Data Quality Policy SH NCP 2. Version: 5. Summary:

Size: px
Start display at page:

Download "Data Quality Policy SH NCP 2. Version: 5. Summary:"

Transcription

1 SH NCP 2 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: The Trust provides a framework to ensure all data that is recorded by the Trust is accurate and complies to all statutory and recommended Information Governance standards. Data Quality, Systems, Validation, Information, Reporting, anonymisation; pseudonymisation All users of information within the Trust whether that be entering data onto systems or utilising reports Next Review Date: February 2018 Approved and ratified by: Information Governance Group Date of meeting: 11 January 2016 Date issued: Author: Simon Beaumont, Head of Information Sponsor: Lisa Franklin, Director of Information 1

2 Version Control Change Record Date Author Version Page Reason for Change 6/2/2012 Head of Information 19/2/2012 Head of Information 09/01/2014 Head of Information 17/12/2014 Head of Information 04/01/2016 Head of Information 1.0 n/a Document created 2.0 n/a Updated following comments and ratification by Information Governance Group Inclusion of Trust statement of compliance with anonymisation and pseudonymisation 4.0 All Full review of the policy. 5.0 All Full review of the policy. Reviewers/contributors Name Position Version Reviewed & Date Information Governance Group Approval body February 2012 Lesley Barrington Head of Information Assurance V3 January 2014 Lesley Barrington Membership V3 January 2014 Lisa Franklin Director of Information and Technology V4 December 2014 David Markwick Information Manager V5 January

3 CONTENTS Page 1. Introduction 4 2. Rationale 4 3. Scope 4 4. Core Principles 5 5. Standards and associated Key Performance Indicators 5 6. Responsibilities and accountabilities 8 7. Audit and monitoring 8 8. Data Quality governance structures 9 9. National guidance 10 Addendum Trust procedure for data pseudonymisation and anonymisation 11 Appendices A1 Equality Impact Assessment (EqIA) 13 3

4 1 Introduction Reliable information is fundamental for the Trust to conduct its business efficiently and effectively. This applies in all areas of activity including: the delivery of care to service users, service management, performance management, corporate governance, internal and external accountability and supports the business planning process and communication. Data quality is a crucial pre-requisite to supply information that is complete, relevant, accurate and timely. 2 Rationale Ever-increasing use of computerised systems provides greater opportunities to store and access large volumes of many types of data but also increases the risk of misinformation if the data from which information is derived is not of good quality. This risk applies to information for the Trust s internal use and to information conveyed in the form of statutory returns to the national databases - Hospital Episode Statistics Commissioning Data Sets (HES - CDS); Community Information Data Set (CIDS); Children and Young People s Health Services Data Set (CYPHS); Mental Health Services Data Set statistics (MHSDS) and Payment By Results (PbR)- via the Secondary Uses Service (SUS). For our information to have value, it is essential that the underlying data is consistent and complies with national standards. NHS Trusts are assessed, judged and sometimes paid on the quality of the data they produce. National statistics, performance indicators and audit assessments depend on good quality data for their accuracy and indeed include data quality amongst their number. Compliance with high Data Quality Assurance standards is an implicit requirement for Foundation Trust status. It is due to all of the above that Data Quality is on the Trust s strategic risk register at the time of publishing this Policy and as such mitigating actions are required to minimise the potential impact to the Trust. This policy provides the framework to mitigate such risks and enable individuals within the Trust to take direct responsibility for any data they record or omit to record. 3 Scope This policy is intended to cover all data that is entered into computerised systems within the Trust and should be read in conjunction with the Trust s Policies concerning paper-based records. It covers primarily data relating to individuals (staff, service-users or third-parties) and the delivery of care but also includes other data that relates to financial management, service management, performance management, corporate governance and communications. Service-user data is held on Electronic Patient Records (EPR) and a range of other clinical information systems owned by the Trust or accessed under SLA with host organisations. The Trust also operates a range of non-clinical information systems that support its business processes. The policy applies to all staff that use, or supply data that is input to those systems. It outlines good practice and identifies the roles and responsibilities of both the Trust and its staff in terms of data quality. 4

5 4 Core Principles In common with other NHS Trusts, the Trust will be required by the Health & Social Care Information Centre and Information Commissioners Office to achieve at least level 2 for Data Quality as set out in the Information Governance Toolkit (with particular reference to requirement 507). The Trust principles and standards outlined are also expected to be achieved for all Trust data. 4.1 The Data Protection Act (1998) requires, amongst other things, that information held on computer systems is accurate and up to date. For further details please refer to Trust policy SH IG 18 DPA, Caldicott & Confidentiality Policy. 4.2 There will be identified individuals within the Trust, including those in the areas of informatics, health records, clinical coding, systems support and the Caldicott Guardian, with particular responsibility for data quality issues in those areas. Their specific responsibility in this respect will be explicitly stated in their job descriptions. 4.3 Responsibilities concerning data quality will be explicitly stated in the job descriptions of all staff involved in the collection or processing of data that is input to relevant information systems. 4.4 Responsibility for the strategic management of data quality in the Trust will lie with the Director of Information & Technology, Chief Clinical Information Officer, Associate Director of Technology and the Head of Information. 4.5 Responsibility for the operational management of data quality will lie with the operational managers of all services to which this policy applies. 4.6 The importance of achieving good data quality will be addressed with all relevant staff as part of the induction process at commencement of their employment. 4.7 All data collection and input processes will have an audit trail that operates continuously. Any training and development issues identified in the course of auditing will be addressed promptly. 4.8 All users will be made aware of their individual and the Trust s corporate responsibility for confidentiality and security of data through the Trust s relevant policies. 5 Standards and associated Key Performance Indicators There are a number of standards and associated Key Performance Indicators that can be used to monitor Data Quality and as such support a high level of compliance. The common standards of good Data Quality are: 5.1 Accuracy The recorded data must be reflective of the event or individual associated with the data. At all times, whether the process be recoding new data or updating existing data, data must be checked to ensure it is accurate. 5

