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Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit:

COG 3/2014. Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 2014. The guidance and purpose. To endorse the recommendation made by a smaller group of CoGs re indicator selection for external audit

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Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit:

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  1. COG 3/2014 Council of Governors CNWL Quality Account 2013-14 Indicator Selection for External Audit: Endorsement of recommendation Wed, 19 March 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 3rd indicators to recommend to the Council of Governors for final endorsement/sign-off • For information, in attendance: • LinaChristopoulou, 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. Indicator selection • 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 Council of Governors are asked to consider and endorse this indicator selection for external audit

  6. Next steps.. • 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 Thank you

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