1 NHS HDL (2003) 49 abcdefghijklm Health Department Directorate of Performance Management & Finance Dear Colleague CLINICAL NEGLIGENCE AND OTHER RISKS INDEMNITY SCHEME (CNORIS) Purpose 1. This letter provides: an update on the financial thresholds above which NHS Boards and NHS Trusts can seek assistance from the Residual Pool; a reminder of the instructions on the delegated limit process for settling cases; and canvasses interest in the establishment of a Management Forum on the administrative aspects of the CNORIS scheme. Background 2. The Clinical Negligence and Other Risks Indemnity Scheme (CNORIS) was launched on 1 April 2000 with membership mandatory for all health bodies. The Scheme has two principal aims: financial efficiency through cost-effective risk pooling and claims management; effective risk management by encouraging a rigorous approach to treatment of risk. 3. The Scheme comprises one financial pool incorporating: New Pool clinical and non-clinical incidents occurring and reported on or after 1 April 2000 and incidents incurred but not reported (IBNRs) as at 1 April 2000 (except for non-clinical claims that are covered by previous commercial insurance cover); 13 th October 2003 Addresses For action Chief Executives, NHS Trusts Chief Executives, Health Boards Common Services Agency Scottish Ambulance Service State Hospitals Board for Scotland Directors of Finance, Health Boards and NHS Trusts For information Chief Executive, NHS Quality Improvement Scotland The Director, Mental Welfare Commission for Scotland Chief Executive, NHS Education for Scotland Medical and Nursing Directors Enquiries to: Ross Scott Directorate of Finance Health Department Basement Rear St Andrew's House EDINBURGH EH1 3DG Tel: Fax: abcde abc a
2 Residuals Pool clinical incidents which the service knew about on or prior to 31 March The Residual Pool continues to operate as before under the terms and conditions detailed in MEL(1999)63 with the exception of the individual thresholds (i.e. deductibles) that for , are based on the General Revenue Allocation for NHS Boards and for NHS Trusts, the Patient Income figure for The General Revenue Allocation represents the Unified Budget and includes prescribing. To compensate for this change made in and, to ensure that Members are not disadvantaged in any way, the percentages used to calculate the threshold levels have been adjusted so that the increases are consistent with those which would have been applied under the previous system. The new levels, which come into effect from the date of this HDL, are detailed at Annex 1. This Annex supersedes Annex 1 of HDL(2002) It should be noted that, unlike the New Pool, the member s own legal costs do not rank for reimbursement calculation purposes in the Residual Pool. 6. Applications for reimbursement from the Residuals Pool should be submitted to the Scheme Manager, Willis Limited in the first instance and not to the Health Department as in the past. Applications for reimbursement from the New Pool should also be submitted to the Scheme Manager. DELEGATED LIMITS PROCESS 7. Where a Member intends to recover payments from the pool and the award exceeds the delegated limit, prior approval is required from the Scottish Ministers. Further details on the process to be followed is set out in the protocol at Annex 2. MANAGEMENT FORUM 8. Following the integration of the CNORIS and NHS QIS standards (see paragraph 10 below) the CNORIS Standards Committee has ceased to exists. One of the roles of the Committee had been to advise, and comment on, the management aspects of the CNORIS scheme. 9. We are keen to ensure that NHSScotland continues to be represented and to this end I am seeking nominations to form a small management group to oversee the administrative running of the scheme. If anyone is interested in participating in this forum I should be grateful if nominations could be forwarded to Ian Roxburgh by Friday 31 st October INTEGRATION OF CNORIS AND NHS QIS STANDARDS 10. NHS HDL(2003)29 advised that following the formation of the special Health Board NHS Quality Improvement Scotland (NHS QIS) it was decided to integrate the Healthcare Risk Management Standards established by the Clinical Negligence and Other Risks Indemnity Scheme (CNORIS) and the NHS QIS Generic Clinical Governance Standards. 11. The first meeting of a short-life working group took place on 2 September to set in train the development of a set of integrated standards and an accompanying review process 2.
