Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW Healthcare Inspectorate Wales The Welsh Language Act – how it influences what we do and how we do it 1

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW What I will Cover Our purpose as set out in statute Our powers and responsibilities How HIW complies with the Welsh Language Act How HIW checks that the outcomes intended by the Welsh Language Act are achieved across healthcare in Wales

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW Our Statutory Responsibilities - Part 2 Chapter 4 of the Act The availability of, and access to health care The quality and effectiveness of health care The financial or other management of health care and the economy and efficiency of its provision The availability and quality of information provided to the public The need to safeguard and promote the rights and welfare of children

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW Our powers enable us to Conduct inspections & investigations Require documents & information Interview people Publish reports

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW Our Powers and Responsibilities have kept on growing Healthcare Inspectorate Wales NHS Inspection & Investigation 2006 IHC 2006 QA NMC 2006 Statutory Supervision of Midwives 2007 Clinical Reviews of Deaths in prison 2007 Homicide Investigations 2007 Nurse Agencies 2007 IR(ME)R 2007 YOTS 2008 Substance Misuse 2009 MHAC 2009 Dentists 2009 DOLS

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 6 Our statutory basis as at May 2010 The Health and Social Care Act 2003 The Mental Health Act 1983 (Amended by the 2007 Mental Health Act) The Mental Capacity Act 2005: Deprivation of Liberties Safeguards were added to this through amendments made by the Mental Health Act 2007 Codes of Practice for the Mental Health Act, Mental Capacity Act and DOLS Ionising Radiation (Medical Exposures) Regulations 2000 Ionising Radiation (Medical Exposure) (Amendment) Regulations 2006 The Care Standards Act (2000) The Care Standards Act 2000 (as amended by the Health and Social Care Act 2008 (Schedule 5)

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 7 Our statutory basis as at May 2010 The Registration of Social Care and Independent Health Care (Wales) Regulations 2002 The CSA 2000 (Commencement No 8 (Wales) and Transitional Savings Consequential and Amendment Provisions) Order 2002 The Children Act 1989 and the Care Standards Act 2000 (Miscellaneous Regulations) (Amendment) (Wales) Regulations 2002 The Registration of Social Care and Independent Healthcare (Fees) (Wales) Regulations 2002 The Registration of Social Care and Independent Health Care (Amendment) (Wales) Regulations 2003 The Protection of Children and Vulnerable Adults and Care Standards Tribunal (Amendment) Regulations 2004 The Protection of Children and Vulnerable Adults and Care Standards Tribunal Regulations 2002 The Protection of Children and Vulnerable Adults and Care Standards Tribunal (Amendment) Regulations 2003

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 8 Our statutory basis as at May 2010 The Private and Voluntary Health Care (Wales) Regulations 2002 The Private and Voluntary Health Care (Wales) (Amendment) Regulation 2007 The Private and Voluntary Health Care and Miscellaneous (Wales) (Amendment) Regulations 2006 The Private Dentistry (Wales) Regulations 2008 The Abortion Act 1967 The Controlled Drugs (Supervision of Management and Use) (Wales) Regulations 2008 (under provisions of the Health Act 2006). The Employment Rights Act 1996 (guidance developed on the disclosure of information to HIW during reviews, inspections and investigations) The Protection of Children and Vulnerable Adults and Care Standards Tribunal (Amendment no. 3) Regulations 2003 The Care Standards Act 2000 and the Children Act 1989 (Amendment of Miscellaneous Regulations) (Wales) Regulations 2004

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 9 Our statutory basis as at May 2010 The Safeguarding Vulnerable Groups Act 2006 Nursing and Midwifery Order 2001 Nursing and Midwifery Order 2001 (Consequential Amendments) Order 2002 Midwives Rules and Standards (NMC 2004) NMC Circular 32/2007 Standards for Supervised Practice of Midwives LSA Guidelines and Standards and LSA National (UK) Policies and Guidelines (2009) Local Health Boards (Functions) (Amendment) Regulations 2003 (exempts the LSA function from transfer to LHBs and retains function with National Assembly for Wales) The Disqualification from Caring for Children (Wales) Regulations 2004

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW The organisations we have access to Health Boards and Trusts Primary and community care practitioners – health visitors, district nurses etc. Primary care contractors – GPs, dentists, ophthalmologists, pharmacists Independent healthcare providers

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 11 How HIW complies with the Welsh Language Act

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 12 have been designed to foster the ‘right’ behaviours necessary to uphold our values and achieve our vision in the longer term Our Ways of Working….

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW How we ensure our compliance with the Act We have a Welsh Language Scheme Our reports are bilingual We have a number of welsh speaking full- time staff and reviewers Any interviews we undertake are undertaken in the first language/language of choice of the individual Any literature explaining our role is bilingual Any workshops/conferences we hold offer simultaneous translation Media interviews held in English and Welsh

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 14 How HIW checks that the outcomes intended by the Welsh Language Act are achieved across healthcare in Wales

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW Our basket of tools and approaches has expanded and developed Clinical Governance Reviews Thematic Reviews Investigations/Special Exercises Healthcare Standards Assessments Unannounced Cleanliness spot checks Unannounced Dignity & Respect Checks Healthcare Summits

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 16 Is information available in an individuals language of choice? Are individuals assessed, provided with information and guidance in their language of choice?  Assessment of competence  Speech and language therapy  Psychiatric assessment  Counselling We focus on quality and safety – this highlights the importance of the Act to clinicians and those delivering care

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 17 Are instructions in relation to medication provided in the individuals language of choice? Do care plans note and take account of an individuals first language?  How are the patients language needs facilitated?  What resources are made available to them?  How do staff ensure that patients don’t become isolated? We focus on quality and safety – this highlights the importance of the Act to clinicians and those delivering care

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW 18 Policies and action plans clearly have their place – it is for the Boards of organisations to ensure that they are compliant with the Act in this respect. Our focus is on quality and safety - By driving the importance of language in relation to the delivery of quality and safe services we are ensuring that the Welsh Language Act is being embedded. We focus on quality and safety – this highlights the importance of the Act to clinicians and those delivering care

Welsh Language Task Group 4 November 2010 DRIVING IMPROVEMENT THROUGH INDEPENDENT AND OBJECTIVE REVIEW