Appendix 4 - Clinical and Care Governance Arrangements
Perth and Kinross Council · 24 April 2024
Back to Scrutiny and Performance Committee — 24 April 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Appendix 4 Clinical & Care Governance Arrangements The P&K Care & Professional Governance Forum (CPGF) has responsibility to ensure that there are effective and embedded systems for Clinical, Care & Professional Governance in all services within the partnership. This includes seeking assurances from all partnership localities and hosted services within the context of the six domains of Clinical, Care & Professional governance. Localities and Hosted Services have regular Governance Forums within their own services attended where appropriate by HSCP professional leads. The HSCP remain committed to improving Care & Professional Governance. Work is progressing to develop governance and performance dashboards to support Care Assurance across agreed professional standards. Although delayed due to the Covid response, work to progress this has now resumed and is being tested in one of the localities. Additionally, work is underway to improve availability of locality performance data. The HSCP has also commenced a Mental Health Clinical Care & Professional Governance Group, which reports directly to P&K CPGF and the Tayside Mental Health Quality & Performance Review. This will allow targeted improvement to improve Mental Health performance data, mitigation of Mental Health risks and to support scrutiny on progress made in respect of HIS Improvement Plan and Listen, Learn, Change work streams. Exception reporting is a mechanism for services to quickly and easily flag up where work or events vary significantly from that which would be expected. Exception reports were provided by all HSCP service grouping and localities (including hosted services) at each meeting of the previous bi-monthly Care & Professional Governance Forum (CPGF). Now that these meetings are occurring monthly such exception reports are now expected from half the services at each meeting, thus continuing the service reporting every 2-months. Exception reports received during the previous year have been: SEP 2022 OCT 2022 NOV 2022 DEC 2022 JAN 2023 FEB 2023 MAR 2022 APR 2022 MAY 2023 JUN 2023 ACCESS TEAM & MHO ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED COMMISSIONED SERVICES ✓ NOT REQUIRED ✓ NOT REQUIRED NOT RECEIVED NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED EQUIPMENT & TEC NOT REQUIRED NOT RECEIVED NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NORTH LOCALITY NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ PERTH CITY LOCALITY NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED NOT REQUIRED NOT REQUIRED ✓ NOT REQUIRED NOT REQUIRED MFTE/POA IN- PATIENTS & INTERMEDIATE CARE NOT REQUIRED NOT RECEIVED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED PODIATRY NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓
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PRISON HEALTHCARE ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED PUBLIC DENTAL SERVICES ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED REGISTERED SERVICES NOT REQUIRED NOT RECEIVED NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ NOT REQUIRED ✓ SOUTH LOCALITY NOT REQUIRED NOT RECEIVED NOT REQUIRED NOT REQUIRED NOT REQUIRED ✓ NOT REQUIRED NOT REQUIRED NOT REQUIRED ✓ * non submission of reports highlighted to manager for action Annual reports are provided by all HSCP services and localities (including hosted services). The structured annual reporting template brings together the six domains of Clinical, Care & Professional Governance outlined in the Getting it Right Framework, and also seeks to incorporate the new Health & Social Care Standards. Managers submit report and attend Care Governance Forum to present report, give assurance and answer questions. The HSCP have now completed cycle four and is reviewing the report schedule for cycle 5. 2nd Cycle 3rd Cycle 4TH Cycle ACCESS TEAM & MHO November 2020 April 2022 Jan 2023 COMMISSIONED SERVICES July 2021 July 2022 Nov 2023 EQUIPMENT & TEC June 2021 May 2022 Jun 2023 NORTH LOCALITY July 2021 June 2022 May 2023 PERTH CITY LOCALITY April 2021 February 2022 Apr 2023 MFTE/POA IN-PATIENTS & INTERMEDIATE CARE May 2021 April 2022 Jun 2023 PODIATRY September 2021 September 2022 Aug 2023 PRISON HEALTHCARE March 2021 March 2022 Mar 2023 PUBLIC DENTAL SERVICES November 2020 January 2022 Feb 2023 REGISTERED SERVICES August 2021 August 2022 Aug 2023 SOUTH LOCALITY September 2020 November 2021 Dec 2022 POA Inpatients (added in cycle 3) November 2021 Aug 2023 MENTAL HEALTH (added in cycle 4) Aug 2023 PRIMARY CARE (added in cycle 4) Oct 2023
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Wider governance arrangements: • Integrated Locality Care Governance Groups (bi monthly) • Prison Healthcare Medicines Management Governance Group (monthly) • Prison Healthcare Business & Governance Group (monthly) • Nursing and Allied Health Profession Forum (bi-monthly) to explore pertinent professional issues with CPTMs and other relevant colleagues. • Senior Nurses, AHP Professional Leads, and the Clinical & Professional Team Managers meet regularly on an individual 1:1 basis with the Lead Nurse and also the AHP Lead to discuss relevant professional and governance issues. • Mental Health Portfolio Lead contributes to the Mental Health QPR Forum • Partnership Short Life Working Group commenced to improve care governance for mental health services • Health Senior Management Team Huddle weekly to review Datix risks and red adverse events • Clinical Governance Coordinator supports locality groups to undertake Local Adverse Event Reviews (LAER’s) where required. All LAER’s are signed off by a senior manager. • Care Home Oversight Group meeting at times daily to monitor and provide support to Care Home resident and staff safety wellbeing. • The P&K CPGF co-chairs contribute to the NHST Getting It Right For Everyone (GIRFE) group. • Adult Social Work and Social Care Forum (monthly)