3 which will support continuous quality improvement and a suitable assurance process, including an assessment system Further information on this work will be issued once the way forward is clearer. ACTION 12. Chief Executives are requested to: circulate copies of this HDL to all staff with CNORIS and/or risk management responsibility; note the revised threshold limits (Annex 1) for the Residual Pool (effective from the date of this letter) and the arrangements for dealing with claims against this Pool (paragraphs 4, 5 and 6 refer); note the request for nominations for a CNORIS Management Forum; and ensure compliance with the revised delegated limit and approval procedures as detailed in Annex 2. Yours sincerely PETER COLLINGS Director of Performance Management and Finance 3.
4 ANNEX 1 CENTRAL CONTRIBUTION TO DAMAGES AWARDS: HEALTH BODY GENERAL REVENUE ALLOCATION LEVEL % of Col (1) WITH 475,000 CEILING LEVEL % of Col (1) LEVEL % of Col (1) COL (1) COL (2) COL (3) COL (4) NHS BOARDS m Argyll & Clyde ,000 1,007,630 1,708,590 Ayrshire & Arran , ,100 1,509,300 Borders , , ,610 Dumfries & Galloway , , ,050 Fife , ,670 1,298,310 Forth Valley , ,120 1,031,160 Grampian ,000 1,067,890 1,810,770 Greater Glasgow ,000 2,262,510 3,836,430 Highland , , ,330 Lanarkshire ,000 1,231,190 2,087,670 1.
5 HEALTH BODY GENERAL REVENUE ALLOCATION LEVEL % of Col (1) WITH 475,000 CEILING LEVEL % of Col (1) LEVEL % of Col (1) COL (1) COL (2) COL (3) COL (4) m Lothian ,000 1,614,600 2,737,800 Orkney ,440 48,760 82,680 Shetland ,720 58,880 99,840 Tayside , ,400 1,591,200 Western Isles ,840 93, ,730 OTHER BODIES State Hospital ,240 52,210 88,530 CSA , , ,630 Mental Welfare Commission 2.5 3,000 5,750 9,750 Scottish Ambulance Service , , ,080 Threshold level 1 - Level at which individual settlement will receive contribution from the Residuals Pool Threshold level 2 - Maximum amount that a member will have to contribute for a single settlement Threshold level 3 - Maximum amount that a member will contribute for all claims settled in any one financial year 2.
6 HEALTH BODY CENTRAL CONTRIBUTION TO DAMAGES AWARDS: PATIENT INCOME LEVEL % OF Col (1) WITH 475,000 CEILING LEVEL % of Col (1) LEVEL % of Col (1) COL (1) COL (2) COL (3) COL (4) NHS TRUSTS m Ayrshire & Arran Acute Hospitals , , ,350 Ayrshire & Arran Primary Care , , ,620 Fife Acute Hospitals , , ,090 Fife Primary Care , , ,740 Forth Valley Acute Hospitals , , ,150 Forth Valley Primary Care , , ,590 Grampian Primary Care , ,860 1,123,980 Grampian University Hospitals , , ,500 Greater Glasgow Primary Care ,000 1,119,640 1,898,520 Highland Acute , , ,790 Highland Primary Care , , ,490 3.
7 HEALTH BODY PATIENT INCOME LEVEL % OF Col (1) WITH 475,000 CEILING LEVEL % of Col (1) LEVEL % of Col (1) COL (1) COL (2) COL (3) COL (4) m Lanarkshire Acute Hospitals , , ,000 Lanarkshire Primary Care , ,890 1,225,770 Lothian Primary Care , ,230 1,287,390 Lothian University Hospitals , ,830 1,646,190 North Glasgow University Hospitals ,000 1,076,630 1,825,590 South Glasgow University Hospitals , , ,180 Tayside Primary Care , ,030 1,037,790 Tayside University Hospitals , , ,760 Yorkhill , , ,150 West Lothian Healthcare , , ,150 Threshold level 1 - Level at which individual settlement will receive contribution from the Residuals Pool Threshold level 2 - Maximum amount that a member will have to contribute for a single settlement Threshold level 3 - Maximum amount that a member will contribute for all claims settled in any one financial year 4.