6 Example 5.2 Valid When updating a patient or service user s demographic data within the Trust s Electronic Patient Records the fields should be checked with the individual to ensure they are correct, this would include verbal communication with the individual and validation against the national spine. Where data is used to report Key Performance Indicators it must be validated and updated on the source system to ensure consistency and maintain integrity of electronic data. Example Rapid Response data for ISD Community Care Teams is recorded on the Trust s Electronic Patient Record. All breaches of the 2 hour response time are validated and should the clinical team identify an error in the underlying data they must update the source system and not rely on manual alteration of the KPI based upon their validation feedback. 5.3 Timely For data to be used as accurate information it must be recorded in a timely manner. Contemporaneous patient information is critical where an Electronic Patient Record acts as the primary clinical record for the patient or service user. Example Having visited a patient or service user the Electronic Patient Record is required to be updated. Should this not happen within the timescales listed below the risk of subsequent clinical interventions occurring without the knowledge of the previous visit being recorded increases. Key Performance Indicators Inpatient records: Recorded within 2 hours Community and Outpatient records: Recorded and outcomed within 2 working days. It is recognised that as the Trust implements an Electronic Patient Record there is a requirement for clinical teams to be able to access this Record real time. Data timeliness standards will be reviewed at such time as mobile working is available to reflect a clinical team s ability to update and record data in a more timely manner. 5.4 Consistency Data items will be populated in an internally consistent fashion. All reference tables and codes will be audited and updated regularly with reference to national and local data sources. 6

7 Example When recording data that is mandated by national data sets or has nationally determined structures the Trust s systems will reflect these values; Referral Source, Discharge Destination, Primary Diagnosis etc. 5.5 Appropriate Data must be recorded that is appropriate and relevant to the event. If data is not stated as being required within a documented process it should not be recorded and stored by any individual within the Trust. Example It is appropriate to record a patient or service user s Address within an Electronic Patient Record however it is not required, nor appropriate for their door key code or access code to be recorded. 5.6 Completeness Data must be complete in terms of all available fields are populated where the data is known and available to the individual. Example Patient demographic data has a number of mandatory and optional fields. When recording demographic data for a patient or service user all mandatory fields must be recorded, noting there are valid options for when an individual does not wish to provide the Trust with that data, i.e. Ethnicity, Religion. Optional fields must be populated where known. Key Performance Indicators: Mental Health Services Data Set Identifiers: 90% complete Mental Health Services Data Set Outcomes: 50% complete Community Information Data Set Identifiers: 50% complete 5.7 Using documented processes Where data is recorded within the Trust it must be done so using documented and signed off processes that are kept up to date and regularly audited by forums with the authority to highlight improvements and update processes accordingly. Example A set of Standard Operating Procedures are available for all of the Trust s electronic systems. These are designed to ensure data is entered consistently, based upon an agreed definition with standardised processes. 7

8 6 Responsibilities and accountabilities Within the Trust there are formally documented structures of accountability for Data Quality: 6.1 Every individual that is a registered user of a Trust System is responsible for ensuring the Data Quality of records when using the system. Should individuals knowingly enter data that breaches the previously described Data Quality standards there are disciplinary procedures that can be invoked. 6.2 Line Managers are accountable for ensuring each individual within their Team is complying with Data Quality standards and where errors or breaches in protocol are identified these are addressed and rectified. 6.3 This policy will be reviewed and maintained by the Trust Information Governance Group. 6.4 User Groups for each system are responsible for reviewing Standard Operating Procedures and cascading Data Quality initiatives and Communications. 6.5 The Chief Operating Officer as Senior Information Responsible Officer for the Trust is the accountable Director for Data Quality. 6.6 The Information Department as responsible function for maintaining Organisation Data Service site / location codes. 7 Audit and monitoring Data Quality will be regularly monitored using reporting available via the Trust s Data Warehouse and Tableau visualisations. These reports will include: Validation lists for records that breach Trust Key Performance Indicators Performance reports listing compliance against each of the Data Quality standards It is the responsibility of Line Managers to review Data Quality compliance for their Team. To ensure compliance with national best practice and Information Governance Toolkit standards the Trust will complete the following external audits on a yearly basis: Data Quality audit Clinical Coding audit External audits will be reported to the Trust s Information Governance Group and recommended actions will be recorded on the Trust audit log along with associated action plans. 8

9 8 Data Quality governance structures The Trust has groups that are formally responsible for the management of data quality risks and identifying appropriate mitigating actions to minimise the potential impact of poor data quality; these include: 8.1 Trust Data Quality Steering Group The Trust Data Quality Steering Group is reportable to the Trust Executive Group; its key responsibilities include: Review data quality across Trust clinical and corporate systems and ensure appropriate processes are in place to mitigate the risk of poor data quality and the impact this has on the ability of the Trust to deliver safe and effective care to our patients and service users. Assure the Service Performance and Transformation Committee that these processes are robust and effective; and reflect changes to Trust electronic systems as major procurements are completed (for example Open RIO). Report on and escalate issues which need to be drawn to the Service Performance and Transformation Committee s attention. Review risks to data quality and agree management actions to mitigate against these risks. Future plan for internal and external events, such as the annual Trust Quality Accounts to ensure data quality risks are identified and management actions taken, ahead of any event being completed. Review Trust national data submissions to ensure any areas of poor data quality are identified and appropriate management actions taken. Keep abreast of national guidance and change control notices to ensure the Trust has robust processes to manage data quality during changes to existing processes or new processes being developed. 8.2 Trust Data Integrity Group The Trust Data Integrity Group is reportable to the Trust Data Quality Steering Group; its key responsibilities include: Ensure a standard naming convention is followed when creating or changing cost centres within the Trust financial ledger. Authorise amendments (additions, changes and disabling) to: Financial data (this will then inform changes to ESR) RiO Ulysees Define and maintain change management processes in terms of: Organisational change Contract variations for staff Review risks for poor trust data integrity and identify actions to mitigate against these risks. Proactively review Trust data structures to ensure any potential data integrity challenges are highlighted by the Group and actions taken to address any inaccuracy. 9

