Report on Premises Assurance Model self-assessment questions

Report on Premises Assurance Model self-assessment questions Day Month Year XXX Trust

CONTENTS: • Introduction • Results for current year • Comparison of current with previous year’s results (where applicable)

Introduction Effectiveness The extent to which premises and facilities are functionally suitable, sustainable and effective in supporting the delivery of improved health outcomes. • The NHS Premises assurance model is a management tool, designed to provide a nationally consistent approach to evaluating NHS premises & facilities performance against a set of common indicators. • This presentation summarises the ratings obtained by your organisation/site on the management of its premises and associated support services. The ratings follow the NHS PAM self-assessment made by your organisation/site on the following five domains: Efficiency The extent to which space, activity, income and operational costs of the estates and facilities provide value for money, are economically sustainable and meet clinical and organisational requirements. Patient Experience The extent to which patient experience is an integral part of service provision and is reflected in the way in which services are delivered; and the extent to which patients and members of the public are involved in the development of services and the monitoring of performance. Safety The extent to which the design, layout, build, engineering, and operation and maintenance of the estate meet appropriate levels of safety to provide premises that supports the delivery of improved clinical and social outcomes. Organisation governance The extent to which the organisation's board of directors delivers strategic leadership and effective scrutiny of the organisations estates and facilities operations and how the other four domains are managed as part of the internal governance of the NHS organisation

Rating methodology Outstanding Compliant with no action required plus evidence of high quality services and innovation. • The NHS PAM assesses the organisation/individual sites performance under the five domains described before. Each domain contains key areas of self-assessment which in turn contain a set of sub prompts questions. Prompt questions are answered based on the evidence required and any relevant guidance and mandatory requirements. • There are six possible answers for each prompt question: When the prompt question is not applicable to your organisation/site Not applicable Good Compliant with no action required. Requires minimal improvement The impact on people who use services, visitors or staff is low. Requires moderate improvement The impact on people who use services, visitors or staff is medium. Inadequate Action is required quickly - the impact on people who use services, visitors or staff is high. • Ratings are available at domain level, self-assessment level or prompt question level. The rating provided at self-assessment and domain level will be based on an average of the prompt question ratings that sit below them.

Results in this pack This pack shows the following results: • The average rating for each domain • For each domain, distribution of ratings of the self-assessment questions (SAQs) that form it • For each domain, the self-assessment questions with a rating of outstanding or inadequate • If the self-assessment is carried out for two years, the self-assessment questions with the biggest improvements and declines are also reported In this example: - All SAQs in the efficiency domain receive a rating of “good” - All SAQs in the patient experience a rating of “requires minimal improvement” - Half of the SAQs in the safety domain receive a rating of “requires minimal improvement and half a score of “requires moderate improvement” - In both the organisation governance and effectiveness domains the proportion of SAQs that receive each of the possible ratings is the same (20%) Example This presentation provides ratings at domain and self-assessment level. More granular prompt level information is also available within the NHS PAM tool

Average ratings by domain

Distribution of SAQ ratings by domain

Effectiveness: Strengths and weaknesses Areas in which the trust obtains a rating of outstanding Areas in which the trust obtains a rating of inadequate Does your organisation/site… Does your organisation/site…

Efficiency : Strengths and weaknesses Areas in which the trust obtains a rating of outstanding Areas in which the trust obtains a rating of inadequate Does your organisation/site… Does your organisation/site…

Patient Experience: Strengths and weaknesses Areas in which the trust obtains a rating of outstanding Areas in which the trust obtains a rating of inadequate Does your organisation/site… Does your organisation/site…

Safety : Strengths and weaknesses Areas in which the trust obtains a rating of outstanding Areas in which the trust obtains a rating of inadequate Is your organisation/site… Is your organisation/site…

Organisation Governance: Strengths and weaknesses Areas in which the trust obtains a rating of outstanding Areas in which the trust obtains a rating of inadequate Does your organisation/site… Does your organisation/site…

Overview of comparator year: comparison of average ratings by domain with focus year

Overview of comparator year: distribution of SAQ ratings by domain

Effectiveness: Improvements and declines Areas in which the rating has increased by two or more levels Areas in which the rating has decreased by two or more levels Does your organisation/site… Does your organisation/site…

Efficiency: Improvements and declines Areas in which the rating has increased by two or more levels Areas in which the rating has decreased by two or more levels Does your organisation/site… Does your organisation/site…

Patient experience: Improvements and declines Areas in which the rating has increased by two or more levels Areas in which the rating has decreased by two or more levels Does your organisation/site… Does your organisation/site…

Safety: Improvements and declines in other areas Areas in which the rating has increased by two or more levels Areas in which the rating has decreased by two or more levels Is your organisation/site… Is your organisation/site…

Organisation governance: Improvements and declines Areas in which the rating has increased by two or more levels Areas in which the rating has decreased by two or more levels Does your organisation/site… Does your organisation/site…

pamhelpdesk@dh.gsi.gov.uk

Report on Premises Assurance Model self-assessment questions