Common use of Clinical and Care Governance Clause in Contracts

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. 5.2 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 Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 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. 5.4 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. 5.5 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. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. 5.10 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of 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. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical and Care Governance Group is to be established by the Parties which, when not chaired by the Chief Officer, will report to the Chief Officer and through the Chief Officer to the Integration Joint Board. It will contain representatives from the Parties and others including:  the Senior Management Team of the Partnership;  the Clinical Director;  the Lead Nurse;  the Lead from the Allied Health Professions;  Chief Social Work Officer;  service user and carer representatives; and  Third Sector and Independent Sector representatives. 5.12 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areas. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 Further assurance is provided through: a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate directly to the Medical Director and Nurse Director who in return report to the Health Board on professional matters; and b) the role of the Clinical Governance Forum of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, as required. 5.18 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 The Health Board Clinical Governance Forum, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 2 contracts

Samples: Health and Social Care Partnership Integration Scheme, Health and Social Care Partnership Integration Scheme

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Clinical and Care Governance. 5.1 Except as 9.1 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. 9.2 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. 5.2 9.3 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 Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 9.4 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. 5.4 9.5 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. 5.5 9.6 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. 5.6 9.7 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 9.8 The Organisational West Dunbartonshire HSCP Learning and Development Strategy Plan will identify training requirements that will be put in place to support improvements in services and Outcomesoutcomes. 5.8 9.9 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 9.10 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. 5.10 9.11 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of 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. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 9.12 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A The Clinical and Care Governance Group is to will be established by the Parties which, when not chaired by the Chief Officer, will report to or on behalf of the Chief Officer and will report through the Chief Officer to the Integration Joint Board. It will contain representatives from the Parties and others including:  the Senior Management Team of the Partnership;  the Clinical Director;  the Lead Nurse;  the Lead from the Allied Health Professions;  Chief Social Work Officer;  service user and carer representatives; and  Third Sector and Independent Sector representatives.; 5.12 9.13 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 9.14 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the link with governance structures in other NHS Greater Glasgow & Xxxxx Council partnership areas. 5.14 9.15 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council areagroups. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 9.16 The Integration Joint Board may seek advice on clinical and care governance directly from the Health Clinical and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. The relationship between professional leads and the Strategic Planning Groups, localities, the Chief Officer and the governance arrangements of the Parties is outlined at Annex 4. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 9.17 Further assurance is provided through: a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate directly to the Medical Director and Nurse Director who in return report to the Health Board on professional matters; and b) the role of the Clinical Governance Forum of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, as required. 5.18 9.18 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 9.19 The Health Board Clinical Governance Forum, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 9.20 As set out in Section 10 15 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

