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TERMS OF REFERENCE AND WORKPLAN 2011 - 2012
This paper outlines the terms of reference for the Improvement and Quality Committee (as approved by the Board, and contained within the NHS Tayside Code of Corporate Governance and the Committee’s Work Plan.
2. Executive Lead Officer
The executive lead officers for this committee are Dr Andrew Russell, Executive Lead for Quality, Safety and Clinical Governance and Dr Margaret McGuire, Executive Lead for Person Centred Care.
3. Support Officer
Items for the agenda should be submitted to the Committee Support Officer who is Mrs Nicola Owen, Committee Support Officer. She can be contacted via e-mail at email@example.com or by phone on 01382 425658 (ext 35658).
4. Purpose of Committee
To provide Tayside NHS Board with the assurance that robust governance and management systems and processes are in place and effective throughout NHS Tayside in the following areas:
Meetings of the Committees will be quorate when at least five Members are present, at least three of whom should be Non-Executive Members of NHS Tayside.
Patient Safety, Clinical Governance and Risk
The Committee is responsible for reviewing progress on all aspects of Patient Safety, Clinical Governance and Clinical Risk.
The Committee will receive assurance reports across all the clinical governance/quality activities within NHS Tayside from its established Clinical Quality Forum.
The purpose of the Clinical Quality Forum is to manage the clinical governance and quality assurance activities within NHS Tayside, through prioritising and agreeing a work programme in order to provide assurance to the Board through the Improvement and Quality Committee that appropriate systems for clinical governance and quality activities are in place in NHS Tayside.
Following a meeting of the Clinical Quality Forum the minutes of that meeting should be presented at the next meeting of the Improvement and Quality Committee. The Clinical Quality Forum should annually and normally within the first month of the start of the financial year provide a work plan detailing the work to be taken forward by the Clinical Quality Forum which will then be approved by the Improvement and Quality Committee. The Clinical Quality Forum will produce a mid-year and annual report for presentation ot the Improvement and Quality Committee.
Equality and Diversity
The committee will establish an Equality & Diversity Steering Group to provide assurance to the Committee that Tayside NHS Board is complying with its General Duty and to provide assurance that robust equality and diversity systems and processes are in place and effective throughout NHS Tayside.
The Committee will receive quarterly reports on improvement through the Tayside Centre for Organisational Effectiveness.
The Committee will receive an annual report on two elements of the Corporate Communications and Engagement Strategy; well informed patients, families, carers and the public, strong and meaningful community and public engagement.
The Committee will receive an annual report on the Participation Standards Self Assessment Framework to be assured NHS Tayside is meeting the required standards.
The Committee will receive an annual assurance improvement/action plan followed by a mid-year and annual report to provide assurance that NHS Tayside has the necessary information assurance arrangements in place.
The Committee will receive annual reports to provide assurance that NHS Tayside is providing an appropriate training environment at undergraduate and postgraduate levels across the professions from its established Educational Governance Group.
The Committee will receive an annual report relating to the quality of research processes in Tayside.
The Committee will receive an annual report to provide assurance on the implementation of the UK Organ Donor Taskforce recommendations from its established Organ Donation Committee.
a. Risk Reporting
b. Best Value
The Committee is responsible for reviewing those aspects of the Best Value work plan which are delegated to it from Tayside NHS Board. The Committee will put in place the arrangements which will provide assurance to the Chief Executive as Accountable Officer, that NHS Tayside has systems and processes in place to secure best value for these delegated areas. The assurance to the Chief Executive should be included as an explicit statement in the Committee’s Annual Report.
The Improvement and Quality Committee is accountable to NHS Tayside Board and as such is authorised by the Board to approve Safety, Clinical Governance and Improvement within its terms of reference, and in doing so is authorised to seek any information it requires in this area.
In order to fulfil its remit, the Improvement and Quality Committee may obtain whatever professional advice it requires, and require Directors or other officers of NHS Tayside bodies to attend meetings.
9. Reporting Arrangements
The Improvement and Quality Committee reports to Tayside NHS Board.
Following a meeting of the Improvement and Quality Committee the minutes of that meeting should be presented at the next Tayside NHS Board meeting.
The Improvement and Quality Committee should annually and within three months of the start of the financial year provide a work plan detailing the work to be taken forward by the Improvement and Quality Committee.
The Improvement and Quality Committee will produce an annual report for presentation to the Audit Committee. The Annual Report will describe the outcomes from the Committee during the year and provide an assurance to the Audit Committee that the Committee has met its remit during the year. The Annual Report must be approved by the Improvement and Quality Committee before it is presented to the Audit Committee considering the Annual Accounts.
NHS TAYSIDE – IMPROVEMENT AND QUALITY COMMITTEE
TIMETABLE FOR MEETINGS – 2011 TO 2013
Chairman –Mrs Angela Scott