Clinical and Care Governance. 7.1 Clinical and care governance is a system that assures that care, quality and outcomes are of a high standard for users of services and that there is evidence to back this up. It includes formal structures to review clinical and care services on a multidisciplinary basis and defines, drives and provides oversight of the culture, conditions, processes, accountabilities and authority to act, of organisations and individuals delivering care.
7.2 Quality, clinical, care and professional governance in relation to services provided in pursuance of the functions delegated to the Integration Joint Board will: involve service users and carers and the wider public in the development of services; ensure safe and effective services and appropriate support, supervision and training for staff; strive for continuous quality improvement; maintain a framework of policies and procedures designed to deliver effective care; ensure accountability and management of risk.
7.3 Professional staff will continue to work within the professional regulatory framework applicable to health and social care staff and primary care contractors.
7.4 The Health Board’s Chief Executive is responsible for clinical governance, quality, patient safety and engagement, supported by the Health Board’s professional advisers. The Chief Officer of the Integration Joint Board has delegated responsibility for the professional standards of all staff working in integrated services. The Chief Officer, relevant Health Leads and Chief Social Work Officer will work together to ensure appropriate professional standards and leadership.
7.5 The Health Board’s Medical Director is responsible for the systems which support the delivery of clinical governance and medicines governance, those arrangements including the clinical governance unit and the processes which underpin it will operate in support of the Integration Joint Board.
7.6 The Chief Social Work Officer is responsible for ensuring the provision of effective, professional advice to the local authority in relation to the provision of Social Work Services and ensuring the delivery of safe, effective and innovative practice. The Chief Social Work Officer’s annual report will be submitted to the Integration Joint Board.
7.7 The Parties will make available to the Integration Joint Board professional leads representing social work, nursing and medicine. These professional leads will have a number of responsibilities including advising the Chief Offic...
Clinical and Care Governance. 5.1 Except as detailed in this Scheme, all strategic, planning and operational responsibility for Services is delegated from the Parties to the Integration Joint Board and its Chief Officer.
5.1.1 The Parties and the Integration Joint Board are accountable for ensuring appropriate clinical and care governance arrangements for services provided in pursuance of integration functions in terms of the Act. The Parties and the Integration Joint Board are accountable for ensuring appropriate clinical and care governance arrangements for their duties under the Act. The Parties will have regard to the principles of the Scottish Government’s draft Clinical and Care Governance Framework including the focus on localities and service user and carer feedback.
5.1.2 The Parties will be responsible through commissioning and procurement arrangements for the quality and safety of services procured from the Third and Independent Sectors and to ensure that such Services are delivered in accordance with the Strategic Plan.
5.1.3 As set out in clause 4.4, the quality of service delivery will be measured through performance targets, improvement measures and reporting arrangements designed to address organisational and individual care risks, promote continuous improvement and ensure that all professional and clinical standards, legislation and guidance are met. Performance monitoring arrangements will be included in commissioning or procurement from the Third and Independent Sectors.
5.1.4 The Parties will ensure that staff working in Integrated Services have the appropriate skills and knowledge to provide the appropriate standard of care. Managers will manage teams of NHS Board staff, Council staff or a combination of both and will promote best practice, cohesive working and provide guidance and development to the team. This will include effective staff supervision and implementation of staff support policies.
5.1.5 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate.
5.1.6 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes.
5.1.7 The members of the Integration Joint Board will actively promote an organisational culture that supports human rights and social justice; values partnership working through example; affirms the contribution of staff through the application of best practice, i...
Clinical and Care Governance. The arrangements for clinical and care governance agreed by the Parties is:
8.1 The Parties agree that patients and service users are the primary priority in everything that the Argyll & Bute Integration Joint Board plans and does and that, within available resources they will receive effective care that takes account of their expressed personal outcomes. Unpaid/family carers are recognised as central to achievement of the Argyll and Bute vision and will receive support within available resources. Services will be delivered by compassionate and committed staff, working within a common organisational culture and who are protected from avoidable risk of harm and any deprivation of their basic rights.
8.2 Clinical and care governance is the organisational framework through which the Argyll & Bute Integration Joint Board is responsible and accountable for the continuous improvement of the quality of the delegated functions (see annex 4). The process of clinical and care governance will safeguard quality standards by creating and maintaining an environment where excellence is expected. The Health and Care Sub Committee will agree the approach to measuring quality of service delivery; addressing organisation and individual care risks; promoting continuous improvement and ensuring that all professional and clinical standards, legislation and guidance are met.
8.3 The Argyll & Bute Integration Joint Board will establish a clinical and care governance framework which will cover all health and social work services and encompass the following:
8.3.1 Quality and Safety
8.3.2 Standards and Guidelines 8.3.3 Incident and Risk Management
8.3.4 Audit and Self Evaluation 8.3.5 Inspections 8.3.6 Feedback and Complaints 8.3.7 Learning Organisation
Clinical and Care Governance. 8.1 The Parties and the IJB are accountable for ensuring appropriate clinical and care governance arrangements for Services provided in pursuance of integration functions in terms of the Act. The Parties and the IJB are accountable for ensuring appropriate clinical and care governance arrangements for their duties under the Act. The Parties will have regard to the principles of the Scottish Government’s draft Clinical and Care Governance Framework including the focus on localities and service user and carer feedback.
