Friday 22 July 2011

'Deep Dive' review of acute hospital's Information Governance submissions


The NHS Information Governance Policy Team is currently working on a ‘deep dive’ review of the acute hospital submissions of the Information Governance Toolkit, Version 8. The aim of the 'deep dive' review is to:

1. Test the effectiveness of the audit methodology Quality assurance of the evidence submitted

2. Provide anonymised feedback to the NHS in general Provide specific feedback to individual Trusts in a non-threatening manner.

The scope of this project will be limited to 5 requirements (below) and 'only cover those for which Level 2 or Level 3 was claimed.

Information Governance Management 8-101 There is an adequate Information Governance Management Framework to support the current and evolving Information Governance agenda.

8-112 Information Governance awareness and mandatory training procedures are in place and all staff are appropriately trained.

Information Security Assurance
8-308 All transfers of hardcopy and digital person identifiable and sensitive information have
been identified, mapped and risk assessed; technical and organisational measures adequately secure these transfers.

Clinical Information Assurance 8-401 There is consistent and comprehensive use of the NHS Number in line with National

Patient Safety Agency requirements 8-402 Procedures are in place to ensure the accuracy of service user information on all systems and /or records that support the provision of care.

The Policy Team intends to make the reports available in the Autumn.

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