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					                                                                                               CORE STANDARDS C6



CORE STANDARD C6                                                                                                                                                Appendix 3(b)

Domain: Clinical and Cost Effectiveness

Healthcare organisations cooperate with each other and social care organisations to ensure that patients’ individual needs are properly managed and met.

Element 1

Element:
The healthcare organisation works with relevant partner agencies to ensure that patients’ individual needs are properly met and managed across organisational boundaries in accordance with
Guidance on the Health Act Section 31 partnership arrangements (Department Of Health 1999).

                                                                                                                                                                  Self Assessment
                                                                                                                                                                  Score                 Action required to
A: Lines of Enquiry                                            B: Evidence to demonstrate compliance                                        Responsible Lead      Fully Compliant       achieve full
                                                                                                                                                                  Partly Compliant      compliance
                                                                                                                                                                  Non Compliant
The healthcare organisation should have worked with its        • Performance Management Group
partners to manage where service users care crosses health     • Strategy Development Group
and social care organisational boundaries, for example they    • Choose and Book Committee                                                  Tim Welch             Fully Compliant
may have developed protocols for admission, transfer,          • Admission, Transfer and Discharge of Adult patients Policy
discharge and follow up. This should include taking steps to   (CORP/POL/091)
align assessment processes with partners and/or to implement
                                                               • Blackpool Older People Partnership Board includes Social Services PPI
a single assessment process.
                                                               Forum Age Concern and Commissioners etc.
                                                               • North Lancashire Older People
                                                               • Partnership Board
                                                               • Blackpool Learning Disability Partnership Board
                                                               • Blackpool Physical Disabilities Partnership Board
                                                               • Internal Emergency Planning Committee includes Social Services PCT's
                                                               etc.                                                                         Jayne Mottershead         Fully Compliant
                                                               • Fylde Coast Emergency Planning Committee


                                                               • Local Resilience Forum Health Sub Group of Local resilience Forum.
                                                               • Fylde Coast Flu Pandemic Planning Committee
                                                               • Falls Strategy Group
                                                               • Lancashire Vulnerable Adults Committee
                                                               • Clinical Support Services - Marie Bowler
                                                               • Regularly attend and contribute in meetings with other health and social
                                                               care organisations including SHA, Social Services, Critical Care Strategic
                                                               Board, PCT's
                                                                                                                                            Marie Bowler          Fully Compliant
                                                                                               CORE STANDARDS C6



                                                                                                                                                                   Self Assessment
                                                                                                                                                                   Score                Action required to
A: Lines of Enquiry                                            B: Evidence to demonstrate compliance                                            Responsible Lead   Fully Compliant      achieve full
                                                                                                                                                                   Partly Compliant     compliance
                                                                                                                                                                   Non Compliant
The healthcare organisation should have worked with its        • Existing weekly meeting is held between management representatives of
partners to manage where service users care crosses health     the Trust and both local authorities (Social Services).
and social care organisational boundaries, for example they    • All delayed transfers of care are discussed and plans agreed. Integrated
may have developed protocols for admission, transfer,          Discharge Team Manager attends Social Work team management meetings
discharge and follow up. This should include taking steps to   on a regular basis.                                              • Delayed
align assessment processes with partners and/or to implement   Discharge Data is available
a single assessment process.                                   • Link to Paris - Blackpool Borough Council Social Services Information
                                                               System.
                                                               • Link to ISSIS - Lancashire County Council Social Services
                                                               • Link to information systems, Referral System and Management Systems
                                                                                                                                                Ian Ellwood           Fully Compliant
                                                               North Lancashire PCT
                                                               • Single Assessment Meetings held bi-monthly
                                                               • Department of Health information collected weekly for SITREPS (Situation
                                                               Report) regarding delay transfer of care etc.
                                                               • A joint single assessment plan has been developed with both local
                                                               authorities with allocated lead people                                       •
                                                               Admission, Transfer and Discharge procedure in place
                                                               • Social Services Team Management Meetings take place and the minutes
                                                               are with Ian Ellwood
                                                               • Vulnerable Adults Meetings
                                                               • Current steering groups and working groups set up within the hospitals trust
                                                               to support service & practice developments and reviews in the speciality of
                                                               Care of Older People are multi disciplinary/multi agency and multi
                                                               organisational and include;
                                                               • falls steering group,
                                                               • stroke work stream,
                                                               • suspected abuse of vulnerable adults working group,
                                                               • continence project steering group,
                                                               • domestic violence steering group,

