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

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

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”

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

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

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