Assessment for improvement : our approach : have your say / Healthcare Commission.

  • Great Britain. Commission for Healthcare Audit and Inspection
Date:
[2004]
Catalogue details

Licence: Open Government Licence

Credit: Assessment for improvement : our approach : have your say / Healthcare Commission. Source: Wellcome Collection.

    28/96 (page 26)
    Step 1: It is for trusts to ensure that they meet the core standards. We will issue guidance as soon as possible after this consultation on how we will judge compliance with each of the core standards, and on the systems that we expect trust boards to have in place to assure themselves of their compliance. Step 2: We expect that in September we will require each trust board to make a declaration on the extent to which its organisation meets the core standards. The declaration will need to incorporate two important checks: the views of internal and external auditors on the methods by which the trust board has arrived at its conclusions the views of partners in the local health community, including the strategic health authority, the local authority overview and scrutiny committee, and patients’ forum, on the extent to which the trust is meeting core standards Step 3: We will check whether trusts’ declarations are consistent with other available information, such as surveys and information received from other regulators (see annex 4 for a list of sources of information). For example, if a trust has declared it will meet the standard on safety, we will look at relevant outcome information, such as MRSA rates. Step 4: Where we are concerned that a core standard is not being met, we will approach the trust for further evidence. On the basis of this, we will judge whether there has been a failure to meet the core standards. At the same time, we will require additional evidence on compliance from some trusts, selected at random. We will involve groups of patients and the public in this step. These checks will make it clear to every trust that 26 Assessment for improvement Our approach they may be required to support their declaration with evidence. Step 5: On the basis of the trust's own declaration and our subsequent checks, we will classify the trust's compliance with core standards using the lower four categories of our standard five point scale: Category Applies Very good performance - Good performance © Satisfactory performance = Unsatisfactory performance ° ® Serious concerns about performance A rating of good’ would be applicable to trusts judged to have complied in all relevant respects with the core standards. Where limited failures in compliance have been recognised by a trust and are being put right, we will classify performance as ‘satisfactory’. Major failings, including those the trust board has failed to recognise or act on, will lead to a classification of ‘unsatisfactory’ or, in the worst cases, Serious concerns”. Existing targets Compliance with core s Use of resources Regulatory findings ae “- New national targets 4 Local targets Progress in meeting oe developmental sranaans a Be Eee ee Seo 7 eae Te ere National standards, local action identifies 20 targets to which the NHS has existing commitments [see annex 2]. These comprise nine targets that trusts are expected to meet before 2005/2006 and 11 that need to be met at various stages up until 2007. All are * Avery small minority of declarations may have been intended to mislead. We will take serious and public action where we find this.