10 8.3 Performance Management processes In addition to the above groups every clinical and corporate division is expected to have robust performance management processes in place that will ensure data quality is regularly reviewed and actions are taken to correct any errors or weaknesses in existing processes. 9 National guidance The Trust Data Quality policy is in direct response to a number of national standards and guidance notifications that are applicable to the Trust: ISB 0149 ISB 1523 ISB 1572 ISB 1072 ISB 1588 ISB 1069 ISB 1510 ISB 1577 ISB 0103 ISB 1520 ISB 1509 ISB 1078 ISB 0011 ISB 1069 NHS Number Anonymisation Standard for Publishing Health and Social Care Data Sensitive Data Child and Adolescent Mental Health Services Data Set Accident and Emergency Clinical Quality Indicators Children and Young People's Health Services Secondary Uses Data Set Community Information Data Set Diagnostic Imaging Dataset Diagnostics Waiting Times and Activity Data Collection Improving Access to Psychological Therapies Data Set Mental Health Care Clusters Mental Health Clustering Tool Mental Health Minimum Data Set Children and Young People s Health Services Data Set 10

11 Addendum 1: Trust procedure for data pseudonymisation and anonymisation Southern Health NHS Foundation Trust recognises the guidance published by Connecting for Health (now the Health and Social Care Information Centre), through the IG Toolkit, in relation to data pseudonymisation, in particular referencing: The key principle is to ensure, as far as is practicable, that individual service users cannot be identified from data that are used to support purposes other than their direct care or to quality assure the care provided. Where this is not practicable data should flow through business processes that minimise the risk to data. In many circumstances this requires data to be received by a part of the organisation designated as a safe haven where it can be processed securely and only used in an identifiable form for specific authorised procedures within the safe haven boundary. Onward disclosure should be limited to pseudonymised or anonymised data. Effective pseudonymisation and/or anonymisation processes depend upon robust information governance and effectively trained staff who understand the importance of data protection and confidentiality. Where there are weaknesses in an organisation s information governance its pseudonymisation and anonymisation processes are unlikely to be effective. It is not therefore possible to progress to higher attainment levels against this requirement where requirements relating to information governance management, confidentiality and data protection assurance and information security assurance are not met. In addition the Information Standards Board (now the Standardisation Committee for Care Information) have also published standards for anonymising data for the publishing of health and social care data (ISB 1523). This addendum to the Trust Data Quality policy outlines the Trust s approach to ensuring compliance with pseudonymisation and anonymisation guidance. When is patient identifiable data made available to staff within the Trust? Patient identifiable data is only made available to staff with a justified (or legitimate) reason for viewing the data, both in terms of being responsible for the clinical care of a patient and being employed within a clinical role or a role that directly supports clinicians to deliver patient care. Should patient level data be required to be reported but not for the purpose of direct clinical care any patient identifiable data will be removed from the report and replaced with a non patient identifiable field that remains unique to each patient but cannot be translated to identify a patient without appropriate authorisation and access to restricted electronic patient record systems. How is patient identifiable data shared securely within the Trust? When patient identifiable data is justified to be shared it is done so via either: from an NHS Mail account directly to a recipient s NHS Mail Through the Trust Data Warehouse. This is a secure sharepoint site that is restricted in access to named individuals with log ins to the site that are password protected and linked to an individual s network log in. All of these safeguards ensure only the appropriate individuals (in terms of being a clinical role and geographical responsibility for the care of the patient) have access to patient identifiable data through the Data Warehouse. 11

12 When patient data is shared for non clinical purposes how is it pseudonymised? Should patient level data be required to be shared for non clinical purposes, such as data quality validation or pathway analysis, all patient identifiable data is removed and replaced with the patient system number from the system of which the data was obtained from. This identifier alone is not able to be translated to patient identifiable data unless the individual viewing the data has access to the electronic patient system (which is restricted through smart card access). As such the patient system number is the equivalent to a local pseudonymised number, unique to the patient but not able to be used to identify a patient without further access to restricted systems. Should an extended pseudonymised number be required the Trust Data Warehouse has local patient identifiers that are assigned within the Data Warehouse and are not linked to any source system. This number can be utilised to ensure only the Trust Information Safe haven can decrypt the patient identified and translate it back into patient identifiable information. Who completes the pseudonymisation process? The Trust has a designed Information Safe haven (please see separate Information Safe haven procedure document - SH IG 27). This team consists of corporate support staff responsible for analysing the reporting data in addition to supporting the maintenance and development of Trust systems. Should pseudonymised data be required to be shared internally or externally it will only be done so through the Trust Information Safe haven. How is data anonymised? When data is not required to be identified as unique patients and is used for non clinical purposes the data set or report will remove any patient identifier, pseudonymised or identifiable resulting in the data being able to be used for the requested purpose but in no way being identifiable to a patient, regardless of if the individual receiving the data has access to the electronic patient record system. 12

13 APPENDIX 1 Southern Health NHS Foundation Trust Equality Impact Assessment / Equality Analysis Screening Tool Equality Impact Assessment (or Equality Analysis ) is a process of systematically analysing a new or existing policy/practice or service to identify what impact or likely impact it will have on different groups within the community For guidance and support in completing this form please contact a member of the Equality and Diversity team on Name of policy/service/project/plan: Policy Number: SH NCP 2 Department: Lead officer for assessment: Information Head of Information Date Assessment Carried Out: January Identify the aims of the policy and how it is implemented. Key questions Briefly describe purpose of the policy including How the policy is delivered and by whom Intended outcomes Provide brief details of the scope of the policy being reviewed, for example: Is it a new service/policy or review of an existing one? Is it a national requirement? Answers / Notes The policy is aimed at providing Trust employee s with a clear understanding of data quality requirements and processes in place to manage the risk of poor data quality The policy is an existing policy that has been reviewed in line with the timelines for review of Trust policies. 13