Clinical and Care Governance. 5.1 Except as detailed in this SchemeThe Health Board’s Chief Executive is responsible for clinical governance, all strategicquality, planning patient safety and operational engagement, supported by the Health Board’s professional advisers. This responsibility for Services is delegated from the Parties to the Integration Joint Board and its Chief Officer. The Chief Officer, as part of the Health Board’s senior management team, will establish appropriate arrangements to discharge and scrutinise those responsibilities. These arrangements will link to the Health Board-wide support and reporting arrangements, including the systems for reporting of serious clinical incidents. 5.2 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 also 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 Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 The Parties will be are 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. This responsibility is delegated to the Chief Officer as part of both the Health Board’s and Council’s senior management team. 5.4 The quality of service delivery will be measured through performance targets, improvement measures and reporting arrangements designed to address organisational and individual clinical or 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. 5.5 The Parties will ensure that staff working in integrated services 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. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.8 In relation to Acute Hospital Services, the Integration Joint Board will be responsible for planning of such Services but operational management of such Services will lie with the Health Board and the Director for Acute Services of the Health Board. 5.9 As detailed in section 6 of the Scheme, the Chief Officer will be an officer of, and advisor to, the Integration Joint Board. The Chief Officer’s role is to provide a single senior point of overall strategic and operational advice to the Integration Joint Board and be a member of the Corporate Management Teams of the Parties. The Chief Officer will manage the Integrated Services. 5.10 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical and Care Governance group will be established, co-chaired by the Clinical Director and Chief Social Work Officer, and will report to and advise the Chief Officer and the Integration Joint Board, both directly and through the co-chairs also being members of the Strategic Planning Group and being non-voting members of the Integration Joint Board. The Clinical and Care Governance group will contain representatives from the Parties and others including:  The Senior Management Team of the Partnership;  Clinical Director;  Lead Nurse;  Lead Allied Health Professional;  Chief Social Work Officer;  Service user and carer representatives; and  Third Sector and Independent Sector representatives. 5.11 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.12 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. 5.13 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Health and Social Care Partnership area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.14 The Integration Joint Board may seek advice on clinical and care governance directly from the Clinical and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.15 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. 5.10 The . In their operational management role the Chief Officer has delegated responsibilities, through will work with and be supported by the Parties’ Chief Executives, for the Professional standards of staff working in Integrated Services. The Chief Officer, relevant Health Leads and Chief Social Work Officer will work together with respect to ensure appropriate professional standards and leadership. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical and Care Governance Group is Integrated Services within the Partnership in order to be established by the Parties which, when not chaired by the Chief Officer, will report to the Chief Officer and through the Chief Officer then provide assurance to the Integration Joint Board. It will contain representatives from the Parties and others including:  the Senior Management Team of the Partnership;  the Clinical Director;  the Lead Nurse;  the Lead from the Allied Health Professions;  Chief Social Work Officer;  service user and carer representatives; and  Third Sector and Independent Sector representatives. 5.12 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areas. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 Further assurance is provided through: (a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Clinical Director and Health Leads to relate report directly to the Health Board Medical Director and Nurse Director who in return turn report to the Health Board on professional matters; and (b) the role of the Clinical Governance Forum Committee of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum Committee will also provide professional guidance, guidance to the local Clinical and Care Governance group as required. 5.18 5.15 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 5.16 The Health Board Clinical Governance ForumCommittee, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out 5.17 The relationships between the different components of clinical and care governance and relationships are represented in Section 10 the Parties have information sharing protocols in placediagram from at Annex 5.

Appears in 1 contract

Samples: Integration Scheme

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. 5.2 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. 5.3 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. 5.4 The 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. 5.5 5.1.4 The Parties will ensure that staff working in integrated services Integrated Services have the appropriate skills and knowledge to provide the appropriate standard of care. Managers will manage teams of Health 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. 5.6 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. 5.7 5.1.6 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 The Chief Social Work Officer reports 5.1.8 In relation to the Council on the delivery of safeAcute Services, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties will be responsible for planning of such Services but operational management of such Services will lie with the NHS Board and make certain decisions in terms the Director for Acute Services of the Social Work (Scotland) Act 1968NHS Board. The Director for Acute Services of the NHS Board will manage Acute Services. 5.1.9 As detailed in clause 6 the Chief Officer will be an Officer of the Integration Joint Board. The Chief Social Work Officer will Officer’s role is to provide an annual report on care governance a single senior point of overall strategic and operational advice to the Integration Joint Board, including responding to scrutiny Board and improvement reports by external bodies such as be a member of the Care Inspectoratesenior management teams of the Parties. The Chief Officer will manage the Integrated Services. 5.10 5.1.10 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of 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. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 5.1.11 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical Health and Care Governance Group is to be established by the Parties which, when not chaired by the Chief Officer, will report to the Chief Officer and through the Chief Officer to the Integration Joint Board. It will contain representatives from the Parties and others including: the Senior Management Team of the Partnership; the Clinical Director; the Lead Nurse; the Lead from the Allied Health Professions; Chief Social Work Officer; • Director of Public Health or representative; • service user and carer representatives; and Third Sector and Independent Sector representatives. 5.12 5.1.12 The Parties note that the Clinical Health and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health NHS Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 5.1.13 The role of the Clinical Health and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical Health and Care Governance Group for the Lead Partner will obtain input from the Clinical Health and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Ayrshire Council areas. 5.14 5.1.14 The Clinical Health and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical Health and Care Governance Group. 5.15 5.1.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 5.1.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 5.1.17 Further assurance is provided through: : (a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate report directly to the Medical Director and Nurse Director who in return report to the Health NHS Board on professional matters; and and (b) the role of the Clinical Healthcare Governance Forum Committee of the Health NHS Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Healthcare Governance Forum Committee will also provide professional guidance, as required. 5.18 5.1.18 The Chief Officer will take into consideration any decisions of the Council or Health NHS Board which arise from (a) or (b) above. 5.19 5.1.19 The Health NHS Board Clinical Healthcare Governance ForumCommittee, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 5.1.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

