Monday, 1 December 2014
Consultation on Records Management Code of Practice
The Information Governance Alliance have commissioned a revision of the Records Management Code of Practice. A working group from the IG Alliance, Department of Health, NHS England and the Health and Social Care Information Centre will work together to redraft the Code of Practice. Comments and suggestions for change are invited. Further more specific consultation will take place with professional groups and other organisations directly impacted by any changes to the Code. At the moment the consultation is open to anyone interested in records management in health and social care.
If you wish to make any comments and suggestions for change about the current Code please can you send them to the mailbox listed below:
mailto:igpsecretariat@hscic.gov.uk
Copies of the current Records Management Code of Practice can be found at the website below;
http://systems.hscic.gov.uk/infogov/codes
Comments should be sent in by 31 January.
Source: www.igt.hscic.gov.uk
IG Toolkit Version 13 - Requirements review
The HSCIC External Information Governance (IG) Delivery Team is now beginning work on the development of the IG Toolkit version 13, due for release by the end of June 2015. The intention is to make some changes to the Requirements to reflect current thinking on Cyber Security, to provide additional guidance on implementation of the Caldicott2 recommendations, and the NHS Number requirement is under review by NHS England. Other changes are likely to be minimal, e.g. correction of errors, new guidance that people need to be made aware of, etc.
You can submit requests for change in relation to the IG Toolkit Requirements (e.g. Guidance,
Knowledge Base Resources - not the technical functionality). To submit a request for change, please complete the online change request form which is available via the ‘change requests’ option on the left-hand menu of the IG Toolkit, where detailed guidance in relation to the process is also available.
The form will then be submitted to the HSCIC External IG Delivery Team and your change will go through the process for consideration.
Please ensure that you submit any requests for change by no later than Wednesday 31 December 2014 in order to allow these to be considered as part of the version 13 development cycle; and note that any major changes you propose are likely to be deferred to version 14 for which we intend to carry out a comprehensive review of the Toolkit.
Please note: This request for feedback relates to only amendments to the Requirements or Knowledge Base Resources. It does NOT include functional / technical improvements or enhancements to the IG Toolkit website.
Source: www.igt.hscic.gov.uk
CQC warns Sage Care Homes (Jasmin Court) Limited that they must improve standards of care at Jasmin Court Nursing Home
The Care Quality Commission (CQC) has formally warned
Sage Care Homes (Jasmin Court) Limited that that it must make urgent
improvements at Jasmin Court Nursing Home in Sheffield.
This warning follows an unannounced visit to the home in September 2014 which was carried out to check they had made improvements in response to the breaches of regulations we identified at our last inspection that we carried out on 9 and 15 April 2014.
Visiting inspectors found that the nursing home was failing to provide care which was safe, effective, caring, responsive or well led; and four of the five national standards reviewed by the inspection team were not being met.
Following the inspection, CQC issued three warning notices requiring Sage Care Homes (Jasmin Court) Limited to make improvements in order to protect the health, safety and welfare of the residents:
A full report detailing the findings from the inspection has been published on the CQC website this week.
Inspectors identified a number of concerns including:
- The privacy, dignity and independence of people living at the home were not always being respected by staff.
- Practices that were being followed at the home did not support the people’s right to safe care and treatment.
- Inspectors found poor standards of cleanliness throughout the home, many materials and surfaces were visibly dirty posing an infection risk to residents and staff.
- Improvements required following a previous CQC inspection with regard to assessing and monitoring the quality of service provision had not been implemented and systems to monitor quality remained ineffective.
"We have told Sage Care Homes (Jasmin Court) Limited that they must take action to protect the health, safety and welfare of the people who live there.
“It is unacceptable that the provider has allowed the service at Jasmin Court to deteriorate in this way. The people for whom they are providing a service are entitled to services which are safe, effective, caring, well led, and responsive to their needs.
“The provider should have systems in place to monitor the quality of the service, and it is of significant concern that Sage Care Homes (Jasmin Court) Limited did not have such systems in place to prevent the deterioration in the service
"We have shared our findings with the Local Authority Safeguarding Team, and we have told the provider very clearly where they must take action to address our concerns.
"We are monitoring the home very closely in liaison with the local authority to ensure that people receiving care are not at risk of immediate harm, we will return shortly to ensure improvements have been made."
Improvement needed at specialist cancer trust
A joint report by the Care Quality Commission (CQC) and
Monitor has found no evidence of serious failings in the organisational
culture at The Christie NHS Foundation Trust, but has highlighted areas
in need of improvement.
The review team included senior staff from both organisations, CQC Specialist Advisors and an experienced Medical Director. The team spent three days at the trust and analysed a range of documentation, interviewed key personnel and carried out focus groups with a variety of staff groups.
Today’s report concludes that there was no evidence of serious failings of governance or widespread cultural issues at the trust and that staff were committed to providing patients with high quality care and treatment.
However, both CQC and Monitor have identified some areas where the trust should seek to improve its performance, particularly in relation to its quality assurance processes and staff engagement.
The team have made a number of recommendations including:
The trust should continue to improve staff engagement and support.
- The trust should consider whether any further changes are required to Human Resources processes to help improve engagement with non-clinical staff groups, and if so implement improvements.
- The trust should consider whether any further improvements are required in the way it communicates and engages with staff to promote an open learning culture.
- The trust should review the processes for measuring waiting times in the outpatient department to ensure accuracy of information and timely scheduling of appointments.
- The trust should take into account the findings of this joint review when focusing the scope of its planned internal governance review.
