A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

SeriousnessMonitor will take into account a range of relevant factors in assessing seriousness, including:the nature and the scale of the harm that a breach or potential breach has caused or iscapable of causing to health care service users. Monitor intends to assess:ooooowho has been or is likely to be affected;the extent to which any harm could be reversed or remedied;the number of health care service users affected, or potentially affected,whether directly or indirectly;the actual or potential impact on those health care users;the duration of any harmful effects of potential effects;whether the provider knew or should have known that its actions would risk noncompliance;and/orwhether the provider has committed a breach before.The more serious the breach, the more likely Monitor will be to impose discretionaryrequirements.Ensuring provider complianceMonitor will consider what action may be needed to ensure: that a breach not continue; and/orthat the provider end the breach and not repeat it. Monitor will also consider what forms ofintervention may be needed to deter similar breaches from recurring.In considering whether requirements are needed to ensure that a breach not continue, Monitorproposes to assess, amongst other relevant factors:whether the breach has been brought to an end;if the breach is continuing, what steps the provider has taken and/or proposes to takevoluntarily in order to bring the breach to an end;whether, if the provider has proposed voluntary steps, it would still be beneficial to ensurethat the breach does not continue by imposing requirements relating to those proposedsteps;whether there are other steps which Monitor considers should be taken in order to ensurethat the breach not continue; andPage 19 of 50