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. 5.2 8.1 The Parties understand that clinical and care governance is the Integration Joint Board are accountable process by which accountability for the quality of health and social care is monitored and assured, supporting staff in continuously improving the quality and safety of care and ensuring appropriate that wherever possible poor performance is identified and addressed. 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. Clinical and care governance for integrated health and social care services provided in pursuance requires co- ordination across a range of integration functions in terms services, (including procured services) so as to place people and communities at the centre of all activity relating to the Actgovernance of clinical and care services. 8.2 The Parties are committed to actively promoting 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. The Parties will put in place structures and the Integration Joint Board are accountable for ensuring appropriate processes to support clinical and care governance arrangements for their duties under the Act. The Parties will have regard integrated services that can provide assurance to the principles of the Scottish Government’s Clinical and Care Governance Framework including the focus on localities and service user and carer feedbackIntegration Joint Board. 5.3 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. 5.4 8.3 The quality of integrated 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. 5.5 8.4 The Parties understand that the Act does not change the current or future regulatory framework within which health and social care professionals practice or the established professional accountabilities that are currently in place within the NHS and local government; and that all health and social care professionals remain accountable for their individual clinical and care decisions. 8.5 The Parties will ensure that staff working nominate relevant professional leads for consideration and appointment by the Integration Joint Board in integrated services have compliance with the appropriate skills and knowledge to provide the appropriate standard of care. Managers will manage teams of Health Board staffregulations, Council staff or a combination of both and will promote best practice, cohesive working and provide guidance and development as advisors to the teamIntegration Joint Board, the Chief Officer and local strategic planning and locality planning arrangements. This will include effective staff supervision The Chief Officer and implementation of staff support policies. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 The members of the Integration Joint Board will actively promote an organisational culture that supports human rights also be supported by the equalities and social justice; values partnership working through example; affirms the contribution public protection capabilities of staff through the application of best practice, including learning and development; and is transparent and open to innovation, continuous learning and improvementboth Parties. 5.9 8.6 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. In their operational management role the Chief Officer will work with and be supported by the Chief Social Work Officer with respect to quality of integrated services within the Partnership in order to then provide assurance to the Integration Joint Board. 5.10 8.7 The Health Board Chief Executive, as the accountable officer, is responsible for clinical governance, quality, patient safety and engagement, supported by the Health Board‘s professional advisers. The Health Board‘s Medical Director is responsible for the systems which support the delivery of clinical governance and medicines governance, including Health Board-wide medicines governance framework; infection control; the patient safety programme; and the Clinical Governance Forum. The Clinical Governance Forum is responsible for demonstrating compliance with statutory requirements in relation to clinical governance; authorising an accurate and honest annual clinical governance statement; and responding to scrutiny and improvement reports by external bodies such as Healthcare Improvement Scotland. Professional leads nominated by the Health Board will relate to and be supported by the Health Board‘s Medical Director and Director of Nursing through formal network arrangements and the Area Clinical Forum. In their operational management role the Chief Officer will work with and be supported by these professional leads with respect to quality of integrated services within the Partnership in order to then provide assurance to the Integration Joint Board. 8.8 The Chief Officer has delegated responsibilities, through the PartiesChief Executives, for the Professional professional standards of staff working in Integrated Servicesintegrated services. The Chief Officer, relevant Health Leads lead health professionals and the Council Chief Social Work Officer will work together to ensure appropriate professional standards and leadership. The Parties will ensure that staff working in integrated services have the appropriate skills and knowledge to provide the appropriate standard of care. Partnership managers will manage teams of Health Board employed staff, Council employed staff or a combination of both; and will promote best practice, cohesive working and provide guidance and development to their team. This will include effective staff supervision and implementation of staff support policies. