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Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 2014 COG 3/2014.

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Presentation on theme: "Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 2014 COG 3/2014."— Presentation transcript:

1 Council of Governors CNWL Quality Account Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 2014 COG 3/2014

2 The guidance and purpose To endorse the recommendation made by a smaller group of CoGs re indicator selection for external audit 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

3 Indicators for Quality Account audit 2 x National indicators – 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: – “Inpatients receive a nursing physical health assessment after admission” – “Readmission rates”

4 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: – Lina Christopoulou, Service User Governor – Sam Whiteside, Public Governor – Irene Leeman, Public Governor, Harrow – Peter Bradley, Public Governor, MK – Molly Bandah, Carer Governors, Brent – Carina Sheridan, Staff Governor – Ann Sheridan, Staff Governor – Ela Pathak-Sen, Chair (Associate Director for Quality & Service Improvement – Matt Malherbe, Quality Assurance Manager

5 Readmission rates selected to be endorsed by the Council of Governors Rationale: – Is Trust-wide in that it includes all mental health services, including Milton Keynes – 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 – Providers continuity and consistency from previous year – Recommended to us from our auditors Indicator selection Council of Governors are asked to consider and endorse this indicator selection for external audit

6 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 Next steps.. Thank you


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