1. Corporate Records Management (Practitioner) Information Governance Policy Team NHS Connecting for Health

2. Key Learning Points  Records Management Policy  Records Management Strategy  Records Management Document Audit  Records Inventory Survey  Raising Records Management profile and awareness

3. Records Management Policy  Applies to all records.  A framework for the development of specific procedures and practices to ensure that records are managed and controlled appropriately.  Model documentation is available in the Records Management Roadmap.

4. Records Management Policy: Aims To ensure that records:  Are available when needed  Are accessible  Can be interpreted  Can be trusted  Can be maintained through time  Are secure  Are retained and disposed of appropriately To ensure that staff are appropriately trained

5. Records Management Strategy  Sets out an overarching framework  Defines the measures for improving the quality, availability and effective use of information  Enables clinicians and managers to use information to improve the delivery of health care services

6. Records Management Strategy: Aims  Responsibility and accountability  Record quality  Management  Security  Access  Audit  Training

7. Records Management Strategy: Why?  To provide a robust baseline  To identify current records management structure  To identify what records are generated and how they are archived and stored  To meet existing and future demands  To meet legal and statutory obligations  To improve the standard of records management

8. Tools to inform the strategy  Records inventory survey  Audit of policies & procedures  Assessment of environmental conditions  Access controls for storage areas  Assessment of tracing/tracking systems  Comparing records to retention schedules  Review retention & destruction procedures  Training provision

9. Making it Happen The strategy should:  Contain a realistic, achievable action plan  Identify the resources required to achieve the plan  Identify potential risks  Establish regular progress reviews

10. The Planning Cycle 1. Where are we now? (Position Statement) 2. Where do we want to be? (Goals & Objectives) 3. How are we going to get there? (Action Points ) What progress are we making? (Monitoring Criteria)

11. Where are we now? (Position Statement) Baseline audit Identify the types and numbers of records and their location Describe environmental conditions Document security & access arrangements to storage areas Identify management responsibility

12. Where are we now? (Position Statement) Document record retention periods and indicate compliance status; List existing policies & procedures including retention, weeding, archiving & destruction.

13. Where do we want to be? (Goals & Objectives) Goals and objectives should be SMART  Specific  Measurable  Achievable  Realistic  Time-bound

14. Developing the Action Plan (Identifying Goals & Objectives) Designated manager? Retention periods? Sufficient storage space? Environmental conditions? Additional storage? Archiving solutions? Disposal & destruction arrangements?

15. Developing the Action Plan (How Are We Going To Get There?)  Identify tasks related to each of the goals and objectives and:  Specify timescales  Quantify resources required  Determine responsibility for action(s)  Produce a business case to secure additional resources if necessary.

16. Developing the Action Plan (What Progress Are We Making?)  Determine monitoring criteria & timescales, and specify:-  How progress will be monitored  When progress will be monitored  How progress will be reported  Schedule monitoring meetings aligned with the timescales & milestones in the strategic plan.

17. Keeping The Strategy Under Review  Annual review  Maintain close links with the IM&T strategy  Maintain close links with the Information Governance Toolkit assessment process

18. Undertaking a Records Inventory Survey  Organisations collect, store and use a vast amount of information  A crucial component of IG is to know what information is used and how it is stored  A Records Inventory helps manage information and comply with legal & statutory obligations

19. Model Records Inventory Survey Forms Model Inventory Survey Forms

20. Practical Steps  A records inventory can appear a huge task  A stepped approach is recommended Non- Health Records Step 4Estates, IM&T, Other Step 3Administrative records, Purchasing & supplies Step 2Human Resources, Finance Health Records Step 1PAS or PAS- fed Clinical Systems Paper based, scanned, microform records etc. Standalone clinical systems Databases e.g. research

21. Distributing & Completing the inventory  Centrally coordinate the distribution of Inventory forms  Forms to be completed by department managers  Aggregate the forms either manually or electronically (eg Excel, Access etc)  Regularly review and update the Inventory

22. Benefits of a Records Inventory Improves compliance with  Records Management: NHS Code of Practice  IG toolkit requirements  NHS litigation authority’s risk management standards  Standards for better health  Professional standards Informs board’s assurance framework

23. Raising awareness of Records Management – Why?  To ensure that everyone knows who has the lead role for records management in the organisation  To ensure that all members of staff understand their personal responsibilities in respect of records management  To ensure that issues and progress on records management are routinely fed back to the board

24. Further Guidance and useful links Records Management: NHS Code of Practice RM NHS CoP Part 1.pdf RM NHS CoP Part 2.pdf The Information Governance Toolkit https://www.igt.connectingforh ealth.nhs.uk/ Records Management Roadmap http://www.connectingforhealt h.nhs.uk/infogov/records NHS Connecting for Health IG Policy Team website www.connectingforhealth.nhs. uk/infogov Department of Health websitewww.dh.gov.uk/en/Home