                                                               • Learning Disabilities Group.
                                                               • Representation is also provided from the Trust to provide membership to        Simone Anderton       Fully Compliant
                                                               wider organisations groups including;
                                                               • Blackpool SAP meetings,
                                                               • Fylde & Wyre SAP meetings,
                                                               • Fylde & Wyre Older Peoples Partnership board,
                                                               • Blackpool Older Peoples Partnership Board,
                                                               • Blackpool safeguarding adults committee,

                                                               • Fylde & Wyre falls work stream.
                                                                                                 CORE STANDARDS C6



                                                                                                                                                                   Self Assessment
                                                                                                                                                                   Score              Action required to
A: Lines of Enquiry                                             B: Evidence to demonstrate compliance                                           Responsible Lead   Fully Compliant    achieve full
                                                                                                                                                                   Partly Compliant   compliance
                                                                                                                                                                   Non Compliant
Appropriate healthcare organisation staff should meet regularly • One of the Directors from the Acute Trust is a member of Blackpool PCT                                              Continue to work in
with partners from other local health and social care           project board which is responsible for the development of 3 Primary Care                                              partnership with
organisations to review joint approaches to care.               Centres.                                                                       •                                      other NHS
                                                                One of the responsibilities of the board is to determine future models for the                                        organisations and
                                                                delivery of health care and how these will impact on health economy.             Mike Gallagher    Fully Compliant    independent sector
                                                                • Weekly diagnostic meetings are held which involve representatives from                                              providers.
                                                                health and social care                                                                                                Aidan Kehoe


                                                                • The division works closely with other health, education and social care
                                                                providers.
                                                                • Paediatric clinical staff work in both the community and acute setting
                                                                utilising a partnership approach to patient care.
                                                                • Representation from the division on a number of partnership boards is         Brenda Herring     Fully Compliant
                                                                evident, some of these include the children's executive trust,
                                                                • NSF working groups,
                                                                • CAMHS,
                                                                • Safe guarding of children..

                                                                • Attends Domestic Nurse Leads Meetings
                                                                                                                                                Ian Ellwood

Appropriate healthcare organisation staff should meet regularly • Work with local PCTs for maternity services is evident including sure start
with partners from other local health and social care           initiatives and connexions joint funded posts.
organisations to review joint approaches to care.               • Termination of pregnancy services are commissioned by the PCT, this
                                                                service is delivered on BVH premises but provided by an independent
                                                                organisation.                                                                   Brenda Herring     Fully Compliant
                                                                • Collaborative working with the provider has ensured a quality service is
                                                                being delivered for patients locally.



                                                                • Bi monthly meetings take place with the PCT representatives to discuss
                                                                and agree current and future service provision.
                                                                • Meetings take place re specific service issues e.g. -
                                                                • Oral surgery,
                                                                • Ophthalmology,                                                                Julia Langwade     Fully Compliant
                                                                • Orthopaedic ( MSK pathway).
                                                                • Cancer services review meetings,



                                                                • Lancashire Older peoples Strategic partnerships Board,
                                                                • Lancashire Physical Disability Partnerships Board,
                                                                • Lancashire Carer's network,
                                                                • Lancashire Learning Disability Partnerships Board,                            Bernie Speakman    Fully Compliant
                                                                • PALS Advisory committee,
                                                                • Blackpool Compact
                                                                                                  CORE STANDARDS C6



