Public Board of Directors papers 27.01.22

Clinical and Research Effectiveness committee

A Trust governance committee authorised by and accountable to the risk and quality governance committee The scheme provides an objective measure of the quality and safety of care being delivered in each clinical area, providing an opportunity to celebrate excellence and identify areas requiring improvement. A formal expression of dissatisfaction, whether verbal or written, and whether justified or not. Issues raised which are not within the complaint criteria or where the person raising concerns does not want the issues to be treated as a complaint. The payment policy which enables commissioners to reward excellence, by linking a proportion of English healthcare providers' income to the achievement of local quality improvement goals. The Trust’s database and software for managing governance information. It has interlinked modules for: • Incident, adverse event and near miss reporting • Risk assessment/risk register • Patient experience and feedback • Complaints, compliments, comments and concerns • Claims handling A process by which there is a triage of early analysis of any serious grade 3+ significant incidents, claims and complaints on a weekly basis, It receives the outcomes of the root cause analyses of investigations commissioned by the Executive. The group is led by the Executive medical director and Chief Nurse and Executive director of quality. Guidance on further management of the incident and its outcomes will be provided. The rules and practices by which the board of directors ensures accountability, fairness, and transparency in the organisation’s relationship with its stakeholders An event or circumstance which could have resulted, or did result, in unnecessary damage, loss or harm to a patient, staff, visitor or member of the public. It may be clinical in origin, (i.e. relating to the direct care of a patient, for example a medication error, medical equipment failure, patient fall etc) or non-clinical in origin (i.e. property loss, theft, fire, verbal abuse or threatening behaviour) or an incident involving a member of staff or a member of the public etc. Any occurrence which does not result in injury, patient death, dissatisfaction, property loss or damage but had the potential to do so. A Trust governance committee authorised by and accountable to the risk and quality governance committee A Trust governance committee authorised by and accountable to the risk and quality governance committee The common and enduring definition of quality care is that of Darzi (2008) who stated that “High quality care should be as safe and effective as possible, with patients treated with compassion dignity and respect. As well as clinical quality and safety, quality means care that is personal to each individual” The uncertainty of outcome, whether positive opportunity or negative threat, of actions and events. It is the combination of likelihood and consequence (impact), including perceived importance A systematic and effective method of identifying, evaluating and controlling risks To perform an extensive analysis of a subject or problem Situations with the potential to cause harm

CODE Quality Scheme

Complaint

Concerns

CQUINS; commissioning for quality and innovation

DATIX

Deep dive

Executive Review Group (ERG)

Governance

Hazard Incident

Near miss

Patient Experience committee

Patient Safety Committee

Quality

Risk

Risk assessment

Risk management strategy and Policy 2021-2024 Document ref: RM01 Version 04

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