8 ANNEX 2 CLINICAL NEGLIGENCE AND OTHER RISKS INDEMNITY SCHEME (CNORIS): DELEGATED LIMITS PROCESS Introduction 1. Where a Scheme member intends to recover payments from the CNORIS financial pool, and/or the award involved exceeds the member s delegated limit, the member is required, in terms of regulation 9(2)(b)(i) and 9(5)(a) of the NHS (Clinical Negligence and Other Risks Indemnity Scheme) (Scotland) Regulations 2000 to obtain the prior written approval of the Scottish Ministers. This notice details the current delegated limits for clinical and non-clinical cases and outlines the process by which authority to exceed the limits should be sought and obtained. The current delegated limits and approval process were introduced in August Delegated Limits 2. The following Table details the current delegated limits. To qualify for a payment from the CNORIS financial pool, i.e. to obtain a contribution towards a compensation payment, the member must have SEHD s prior approval to making any settlement that is at or above the relevant figure quoted below. Compensation Payment Category NEW NEW Clinical Nonclinical Under legal obligation 250, ,000 Under no legal obligation 250, ,000 Financial Loss n/a 25, The delegated limits apply to both lump sum and structured settlement cases. For the latter, the settlement figure is the full value of the award and not just the agreed lump sum component. With effect from 1 August 2001 all structured settlements require SEHD approval before being finalised with the pursuer or their agents. In such cases the member, or their appointed agents, should submit a full business case to support the settlement calculation and evidence best value for money. The address for such submissions is Ross Scott, SEHD Performance Management and Finance Directorate, Basement Rear, St Andrew's House Edinburgh, EH1 3DG ( (0131) ). A short explanatory note on structured settlements is provided in the attached Appendix. Process 4. As soon as the member concludes that it is appropriate to make an offer to settle a claim at a sum equal to or above the relevant delegated limit the member s solicitor should provide the Office of the Solicitor to the Scottish Executive (OSSE) with the following: o Clinical Cases and Non-Clinical Cases The Open or Closed Record as appropriate; A note setting out the current position in the case; Note on Line/Merits from Counsel or, if Counsel is not instructed, the solicitor acting in the case; and 1.
9 A note of when an OSSE decision is required. 5. In either case OSSE may request additional information from the agent. Such requests should be processed as quickly as possible. 6. Both CLO and Willis (the Scheme Managers) appointed loss adjusters (Cunninghams) are aware of these requirements and will contact OSSE direct in accordance with paragraph 4 above. If members elect to use other agents then they must bring this notice to their attention at the time of appointment. 7. The address for the above required submissions is Mrs Fiona Robertson, OSSE, Division B2, Room G-A21, Victoria Quay, Edinburgh, EH6 6QQ ( (0131) ). A copy of the covering letter (only) should be sent to Ross Scott at the address in paragraph 3. o Urgent Settlement Cases 8. It is recognised that, occasionally, there will be cases where the need to secure a quick or almost immediate settlement arise. SEHD consider that the need to obtain prior approval if the delegated limit is exceeded should not be allowed to interfere with early settlement where there are strong grounds to suggest that a financially favourable outcome for the defender will only be achieved by immediate action on their part. However, such cases are expected to arise on only very rare occasions and they will require post-settlement scrutiny by OSSE. The documentation listed at paragraph 4 above, together with an note detailing why it was not possible to obtain prior approval should be submitted within 4 weeks of the said settlement. o Financial Loss Cases 9. Prior approval to exceed the delegated limit for financial loss cases must be sought directly from the SEHD Finance Directorate (Ross Scott, address as above). The documentation requirements are the same as those listed for non-clinical cases at paragraph 4 above. OSSE will be consulted where it is considered appropriate. Urgent settlement cases are not expected for this category of compensation. o Notification of Decisions 10. OSSE undertake to notify their decision to the referring agent within the required timescale specified by the member, so far as this is reasonably practicable. OSSE will advise SEHD Finance Directorate of approved cases and the Directorate will formally notify the member s Director of Finance accordingly. A copy of the notification should be submitted to Willis with the documentation that seeks a contribution from the financial risk pool. Urgent settlement cases should include confirmation that OSSE will be provided with the requisite data within the due timescale. Willis will advise SEHD Finance Directorate of all such cases so that they and OSSE can track the post-settlement scrutiny process. 11. Decisions on financial loss cases will be notified to the agent and appropriate Director of Finance within two weeks of receipt. 2.
