Incident reporting policy - Homerton University Hospital

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Equalities Impact AssessmentThis checklist should be completed for all new Corporate Policies and procedures to understand their potentialimpact on equalities and assure equality in service delivery and employment.Policy/ServiceName:Incident Reporting PolicyDavid BridgerAuthor:Nicola HavutcuHead of GovernanceRole:Clinical Risk Manager (Interim)Directorate: Risk ManagementDate 1/4/10Equalities Impact AssessmentQuestion1. How does the attachedpolicy/service fit into the trustsoverall aims?Yes No CommentYes2. How will the policy/service beimplemented?3. What outcomes are intended byimplementing the policy/deliveringthe service?Through existing Risk ManagementarrangementsAll incidents are report andinvestigated appropriatelyAll incidents are validated for accuracyand appropriate action4. How will the above outcomes bemeasured? Section Section 23.05. Who are they key stakeholders inrespect of this policy/service andhow have they been involved?6. Does this policy/service impacton other policies or services andis that impact understood?7. Does this policy/service impacton other agencies and is thatimpact understood?PSCIRGYesBeing Open Policy (link made)NoPage 44 of 47
8. Is there any data on the policy orservice that will help inform theEqIA?No9. Are there are information gaps,and how will they beaddressed/what additionalinformation is required?NoEqualities Impact AssessmentQuestion10. Does the policy or servicedevelopment have an adverseimpact on any particular group?Yes No CommentX11. Could the way the policy iscarried out have an adverseimpact on equality of opportunityor good relations betweendifferent groups?X12. Where an adverse impact hasbeen identified can changes bemade to minimise it?N/a13. Is the policy directly or indirectlydiscriminatory, and can the latterbe justified?X14. Is the policy intended to increaseequality of opportunity bypermitting Positive Action orReasonable Adjustment? If so isthis lawful?XEQUALITIES IMPACT ASSESSMENTFOR POLICIES AND PROCEDURES2. If any of the questions are answered „yes‟, then the proposed policy is likely to be relevant to the Trust‟sresponsibilities under the equalities duties. Please provide the ratifying committee with information on why„yes‟ answers were given and whether or not this is justifiable for clinical reasons. The author shouldconsult with the Director of HR & Environment to develop a more detailed assessment of the Policy‟simpact and, where appropriate, design monitoring and reporting systems if there is any uncertainty.3. A copy of the completed form should be submitted to the ratifying committee when submitting thedocument for ratification. The Committee will inform you if they perceive the Impact to be sufficient that amore detailed assessment is required. In this instance, the result of this impact assessment and anyfurther work should be summarised in the body of the Policy and support will be given to ensure that thepolicy promotes equality.Page 45 of 47
Page 3: 1.0 Version ControlVersion Date Aut
Page 6 and 7: 6.0 Policy Definitions6.1 Adverse I
Page 8 and 9: The person in charge at the time of
Page 10 and 11: • Review sessions throughout the
Page 12 and 13: They refer serious incident investi
Page 14 and 15: Level of Incident Process Investiga
Page 16 and 17: 17.3 Communication with StaffIt wil
Page 18 and 19: Trust‟s Raising Concerns at Work
Page 20 and 21: o action or lack of action by a mem
Page 22 and 23: In the event of a suspected SUI it
Page 24 and 25: managers determine how staff can be
Page 26 and 27: In cases where there may be legal i
Page 28 and 29: Appendix 1: Incident Risk Assessmen
Page 30 and 31: Table 2 Likelihood score (L)What is
Page 32 and 33: Community• Unplanned homebirth•
Page 34 and 35: Appendix 4: Reporting to External A
Page 36 and 37: Appendix 5: Reportable injuries or
Page 38 and 39: Appendix 6MEMORANDUM OF UNDERSTANDI
Page 40 and 41: Appendix 8: Infection Control Serio
Page 42 and 43: Appendix 10 - 24 Hour Meeting Agend
Page 46 and 47: Policy Submission FormPolicy Submis

Incident reporting policy - Homerton University Hospital

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