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead Board professional lead or the Council‘s Chief Social Work Officer as appropriate. 5.11 8.9 The Chief Officer will ensure that clear strategic objectives for clinical and care governance are agreed, delivered and reported through an annual clinical and care governance action plan. This will include actions to: ensure the quality of service delivery (including that delivered through services procured from the third and independent sector); address organisational and individual care risks; promote continuous improvement; and ensure that all professional and clinical standards, legislation and guidance are met. 8.10 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A establish a local Clinical and Care Governance Group is to be established by for integrated services within the Parties whichPartnership. This, when not chaired by the Chief Officer, will report to the Chief Officer Officer; and through the Chief Officer to the Integration Joint Board. It Its membership will contain representatives from include the Parties and others including:  the Partnership‘s Senior Management Team of the PartnershipTeam;  the Clinical Director;  the Lead Nurse;  the Lead from the Allied Health ProfessionsProfessions Lead; and Council‘s Chief Social Work Officer;  service user and carer representatives; and  Third Sector and Independent Sector representatives. 5.12 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join . Through its membership as it determinesrepresentative membership, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan developmentinterface with the Health Board Clinical Governance Forum; Health Board professional committees; the Area Clinical Forum; Managed Care Networks; and local Multi-Agency Public Protection Arrangement, governance, risk management, service user feedback Adult Support & Protection and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areasChild Protection Committees as appropriate. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 8.11 The Integration Joint Board may seek advice on clinical and care governance directly from the Health Clinical and Care Governance GroupGroup and also the Health Board Clinical Governance Forum; Health Board professional committees; Area Clinical Forum; Managed Care Networks; and local Multi-Agency Public Protection Arrangement, Adult Support & Protection and Child Protection. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered lead health professionals and the Council‘s Chief Social Work Officer. 5.16 Annex 4 provides details 8.12 The Clinical and Care Governance Group will provide advice to strategic planning and locality planning groups within the area of the Integration Joint Board. Strategic planning and locality planning groups may seek advice on clinical and care governance directly from the Clinical and Care Governance Group; and may directly take into consideration the professional views of the lead health professionals and the Council‘s Chief Social Work Officer. 8.13 Details of the primary support structure for clinical and care governance relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees Parties are able to directly provide advice to the Integration Joint Board and Health and Care Governance Groupset out in Annex 4. 5.17 8.14 Further assurance is provided will be provide through: a) the :  The responsibility of the Chief Social Work Officer to report directly to the Council, and the .  The responsibility of the Health Leads health professional leads to relate directly to the Medical Director and Nurse Director of Nursing, who in return report to the Health Board on professional matters; and b) the role of the .  The Health Board Clinical Governance Forum of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, guidance as required. 5.18 8.15 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) 8.14 above. 5.19 8.16 The Health Board Board‘s Medical Director, Director of Nursing, Clinical Governance Forum, Forum and the Medical Director and Nurse Director Council‘s Chief Social Worker may raise issues directly with the Integration Joint Board in writing writing; and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out 8.17 The Parties agree that they will work together and with the Integration Joint Board to deliver an organisation in Section 10 which those individual staff delivering care will:  Practice in accordance with their professional standards, codes of conduct and organisational values.  Be responsible for upholding professional and ethical standards in their practice and for continuous development and learning that should be applied to the Parties have benefit of the public.  Ensure the best possible care and treatment experience for service users and families.  Provide accurate information sharing protocols on quality of care and highlight areas of concern and risk as required.  Work in placepartnership with management, service users and carers and other key stakeholders in the designing, monitoring and improvement of the quality of care and services.  Speak up when they see practice that endangers the safety of patients or service users in line with local policies for public interest disclosure and regulatory requirements.  Engage with colleagues, patients, service users, communities and partners to ensure that local needs and expectations for safe and high quality health and care services, improved wellbeing and wider outcomes are being met.

