Appendix 4
Perth and Kinross Council · 26 April 2023
Back to Scrutiny and Performance Committee — 26 April 2023 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 Perth and Kinross 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 Perth and Kinross 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: MA Y 202 2 JUN 202 2 JUL 202 2 AU G 202 2 SEP 202 2 OCT 202 2 NO V 202 2 DEC 202 2 JAN 202 3 FEB 202 3 ACCESS TEAM & MHO ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED COMMISSIONE D SERVICES ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED NOT REC EIV ED NOT RE QUI RED EQUIPMENT & TEC NOT RE ✓ NOT RE ✓ NOT RE NOT REC NOT RE ✓ NOT RE ✓
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QUI RED QUI RED QUI RED EIV ED QUI RED QUI RED NORTH LOCALITY NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ PERTH CITY LOCALITY NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED NOT RE QUI RED MFTE/POA IN- PATIENTS & INTERMEDIATE CARE NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED NOT REC EIV ED ✓ NOT RE QUI RED ✓ NOT RE QUI RED PODIATRY NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ PRISON HEALTHCARE ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED PUBLIC DENTAL SERVICES ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED REGISTERED SERVICES NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED NOT REC EIV ED NOT RE QUI RED ✓ NOT RE QUI RED ✓ SOUTH LOCALITY NOT RE QUI RED ✓ NOT RE QUI RED ✓ NOT RE QUI RED NOT REC EIV ED NOT RE QUI RED NOT RE QUI RED NOT RE QUI RED ✓ * 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 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 just begun cycle four and has now received all annual reports from the 3rd cycle.
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1st Cycle 2nd Cycle 3rd Cycle ACCESS TEAM & MHO January 2020 November 2020 April 2022 COMMISSIONED SERVICES February 2020 July 2021 July 2022 EQUIPMENT & TEC February 2020 June 2021 May 2022 NORTH LOCALITY June 2020 July 2021 June 2022 PERTH CITY LOCALITY October 2019 April 2021 February 2022 MFTE/POA IN-PATIENTS & INTERMEDIATE CARE May 2020 May 2021 April 2022 PODIATRY June 2020 September 2021 September 2022 PRISON HEALTHCARE January 2020 March 2021 March 2022 PUBLIC DENTAL SERVICES August 2019 November 2020 January 2022 REGISTERED SERVICES July 2021 August 2021 August 2022 SOUTH LOCALITY August 2019 September 2020 November 2021 POA Inpatients (added in cycle 3) November 2021 Wider governance arrangements: • Integrated Locality Care Governance Groups (bimonthly). • 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 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 Perth and Kinross CPGF co-chairs contribute to the NHST Getting It Right For Everyone (GIRFE) group. • Adult Social Work and Social Care Forum (monthly).