10 Summary of Key Requirements for Members and their Agents 12. Prior approval is required for: clinical compensation cases likely to settle at 250,000 or above. non-clinical cases (except financial loss) likely to settle at 100,000 or above. financial loss cases likely to settle at 25,000 or above. Business Cases on structured settlements that exceed above limits. 13. Post-approval requirements exist for urgent clinical and non-clinical settlement cases. SEHD Performance Management and Finance Directorate September
11 APPENDIX EXPLANATORY NOTE ON STRUCTURED SETTLEMENTS 1. In the normal course of events an award will comprise a lump sum to the pursuer. The pursuer (or their agents) will usually take an element of the sum for immediate needs, e.g. accommodation and specialist care equipment/services, and invest the balance in annuities to give an income stream for the rest of the patient s life. In addition to having to pay a large sum up front, the financial disadvantage (risk) for the NHS is that the patient dies much sooner that estimated (life expectancy influences the size of the award) and thus the financial benefit passes to the patient s relatives or dependants. The risk to the patient is that they live longer than the annuity period and could then suffer financial hardship. It may be that the NHS has to resume provision of healthcare services from then on, which is effectively another financial risk for the NHS. 2. Under a structured settlement the pursuer receives a smaller lump sum but the annual payment from investments are structured and guaranteed to them (and them only) for the rest of their life. Those payments are met by the NHS either by way of a self-funding or a commercial annuity. Before deciding to sign on for a structured settlement, the NHS Trust or NHS Board should prepare a business case to determine which (self-funding or commercial annuity) offers the best value for money for the NHS. For the pursuer, structuring the settlement has another financial benefit in that income payments are not liable to income tax. The advantage to the NHS is that overall the award value (lump sum) can be discounted against the financial benefits gained by the pursuer. Also, if the settlement is self funded, the lump sum is not paid in full up front, the risk of overcompensation due to early death is removed. 3. Neither the NHS nor the pursuer is under any obligation to proceed with a structured settlement following negotiations, i.e. it is entirely voluntary on both sides. The Central Legal Office always recommends their clients pursue one for claims that exceed 250,000. SEHD Performance Management and Finance Directorate September 2003
NHS 24 30 APRIL 2009 BOARD MEETING FOR APPROVAL ITEM NO. 7.7 DELEGATED AUTHORITY LEVEL AND IMPLICATIONS OF CNORIS This report considers the levels of delegated authority that the Board of NHS 24 has for
SECTION H: FRAMEWORK OF GOVERNANCE: SOUTH EAST AND TAYSIDE (SEAT) REGIONAL PLANNING GROUP INDEX Page No. 1 Statutory Duty H1 2 Appendix A (Framework of Governance: Seat Regional Planning Group) H2 Issue
Publication Report Child and Adolescent Mental Health Services Waiting Times in Scotland Quarter ending 30 September 2012 Publication date 27 November 2012 An Official Statistics Publication for Scotland
