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Healthcare Core Standards ANNUAL HEALTHCHECK Final Declaration 4 th May ’06

Healthcare Core Standards ANNUAL HEALTHCHECK Final Declaration 4 th May ’06 Community Services Scrutiny Committee 25.04.06. GETTING THE BASICS RIGHT. MAKING and SUSTAINING PROGRESS. PROGRESS AGAINST DEVELOPMENTAL STANDARDS. CORE STANDARDS. Annual Health Check. EXISTING TARGETS.

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Healthcare Core Standards ANNUAL HEALTHCHECK Final Declaration 4 th May ’06

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  1. Healthcare Core Standards ANNUAL HEALTHCHECK Final Declaration 4th May ’06 Community Services Scrutiny Committee 25.04.06 Southend-on-Sea PCT

  2. GETTING THE BASICS RIGHT MAKING and SUSTAINING PROGRESS PROGRESS AGAINST DEVELOPMENTAL STANDARDS CORE STANDARDS Annual Health Check EXISTING TARGETS NATIONAL TARGETS IMPROVEMENT REVIEWS Smoking / Substance Misuse USE OF RESOURCES (External Audit - ALE’s) Southend-on-Sea PCT

  3. The Annual Health Check TWO RATINGS PROVIDED • Use of Resources (Weak, Fair, Good, Excellent) • Quality Element (Weak, Fair, Good, Excellent). The Core Standards • A Trust will receive one of the following scores: Fully Met, Almost Met, Partly Met and Not Met. • The Score aims to: • Reflect extent of Trusts’ compliance for entire year • Encourage insight and honesty • ‘Reward’ trusts that have improved levels of compliance Southend-on-Sea PCT

  4. The Core Standards • Compliance is determined by Reasonable Assurance without significant lapse. Reasonable assurance is not, by definition absolute assurance. Based on documentary evidence open to internal & external challenge. • Greater clarity over definition of “Significant lapse”: “It is for trust boards to decide whether a given lapse is significant or not. However, in making this decision, we anticipate that boards will consider the extent of risk to patients, staff and the public, and the duration and impact of any lapse. The declaration is not intended as a medium for reporting isolated, trivial or purely technical lapses in respect of the core standards”. Southend-on-Sea PCT

  5. Scoring Thresholds Southend-on-Sea PCT

  6. Our Methodology • Examine those Standards which were inspected by the Healthcare Commission (5) • Examine those Standards which we declared as either being ‘Not Met’ or having ‘Insufficient Evidence’ in our Draft Declaration (5) • Review all the remaining standards to see whether our declaration of Compliance in our Draft Declaration was still pertinent (37) NB There are 49 Standards overall but 2 of these are not applicable as they are subject to external evaluation. Southend-on-Sea PCT

  7. HCC Assessment Visit Southend-on-Sea PCT

  8. Draft Declaration (Not Met / Ins.Assur. ) Southend-on-Sea PCT

  9. Draft Declaration (Not Met / Ins.Assur. )Continued Southend-on-Sea PCT

  10. Remaining Standards • No significant issues to address. • Only issue of note related to Standards C4c (C4cHealth care organisations keep patients, staff and visitors safe by having systems to ensure that c) all reusable medical devices are properly decontaminated prior to use and that the risks associated with decontamination facilities and processes are well managed.) There was a view that as there is an Essex wide strategy to move to disposable equipment but contractors are still sterilizing & re-using, all PCTs must declare non-compliance until strategy implemented. All South Essex PCT’s oppose this view and will be declaring compliance. • Satisfied therefore that all remaining Standards can be declared as Compliant. Southend-on-Sea PCT

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