of 156
Page 1 and 2: Devon Partnership NHS Trust Board o
Page 3 and 4: 3DEVON PARTNERSHIP NHS TRUSTBOARD O
Page 5 and 6: 4DEVON PARTNERSHIP NHS TRUSTBOARD O
Page 8 and 9: Board of Directors Meeting, 29 Marc
Page 18 and 19: Page 18 of 156
Page 26 and 27: Links to Strategic Aims:Safe x Reco
Page 28 and 29: 2.2.2 The key points for the Board
Page 30 and 31: Impact across many of these issues
Page 38 and 39: 4 Quality improvementBoard of Direc
Page 40 and 41: 6. Compliance with Trust standards
Page 42 and 43: 7. The experience of using services
Page 46 and 47: 7.5.4 Acting on feedbackBoard of Di
Page 48 and 49: 9.2.4 Outbreaks and Incidents• Th
Page 50 and 51: Experience 2Appendix 1: Quality, sa
Page 52 and 53: CQUIN 4Effectiveness 3Board of Dire
Page 54 and 55: Appendix 32012/13 CQUIN targetsBoar
Page 56 and 57: Links to Strategic Aims:Safe x Reco
Page 64 and 65: PersonalisedXThis report references
Page 68 and 69: the Trust Board and all staffBoard
Page 72 and 73: Page 72 of 156Board of Directors Me
Page 74 and 75: Appendix 4Board of Directors Meetin
Page 82 and 83: Page 82 of 156Board of Directors Me
Page 86 and 87:
Board of Directors Meeting, 29 Marc
Page 89 and 90:
Page 92:
Links to Strategic Aims:Safe X Reco
Page 95 and 96:
Page 97 and 98:
12DEVON PARTNERSHIP NHS TRUSTBOARD
Page 99 and 100:
Board of Directors Performance Repo
Page 101 and 102:
Page 103 and 104:
6,3936,5076,5396,1116,8496,9156,393
Page 105 and 106:
Page 107 and 108:
ASSURANCE FRAMEWORK AND CORPORATE R
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Assurance Framework andCorporate Ri
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Guidance - 5 Steps to Risk Assessme
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
KeyStandingcommitteeNED chairedStan
Page 139 and 140:
Appendix D - Risk Escalation Matrix
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
show all

Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

Create successful ePaper yourself

Delete template?

Save as template?