14 APPENDIX 1 Southern Health NHS Foundation Trust Equality Impact Assessment / Equality Analysis Screening Tool 2. Consideration of available data, research and information Monitoring data and other information involves using equality information, and the results of engagement with protected groups and others, to understand the actual effect or the potential effect of your functions, policies or decisions. It can help you to identify practical steps to tackle any negative effects or discrimination, to advance equality and to foster good relations. Please consider the availability of the following as potential sources: Demographic data and other statistics, including census findings Recent research findings (local and national) Results from consultation or engagement you have undertaken Service user monitoring data Information from relevant groups or agencies, for example trade unions and voluntary/community organisations Analysis of records of enquiries about your service, or complaints or compliments about them Recommendations of external inspections or audit reports Key questions 2.1 What is the equalities profile of the team delivering the service/policy? Data, research and information that you can refer to The equality profile of the Information and Systems Teams shows staff are from a range of ethnic origins, with the majority of ages ranging from 20 s to 60 s. 2.2 What equalities training have staff received? All staff within the Information and Systems Departments have received the mandatory training as part of induction and ongoing yearly refresher courses. 2.3 What is the equalities profile of service users? The users of this policy are all staff members within the Trust that use data and as such the equality profile can be referenced through Trust documentation. 2.4 What other data do you have in terms of service users or staff? (e.g results of customer satisfaction surveys, consultation findings). Are there any gaps? Not applicable 2.5 What engagement or consultation has been undertaken as Consultation with 14

15 APPENDIX 1 Southern Health NHS Foundation Trust Equality Impact Assessment / Equality Analysis Screening Tool part of this EIA and with whom? Information Governance What were the results? Group and feedback led to 2.6 If you are planning to undertake any consultation in the future regarding this service or policy, how will you include equalities considerations within this? amendment of the policy Not applicable In the table below, please describe how the proposals will have a positive impact on service users or staff. Please also record any potential negative impact on equality of opportunity for the target: In the case of negative impact, please indicate any measures planned to mitigate against this. 15

16 APPENDIX 1 Southern Health NHS Foundation Trust Equality Impact Assessment / Equality Analysis Screening Tool Age Positive impact (including examples of what the policy/service has done to promote equality) Through promotion of complete and accurate data the Trust will be able to analyse the diversity of its patient s, staff and constituents. Negative Impact Action Plan to address negative impact Actions to overcome problem/barrier Resources required Responsibility Target date Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Specific elements of equality and diversity such as age, disability status etc are specifically referred to within national data sets that are applicable to this Policy. Please see above Please see above Please see above Please see above 16

17 APPENDIX 1 Race Religion or Belief Sex Sexual Orientation Please see above Please see above Please see above Please see above Southern Health NHS Foundation Trust Equality Impact Assessment / Equality Analysis Screening Tool 17

18 Policy Implementation Plan List in the table below level of engagement / consultation with target groups: Target Group Engagement/Consultation carried out Service Users & Carers No Not applicable Staff Yes Policy has been consulted on through the Information Governance Group which has representation from all clinical and corporate directorates. General Public Yes Not applicable PCT Commissioners Local Authorities Yes No Commissioners are aware of the requirement for a Data Quality Policy within the Trust as all data provided to Commissioners has to be robust and accurate. Data Quality is referred to within the Data Quality Improvement Plan with Commissioners and the provides the underlying framework for this. Not applicable Voluntary Organisations No Not applicable Other Stakeholders No Not applicable Sign Off and Publishing Once you have completed this form, it needs to be approved by your Divisional Director or their nominated officer. Following this sign off, send a copy to the Equality and Diversity Team who will publish it on the Trust website. Keep a copy for your own records. Name: Simon Beaumont Designation: Head of Information Signature: Date: January

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Issued by: Senior Information Risk Owner Policy Classification: Policy No: POLIG001 Information Governance Issue No: 1 Date Issued: 18/11/2013 Page No: 1 of 16 Review Date:

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy Document Status Draft Version: V2.1 DOCUMENT CHANGE HISTORY Initiated by Date Author Information Governance Requirements September 2007 Information Governance Group Version

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date 20/10/11 This Initial EqIA will help you to analyse equality in the context of your policy, practice or function. The assessment is a useful

More information

INFORMATION GOVERNANCE STRATEGY

INFORMATION GOVERNANCE STRATEGY INFORMATION GOVERNANCE STRATEGY Page 1 of 10 Strategy Owner Valerie Penn, Head of Governance Strategy Author Caroline Law, Information Governance Project Manager Directorate Corporate Governance Ratifying

More information

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid.

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid. Policy Type Information Governance Corporate Standing Operating Procedure Human Resources X Policy Name CCG IG03 Information Governance & Information Risk Policy Status Committee approved by Final Governance,

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Primary Intranet Location Information Management & Governance Version Number Next Review Year Next Review Month 7.0 2018 January Current Author Phil Cottis Author s Job Title

More information

Policy: D9 Data Quality Policy

Policy: D9 Data Quality Policy Policy: D9 Data Quality Policy Version: D9/02 Ratified by: Trust Management Team Date ratified: 16 th October 2013 Title of Author: Head of Knowledge Management Title of responsible Director Director of

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust

The Newcastle upon Tyne Hospitals NHS Foundation Trust The Newcastle upon Tyne Hospitals NHS Foundation Trust Procedure for Joint Management of Complaints and Safeguarding Concerns within the Newcastle upon Tyne Hospitals NHS Foundation Trust Version No.:

More information

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. PATIENT DATA QUALITY POLICY Documentation Control

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST. PATIENT DATA QUALITY POLICY Documentation Control NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST PATIENT DATA QUALITY POLICY Documentation Control Reference GG/INF/019 Approving Body Directors Group Date Approved 16 Implementation Date 16 Summary of Changes

More information

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation Northumberland, Newcastle North and East, Newcastle West, Gateshead, South Tyneside, Sunderland, North Durham, Durham Dales, Easington and Sedgefield, Darlington, Hartlepool and Stockton on Tees and South

More information

Information Governance Policy

Information Governance Policy Author: Susan Hall, Information Governance Manager Owner: Fiona Jamieson, Assistant Director of Healthcare Governance Publisher: Compliance Unit Date of first issue: February 2005 Version: 5 Date of version

More information

TRUST POLICY FOR DATA QUALITY

TRUST POLICY FOR DATA QUALITY TRUST POLICY FOR DATA QUALITY Reference Number: IG 2012 001 Version: 2.3 Status: Final Author: Vanessa Forman Job Title: Head of Information Version / Amendment History Version Date Author Reason 1 September

More information

Information Governance Policy and Management Framework

Information Governance Policy and Management Framework Information Governance Policy and Management Framework Policy Number: IG01 Version: 3.0 Ratified by: Governing Body Date ratified: February 2016 Name of originator/author: Louise Chatwyn Information Governance