8.2 The Parties will be responsible through commissioning and procurement arrangements for the quality and safety of Services procured from the Third and Independent Sectors and to ensure that such Services are delivered in accordance with the Strategic Plan.
8.3 As set out in clause 7.4, the quality of service delivery will be measured through performance targets, improvement measures and reporting arrangements designed to address organisational and individual care risks, promote continuous improvement and ensure that all professional and clinical standards, legislation and guidance are met. Performance monitoring arrangements will be included in commissioning or procurement from the Third and Independent Sectors.
8.4 The Parties will ensure that staff working in Integrated Services have the appropriate skills and knowledge to provide the appropriate standard of care. Managers will manage teams of Health Board staff, Council staff or a combination of both and will promote best practice, cohesive working and provide guidance and development to the team. This will include effective staff supervision and implementation of staff support policies.
8.5 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate.
8.6 The joint Workforce and Organisational Development Strategy will identify training requirements that will be put in place to support improvements in Services and Outcomes.
8.7 The members of the IJB will actively promote an organisational culture that supports human rights and social justice; values partnership working through example; affirms the contribution of staff through the application of best practice, including learning and development; and is transparent and open to innovation, continuous learning and improvement.
8.8 In relation to Acute Services, the IJB will be responsible for planning of such Services but operational management of such...
Clinical and Care Governance. 8.1 Effective clinical and care governance arrangements need to be in place to support the delivery of safe, effective and person-centred health and social care services within integrated services.
8.2 Clinical and care governance for integrated health and social care services will require co-ordination across a range of services, including the third sector. This rightly places people and communities at the centre of all activity in relation to the governance of clinical and care services.
8.3 The Act and supporting regulations do not change the regulatory arrangements for health and social care professionals or their current professional accountabilities but describe a shared framework within which professionals and the workforce discharge their accountabilities and responsibilities.
8.4 The Integration Joint Board will be required to establish arrangements to:- • Create an organisational culture that promotes human rights and social justice, values partnership working through example; affirms the contribution of staff through the application of best practice including learning and development; is transparent and open to innovation, continuous learning and improvement. • Ensure that integrated clinical and care governance policies are developed and regularly monitor their effective implementation. • The rights, experience, expertise, interests and concerns of service users, carers and communities inform and are central to the planning, governance and decision-making that informs quality of care. • Ensure that transparency and candour are demonstrated in policy, procedure and practice. • Deliver assurance that effective arrangements are in place to enable relevant health and social care professionals to be accountable for standards of care including services provided by the third and independent sector. • Ensure that there is effective engagement with all communities and partners to ensure that local needs and expectations for health and care services and improved health and wellbeing outcomes are being met. • Ensure that clear robust, accurate and timely information on the quality of service performance is effectively scrutinised and that this informs improvement priorities. This should include consideration of how partnership with the third and independent sector supports continuous improvement in the quality of health and social care service planning and delivery. • Provide assurance on effective systems that demonstrate clear learning and improvements ...
Clinical and Care Governance.
5.1 The Parties and the IJBArgyll and Bute Integration joint Board are accountable for ensuring appropriate clinical and care governance arrangements in respect of their duties under the Act. The Parties will have regard to the principles of the Scottish Government’s draft Clinical and Care Governance Framework, including the focus on localities and service user and carer feedback.
5.2 The Parties recognise that the establishment and continuous review of the arrangements for Clinical and Care Governance and Professional Governance are essential in delivering their obligations and quality ambitions. The arrangements described in this section are designed to assure the IJBArgyll and Bute Integration Joint Board of the quality and safety of services delivered in Argyll and Bute.
5.3 Explicit lines of professional and operational accountability are essential to assure the IJBArgyll and Bute Integration Joint Board and the Parties of the robustness of governance arrangements for their duties under the Act. They underpin delivery of safe, effective and person-centered care in all care settings delivered by employees of the Council, NHS Highland, and of the third and independent sectors, and by as well as the informal carers.
5.4 In relation to existing health and social care services, NHS Highland is accountable for health functions and services, whilst Argyll and Bute Council is responsible for social care services. Professional governance responsibilities are carried out by the professional leads through to the health and social care professional regulatory bodies.
5.5 The Chief Social Work Officer holds professional accountability for social work and social care services. The Chief Social Work Officer reports directly to the Chief Executive and Elected Members of the Council in respect of professional social worksocial care matters. He/she is responsible for ensuring that social work and social care services are delivered in accordance with relevant legislation and that staff delivering such services do so in accordance with the requirements of the Scottish Social Services Council.
5.6 Principles of Clinical and Care Governance will be embedded at service user/clinical care/professional interface using the framework outlined below. The IJBArgyll and Bute Integration Joint Board will ensure that explicit arrangements are made for professional supervision, learning, support and continuous improvement for all staff.
5.7 The IJBArgyll and Bute Integration Joint...