“We take all concerns raised by whistleblowers seriously. That’s why we wanted to work closely with the CQC to find out if there were problems with how The Christie was being run.”
“Our work did not highlight that there are currently serious failings of governance or culture at the trust.”
Ann Ford, Head of Hospital Inspections at CQC, said:
“If a trust is well-led we expect it to encourage an open and transparent culture. We found evidence of a strong commitment to delivering good outcomes for patients at The Christie, but also identified some concerning issues regarding team leadership that the trust must address.
“Further work is needed to improve communication with staff and strengthen the trusts quality assurance processes.”
Monitor also announced today that formal regulatory action at the trust has ended. The sector regulator has issued compliance certificates to recognise the progress that has been made.
Source: cqc.org.uk
CQC seeks views on its new approach to regulating dental, independent healthcare and ambulance services
The Care Quality Commission (CQC) is asking people who run and use health and care services for views on the regulator’s plans
for inspecting primary care dental services, and inspecting and rating
ambulance and independent healthcare services.
CQC Chief Executive David Behan said:
"We have been carrying out new style of
inspections in hospitals, mental health and community health services,
adult social care services and GP practices over the past year.
“Now we are setting out the changes we are
proposing to make to the way we regulate dental services, ambulance
services and independent healthcare services that will help us to make
sure that they provide safe, high-quality care.
“We want to hear what professionals, clinicians and members of the public think of these proposals."
Due to the view that people using primary care dental services are less likely to experience poor care, CQC proposes to inspect 10% of providers using random and risk-based inspections as well as inspecting in response to concerns. CQC does not intend to rate primary care dental services in 2015/16.
The consultation asks for views on these elements of the new approach and if people think that the approach will help dental practices to improve, for example by reporting on good practice.
The CQC propose to divide the independent acute healthcare sector into three distinct groups which are ‘hospitals’, ‘single-specialty services’ and ‘non-hospital acute services’.
The approach they are proposing for the hospitals group closely follows the model used for NHS acute trust hospitals, with some modifications to take account of the differences between them.
They are proposing other, tailored approaches for the single-specialty services and non-hospital acute services. The CQC are asking whether the sector agrees with these approaches.
They are also asking for views on whether special measures should be introduced into the independent healthcare sector and whether there should be a rating at corporate provider level for independent healthcare providers.
For ambulance providers (both NHS and independent services) the CQC will also take a similar approach to that of acute services to check if the services are safe, effective, caring, responsive to people’s needs and well-led. This will help us to give NHS ambulances a rating of either outstanding, good, requires improvement or inadequate.
NHS regulations improve openness and transparency
The 27th November was the first day that the Care Quality Commission started enforcing two new regulations for the NHS.
The duty of candour and fit and proper persons requirement for directors come into force today for NHS Trusts, Foundation Trusts and some special health authorities that provide care and treatment that are regulated by the Care Quality Commission (CQC).
The introduction of a statutory duty of candour for providers is an important step towards ensuring there is an open, honest and transparent culture; particularly when things go wrong.
This is separate from the draft guidance for a 'duty of candour' that has been produced by the General Medical Council and the Nursing and Midwifery Council – the regulators for individual health professionals. This will support doctors, nurses and midwives in fulfilling their professional duty to be open and honest about mistakes.
During CQC inspections, the CQC assess whether a provider is delivering good quality, safe care. As part of their approach, they ask whether lessons are learned and improvements made when things go wrong, including whether people who use services are told when they are affected by something that goes wrong, given an apology and informed of any actions taken as a result. Where they find that the provider is not delivering good quality care, they consider whether a regulation has been breached.
The fit and proper persons requirement for NHS board members is to make sure that providers have robust systems in place to carry out appropriate checks before a job offer or appointment is made. This would include whether the person is of good character, is physically and mentally fit and has the necessary qualifications, skills and experience for the role.
During registration, the CQC will check that the provider understands the requirements of this regulation and ask them what systems they have in place so that they can meet it. It is not for CQC to identify that NHS board members are 'fit and proper persons', that is the responsibility of providers.
The duty of candour and fit and proper persons requirement for directors are part of new fundamental standards. The remaining fundamental standards will come into force from April 2015.
The duty of candour and the fit and proper persons requirement for directors will also be extended to all other providers from April via additional regulations, still subject to Parliamentary approval.
Wednesday, 19 November 2014
Our work to upload Information Governance Toolkit submissions for our clients has commenced
This month we began working with our clients helping
them to create and assess their documentation and evidence so that it can be
submitted to the latest version of the Information Governance Toolkit.
In order to demonstrate on-going compliance with the IGT, we
work with organisations while they undertake audits of Information Governance
compliance throughout the year. This enables organisations to retain a Level 2
compliance (where performance is considered satisfactory), and, for some
indicators, will allow movement up to a Level 3 rating.
Words Worth Reading Ltd has a wealth of experience in
supporting companies to meet the Information Governance requirements. As part
of our work to upload submissions we can:
- Provide a writing, editing and consultation service.
- Undertake the Information Governance Toolkit assessment on your behalf.
- Map your current evidence against the Information Governance standards or offer a more detailed data mapping service for organisations that deal with a large volume of patient identifiable data.
- Link with your team to understand the processes, structures and policies currently in place to manage Information Governance.
- Undertake an IG audit and identify any gaps, working with you to fill them.
- Assemble the required documentary evidence to support your submission compliance.
- Manage your on – line submission.
For full information on the Words Worth Reading Ltd Information
Governance services, visit our website by clicking here.
Image: Fletcher Prince, Flickr
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