Appears in 1 contract

Samples: Integration Scheme

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. 5.2 The Parties and the Integration Joint Board are accountable for ensuring appropriate 8.1 Effective 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 need to the principles of the Scottish Government’s Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 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. 5.4 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. 5.5 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. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in the delivery of safe, effective and person-centred health and social care services and Outcomeswithin integrated services. 5.8 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 members of 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 actively promote be required to establish arrangements to:- • Create an organisational culture that supports promotes human rights and social justice; , values partnership working through example; affirms the contribution of staff through the application of best practice, practice including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 . • Ensure that integrated clinical and care governance policies are developed and regularly monitor their effective implementation. • The Chief Social Work Officer reports rights, experience, expertise, interests and concerns of service users, carers and communities inform and are central to the Council on the delivery planning, governance and decision-making that informs quality of safecare. • 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 innovative social work services and the promotion of values and care professionals to be accountable for standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. 5.10 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of 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. Where groups of staff require professional leadership, this will be services provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 The Parties will put in place structures third and processes independent sector. • Ensure that there is effective engagement with all communities and partners to support clinical ensure that local needs and expectations for health and care governanceservices and improved health and wellbeing outcomes are being met. • Ensure that clear robust, thus providing assurance 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 carecare service planning and delivery. A Clinical • Provide assurance on effective systems that demonstrate clear learning and Care Governance Group improvements in care processes and outcomes. • Provide assurance that staff is supported when they raise concerns in relation to practice that endangers the safety of service users and other wrong doing in line with local policies for whistleblowing and regulatory requirements. • Establish clear lines of communication and professional accountability from point of care to Executive Directors and Chief Professional Officers accountable for clinical and care governance. It is expected that this will include articulation of the mechanisms for taking account of professional advice, including validation of the quality of training and the training environment for all health and social care professionals’ training (in order to be established by the Parties whichcompliant with all professionals regulatory requirements). • Embed a positive, when not chaired by the Chief Officersharing and open organisational culture that creates an environment where partnership working, will report openness and communication is valued, staff supported and innovation promoted. • Provide a clear link between organisational and operational priorities; objectives and personal learning and development plans, ensuring that staff have access to the Chief Officer necessary support and through the Chief Officer to the Integration Joint Boardeducation. It will contain representatives from the Parties • Implement quality monitoring and others including:  the Senior Management Team of the Partnership;  the Clinical Director;  the Lead Nurse;  the Lead from the Allied Health Professions;  Chief Social Work Officer;  service user and carer representatives; and  Third Sector and Independent Sector representatives. 5.12 The Parties note governance arrangements that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determinesinclude compliance with professional codes, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaintslegislation, standards, education, learning, continuous improvement guidance and inspection activity. When clinical and care governance issues relating that these are regularly open to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areas. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Partiesscrutiny. This includes must include details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 Further assurance is provided through: a) the responsibility needs of the Chief Social Work Officer most vulnerable people in communities are being met. • Implement systems and processes to report directly ensure a workforce with the appropriate knowledge and skills to meet the Council, and the responsibility needs of the Health Leads local population. • Implement effective internal systems that provide and publish clear, robust, accurate and timely information on the quality of service performance. • Develop systems to relate directly to support the Medical Director structured, systematic monitoring, assessment and Nurse Director who management of risk. • Implement a co-ordinated risk management, complaints, feedback and adverse events/incident system, ensuring that this focuses on learning, assurance and improvement. • Lead improvement and learning in return report to areas of challenge or risk that are identified through local governance mechanisms and external scrutiny. • Develop mechanisms that encourage effective and open engagement with staff on the Health Board on professional matters; and b) the role design, delivery, monitoring and improvement of the Clinical Governance Forum quality of the Health Board which is care and services. Promote planned and strategic approaches to oversee healthcare governance arrangements learning, improvement, innovation and ensure that matters which have implications beyond the Integration Joint Board in relation to healthdevelopment, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, as requiredsupporting an effective organisational learning culture. 5.18 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 The Health Board Clinical Governance Forum, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