                                                                                                                                                                     Self Assessment
                                                                                                                                                                     Score              Action required to
A: Lines of Enquiry                                              B: Evidence to demonstrate compliance                                            Responsible Lead   Fully Compliant    achieve full
                                                                                                                                                                     Partly Compliant   compliance
                                                                                                                                                                     Non Compliant
                                                                 • LAA,
                                                                 • Police,
                                                                 • LOHSG,
                                                                 • NWRHSG,                                                                        Mark Burns         Fully Compliant
                                                                 • IOSH SIG,
                                                                 • C&D P meetings

                                                                 • The Division meets with representatives from other health organisations via                                          There are many
                                                                 the Cardiac Network.                                                   •                                               areas within Cardiac
                                                                 There are numerous examples of improved care across the patient pathway                                                Services that require
                                                                 as a result.                                                                                                           development
                                                                 • For example ACS protocol                                                                                             through joint working
                                                                                                                                                                                        . These are
                                                                                                                                                  Neil Upson         Partly Compliant
                                                                                                                                                                                        highlighted in the
                                                                                                                                                                                        Divisions integrated
                                                                                                                                                                                        Business plan.




                                                                 • Weekly meetings are held with Social Services to ensure discussions take
                                                                 place on delayed discharges occurring at both community and acute sites,         Joanna Beith       Fully Compliant

Appropriate healthcare organisation staff should meet regularly • A joint public consultation took place early in 2006 to establish a whole
with partners from other local health and social care           health community strategy for delivery of health care on the Fylde Coast.
organisations to review joint approaches to care.               • A joint meeting of all health and social care organisations within the health
                                                                community is held bi weekly, attended by Chief Executives and Directors.
                                                                • This group seeks to co ordinate responses to national and local initiatives
                                                                in health and social care.
                                                                • A commissioning meeting is held bi weekly with representatives of
                                                                commissioners and the Trust.
                                                                • This meeting focuses on gaps in service provision and seeks to address
                                                                                                                                                  Aiden Kehoe
                                                                these.                                                                                               Fully Compliant
                                                                                                                                                  Harry Clarke



                                                                 • An 18 week Steering Group is in place comprising Health care
                                                                 representatives. This is coordinating the delivery of 18 weeks within the
                                                                 Health Community.
                                                                 • The group looks at services provided in primary care, secondary care and
                                                                 the independent sector.
                                                                                                CORE STANDARDS C6



                                                                                                                                                                   Self Assessment
                                                                                                                                                                   Score                 Action required to
A: Lines of Enquiry                                             B: Evidence to demonstrate compliance                                          Responsible Lead    Fully Compliant       achieve full
                                                                                                                                                                   Partly Compliant      compliance
                                                                                                                                                                   Non Compliant
                                                                • The Designated / Named Doctor and Executive Director for Nursing and
                                                                Quality represent the Trust at the Blackpool Local Safeguarding Childrens
                                                                Board (LSCB) to promote formal joint approaches to care.                •
                                                                There is also representation on the LSCB sub groups to promote seamless
                                                                working across the organisations for childrens services.
                                                                • Named Nurse for Safeguarding Children attends multi agency meetings on
                                                                a regular basis to promote hospital issues and improve collaborative
                                                                working.
                                                                • The Named Nurse is a representative at the Wyre Domestic Abuse
                                                                Strategy group and attends the Blackpool Domestic abuse Forum group in
                                                                the absence of the Head of Clinical Governance.
                                                                • The Named Nurse attends the LSCB sub group - Persons Who Pose A
                                                                Risk To Children.