More information

Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols

Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols Title Trust Ref No 1340-29497 Local Ref (optional) Main points the document covers Who is the document aimed

More information

Data Quality Policy. March 2015 POLICY DEVELOPMENT PROCESS. Data Quality Policy Page 1

Data Quality Policy. March 2015 POLICY DEVELOPMENT PROCESS. Data Quality Policy Page 1 Data Quality Policy March 2015 Author: Lynda Harris, Head of Information Governance LyndaHarris2@nhs.net Responsibility: All Staff Effective Date: March 2015 Review Date: March 2017 Reviewing/Endorsing

More information

JOB DESCRIPTION. Information Governance Manager

JOB DESCRIPTION. Information Governance Manager JOB DESCRIPTION POST TITLE: Information Governance Manager DIRECTORATE: ACCOUNTABLE TO: BAND: LOCATION: CSS Head of Information Governance 8a CSS Job Purpose The Information Governance Manager will ensure

More information

Mental Health Act Code of Practice. Professions and Care Standards Liz Johnson - Head of Equality and Inclusion. Group

Mental Health Act Code of Practice. Professions and Care Standards Liz Johnson - Head of Equality and Inclusion. Group Policy: Equality and Human Rights Executive or Associate Director lead Policy author/ lead Feedback on implementation to Liz Lightbown - Executive Director of Nursing, Professions and Care Standards Liz

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Information Governance Policy Issue Date: June 2014 Document Number: POL_1008 Prepared by: Information Governance Senior Manager Insert heading depending on Insert line heading

More information

National Standards for Safer Better Healthcare

National Standards for Safer Better Healthcare National Standards for Safer Better Healthcare June 2012 About the Health Information and Quality Authority The (HIQA) is the independent Authority established to drive continuous improvement in Ireland

More information

Equality and Diversity Policy. Deputy Director of HR Version Number: V.2.00 Date: 27/01/11

Equality and Diversity Policy. Deputy Director of HR Version Number: V.2.00 Date: 27/01/11 Equality and Diversity Policy Author: Deputy Director of HR Version Number: V.2.00 Date: 27/01/11 Approval and Authorisation Completion of the following signature blocks signifies the review and approval

More information

Information Security Policy

Information Security Policy Information Security Policy JUNE 2014 Author Responsibility Lynda Harris, Head of Information Governance, Central Eastern CSU, Bedfordshire and Luton All staff Effective Date June 2014 Review Date June

More information

Senior Governance Manager, North of England. North Tyneside CCG Quality and Safety Committee (01/12/15)

Senior Governance Manager, North of England. North Tyneside CCG Quality and Safety Committee (01/12/15) Corporate IG02: Data Quality Version Number Date Issued Review Date V4 07/12/2015 01/01/18 Prepared By: Consultation Process: Senior Governance Manager, North of England Commissioning CCG Quality & Safety

More information

Information Governance Strategy 2015/16

Information Governance Strategy 2015/16 Information Governance Strategy 2015/16 Ratified Governing Body (November 2015) Status Final Issued November 2015 Approved By Executive Committee (August 2015) Consultation Equality Impact Assessment Internal

More information

CORPORATE POLICY & PROCEDURE NO. 7 INFORMATION GOVERNANCE POLICY. December 2014

CORPORATE POLICY & PROCEDURE NO. 7 INFORMATION GOVERNANCE POLICY. December 2014 CORPORATE POLICY & PROCEDURE NO. 7 INFORMATION GOVERNANCE POLICY December 2014 DOCUMENT INFORMATION Author: Barbara Sansom Information Governance Manager Equality Impact Assessment Consultation & Approval

More information

Fire Safety Policy SH HS 06. Version: 3. Summary:

Fire Safety Policy SH HS 06. Version: 3. Summary: SH HS 06 Version: 3 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: The sets out the Trusts approach to a proactive fire safety culture to protect its staff patients

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST POLICY DATA QUALITY FAST FIND: For information on the Trust s Data Quality standards, see Section 7. For information on the Trust s computer systems,

More information

INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK

INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK INFORMATION GOVERNANCE STRATEGIC VISION, POLICY AND FRAMEWORK Policy approved by: Assurance Committee Date: 3 December 2014 Next Review Date: December 2016 Version: 1.0 Information Governance Strategic

More information

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK Log / Control Sheet Responsible Officer: Chief Finance Officer Clinical Lead: Dr J Parker, Caldicott Guardian Author: Associate IG Specialist, Yorkshire

More information

Information Management Policy CCG Policy Reference: IG 2 v4.1

Information Management Policy CCG Policy Reference: IG 2 v4.1 Information Management Policy CCG Policy Reference: IG 2 v4.1 Document Title: Policy Information Management Document Status: Final Page 1 of 15 Issue date: Nov-2015 Review date: Nov-2016 Document control

More information

Type of change. V02 Review Feb 13. V02.1 Update Jun 14 Section 6 NPSAS Alerts

Type of change. V02 Review Feb 13. V02.1 Update Jun 14 Section 6 NPSAS Alerts Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Medical Director Tony Gray Head of Safety and Patient Experience

More information

NHS Commissioning Board: Information governance policy

NHS Commissioning Board: Information governance policy NHS Commissioning Board: Information governance policy DOCUMENT STATUS: To be approved / Approved DOCUMENT RATIFIED BY: DATE ISSUED: October 2012 DATE TO BE REVIEWED: April 2013 2 AMENDMENT HISTORY: VERSION

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy ONCE PRINTED OFF, THIS IS AN UNCONTROLLED DOCUMENT. PLEASE CHECK THE INTRANET FOR THE MOST UP TO DATE COPY Target Audience: All staff employed or working on behalf of the

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy ID IG02 Version: V1 Date ratified by Governing Body 27/09/13 Author South Commissioning Support Unit Date issued: 21/10/13 Last review date: N/A Next review date: September

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date Primary Alternative Provision Learning, Skills & Education, CCL October 2012 This Initial EqIA will help you to analyse equality in the context

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Information Governance Policy_v2.0_060913_LP Page 1 of 14 Information Reader Box Directorate Purpose Document Purpose Document Name Author Corporate Governance Guidance Policy