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Clinical and Care Governance. 5.1 Except as detailed in this Scheme, all strategic, planning The arrangements for clinical and operational responsibility for Services is delegated from care governance agreed by the Parties are: 5.1 The Executive Medical Director, Director of Public Health and Executive Nurse Director, NHS Fife are accountable to the NHS Fife Clinical Governance Committee for quality of care delivery and professional governance in relation to the delegated NHS Fife functions. 5.2 The Chief Social Work Officer, Fife Council is accountable for ensuring proper standards and values are maintained in respect of the delivery of Social Work Services delegated to the Integration Joint Board and its Chief Officer. 5.2 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 Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 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. 5.4 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. 5.5 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. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968Board. The Chief Social Work Officer will provide an provides specific reports including the annual report on care governance and assurance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectoraterelevant Committee of Fife Council. 5.10 5.3 The Chief Officer as Director of Health and Social Care has delegated responsibilities, through the Parties’ Chief Executives, operational responsibility for the Professional standards of staff working in Integrated Servicesintegrated services. The Chief Officer, relevant Medical Director, Nurse Director, Director of Public Health Leads and Chief Social Work Officer will work together to ensure appropriate professional standards and leadership. Where groups leadership to assure quality including at transitions of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriatecare. 5.11 5.4 The Parties will put continue to monitor and report on clinical, care and professional governance matters to comply with legislative and policy requirements. 5.5 The Executive Medical Director, the Director of Public Health and the Executive Nurse Director continue to attend the NHS Fife Clinical Governance Committee which oversees the clinical governance arrangements of all NHS Fife service delivery divisions. 5.6 Professional oversight, advice and accountability in place structures respect of care and processes clinical governance are provided throughout the Partnership by the Executive Medical Director Executive Nurse Director, and Professional Lead Social Worker. 5.7 Professional advice is provided to support the Integration Joint Board through named professional advisors in line with section 12 of the Act. Advice is also provided through the Strategic Planning Group, Localities and an Integrated Professional Advisory Group comprising of health and social care professionals. The existing advisory groups will be linked to the Integrated Professional Advisory Group and will provide advice, as required, and be fully involved in Strategic Planning processes. 5.8 Assurance will be given through arrangements which will come together in an integrated way. The IJB will agree a clinical and care governance framework setting out efficient and effective arrangements for clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical and Care Governance Group is to be established supported by the appropriate professional advice, covering all delegated services and at the interface between services. This framework will be developed in partnership with both Parties whichand the arrangements will clearly set out assurances to the IJB and its partners as well as those for the escalation and resolution of clinical and care risks. 5.9 The Parties will ensure clinical and/or care governance arrangements are congruent with those of the IJB. Any changes to these arrangements will be agreed between the Parties and implemented through a Minute of Variation signed on behalf of both Parties and the IJB. 5.10 The Integration Joint Board will, when not chaired by through the Chief Officer, will report establish a framework and mechanisms as appropriate to receive assurance on the systems in place to discharge their statutory responsibilities for the requirements of the Act. This relates to the Chief Officer delivery of integrated health and social care arrangements including the Principles of Integration (Section 4), Health and Wellbeing Outcomes (Section 5), the Quality Aspects of Integrated Functions for Strategic Planning and Public Involvement (Sections 29-39), delivery of Integration through Localities, Directions and the Chief Officer to the Integration Joint Board. It will contain representatives from the Parties and others including:  the Senior Management Team of the Partnership;  the Clinical Director;  the Lead Nurse;  the Lead from the Annual Performance Report (Sections 40-43) 5.11 The Strategic Planning Group has medical, nursing, social work, Allied Health Professions;  Chief Social Work Officer;  service user Professionals and carer representatives; other key stakeholders and  Third Sector and Independent Sector representatives. 5.12 The Parties note that the Clinical and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join professional staff in its membership as it determines, or as to ensure appropriate advice is required given provided throughout the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role process of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan strategy development, governance, risk management, service user feedback implementation and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical and Care Governance Group for the Lead Partner will obtain input from the Clinical and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areasreview. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 Further assurance is provided through: a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate directly to the Medical Director and Nurse Director who in return report to the Health Board on professional matters; and b) the role of the Clinical Governance Forum of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, as required. 5.18 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 The Health Board Clinical Governance Forum, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

