Safety & security report - East and North Herts NHS Trust

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BackgroundGood safety and security management is essential in order to deliver an environment for thoseto work in or use the Trust that is properly secure and safe so that the highest standard ofclinical care can be made available to patients.AssuranceThe information provided indicates the focus of management activity that the Board would wishto be aware of and assists in the process of giving safety & security assurance to the Board.Health, Safety & Security Management is required to provide assurance for the following:Health & Safety Executive, Care Quality Commission, NHSLA, Environment Agency, Secretaryof State Directions (NHSCFSMS).Following the recent change in executive director accountability, this report will provide a briefoverview of the current position and outline the subjects that will be reported in more detail infuture quarterly reports.The Trust has a duty of care to staff, patients and visitors and is required to comply with anumber of Health and Safety Regulations.Key challenges;Failure to comply with trust policies and procedures represents a risk to the trust.Action; The trust provides corporate health & safety polices and procedures to all departmentsin a Safety & Security Red file. Each department is required to complete departmental riskassessments and file these in the departmental risk assessment file. These files are auditedannually by the Health & Safety Advisor. The results of the 2010 audit are shown below:198 red files audited;125 80% compliant or above65 70%-79% compliant9 below 70%.complianceThese 9 departments have action plans in place and are receiving support to further improvetheir score to achieve compliance.The Safety & Security Red files are also audited by the trusts auditors RSM Tenon; all actionsrequired from their last audit have been completed.Many incidents are unreported which makes accurate analysis difficultAction; The team liaises with Risk Management and the Police and uses training events tohighlight the importance of reporting. all thefts of property reported to Police.A poor security culture increases the incidence of theft of both personal and trustpropertyAction; Ensuring better partnership working with community safety partnership and the localneighbourhood policing teams. A number of security audits have been undertaken with supportfrom Hertfordshire Constabulary.RIDDOR reportable incidents are frequently outside the required 10 day deadline
Action; All RIDDOR reportable incidents have been investigated to ensure lessons have beenlearnt and appropriate measures are in place. All late RIDDOR submissions have beeninvestigated to ensure all staff are aware of the type of incidents that must be reported. Aregular review of all Datix entries is undertaken to identify possible RIDDOR reportableincidents, this allows for early contact with managers to establish if an F2508 is required.The existing manned guarding contract is no longer fit for purpose.The trust is unable to implement the powers of the Criminal Justice and ImmigrationAct or implement a full site lockdown.CCTV is out dated and unable to provide evidential quality images to assist in theprosecution of offendersAction: The existing security contract has been in place for a number of years. The contracthas been managed by the General Services Manager up until January 2011. The contract isnow managed by the Safety and Security Department. A review of the existing arrangementshas been undertaken but no decision made. The Director of Nursing has agreed to revisit thiscontract. There needs to be consideration in respect of increasing the number of hours thatsecurity officers are on site and the skills of those officers. The current contract covers nightsand weekends only. Day time incidents are managed by trust staff which potentially puts theseuntrained staff at risk. Existing security officers are not trained in control and restraint. Havingofficers trained in control and restraint available 24 hours a day would improve the safety andsecurity of all staff, patients and visitors and improve the trusts ability to secure and lockdownthe site should the need arise, an action required to be taken to implement the powers of theCriminal Justice and Immigration Act.Senior nursing staff have recently drafted a policy on control and restraint of patients/ visitorswhich will require trained personnel if this policy is to be implemented.An audit of all access and egress points has been completed and many additional doors havehad locks fitted enabling more exits to be secured in the event of a lockdown. A review ofCCTV will be completed in due course. The trust is non compliant with HTM 02 (A guidance document relating to thetraining required for staff who handle, transport and administer medical gases).Action: The management of medical gases presents a challenge to the trust as theprocurement, storage; transport and administration of medical gases are managed by a largenumber of different departments, across a number of different directorates. A number of risksappear on the risk register relating to maintenance and purchase of equipment for medicalgases in addition to issues relating to training of staff. A decision regarding operationalaccountability is required to ensure medical gases are managed appropriately. Initial training of60 members of staff has taken place during the first week of March and 5 staff have beentrained as medical gas trainers. Arrangements are underway to develop a mandatory trainingprogramme for all staff who handle and administer medical gases.HSE Enforcements/Visits1. Following an incident in June, the HSE visited Lister on July 14 th 2010 to review the safety &security arrangements regarding a patient who absconded from award and then jumped fromthe third storey floor of the Surgicentre.The HSE met with the Matron from A & E / Emergency Medicine, Safety Manager andrepresentatives from both Hertfordshire Foundation Trust and Carillion.The Inspector was satisfied that all parties had taken all reasonable measures to maintain thepatient’s safety and no action or recommendations were made.2. In February, the HSE visited Lister following the notification via RIDDOR of an exposure to ahazardous substance that occurred when a member of staff activated a carbon dioxide systemwhen they accessed the flammables store. We are currently awaiting a letter detailingrecommendations for action. The inspector accepted that issues relating to the training of staffwere implemented immediately after the incident occurred.
Page 1: defAgenda Item: 20TRUST BOARD 30 th
Page 5 and 6: Theft 44Moving & Handling No Patien
Page 7 and 8: SecurityDamage or loss to property

Safety & security report - East and North Herts NHS Trust

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