1. Work of the Quality Committee Venessa James

2. Venessa James
Non-Executive Director and Chair of Quality Committee

3. The Committee Quality & Governance Committee Quality Committee
Chaired by Mary Watkins
November 2009 – December 2015
Quality Committee
Chaired meetings in January and April 2016
Future meetings on:
14 July 2016
10 November 2016
9 February 2017

4. Purpose of the Quality Committee
Develop and implement effective quality systems and processes with a specific focus on patients, quality of services and patient outcomes.

5. Role of the Quality Committee
Support the development and delivery of the Quality Strategy.
Robustly and routinely monitor patient safety, clinical effectiveness and the experience of the patient.
Ensure the establishment and maintenance of effective quality governance arrangements and take assurance that these are effective.
Monitor the delivery of key patient safety initiatives and quality indicators (such as AQIs and CQUIN targets).
Support an organisational structure and philosophy promoting a positive and responsible culture and nurturing continuous quality improvement in the delivery of patient care and patient experience.

6. Membership Executive Directors Non-Executive Directors
Ken Wenman Jenny Winslade
Dr Andy Smith Emma Wood
Non-Executive Directors
Venessa James Tony Fox
Dr Ian Reynolds Mary Watkins

7. Membership Attendance
6 meetings since the last Council of Governors update:
Venessa James 5/6
Ken Wenman 6/6
Jenny Winslade 6/6
Dr Andy Smith 3/6
Emma Wood 5/6
Tony Fox 5/6
Dr Ian Reynolds 5/5
Mary Watkins 5/6
85% attendance.

8. Work of the Committee
Agendas built around Lord Darzi’s three pillars of quality:
SAFE – safety of treatment and care provided to patients
EFFECTIVE – effectiveness of treatment and care provided to patients
EXPERIENCE – experience patients have of treatment and care received

9. Deep Dives HR and Organizational Development Clinical Guidelines
Infection Prevention and Control
Information Governance
Environmental Management & Carbon Reduction

10. Policies Approved Communications Policy
Information Governance Strategy
Supporting Staff Policy
Claims and Contentious Inquests Policy
Controlled Drugs Policy
Policy for the Safer Procurement of Medicines
Medicines Management Policy
Management of Clinical Records Policy
Approved Visitor Access Policy
Environmental Policy
Managing Allegations Policy
PREVENT Policy
Restraint Policy
Minimal Lifting in Care Homes Policy
IM&T Security Policy
Enhanced skills Policy
Clinical Photography Policy
Dementia Strategy
Managing Complaints from Volunteers
Clinical Supervision Policy
Bruising Protocol

11. Other Areas of Work 111 staff retention Quality Account and Report
Changes to Data Protection legislation
Thematic review of Serious Incidents

12. Key Risks to Quality Quality risks are those with potential for:
Not providing a quality service
Affecting:
patient safety and experience
staff morale
reputation
compliance

13. Risks for Committee Review
Call Stacking (A&E)
Call Audit Compliance
Safeguarding Compliance
UCS Clinical Capacity
Impact of REAP Levels; and Summer, Winter and peak pressures

14. Questions?