More information

PROTOCOL FOR DUAL DIAGNOSIS WORKING

PROTOCOL FOR DUAL DIAGNOSIS WORKING PROTOCOL FOR DUAL DIAGNOSIS WORKING Protocol Details NHFT document reference CLPr021 Version Version 2 March 2015 Date Ratified 19.03.15 Ratified by Trust Protocol Board Implementation Date 20.03.15 Responsible

More information

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE

CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version CONTRACTS REVIEW FOR INFORMATION GOVERNANCE COMPLIANCE PROCEDURE Document Title: Contracts

More information

There are several tangible benefits in conducting equality analysis prior to making policy decisions, including:

There are several tangible benefits in conducting equality analysis prior to making policy decisions, including: EQUALITY ANALYSIS FORM Introduction CLCH has a legal requirement under the Equality Act to have due regard to eliminate discrimination. It is necessary to analysis the consequences of a policy, strategy,

More information

Slips, Trips and Falls Policy. Documentation Control

Slips, Trips and Falls Policy. Documentation Control Documentation Control Reference HS/SP/015 Date approved 23 Approving body Directors Group Implementation date 23 Supersedes Version 2 (March 2010) Consultation undertaken Trust Health and Safety Committee

More information

Information Sharing Policy

Information Sharing Policy Information Sharing Policy REFERENCE NUMBER IG 010 / 0v3 February 2013 VERSION V1.0 APPROVING COMMITTEE & DATE Clinical Executive Committee 5.2.13 REVIEW DUE DATE February 2016 West Lancashire CCG is committed

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V3.0 09/06/15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0

Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Ownership

More information

CCG: IG06: Records Management Policy and Strategy

CCG: IG06: Records Management Policy and Strategy Corporate CCG: IG06: Records Management Policy and Strategy Version Number Date Issued Review Date V3 08/01/2016 01/01/2018 Prepared By: Consultation Process: Senior Governance Manager, NECS CCG Head of

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy Summary This policy outlines the organisation s approach to the management of Information Governance and information handling. It explains the accountability and reporting

More information

NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Final No impact Document Ratified/Approved By Hartlepool

More information

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS Newcastle Gateshead Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Document Ratified/Approved By Approved No impact NHS Quality, Safety

More information

Interpreting and Translation Policy

Interpreting and Translation Policy Interpreting and Translation Policy Exec Director lead Author/ lead Feedback on implementation to Karen Tomlinson Liz Johnson Tina Ball Date of draft February 2009 Consultation period February April 2009

More information

Safe Haven Policy. Equality & Diversity Statement:

Safe Haven Policy. Equality & Diversity Statement: Title: Safe Haven Policy Reference No: 010/IT Owner: Deputy Chief Officer Author Information Governance Lead First Issued On: November 2012 Latest Issue Date: March 2015 Operational Date: March 2015 Review

More information

JOB DESCRIPTION. Specialist Community Practitioner School Nurse (Child and Family Health)

JOB DESCRIPTION. Specialist Community Practitioner School Nurse (Child and Family Health) JOB DESCRIPTION Title: Specialist Community Practitioner School Nurse (Child and Family Health) Band: Band 6 Location/Base: Designated Locality within the Trust Directorate/Dept.: Children s Provider Services

More information

RISK MANAGEMENT STRATEGY 2014-17

RISK MANAGEMENT STRATEGY 2014-17 RISK MANAGEMENT STRATEGY 2014-17 DOCUMENT NO: Lead author/initiator(s): Contact email address: Developed by: Approved by: DN128 Head of Quality Performance Julia.sirett@ccs.nhs.uk Quality Performance Team

More information

EQUALITY ANALYSIS POLICY

EQUALITY ANALYSIS POLICY EQUALITY ANALYSIS POLICY This procedural document supersedes: CORP/EMP 27 v.2 Equality Analysis Policy Did you print this document yourself? The Trust discourages the retention of hard copies of policies

More information

Information Governance Policy

Information Governance Policy Information Governance Policy 1 Introduction Healthwatch Rutland (HWR) needs to collect and use certain types of information about the Data Subjects who come into contact with it in order to carry on its

More information

Data Quality Policy. DOCUMENT CONTROL: Version: 4.0

Data Quality Policy. DOCUMENT CONTROL: Version: 4.0 Data Quality Policy DOCUMENT CONTROL: Version: 4.0 Ratified By: Risk Management Sub Group Date Ratified 27 August 2013 Name of Originator/Author: Head of Information Services Name of Responsible Risk Management

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Information Governance Policy Version: 5 Reference Number: CO44 Keywords: Information Governance Supersedes Supersedes: Version 4 Description of Amendment(s):

More information

Use and verification of the NHS number for all active patients.

Use and verification of the NHS number for all active patients. Title: Reference No: Owner: Author: Use and verification of the NHS number for all active patients. NHSNYYIG-004 Director of Standards Information Governance Team First Issued On: March 2008 Latest Issue

More information

Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM

Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM Appendix 1 EQUALITY IMPACT: SCREENING AND ASSESSMENT FORM This form is to be used in conjunction with the Equality Impact Assessment Guidelines. Please refer to these before starting; if you require further

More information

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY. Report to the Trust Board 22 September 2015. Information Governance Manager

SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY. Report to the Trust Board 22 September 2015. Information Governance Manager SOMERSET PARTNERSHIP NHS FOUNDATION TRUST RECORDS MANAGEMENT STRATEGY Report to the Trust Board 22 September 2015 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations: Director

More information

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date

Document Title. Reference Number. Lead Officer. Author(s) (name and designation) Ratified by. Date ratified. Implementation Date Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Date ratified Implementation Date Date of full implementation Review Date Version number Review and Amendment Log

More information

EQUALITY AND DIVERSITY POLICY

EQUALITY AND DIVERSITY POLICY EQUALITY AND DIVERSITY POLICY Version 2 Ratified by Trust Board Date ratified July 2015 Title of originator/author Title of responsible committee /group Date issued August 2015 Review date June 2018 Relevant

More information

NHS North Durham Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS North Durham Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS North Durham Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Document Ratified/Approved By Final No impact Risk and Audit Committee/Governing

More information

Information Governance Strategy :

Information Governance Strategy : Item 11 Strategy Strategy : Date Issued: Date To Be Reviewed: VOY xx Annually 1 Policy Title: Strategy Supersedes: All previous Strategies 18/12/13: Initial draft Description of Amendments 19/12/13: Update

More information

Information Governance Management Framework

Information Governance Management Framework Information Governance Management Framework Responsible Officer Author Business Planning & Resources Director Governance Manager Date effective from October 2015 Date last amended October 2015 Review date

More information

Data Quality Standard

Data Quality Standard Data Quality Standard 1. Introduction 1.1 Reliable information is a fundamental requirement for any organisation to conduct its business efficiently and effectively. For the Council this applies in all

More information

Job Description. Line Management of a small team of staff administrating and managing patient and professional feedback and incidents.