Publication Report Child and Adolescent Mental Health Services Waiting Times in Scotland Quarter ending 31 December 2012 Publication date 26 February 2013 An Official Statistics Publication for Scotland
TITLE PAGE Title: Determining Nursing Staffing Levels for Stroke Beds in Scotland Authors: Scottish Stroke Nurses Forum: 1 Any comments or correspondence please contact the following SSNFC members: Anne
Home Safe Home Report on Home Accidents in Scotland Art work courtesy of North Lanarkshire Council December 2010 Home Safe Home Report on Home Accidents in Scotland Contents Page Home Safe Home Summary
NHS financial performance 2012/13 Prepared by Audit Scotland October 2013 Auditor General for Scotland The Auditor General s role is to: appoint auditors to Scotland s central government and NHS bodies
Accredited Training certificate in corporate governance Essential skills to deliver effective governance about the course Introduction Good corporate governance is not just the duty of Boards, it is the
Decision 098/2007 Ms Sandra McGregor and the Common Services Agency for the Scottish Health Service Request for information on claims of medical negligence Applicant: Ms Sandra McGregor Authority: Common
Publication Report NHSScotland Complaints Statistics 2014/15 Publication date 29 September 2015 A National Statistics Publication for Scotland Contents Introduction... 3 Background... 3 About this publication...
Auditor certification of the 2014/15 criminal justice social work services financial returns Technical guidance note GN/CJS/15 Prepared by the Technical Services Unit 10 June 2015 Audit Scotland is a statutory
SQA s support for colleges during regionalisation Introduction by Janet Brown SQA is committed to continuing its collaboration with colleges as they move into new regional structures and mergers. We will
NHS Circular: PCS(SP)2003/5 abcdefghijklm Health Department Human Resources Directorate Dear Colleague NEW ARRANGEMENTS FOR CLINICAL PSYCHOLOGY TRAINEES 1. Following discussions with at the HR Forum it
12 FUNDING FOR ADDITIONAL MONEY ADVICE 1. Reason for report The reason for this report is to advise Members of Scottish Executive funding which has been made available to local authorities specifically
Transport for health and social care Prepared for the Auditor General for Scotland and the Accounts Commission August 2011 Auditor General for Scotland The Auditor General for Scotland is the Parliament
NHS Circular: PCS(DD)2015/1 The Scottish Government Health Workforce NHS Pay, Conditions and Workforce Planning Dear Colleague PAY AND CONDITIONS OF SERVICE REMUNERATION OF; HOSPITAL MEDICAL AND DENTAL
Publication Report HIV Therapy Key Clinical Indicator (KCI) Year ending 31 December 2010 Publication date 27 September 2011 A National Statistics Publication for Scotland Contents Contents... 1 About ISD...
South Ayrshire Health and Social Care Partnership REPORT Meeting of South Ayrshire Health and Social Care Partnership Held on Integration Joint Board 2 nd April, 2015 Agenda Item 11 Title CLINICAL NEGLIGENCE
Professional Advice, Guidance and Support NHSScotland National Cleaning Compliance Report Domestic and Estates Cleaning Services Performance Quarter 1: April 2013 June 2013 August 2013 Contents page 1.