Clinical and Care Governance. 5.1 Except as detailed 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 this Scheme, all strategic, planning and operational responsibility for Services is relation to services provided in pursuance of the functions delegated from the Parties to the Integration Joint Board will: • involve service users and its Chief Officercarers 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. 5.2 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 Parties Health Board’s Chief Executive is responsible for clinical governance, quality, patient safety and engagement, supported by 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 ActHealth Board’s professional advisers. 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 Clinical and Care Governance Framework including the focus on localities and service user and carer feedback. 5.3 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. 5.4 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. 5.5 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. 5.6 Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.7 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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 has delegated responsibility for 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. 5.9 The Chief Social Work Officer reports to the Council on the delivery of safe, effective and innovative social work services and the promotion of values and professional standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties and make certain decisions in terms of the Social Work (Scotland) Act 1968. The Chief Social Work Officer will provide an annual report on care governance to the Integration Joint Board, including responding to scrutiny and improvement reports by external bodies such as the Care Inspectorate. 5.10 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of all staff working in Integrated Servicesintegrated services. The Chief Officer, relevant Health Leads and Chief Social Work Officer will work together to ensure appropriate professional standards and leadership. Where groups . 7.5 The Health Board’s Medical Director is responsible for the systems which support the delivery of staff require professional leadershipclinical governance and medicines governance, this those arrangements including the clinical governance unit and the processes which underpin it will be provided by operate in support of the relevant Health Lead or Integration Joint Board. 7.6 The Chief Social Work Officer as appropriateis 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. 5.11 7.7 The Parties will put in place structures make available to the Integration Joint Board professional leads representing social work, nursing and processes to support medicine. These professional leads will have a number of responsibilities including advising the Chief Officer, Integration Joint Board, Strategic Planning groups and localities on professional issues, clinical and care governanceissues, thus and providing assurance that the statutory regulatory requirements for professional practice are in place and monitored on a regular basis. The relationship between these professional leads and the quality Strategic Planning Groups, localities, the Chief Officer and the governance arrangements of the Parties is outlined at Annex 5. 7.8 The Parties have a range of clinical and care governance structural arrangements relevant to particular areas of health and social care. A This will still be necessary for clinical and care governance compliance within integrated arrangements. These arrangements will come together in the Clinical and Care Governance Board Workstream Group is to which will be established by the Parties which, when not chaired by the Chief Officer on behalf of both Parties. Through this structure the Parties will be responsible for demonstrating compliance with statutory requirements in relation to clinical governance, authorising an accurate and honest annual clinical governance statement and responding to scrutiny and improvement reports by external bodies such as Healthcare Improvement Scotland and the Care Inspectorate. 7.9 The Parties will provide, as required, assurance to the Integration Joint Board on the Parties compliance with statutory requirements around clinical and care governance arrangements through the Clinical and Care Governance Workstream Group. 7.10 Clinical and professional leads from both Parties will discharge the following functions in relation to the Integration Joint Board, Strategic Planning Groups and Localities: • Advise the Chief Officer, will report members of the Integration Joint Board, Strategic Planning Groups and Localities on professional issues. • Provide professional expertise to the Chief Officer Integration Joint Board, Strategic Planning Groups and through Localities on a wide range of clinical and care issues. • Provide assurance that the statutory regulatory requirements for professional practice are in place and monitored on a regular basis. • In the case of the Chief Officer Social Work Officer, provide their annual report to the Integration Joint Board. It will contain representatives • Assure the Integration Joint Board that the National Nursing & Midwifery and other Professional Assurance frameworks are implemented. • Advise the Integration Joint Board on professional workforce and workload planning including the mandatory application of workforce tools. • Advise the Integration Joint Board on the pre and post registration educational standards required for professions. • Provide a link from the Parties Integration Joint Board, Strategic Planning Groups and others including:  Localities to professional structures within the Senior Management Team Council and the Health Board. • Ensure a shared collective responsibility for governance across the Integration Joint Board. • Ensure professional leadership is seen as integral to the corporate management of the PartnershipIntegration Joint Board. • Ensure a clear focus on the contribution of professional expertise available to the Integration Joint Board, Strategic Planning Groups and Localities. • Ensure an effective line of professional responsibility throughout the organisation; an Integration Joint Board to team / xxxx level approach which ensures all professional leaders influence and shape the Clinical Director;  work of the Lead Nurse;  Integration Joint Board. • Ensure the Lead from effectiveness of the Allied Health Professions;  Chief Social Work Officer;  service user local clinical governance arrangements in meeting local and carer representatives; cross system needs whilst supporting the Integration Joint Board with reports and  Third Sector and Independent Sector representativesassurance. 5.12 The Parties note that the 7.11 Clinical and Care Governance Group may wish professional leads from both Parties will ensure that relevant policies in relation to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 The role of the Clinical and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being consideredadhered to, the including policies on: • Infection control. • Patient Safety and Clinical Quality. • Care and Care Governance Group for the Lead Partner will obtain input from the Clinical Assurance Accreditation Framework. • Child and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Council areasAdult Protection Policies. 5.14 The Clinical and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical and Care Governance Group. 5.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 Further assurance is provided through: a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate directly to the Medical Director and Nurse Director who in return report to the Health Board on professional matters; and b) the role of the Clinical Governance Forum of the Health Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Governance Forum will also provide professional guidance, as required. 5.18 The Chief Officer will take into consideration any decisions of the Council or Health Board which arise from (a) or (b) above. 5.19 The Health Board Clinical Governance Forum, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