Job Description. Line Management of a small team of staff administrating and managing patient and professional feedback and incidents. Job Description Job Title Pay Band Base Dept./Team Responsible to Accountable to Responsible for Complaints, Incidents and Governance Manager New Alderley House, Macclesfield Eastern Cheshire Clinical

More information

To ensure that the Trust has in place the systems and processes to effectively manage data quality.

To ensure that the Trust has in place the systems and processes to effectively manage data quality. DATA QUALITY POLICY Document Summary To ensure that the Trust has in place the systems and processes to effectively manage data quality. DOCUMENT NUMBER POL/002/064 DATE RATIFIED June 2014 DATE IMPLEMENTED

More information

RECORD KEEPING IN HEALTHCARE RECORDS POLICY

RECORD KEEPING IN HEALTHCARE RECORDS POLICY RECORD KEEPING IN HEALTHCARE RECORDS POLICY Version 6.0 Key Points The Policy provides a framework for the quality of the clinical record facilitates high quality, safe patient care and that subsequently

More information

Equality Objectives

Equality Objectives Equality Objectives 2012 2016 In compliance with the Equality Act 2010 Updated September 2014 Content Introduction 1 The Equality Act 2010 2 Equality Delivery System Adoption of the EDS and Grading Developing

More information

NHS Waltham Forest Clinical Commissioning Group Information Governance Policy

NHS Waltham Forest Clinical Commissioning Group Information Governance Policy NHS Waltham Forest Clinical Commissioning Group Information Governance Policy Author: Zeb Alam & David Pearce Version 3.0 Amendments to Version 2.1 Updates made in line with National Guidance and Legislation

More information

Rachael Shimmin, Corporate Director of Adults, Wellbeing and Health. Councillor Morris Nicholls, Portfolio Holder for Adult Services

Rachael Shimmin, Corporate Director of Adults, Wellbeing and Health. Councillor Morris Nicholls, Portfolio Holder for Adult Services Cabinet 24 July 2012 Local HealthWatch Transition Plan including NHS Complaints Advocacy Service [Key Decision AWH 03/12] Report of Corporate Management Team Rachael Shimmin, Corporate Director of Adults,

More information

MANAGEMENT OF PERSONAL FILES POLICY

MANAGEMENT OF PERSONAL FILES POLICY MANAGEMENT OF PERSONAL FILES POLICY Executive Director lead Author/ lead Feedback on implementation to Andrew Avery (Interim Director of HR) Liz Thompson (HR Manager) Liz Thompson (HR Manager) Date of

More information

A Question of Balance

A Question of Balance A Question of Balance Independent Assurance of Information Governance Returns Audit Requirement Sheets Contents Scope 4 How to use the audit requirement sheets 4 Evidence 5 Sources of assurance 5 What

More information

Information Governance Policy

Information Governance Policy Information Governance Policy REFERENCE NUMBER IG 101 / 0v3 May 2012 VERSION V1.0 APPROVING COMMITTEE & DATE Clinical Executive 4.9.12 REVIEW DUE DATE May 2015 West Lancashire CCG is committed to ensuring

More information

NETWORK SECURITY POLICY

NETWORK SECURITY POLICY NETWORK SECURITY POLICY Policy approved by: Assurance Committee Date: 3 December 2014 Next Review Date: December 2016 Version: 1.0 Page 1 of 12 Review and Amendment Log/Control Sheet Responsible Officer:

More information

The EDGE 2014 User Conference Information Governance Workshop

The EDGE 2014 User Conference Information Governance Workshop The EDGE 2014 User Conference Information Governance Workshop Monday 17 th March 2014 Debbie Terry Agenda What is Information Governance? New developments in legislation Your questions answered Caldicott

More information

MANAGEMENT OF POLICIES, PROCEDURES AND OTHER WRITTEN CONTROL DOCUMENTS

MANAGEMENT OF POLICIES, PROCEDURES AND OTHER WRITTEN CONTROL DOCUMENTS MANAGEMENT OF POLICIES, PROCEDURES AND OTHER WRITTEN CONTROL DOCUMENTS Document Reference No: Version No: 6 PtHB / CP 012 Issue Date: April 2015 Review Date: January 2018 Expiry Date: April 2018 Author:

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME Quality standard topic: Dementia supporting people to live well with dementia Output: Equality

More information

General Guidance on the National Standards for Safer Better Healthcare

General Guidance on the National Standards for Safer Better Healthcare General Guidance on the National Standards for Safer Better Healthcare September 2012 About the Health Information and Quality Authority The (HIQA) is the independent Authority established to drive continuous

More information

Information Communication and Technology Management. Framework

Information Communication and Technology Management. Framework Information Communication and Technology Management Framework Author(s) Andrew Thomas Version 1.0 Version Date 24 September 2013 Implementation/approval Date 25 September 2013 Review Date September 2014

More information

Risk Management and Risk Assessment Policy

Risk Management and Risk Assessment Policy SharePoint Location Non-clinical Policies and Guidelines SharePoint Index Directory 3.0 Corporate Sub Area 3.1 Risk and Health & Safety Documents Key words (for search purposes) Risk, Risk Management,

More information

SMS Text Messaging to Service Users Policy

SMS Text Messaging to Service Users Policy SMS Text Messaging to Service Users Policy Reference No: Version: 2 Ratified by: P_IG_24 LCHS Trust Board Date ratified: 29 th July 2014 Name of originator/author: Name of responsible committee/individual:

More information

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015

Grievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015 POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy THCCGCG9 Version: 01 The information governance strategy outlines the CCG governance aims and the key objectives of its governance policies. The Chief officer has the overarching

More information

Policy on Dual Diagnosis Continuum Model for service users with mental health and substance misuse problems

Policy on Dual Diagnosis Continuum Model for service users with mental health and substance misuse problems Code No: CP23 Issue number: 3 Policy on Dual Diagnosis Continuum Model for service users with mental health and substance misuse problems Lead Executive Author with contact details Responsible Committee/Sub

More information

Information Governance Policy. 2 RESPONSIBLE PERSON: Steve Beeho, Head of Integrated Governance. All CCG-employed staff.