A Guide to the Planning System in Scotland A Guide to the Planning System in Scotland The Scottish Government, Edinburgh 2009 Who is this guide for? This guide is for you if you: want to know more about
GH/B&B sample sizes 2014 No. of establishments Making returns Closed Analysis sample January 114 46 68 February 115 35 80 March 108 20 88 April 106 6 100 May 102 2 100 June 100 1 99 July 101 2 99 August
Key messages Asset management in the NHS in Scotland Prepared for the Auditor General for Scotland January 2009 1 Key messages Background 1. Fixed assets in the NHS include: the estate (land and buildings)
Review of housing benefit overpayments 2008/09 to 2011/12 Prepared by Audit Scotland January 2013 Audit Scotland is a statutory body set up in April 2000 under the Public Finance and Accountability (Scotland)
IVF Waiting Times in Scotland Quarter ending 31 March 2016 Publication date 31 May 2016 An Official Statistics Publication for Scotland Key Points The Scottish Government have set a target that at least
PERFORMANCE AUDIT Planning ward nursing - legacy or design? PREPARED BY AUDIT SCOTLAND DECEMBER 2002 Planning ward nursing - legacy or design? A report to the Scottish Parliament by the Auditor General
Healthcare Policy and Strategy Directorate Derek Feeley, Director T: 0131-244 1727 F: 0131-244 2042 E: firstname.lastname@example.org By e-mail To Attached List 12 December 2008 Dear Colleague Arrangements
GWASANAETHAU AMBIWLANS CYMRU YMDDIRIEDOLAETH GIG WELSH AMBULANCE SERVICES NHS TRUST CLAIMS MANAGEMENT POLICY Clinical Negligence, Personal Injury, Losses and Compensation Claims Approved by Date Review
Consultation Response Consultation on Recommendations for No-Fault Compensation in Scotland for Injuries Resulting from Clinical Treatment The Law Society of Scotland s response November 2012 The Law Society
The Quality Unit Planning & Quality Division Dear Colleague, A PARTNERSHIP FOR BETTER PALLIATIVE AND END OF LIFE CARE: CREATING A NEW RELATIONSHIP BETWEEN INDEPENDENT ADULT HOSPICES AND NHS BOARDS IN SCOTLAND
Order made by the Scottish Ministers, laid before the Scottish Parliament under paragraph 2(3) of Schedule 12 to the Local Government Finance Act 1992 for approval by resolution of the Scottish Parliament.
NHS Scotland Accident and Emergency Waiting Times The Scottish Government target for Accident and Emergency departments is that 98 % of all attendances are seen within 4 hours. The figures presented here
Review of palliative care services in Scotland Prepared for the Auditor General for Scotland August 2008 Auditor General for Scotland The Auditor General for Scotland is the Parliament s watchdog for ensuring
HCS 1 Are you entitled to help with health costs? NHS dental treatment Glasses and contact lenses Travel to hospital for NHS treatment Introduction This document gives guidance about NHS charges in Scotland.
Accident and Emergency Performance update Prepared by Audit Scotland May 2014 Auditor General for Scotland The Auditor General s role is to: appoint auditors to Scotland s central government and NHS bodies
Health Care Needs Assessment of Services for Adults with Rheumatoid Arthritis PART D: Cost Implications for NHS Rheumatoid Arthritis Services in Scotland Scottish Public Health Network August 2013 1 Table
A brief guide to the pension provisions of the Family Law Acts www.pensionsauthority.ie The Pensions Authority Verschoyle House 28/30 Lower Mount Street Dublin 2 Tel: (01) 613 1900 Locall: 1890 65 65 65
Management of patients on NHS waiting lists Audit update Prepared by Audit Scotland December 2013 Auditor General for Scotland The Auditor General s role is to: appoint auditors to Scotland s central government
NHSScotland Estates and Facilities Benchmarking Project March 2009 NHS Efficiency and Productivity Programme/ National Benchmarking Programme NHSScotland Estates and Facilities Benchmarking Project March
Policy and Procedure for Claims Management RESPONSIBLE DIRECTOR: COMMUNICATIONS, PUBLIC ENGAGEMENT AND HUMAN RESOURCES EFFECTIVE FROM: 08/07/10 REVIEW DATE: 01/04/11 To be read in conjunction with: Complaints