                                                                • The Named Nurse has worked collaboratively with the Blackpool
                                                                Coordinator for the Common Assessment Framework (CAF) to assist with
                                                                awareness training for Trust staff. The Trust has responded to the following
                                                                documents:·
                                                                • The Government‟s Response to the Second Joint Chief Inspectors Report
                                                                on Arrangements to Safeguard Children 2006 has an action plan that will
                                                                require a progress report in March 2007.                                       Tania Few
                                                                • Strategic Health Authority (SHA) Organisational Competencies and                                     Fully Compliant
                                                                                                                                               Mandie Sunderland
                                                                Assessment was undertaken in January 2006.


                                                                • Standards for Better Health 2006– C2 Safety domain was completed,
                                                                evaluation is ongoing.
                                                                • Health Care Governance Delivery Plan 2005 / 2006 was updated in
                                                                October 2006.
                                                                • The Clinical Governance Strategy contributed to a 6 monthly Report 2006 –
                                                                2008·
                                                                • Blackpool Joint Area Review 2006 was completed.
                                                                • The Blackpool Domestic Abuse Strategy 2006 includes the Trusts
                                                                contribution for partnership working.
                                                                • Proactive partnership working with the Wyre Domestic Abuse Forum group
                                                                to integrate the Trust Domestic Abuse policy into the Wyre Domestic Abuse
                                                                Strategy.


                                                                • Safeguarding Children's Board Blackpool Vulnerable Adults Committee




Appropriate healthcare organisation staff should meet regularly • The Head of Clinical Governance and the Trusts Named Nurse for
with partners from other local health and social care           Safeguarding Children were invited to speak at a public consultation to        Tania Few
                                                                                                                                                                   Fully Compliant
organisations to review joint approaches to care.               promote partnership working from the Trust.                                    Mandie Sunderland
                                                                                               CORE STANDARDS C6



                                                                                                                                                                     Self Assessment
                                                                                                                                                                     Score              Action required to
A: Lines of Enquiry                                            B: Evidence to demonstrate compliance                                          Responsible Lead       Fully Compliant    achieve full
                                                                                                                                                                     Partly Compliant   compliance
                                                                                                                                                                     Non Compliant
                                                               • Attendees, Local Safeguarding Children's Board and Workshops.
                                                               • Blackpool Pct Joint Healthcare Standards Group.
                                                               • PPI Forum.
                                                               • Patient Panel.                                                                  Mandie Sunderland   Fully Compliant
                                                               • PALS Advisory Group.
                                                               • Strategy Development Group
The healthcare organisation should have worked with its        • Blackpool Older People Partnership Board includes Social Services PPI
partners to manage where service users care crosses health     Forum Age Concern and Commisioners etc.
and social care organisational boundaries, for example they    • North Lancashire Older People Partnership Board Blackpool
may have developed protocols for admission, transfer,          • Learning Disability Partnership Board
discharge and follow up. This should include taking steps to   • Blackpool Physical Disabilities Partnership Board
align assessment processes with partners and/or to implement   • Internal Emergency Planning Committee includes Social Services PCT's
a single assessment process.                                   etc.
                                                               • Fylde Coast Emergency Planning Committee                                                            Fully Compliant
                                                                                                                                              Jayne Mottershead
                                                               • Local Resilience Forum Health Sub Group of Local resilience Forum.
                                                               • Fylde Coast Flu Pandemic Planning Committee
                                                               • Falls Strategy Group
                                                               • Safeguarding Children's Board Blackpool
                                                               • Vulnerable Adults Committee
                                                               • Lancashire Vulnerable Adults Committee

                                                               • Attends the PCT's Performance Management Group
                                                               • Attends the Trust's Strategy development Group
                                                                                                                                              Aiden Kehoe            Fully Compliant
                                                               • Attends Blackpool PCT Choose and Book Committee

                                                               • Attends the PCT's Performance Management Group
                                                               • Attends the Trust's Strategy development Group                               Tim Welch              Fully Compliant

                                                               • Work in this area is constantly under review,
                                                               • Weekly meeting are held with social services to ensure that discharge
                                                               processes in place are working appropriately and to resolve any issues
                                                               regarding delayed discharges.                                                Marie Bowler             Fully Compliant
                                                               • The discharge team is made up of both healthcare staff and social services
                                                               staff.