Information Governance Policy. 2 RESPONSIBLE PERSON: Steve Beeho, Head of Integrated Governance. All CCG-employed staff. Information Governance Policy 1 SUMMARY This policy is intended to ensure that staff are fully aware of their Information Governance (IG) responsibilities, so that they can effectively manage and best

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Version: 3.2 Authorisation Committee: Date of Authorisation: May 2014 Ratification Committee Level 1 documents): Date of Ratification Level 1 documents): Signature of ratifying

More information

Eastern Cheshire Clinical Commissioning Group

Eastern Cheshire Clinical Commissioning Group Eastern Cheshire Clinical Commissioning Group Healthcare Procurement Policy and Strategy Responsible Person: Neil Evans, Head of Business Management Date Approved: TBC Committee: Governance and Audit Committee

More information

Open Report on behalf of Glen Garrod, Director of Adult Care. Date: 03 February 2015 Subject: All-Age Autism Strategy for Lincolnshire

Open Report on behalf of Glen Garrod, Director of Adult Care. Date: 03 February 2015 Subject: All-Age Autism Strategy for Lincolnshire Agenda Item 7 Executive Report to: Open Report on behalf of Glen Garrod, Director of Adult Care Executive Date: 03 February 2015 Subject: All-Age Autism Strategy for Lincolnshire 2015-2018 Decision Reference:

More information

Trust Informatics Policy. Information Governance. Information Governance Policy

Trust Informatics Policy. Information Governance. Information Governance Policy Trust Informatics Policy Information Governance Policy Reference: TIP/IG/IGP I:\IG\IGM\IGT\March 2011\Document Library\Policies\Approved/ - 1 Document Control Policy Title Author/Contact Document Reference

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY POLICY NO IM&T 011 DATE RATIFIED January 2012 NEXT REVIEW DATE January 2015 POLICY STATEMENT/KEY OBJECTIVE: To provide an overarching framework through which Information Governance

More information

Policy Information Management

Policy Information Management Policy Information Management Document Title: Policy Information Management Issue date: October 2013 Document Status: Approved IGC 23 Oct 2013 Review date: October 2014 Page 1 of 17 Document control Document

More information

Data Protection Policy

Data Protection Policy Issue Date: June 2014 Document Number: POL_1006 Prepared by: Information Governance Senior Manager Insert heading depending on Insert line heading length; please depending delete other on line length;

More information

Information Governance Framework and Strategy. November 2014

Information Governance Framework and Strategy. November 2014 November 2014 Authorship : Committee Approved : Chris Wallace Information Governance Manager CCG Senior Management Team and Joint Trade Union Partnership Forum Approved Date : November 2014 Review Date

More information

Initial Equality Impact Assessment

Initial Equality Impact Assessment Initial Equality Impact Assessment Department Service Area Date Adult and Children s Services Adults and Transitions 15 th December 2011 This Initial EqIA will help you to analyse equality in the context

More information

Policy for the Management of People with Dual Diagnosis. Document Title NTW(C)44. Reference Number. Executive Director of Nursing and Operations

Policy for the Management of People with Dual Diagnosis. Document Title NTW(C)44. Reference Number. Executive Director of Nursing and Operations Document Title Policy for the Management of People with Dual Diagnosis Reference Number Lead Officer Author(s) (Name and Designation) Ratified by Executive Director of Nursing and Operations David Crawford

More information

Work Experience Policy. Sue Ellis Director of Workforce. Final. 9 March March April April 2019

Work Experience Policy. Sue Ellis Director of Workforce. Final. 9 March March April April 2019 Work Experience Policy Author (s) Corporate Lead Eilidh MacDonald Leeds Community Healthcare NHS Trust Sue Ellis Director of Workforce Document Version Date approved by Joint Negotiating Consultative Forum

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. IT Change Management Policy and Process

The Newcastle upon Tyne Hospitals NHS Foundation Trust. IT Change Management Policy and Process The Newcastle upon Tyne Hospitals NHS Foundation Trust Version No.: 2.0 Effective From: 16 July 2015 Expiry Date: 16 July 2018 Date Ratified: 5 June 2015 Ratified By: Director of IT 1 Introduction IT Change

More information

TRUST-WIDE NON-CLINICAL POLICY DOCUMENT. Date Ratified: February 2015 Next Review Date (by): February 2017 Version Number: 2015 Version 1

TRUST-WIDE NON-CLINICAL POLICY DOCUMENT. Date Ratified: February 2015 Next Review Date (by): February 2017 Version Number: 2015 Version 1 TRUST-WIDE NON-CLINICAL POLICY DOCUMENT Policy Number: Scope of this Document: Recommending Committee: Appproving Committee: SA01 All Staff Policy Group Executive Committee Date Ratified: February 2015

More information

IS INFORMATION SECURITY POLICY

IS INFORMATION SECURITY POLICY IS INFORMATION SECURITY POLICY Version: Version 1.0 Ratified by: Trust Executive Committee Approved by responsible committee(s) IS Business Continuity and Security Group Name/title of originator/policy

More information

Policy: Accessing Legal Advice

Policy: Accessing Legal Advice Policy: Accessing Legal Advice Executive or Associate Director lead Policy author/ lead Feedback on implementation to Rosie McHugh Wendy Hedland Wendy Hedland Date of draft April 2014 Dates of consultation

More information

Informatics Policy. Information Governance. Network Account and Password Management Policy

Informatics Policy. Information Governance. Network Account and Password Management Policy Informatics Policy Information Governance Policy Ref: 3589 Document Title Author/Contact Document Reference 3589 Document Control Network Account Management and Password Policy Pauline Nordoff-Tate, Information

More information