HDL (2005) 31 abcdefghijklm = eé~äíü=aéé~êíãéåí= = méêñçêã~ååé=j~å~öéãéåí=c=cáå~ååé=aáêéåíçê~íé= Dear Colleague NHSSCOTLAND: GUIDANCE ON CHARGING FOR NON-PATIENT CATERING AND THE PRODUCTION OF CATERING
Health and Social Care Integration Draft Integration Scheme for the Ayrshire Parties 18 December 2014 1 Introduction Aims and Outcomes of the Integration Scheme Regulations The main purpose of integration
Asset management in the NHS in Scotland Prepared for the Auditor General for Scotland January 2009 Auditor General for Scotland The Auditor General for Scotland is the Parliament s watchdog for ensuring
Dear Colleague Arrangements for NHS Patients Receiving Private Healthcare 1. This letter provides revised guidance to NHS Boards covering situations where patients obtain private healthcare in addition
Drug and alcohol services in Scotland Prepared for the Auditor General for Scotland and the Accounts Commission March 2009 Auditor General for Scotland The Auditor General for Scotland is the Parliament
Cafcass and Independent Reviewing Officer Protocol for Public Law Work The Protocol has been developed in response to the need to agree a clear understanding of the statutory roles and interface between
Lanarkshire NHS Board Kirklands Hospital Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk Minute of Meeting of the Audit Committee held on Wednesday 25 th June 2014 at 8.30am
Scottish Inpatient Patient Experience Survey 2014 Volume 1: National Results A National Statistics Publication for Scotland published by the Scottish Government Scottish Care Experience Survey Programme.
SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CORPORATE POLICY AND PROCEDURE NO.14 CLAIMS MANAGEMENT DOCUMENT INFORMATION Author: Jill Hall Corporate Secretary This document replaces: SCAS Claims
COMMITTEE Finance Policy and Resources DATE 15 September 2015 DIRECTOR TITLE OF REPORT REPORT NUMBER: CHECKLIST RECEIVED Pete Leonard Business Loans Scotland CHI/15/255 Yes 1. PURPOSE OF REPORT The report
STATES OF JERSEY r DRAFT MOTOR TRAFFIC (THIRD- PARTY INSURANCE) (COST RECOVERY) (JERSEY) REGULATIONS 201- Lodged au Greffe on 13th December 2012 by the Minister for Health and Social Services STATES GREFFE
Title: Reference No: Owner: Author: Claims Management Policy NYYPCT/COR/02 Director of Corporate Affairs and Communications Steve Mason, Legal Services Manager First Issued On: 31 March 2009 (version 1.000)
DATA HANDLING IN GOVERNMENT JUNE 2008 DATA HANDLING IN GOVERNMENT EXECUTIVE SUMMARY 1. On 23 November 2007, the Scottish Government announced that it would conduct a coordinated review of information security
A Summary Report Developing an Antibiotic Prescribing online training resource for Foundation Year Doctors Background Antibiotic stewardship is central to the Scottish Action Plan on Antimicrobial Resistance
NHS: PCA(O)(2013)3 Health and Social Care Integration Directorate Primary Care Division Dear Colleague GENERAL OPHTHALMIC SERVICES 1. Increase in the Continuing Education and Training Allowance 2. Revised
Health & Social Care Integration Directorate Dear Colleague APPLIED PSYCHOLOGISTS AND PSYCHOLOGY IN NHS SCOTLAND This letter is to inform NHS Boards of the findings of the Expert Group set up to look at
For Official Use Only Candidate No Police Reference No Name Date Received Application for Police Officer Current Area of Residency Please select the geographical area in which you are currently residing
Palliative Care: How can we make a difference? Annual Conference 2009 Make a difference to the majority of people with palliative care needs: people with non-malignant conditions Jacquelyn Chaplin: Project
GUIDE TO FUNDING YOUR MEDICAL NEGLIGENCE CLAIM Because of the expert knowledge and depth of investigation required in order to bring a successful claim, negligence litigation can be expensive. Understandably,