                                                               • Existing "Joint Protocol for transfer of Care from an Acute Hospital Bed" in                                           Single assessment
                                                               place and signed up to by all local Health and Social care partners.                                                     process used in
                                                               • Integrated Discharge Team in place that has both Health and Social care                                                isolation. Plans to
                                                               staff under one management system and is joint funded by Health and Social                                               roll-out across the
                                                               Care.                                                                         •                                          Trust are in
                                                               Single assessment process is accessed and used by the Integrated                Ian Ellwood           Fully Compliant    progress.
                                                               Discharge Team across both local authorities information systems.
                                                               • Access to each others resources in the form of service commissioning and
                                                               staff utilisation is in place.
                                                                                               CORE STANDARDS C6



                                                                                                                                                                  Self Assessment
                                                                                                                                                                  Score                 Action required to
A: Lines of Enquiry                                            B: Evidence to demonstrate compliance                                           Responsible Lead   Fully Compliant       achieve full
                                                                                                                                                                  Partly Compliant      compliance
                                                                                                                                                                  Non Compliant
The healthcare organisation should have worked with its        • Assessment tool for the risk of falls developed in collaboration with PCT
partners to manage where service users care crosses health     falls co coordinators to facilitate one assess tool used across primary /
and social care organisational boundaries, for example they    secondary and social care.
may have developed protocols for admission, transfer,          • Work currently underway regarding falls pathway of care between
discharge and follow up. This should include taking steps to   community, ambulance services , admission to A&E and discharge from
                                                                                                                                               Simone Anderton    Fully Compliant
align assessment processes with partners and/or to implement   A&E to community services.
a single assessment process.                                   • Internal procedure being developed in line with social services lead on the
                                                               suspected abuse of vulnerable adults to aid the safety of patients during
                                                               admission and discharge processes.

                                                               • The division works closely with other health, education and social care
                                                               providers.
                                                               • Paediatric clinical staff work in both the community and acute setting
                                                               utilising a partnership approach to patient care.
                                                               • Representation from the division on a number of partnership boards is
                                                               evident, some of these include the children's executive trust,
                                                               • NSF working groups,
                                                               • CAMHS,
                                                               • Safe guarding of children..
                                                                                                                                               Brenda Herring         Fully Compliant

                                                               • Work with local PCTs for maternity services is evident including sure start
                                                               initiatives and connexions joint funded posts.
                                                               • Termination of pregnancy services are commissioned by the PCT, this
                                                               service is delivered on BVH premises but provided by an independent
                                                               organisation.
                                                               • Collaborative working with the provider has ensured a quality service is
                                                               being delivered for patients locally.

                                                               • Development of a joint primary / secondary care pathway with regards to                                                Ongoing to fully
                                                               vascular services                                                               Julia Langwade     Partially Compliant   develop Care
                                                                                                                                                                                        Pathway

                                                               • Lancashire Older peoples Strategic partnerships Board,
                                                               • Lancashire Physical Disability Partnerships Board,
                                                               • Lancashire Carer's network,
                                                               • Lancashire Learning Disability Partnerships Board,                            Bernie Speakman    Fully Compliant
                                                               • PALS Advisory committee,
                                                               • Blackpool Compact

                                                               • LAA,
                                                               • Blackpool Borough Council
                                                               • Police,
                                                               • LOHSG,
                                                                                                                                               Mark Burns         Fully Compliant
                                                               • NWRHSG,
                                                               • IOSH SIG,
                                                               • C&D P meetings
                                                                                             CORE STANDARDS C6



