South Tyneside Neighbourhood Services and Children and Young People Scrutiny Committees – 20 March 2008 Healthcare Commission Standards for Better Health Core Standards 2007/08

1. How do we check if we are delivering the standards? Through the Trust’s Integrated Governance structure  core standards allocated to sub-committees of the Board – “Domain Groups”  an executive director chairs each Domain Group  membership includes a PPI Forum member  responsibilities include providing assurance to the Trust Board and Audit Committee that Standards for Better Health are being met. This involves: identifying gaps against national criteria ensuring work is undertaken to address gaps spreading good practice This process is also undertaken by the 5 service directorates

1. (cont’d)  regular updates provided throughout the year by the Domain Groups and Service Directorates to the Trust’s Executive Management Team; Audit Committee; and Trust Board  year end assessment of compliance by Domain Groups and Service Directorates  year end assessment then considered by: Patient and Public Involvement Forum Overview and Scrutiny Committees Trust Executive Management Team Audit Committee Trust Board (for final “sign-off” of declaration)

Executive Management Team Patient Focus Accessible and Responsive Care Care environment and Amenities IM&T Finance Workforce Audit Committee Trust Board Structure Working Age Adult Services Safety Forensic Services Learning Disability Services Older Person’s Services Children, YP & Specialist Services Clinical and Cost Effectiveness

1.(cont’d) Annual Health Check declaration 2006/07 C16 Information to Patients – ‘not met’ C5a NICE technology appraisals – ‘insufficient assurance’ C5b Clinical Supervision– ‘insufficient assurance’ Action Action plans agreed to address gaps during 07/08 Action plans monitored by relevant Domain Groups Regular updates to the Strategic Health Authority Progress checked by Healthcare Commission visit in December 07.

2. This year /08  The Trust is in the process of formulating the 2007/08 Annual Health Check declaration.  This is due to be submitted to the Healthcare Commission by 30 th April  Currently the Trust is considering the work undertaken during the year together with all available evidence.

2. (cont’d) Currently the Trust is in a position to evidence that it remains compliant with those core standards that were declared ‘met’ during 2006/07. Of the one ‘not met’ C16 Information – the Trust has allocated £50,000 for the printing and distribution of information leaflets that relate to core services e.g. Mental Health Act, Treatments, Equality and Diversity, Complaints. This process is currently underway. C5a NICE – ‘insufficient assurance’ – relevant technological appraisals have been prioritised and audit programmes established C5b Clinical Supervision – ‘insufficient assurance’ – considerable work has been undertaken in conjunction with Newcastle University A declaration of ‘compliant’ is under consideration against these standards.

3.Next Steps Receive views of Overview and Scrutiny Committees Trust Patient and Public Involvement Forum Trust Board consideration of Annual Health Check declaration – April 9 th Declaration to Healthcare Commission – by 30 th April

ANY QUESTIONS ?