COG 3/2014

Council of Governors

CNWL Quality Account 2013-14 Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 2014

The guidance and purpose

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To endorse the recommendation made by a smaller group of CoGs re indicator selection for external audit

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Background: The Quality Account forms one half of CNWL’s Annual Report Data feeds must be accurate and robust; have business rules and stand up to data quality testing Quality Account is externally audited by KPMG (including our consultation process, sign-off Monitor have determined two indicators nationally for external audit/assurance and a third is to be selected by our

Council of Governors

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Indicators for Quality Account audit

2 x National indicators

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CPA 7-day follow up CRT Gate-keeping 1 x locally selected indicator – ‘what can we choose from?’ - must be auditable back to source information for verification/validating - patient survey indicators therefore n/a - where possible include the whole trust Suggestions:

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“Inpatients receive a nursing physical health assessment after admission”

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“Readmission rates”

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Indicator selection

All Council of Governors were invited to attend a mini meeting (following the main Quality Account Priority stakeholder event) on 6 March 2014 – to discuss and select the 3 rd indicators to recommend to the Council of Governors for final endorsement/sign-off For information, in attendance:

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Lina Christopoulou, Service User Governor

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Sam Whiteside, Public Governor

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Irene Leeman, Public Governor, Harrow

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Peter Bradley, Public Governor, MK

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Molly Bandah, Carer Governors, Brent Carina Sheridan, Staff Governor

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Ann Sheridan, Staff Governor

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Ela Pathak-Sen, Chair (Associate Director for Quality & Service Improvement

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Matt Malherbe, Quality Assurance Manager

Indicator selection

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Readmission rates

selected to be endorsed by the Council of Governors Rationale:

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Council of Governors are asked to consider and endorse this indicator selection for external audit Is Trust-wide in that it includes all mental health services, including Milton Keynes

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Is a national indicator which is therefore nationally benchmarked Data is produced from our electronic reporting system, and so not open to subjectivity of analysis via clinical audit

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Providers continuity and consistency from previous year Recommended to us from our auditors

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Next steps..

Analysis of feedback from the main stakeholder event Production of the draft Quality Account Internal and external audit of the Quality Account Quality Account 30-day public consultation (4 April – 5 May) Sign-off and submission to Monitor by 30 May Publish on NHS Choices by end June and Easy Read production

Thank you