Health and Social Care Integration Directorate Primary Care Division Dear Colleague General Medical Services Contract 2013/14 Organisational Core Standard Payment - Payment Guidance Summary 1. This circular
6a - Revised Indicative Sanctions Guidance - Annex A Consultation on revised draft Indicative Sanctions Guidance List of parties consulted (*denotes those who have responded) Academy of Medical Royal Colleges
A review of telehealth in Scotland Prepared for the Auditor General for Scotland October 2011 Auditor General for Scotland The Auditor General for Scotland is the Parliament s watchdog for helping to ensure
The Centre for International Public Health Policy The Impact of PFI on Scotland s NHS: a briefing Mark Hellowell Professor Allyson Pollock 6 th December 2006 Summary of the Main Findings: PFI buildings
HIGHLIGHTS AND LOWLIGHTS OF THE EL/PL PORTAL PRE-ACTION PROTOCOL FOR LOW VALUE PERSONAL INJURY CLAIMS (EMPLOYERS LIABILITY AND PUBLIC LIABILITY) CLAIMS Colin Richmond 11/04/2013 www.zenithchambers.co.uk
Community planning Turning ambition into action Prepared by Audit Scotland November 2014 The Accounts Commission The Accounts Commission is the public spending watchdog for local government. We hold councils
Remote Scottish Ambulance Service Response Audit Report Introduction As part of the Remote and Rural Project s process to define the role and function of a Rural General Hospital (RGH), and the Framework
Consultation Response Information Gathering Exercise on Pre- Action Protocol The Law Society of Scotland s response May 2014 The Law Society of Scotland 2013 Introduction The Law Society of Scotland aims
National Dental Advisory Committee Dental Practice Advisers in Scotland July 2001 Working together for a healthy, caring Scotland NATIONAL DENTAL ADVISORY COMMITTEE DENTAL PRACTICE ADVISERS IN SCOTLAND
Service Level Agreement on provision of legal services between Historic Scotland and The Office of the Solicitor to the Scottish Executive Signed on behalf of Historic Scotland: Signed on behalf of Solicitors
PLANNING SURVEY SCOTLAND 2004 Survey of planning websites in Scotland Commissioned by The Scottish Executive Prepared by Peter Pendleton & Associates Ltd Upper Floors 97 Lower Marsh London SE1 7AB www.pendleton-assoc.com
Claims Management Policy April 2015 Author: Responsibility: Janet Young, Governance & Risk Manager All Staff should adhere to this policy Effective Date: April 2015 Review Date: April 2017 Reviewing/Endorsing
Consultation on the introduction of diversity succession planning for board appointments and the lowering of the 150 employees threshold for publishing gender pay gap and equal pay statements etc. October
Clinical Commissioning Groups within Norfolk and Waveney NHS Continuing Healthcare Policy on Redress Payments (This policy has been prepared for NHS North Norfolk Clinical Commissioning Group, NHS South
Review of Nomenclature of Units for Territorial Statistics (NUTS) Boundaries Review of Nomenclature of Units for Territorial Statistics (NUTS) Boundaries Introduction This document presents the key issues
New South Wales Workers Compensation Amendment (Transitional) Regulation 2012 under the Workers Compensation Act 1987 Her Excellency the Governor, with the advice of the Executive Council, has made the
Guidance on partnership working between allied health professions and education INCLUDED HEALTHY WORKING TOGETHER CONFIDENT Guidance on partnership working between allied health professions and education
Welcome to a special Improvement Network Bulletin edition focussing on palliative and end of life care. We would welcome your feedback on the Bulletins and suggestions for future topics contact us Please
Nursing and Midwifery Workload and Workforce Planning Managing a Staff Bank Contents 1. Introduction 2 2. Recruitment 4 3. Getting the best from your bank staff 7 4. Working effectively with service users
Borrowing and treasury management in councils Prepared by Audit Scotland March 2015 The Accounts Commission The Accounts Commission is the public spending watchdog for local government. We hold councils