                                                                                                                                                               Self Assessment
                                                                                                                                                               Score               Action required to
A: Lines of Enquiry                                          B: Evidence to demonstrate compliance                                          Responsible Lead   Fully Compliant     achieve full
                                                                                                                                                               Partly Compliant    compliance
                                                                                                                                                               Non Compliant
The healthcare organisation should have worked with its      • The Division has worked on Network and Health economy wide project i.e.                                             There are many
partners to manage where service users care crosses health • ACS protocol,                                                                                                         areas within Cardiac
and social care organisational boundaries, for example they  • Heart Failure plan.                                                                                                 Services that require
may have developed protocols for admission, transfer,                                                                                                                              development
discharge and follow up. This should include taking steps to                                                                                                                       through joint working
align assessment processes with partners and/or to implement                                                                                Neil Upson         Partial compliant   . These are
a single assessment process.                                                                                                                                                       highlighted in the
                                                                                                                                                                                   Divisions integrated
                                                                                                                                                                                   Business plan.



                                                             • One of the Directors from the Acute Trust is a member of Blackpool PCT                                              Continue to work in
                                                             project board which is responsible for the development of 3 Primary Care                                              partnership with
                                                             Centres.                                                              • One of                                        other NHS
                                                             the responsibilities of the board is to determine future models for the delivery                                      organisations and
                                                             of health care and how these will impact on health economy.                      Mike Gallagher   Fully Compliant     independent sector
                                                             • Weekly diagnostic meetings are held which involve representatives from                                              providers.
                                                             health and social care



                                                             • Attendance at events to develop an agreed way forward for the single
                                                             assessment process.
                                                             • Marie Bowler Associate Director of Operations for Clinical Support           Joanna Beith       Fully Compliant
                                                             Services is taking the organisational lead for this.


                                                             • As above.
                                                             • The diagnostics group is the governing body for the implementation of       Harry Clarke        Fully Compliant
                                                             single assessment.
                                                             • A formal Information Sharing Procedure – Person Identified as Posing a
                                                             Risk / Potential Risk to Children has been sent out for consultation from the
                                                             LSCB.
                                                             • That Named Nurse has actively worked with multi –agency professionals to
                                                             develop the procedure to link exclusively with the Trusts Procedure The
                                                             management in Hospital of Individuals who may pose a Risk to children /       Tania Few           Fully Compliant
                                                             Adults (CORP/PROC/130).
                                                             • The Common Assessment Framework (CAF) is a key component of Every
                                                             Child Matters -
                                                             • Change for Children (www.everychildmatters.gov.uk).

                                                             • Awareness training on the use of the CAF form for relevant healthcare
                                                             professionals will be undertaken.
                                                                                                   CORE STANDARDS C6



                                                                                                                                                                       Self Assessment
                                                                                                                                                                       Score              Action required to
A: Lines of Enquiry                                               B: Evidence to demonstrate compliance                                             Responsible Lead   Fully Compliant    achieve full
                                                                                                                                                                       Partly Compliant   compliance
                                                                                                                                                                       Non Compliant
                                                                  • The CAF will be integral to working with children and their families to
                                                                  assess early intervention for targeted service provision.
                                                                  • The health needs for Looked After Children (LAC) is undertaken on a
                                                                  formal arrangement between health and social care.
                                                                  • A Blackpool LSCB subgroup is addressing the issue of working with a multi
                                                                  agency chronology form and the Trusts Named Nurse will assist in raising
                                                                  awareness of its use.

The organisation should have agreed with its partners the         • Information Sharing Agreements in place
protocols for mapping and sharing information, and for
obtaining consent from users in a consistent manner.                                                                                                Trish Butcher      Fully Compliant


The healthcare organisation should have agreed with partners • The Trust has in place SLA's with all health and social care partners as part
”the range of health and local government services, if any, to of the commissioning round.
be purchased and provided from a pooled fund”.                 • These are monitored on a monthly basis by a dedicated health community Harry Clarke                   Fully Compliant
                                                               group

                                                                  • Access to intermediate care services and community loan stores is well
                                                                  established.
                                                                  • Joint funding of the Discharge team is also in place, although not a pooled     Marie Bowler       Fully Compliant
                                                                  budget as such.