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. 5.2 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. 5.3 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. 5.4 The 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. 5.5 5.1.4 The Parties will ensure that staff working in integrated services Integrated Services have the appropriate skills and knowledge to provide the appropriate standard of care. Managers will manage teams of Health 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. 5.6 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. 5.7 5.1.6 The Organisational Development Strategy will identify training requirements that will be put in place to support improvements in services and Outcomes. 5.8 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, including learning and development; and is transparent and open to innovation, continuous learning and improvement. 5.9 The Chief Social Work Officer reports 5.1.8 In relation to the Council on the delivery of safeAcute Services, effective and innovative social work services and the promotion of values and standards of practice. The Council confirms that its Chief Social Work Officer will provide appropriate professional advice to the Chief Officer and the Integration Joint Board in relation to statutory social work duties will be responsible for planning of such Services but operational management of such Services will lie with the NHS Board and make certain decisions in terms the Director for Acute Services of the Social Work (Scotland) Act 1968NHS Board. The Director for Acute Services of the NHS Board will manage Acute Services. 5.1.9 As detailed in clause 6 the Chief Officer will be an Officer of the Integration Joint Board. The Chief Social Work Officer will Officer’s role is to provide an annual report on care governance a single senior point of overall strategic and operational advice to the Integration Joint Board, including responding to scrutiny Board and improvement reports by external bodies such as be a member of the Care Inspectoratesenior management teams of the Parties. The Chief Officer will manage the Integrated Services. 5.10 5.1.10 The Chief Officer has delegated responsibilities, through the Parties’ Chief Executives, for the Professional standards of 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. Where groups of staff require professional leadership, this will be provided by the relevant Health Lead or Chief Social Work Officer as appropriate. 5.11 5.1.11 The Parties will put in place structures and processes to support clinical and care governance, thus providing assurance on the quality of health and social care. A Clinical Health and Care Governance Group is to be established by the Parties which, when not chaired by the Chief Officer, will report to the Chief Officer and through the Chief Officer to the Integration Joint Board. It will contain representatives from the Parties and others including: the Senior Management Team of the Partnership; the Clinical Director; the Lead Nurse; the Lead from the Allied Health Professions; Chief Social Work Officer; • Director of Public Health or representative; • service user and carer representatives; and Third Sector and Independent Sector representatives. 5.12 5.1.12 The Parties note that the Clinical Health and Care Governance Group may wish to invite appropriately qualified individuals from other sectors to join its membership as it determines, or as is required given the matter under consideration. This may include Health NHS Board professional committees, managed care networks and Adult and Child Protection Committees. 5.13 5.1.13 The role of the Clinical Health and Care Governance Group will be to consider matters relating to Strategic Plan development, governance, risk management, service user feedback and complaints, standards, education, learning, continuous improvement and inspection activity. When clinical and care governance issues relating to Lead Partnership Services are being considered, the Clinical Health and Care Governance Group for the Lead Partner will obtain input from the Clinical Health and Care Governance Groups of the other NHS Greater Glasgow & Xxxxx Ayrshire Council areas. 5.14 5.1.14 The Clinical Health and Care Governance Group will provide advice to the strategic planning group, and locality groups within the Council area. The strategic planning and locality groups may seek relevant advice directly from the Clinical Health and Care Governance Group. 5.15 5.1.15 The Integration Joint Board may seek advice on clinical and care governance directly from the Health and Care Governance Group. In addition, the Integration Joint Board may directly take into consideration the professional views of the registered health professionals and the Chief Social Work Officer. 5.16 5.1.16 Annex 4 provides details of the governance structure relating to the Integration Joint Board and the Parties. This includes details of how the Area Clinical Forum, Managed Clinical Networks, other appropriate professional groups and Adults and Child Protection Committees are able to directly provide advice to the Integration Joint Board and Health and Care Governance Group. 5.17 5.1.17 Further assurance is provided through: (a) the responsibility of the Chief Social Work Officer to report directly to the Council, and the responsibility of the Health Leads to relate report directly to the Medical Director and Nurse Director who in return report to the Health NHS Board on professional matters; and (b) the role of the Clinical Healthcare Governance Forum Committee of the Health NHS Board which is to oversee healthcare governance arrangements and ensure that matters which have implications beyond the Integration Joint Board in relation to health, will be shared across the health care system. The Clinical Healthcare Governance Forum Committee will also provide professional guidance, as required. 5.18 5.1.18 The Chief Officer will take into consideration any decisions of the Council or Health NHS Board which arise from (a) or (b) above. 5.19 5.1.19 The Health NHS Board Clinical Healthcare Governance ForumCommittee, the Medical Director and Nurse Director may raise issues directly with the Integration Joint Board in writing and the Integration Joint Board will respond in writing to any issues so raised. 5.20 5.1.20 As set out in Section 10 the Parties have information sharing protocols in place.

Appears in 1 contract

Samples: Integration Scheme

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