FOR FURTHER INFORMATION ABOUT THIS COMMITTEE PLEASE CONTACT :

Lynda Long On 01382 424076 Or email: lynda.long@thb.scot.nhs.uk

1. Executive Lead Officer

The executive lead officer for this committee is Professor W J Wells, Chief Executive, NHS Tayside.

2. Support Officers

Items for the agenda should be submitted to the Committee Support Officer who is Miss Lynda Long, Corporate Services Officer. Miss Long can be contacted at Kings Cross, Clepington Road, DUNDEE, DD3 8EA, tel 01382 424076 or extension 71076.

3. Purpose of Committee

To provide the Board of NHS Tayside with the assurance that: -

- Clinical governance mechanisms are in place and effective throughout the whole of the NHS system including health improvement activities.

4. Membership

Members

In Attendance

Ad hoc in attendance

Meetings are chaired by Mr John Angus. Mrs Diana Campbell, Non Executive Member, will deputise in the absence of the Chairman.

5. Quorum

No business shall be transacted at a meeting unless there are present and entitled to vote, at least five members, one of whom must be Non Executive Member

6. Frequency of Meetings

Meetings are held bi-monthly on the last Tuesday of the second month at 2pm, and are open to the public

7. Remit

• To ensure that all necessary clinical governance procedures are in place for the whole of the NHS Tayside system;
• To establish a Health Governance Sub-Committee that will have the responsibility for ensuring that the principles and standards of clinical governance are applied to the health improvement activities of the Board;
• To receive reports from the Child Protection Liaison Group;
• To ensure that all relevant clinical governance themes are incorporated into the Tayside Health Plan;
• To consider policy implications arising from serious investigations of individual practitioners or ethically sensitive issues;
• To set priorities for Clinical Audit for National priority areas and cross Division strategies;
• To receive and consider reports from the Divisional Clinical Governance Sub-Committees;
• To produce an annual action plan which details the workplan of the Clinical Governance Committee;
• To monitor and evaluate the progress of the Clinical Governance Committee against the annual Action Plan;
• To receive, approve and monitor an annual report and workplan from the Risk Management Group;-
• To produce an Annual Report for presentation to the Board and the public;
• To assure that the NHS Tayside spiritual care arrangements and associated training are satisfactory and in accordance with the Scottish Executive Health Department Guidance;
• To approve an annual Spiritual Care implementation plan;
• To approve an annual Spiritual Care report.

The Committee will appoint an Integrated Strategy Steering Group to take forward, on behalf of the Board, the implementation of the Integrated Action Plan for Nursing and Midwifery. Membership of the Steering Group should include:

• One Non-Executive Member (Chair)
• The Board’s Nurse Director
• Representatives of the Universities
• Sub-Group Leads
• Strategic Nursing Group
• Staff Representatives
  

8. Authority

The Quality and Clinical Governance Committee’s authority is detailed in Tayside NHS Board Standing Orders, section C, paragraph 10.5.

9. Reporting Arrangements

The Quality and Clinical Governance Committee reports to Tayside NHS Board.

10. Timetable for submitting agenda items and papers

The dates for submitting agenda items and papers is as follows:

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