Public BoD papers 26.5.22

0 Board agenda 26-05-221
19-22c Draft Board minutes 28.04.222
19-22d Action plan rolling programme8 - 9
2021-228 - 9
19-22d(ii) Action log - Public items12 - 13
20-22b IPQFR April 2022 FINAL28 - 29
Slide Number 128 - 29
CONTENTS30 - 31
EXECUTIVE SUMMARY32 - 33
SUMMARY DASHBOARD34 - 35
SUMMARY DASHBOARD36 - 37
1.1 - Incident Reporting38 - 39
1.2 - Serious Incidents and Never Events40 - 41
1.3 – Moderate+ Incidents42 - 43
1.4 – Learning - Patient Safety Incidents44 - 45
1.5 - Radiation Incidents46 - 47
1.6 – Harm Free Care48 - 49
Slide Number 1250 - 51
Slide Number 1352 - 53
Slide Number 1454 - 55
Slide Number 1556 - 57
Slide Number 1658 - 59
3.1 - Cancer Standards60 - 61
3.2 – Referrals Analysis62 - 63
3.3 – Length of Stay64 - 65
3.4 – Activity66 - 67
3.4 – Activity68 - 69
3.5 - Complaints70 - 71
3.5 - PALS72 - 73
3.6 - Inquests74 - 75
3.7 - Claims76 - 77
4.1 - Healthcare Associated Infections78 - 79
4.2 - Mortality Indicators & Survival Rates80 - 81
4.3 - Quality Improvement & Clinical Audit82 - 83
4.4 - NICE Guidance84 - 85
4.5 - HR Metrics (Sickness)86 - 87
4.6 - HR Metrics (PDRs & Essential Training)88 - 89
4.7 - Workforce Metrics90 - 91
5.1 - Finance (Executive Summary)92 - 93
5.3 - Finance (Expenditure)94 - 95
5.4 - Finance (Capital)96 - 97
20-22c Education Board Report May 202298
20-22d Sustainability Annual Report 2022104
20-22e EPRR annual report 2021-22118
21-22a CQC Paper 2022122
Meeting of the Board of Directors122
The Trust as part of its registration with the Care Quality Commission (CQC) has been required to demonstrate that it meets the outcome standards set out by the CQC under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and ...123
The board of directors through its governance processes has established an approach to demonstrate on-going compliance and this is through the board committees of Audit and Quality Assurance, through operational governance committees, through the inte...123
On 18th November 2016 and again on 12th October 2018, The Christie was rated as ‘Outstanding’ by the Care Quality Commission. This rating was based on evidence we provided, and care witnessed during the routine and well-led inspections of our services...123
On-going engagement with the CQC, preparedness and self-assessment will ensure continued compliance and assurance of the Trust position. The Board is asked to approve the content of this paper.127
21-22b NHSI self certification declarations128
Agenda item 21/22b128
Agenda item 21/22b129
NHS Improvement self-certification declarations129
21-22bi Self-certification_template_G6130
G6 & CoS7130
21-22bii Self-certification_template_FT4131
FT4 declaration131
21-22biii Self-certification_template_FT4 govs132
22-22a BAF cover paper133
22-22ai Amended BAF 22-23136 - 137
Sheet1136 - 137
20-22a CEO update 26.05.2022.pdf14
20-22a CEO update 26.05.202214
Chief executive’s report15
20-22ai C1647_Incident response letter - transition from response to recovery_19052219
20-22aii NHS GM Stakeholder briefing May 22_FIN23

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