Community Engagement Group Agenda Item No .4 Report No. 1 Purpose For discussion Date of Meeting 11 November 2013 From : Barbara McLean, Chief Nursing Officer NHS Quality Agenda 1. Purpose 1.1 Community Engagement Group members are asked to consider and discuss the quality agenda report attached to this cover sheet. Author: Barbara McLean
NHS QUALITY AGENDA Community Engagement Group 11 November 2013 @ Haverhill Arts Centre - High Street, Haverhill, Suffolk CB9 8AR Chief Nursing Officer 11/11/2013 Introduction The NHS Quality agenda is guided by the NHS National Quality Board (NQB). Since its inception, the NQB has produced guidance for the NHS outlining the following operating principles: • The patient comes first – not the needs of any organisation • Quality is everybody’s business – from the ward to the board; from the supervisory bodies to the regulators, from the commissioners to primary care clinicians and managers • If we have concerns, we speak out and raise questions without hesitation • We listen in a systematic way to what our patients and our staff tell us about the quality of care • If concerns are raised we listen and ‘go and look’ • We share our hard and soft intelligence on quality with others and actively look at the hard and soft intelligence on quality of others • If we are not sure what to decide or do, we seek advice from others • Our behaviours and values will be consistent with the NHS Constitution The principles have subsequently been reiterated as core to the safe handover of services during the recent reorganisation and essential for the operation of Clinical Commissioning Groups and other Commissioners, as well as providers in the reorganised NHS. The Ipswich & East Suffolk CCG have pursued these principles in all of the organisations work on the monitoring and commissioning of services to meet the health needs of Suffolk residents. The attached structure and catalogue details how this work is carried out. 1
CHIEF NURSING OFFICER Barbara McLean Executive Assistants Sandy Last Patricia Groves Patient Safety Clinical Quality Patient Experience Clinical Effectivenss Director Infection Prevention & Control Safeguarding Children & Vulnerable Adults Accountable Officer for Controlled Drugs 2
PATIENT SAFETY & CLINICAL QUALITY Systems and Process Systems and Process Patient Safety : Patient experience: Patient Safety, serious incident reporting and never events, Infection control Complaints Undertaking clinical investigations Advice and Guidance enquiries and overseeing serious case reviews Provider Patient Experience Development Accountable Officer for Controlled Drugs Regulatory Responsibility : Supporting the provision of Monitoring quality standards and Clinical Quality Standards: Quality Accounts verification Safeguarding Children Undertaking Quality Improvement Visits and Looked After Children Ensuring providers have appropriate Patient Safety and Clinical Safeguarding Vulnerable Adults clinical governance arrangements. Quality Team and the Deprivation of Liberty Standards Development of clinical standards Liaison with the Care Quality Commission Caldicott Guardian • Review and cross-referencing of Information. • Analysing for themes with and across organisations - potential early warning system. • Link with commissioning, reviewing contractual information Reporting: • Provider contract monthly minutes • Monthly performance reporting • Exception reporting on serious concerns • Updating risk register and assurance framework • Annual reporting on patient experience etc. 3
Head of Patient Safety & Clinical Effectiveness Karen Smith Administrator Sharon Keeble SIRI lead – monitoring numbers, qualities of investigations and completion of action plans, considering with other data as an early warning system of problems for each provider – following up with a QIV for assurance of implementation of actions Member of the team Adult safeguarding lead – reviewing tender ensuring providers submissions for adhere to policies and guidance and are new/revised service organisationally treating contracts – ensuring the people with respect and PATIENT applicant has good dignity, linking with the patient safety and Adult Safeguarding Board SAFETY clinical quality policies to ensure system-wide and systems improvements & CLINICAL EFFECTIVENES SS Monitoring contract data Member of the Prison related to PS & CQ for each Health Partnership Board provider – alerting on – reporting on / concerns/problems which can monitoring PS & CQ be taken forward at the aspects of health contract monitoring meeting provision Monitor the Integrated Services contract concerning patient safety and clinincal quality 4
Head of Clinical Quality & Patient Experience Susan Barker Administrator Beata Francis Lead on the development of a Patient Experience Strategy Lead on the development of family information to promote self care for parents with 0-5 year olds in line with admission avoidance strategy Monitor contract data in Lead for Adult Continuing relation to Safety Healthcare team & Lead for Thermometer - Lead on the Children’s continuing health development of a strategy for care and shared care- Falls and on the Pressure CLINICAL including out of county Ulcer Ambition placements QUALITY Quality Improvement Visits (QIV) with all providers to & monitor quality standards PATIENT EXPERIENCE Joint lead with SCC on age Lead for Complaints inclusive strategy for autism, and PALS team, liaising including leading the task and with the contract team finish group for CYP diagnostic via the SLA route and treatment pathways Lead for the development of LD CAMHS service as part of the adult LD tendering process 5
West Suffolk CCG Chief Nursing Officer Service Delivery Catalogue October 2012 (updated Nov 2013) 6
Contents Introduction ....................................................................................................................................................... 8 SECTION 1: Description of Function ................................................................................................................... 8 SECTION 2: Description of Services provided .................................................................................................. 11 SECTION 3: Structure and personnel ............................................................................................................... 11 SECTION 4: Running costs ................................................................................................................................ 11 SECTION 5: Performance review ...................................................................................................................... 11 Appendix A: Roles, Responsibilities and Key Outputs ..................................................................................... 13 Appendix B: Responsibilities that do not fall within this function ................................................................... 19 Appendix C: Structure ..................................................................................................................................... 20 Appendix D: Running costs .............................................................................................................................. 21 7
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