The healthcare organisation should communicate clearly with       • Overall line management of the multi-disciplinary staff within the Integrated
staff about its joint working policy, procedures and practices.   Discharge Team is from one structure. (Although not as part of section 31).
Where there is integrated service provision under Section 31,     • There is an existing protocol; “Joint Protocol for Transfer of Care from an
the healthcare organisation enables different professionals to    Acute Hospital Bed” that was signed up to by all local partner organizations.                        Fully Compliant
work within a single management structure.                                                                                                          Marie Bowler



The healthcare organisation requires operational managers to      • Integrated Discharge Team work within agreed standards and operation
ensure that staff, work to the standards and objectives that      objectives across all „stakeholder‟ organizations.
have been set with partners for jointly managed or jointly        • E.g. adherence to “Fair Access to Care Services” criteria.
commissioned services.                                            • Discharge arrangements for both local authorities are standardized under                           Fully Compliant
                                                                                                                                                    Marie Bowler
                                                                  special agreement e.g. commissioned care is free from hospital for the first
                                                                  10 days upon discharge.

The healthcare organisation should have worked with partners      • Delayed Transfer of Care monitoring is discussed at regular weekly
to establish indicators for measuring the effectiveness of        meetings prior to reporting via SITREPS.
partnerships. The healthcare organisation should have             • Complex cases are discussed and local resolution sought.
monitored and reviewed the effectiveness of its work with         • Extended criteria for monitoring delayed transfer of care is well established
                                                                                                                                                                       Fully Compliant
partners to ensure individual patient needs are met.              and monitored regularly.                                                   •    Marie Bowler
                                                                  Other examples include the joint approach to Vulnerable Adults Procedure
                                                                  (New).
                                                                                              CORE STANDARDS C6




Point of information:


Section 31 of the Health and Social Care Act (1999) forms the basis of the requirements of this element. The key components of Section 31 are pooled funds; lead commissioning roles, and integrated provision of
services. Guidance on the Health Act Section 31 partnership arrangements includes a separate chapter entitled Information Sharing between The NHS and Local Authorities. However, more detailed requirements
about collection, storage, use and sharing of information are assessed under core standards C9 and C13.




                                                               Fully Compliant


                                                               Partly Compliant


                                                               Non compliant
                                                      FOR INTERNAL/EXTERNAL AUDIT ONLY TO COMPLETE

                                                                                  CONCLUSIONS


Conclusins by element

                                   B: Full Year                                                 C: By 31st March 2006

                                                                                                C1: Adequate evidence
                                   B1: Adequate evidence
A: Element                                                    B2: Justification                 by 31st March 2007?     C2: Justification
                                   for full year? (yes/No)
                                                                                                (Yes/No)



Element 1: Partnership working




*NB: Columns C1 and C2 should only be completed where the answer is "No" in column B1.
                           FOR INTERNAL/EXTERNAL AUDIT ONLY TO COMPLETE

                                             Overall Compliance

Please select one option


Adequate for full year   (Fully Compliant)

Adequate by end of year only        (Partly Complaint)

Inadequate for the full year   (Non Compliant)


**Options for Table


Adequate for the full year = there is adequate evidence to provide reasonable assurance of complaince for the full year (column B1 = Yes for all



Adequate by end of year only = there is inadequate evidence to provide reasonable assurance of compliance for the full year (column B1 = No for one or more elements), but
there is adequate evidence to provide reasonable assurance that compliance had been achieved by 31st March (Column C1 = Yes for all elements, where appropriate)




Inadequate = there is inadequate evidence to provide reasonable assurance of compliance for the full year (column B1 = No for one or more elements), and there is inadequate
evidence to provide reasonable assurance that compliance had been achieved by 31st march (column C1 = No for one or more elements).
r one or more elements), but
 ts, where appropriate)




ments), and there is inadequate

				
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