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					Core Standard Monitoring

Core Standards Forecast Position - Summary Tracking
North Bristol NHS Trust
Projected Project Compliance Compliance 31st 30th June 2009 October 2009 39 43 3 0 2 1 0 0 44 44

Compliant Insufficient Assurance Not Met Not Applicable Total Compliance position for whole year 08/09 See Previous Years Scores Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010 C01a Compliant Compliant Compliant Compliant Compliant C05c Compliant Compliant Compliant Compliant Compliant C11a Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C15b Compliant Compliant Compliant Compliant Compliant

Compliance postion as at 31 March 2009 35 5 4 0 44

Compliance position for whole year 08/09 35 5 4 0 44

Project Compliance 31st March 2010 43 0 1 0 44

C01b Compliant Compliant Compliant Compliant Compliant C05d Compliant Compliant Compliant Compliant Compliant C11b Not Met Not Met Not Met Compliant Compliant C16 Compliant Compliant Compliant Compliant Compliant

C02 Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C06 Compliant Compliant Compliant Compliant Compliant C11c Compliant Compliant Compliant Compliant Compliant C17 Compliant Compliant Compliant Compliant Compliant

C03 Compliant Compliant Compliant Compliant Compliant C07a Compliant Compliant Compliant Compliant Compliant C12 Compliant Compliant Compliant Compliant Compliant C18 Compliant Compliant Compliant Compliant Compliant

C04a Not Met Not Met Compliant Compliant Compliant C07b Compliant Compliant Compliant Compliant Compliant C13a Compliant Compliant Compliant Compliant Compliant C20a Compliant Compliant Compliant Compliant Compliant

C04b Insufficient Assurance Insufficient Assurance Compliant Compliant Compliant C07e Compliant Compliant Compliant Compliant Compliant C13b Compliant Compliant Compliant Compliant Compliant C20b Compliant Compliant Compliant Compliant Compliant

C04c Not Met Not Met Compliant Compliant Compliant C08a Compliant Compliant Compliant Compliant Compliant C13c Compliant Compliant Compliant Compliant Compliant C21 Not Met Not Met Not Met Not Met Not Met

C04d Compliant Compliant Compliant Compliant Compliant C08b Compliant Compliant Compliant Compliant Compliant C14a Compliant Compliant Compliant Compliant Compliant C22a Compliant Compliant Compliant Compliant Compliant

C04e Compliant Compliant Compliant Compliant Compliant C09 Compliant Compliant Compliant Compliant Compliant C14b Compliant Compliant Compliant Compliant Compliant C22b Compliant Compliant Compliant Compliant Compliant

C05a Compliant Compliant Compliant Compliant Compliant C10a Insufficient Assurance Insufficient Assurance Compliant Compliant Compliant C14c Compliant Compliant Compliant Compliant Compliant C23 Compliant Compliant Compliant Compliant Compliant

C05b Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C10b Compliant Compliant Compliant Compliant Compliant C15a Compliant Compliant Compliant Compliant Compliant C24 Compliant Compliant Compliant Compliant Compliant

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliant Insufficient Assurance Not Met Not Applicable

1 2 3 4

North Bristol NHS Trust

June 2009

Core Standard Descriptions (for information) Healthcare organisations protect patients through systems that identify and learn from all patient safety incidents and other reportable indicents and make improvements in practice based on local and national experience and information derviced from the analysis of incidents Healthcare organisations protect patients through systems that ensure that patient safety notices, alerts and other communications concerning patient safety which require action are acted upon within required timescales Healthcare organisations protect children by following national child protection guidelines within their own activities and in their dealings with other organisations Healthcare organisations protect patients by following National Institute for Clinical Excellence (NICE) interventional procedures guidance Healthcare organisations keep patients, staff and visitors safe by having systems to ensure that the risk of healthcare acquired infection to patients is reduced with particular emphasis on high standards of hygiene and cleanliness, achieving year on year reductions in MRSA Healthcare organisations keep patients staff and visitors safe by having systems to ensure that all risks associated with the acquisition and use of medical devices are minimised Healthcare organisations keep patients staff and visitors safe by having systems to ensure that all resuable medical devices are properly decontaminated prior to use and that the risks associated with decontamination facilities and processes are well managed Healthcare organisations keep patients, staff and visitors safe by having systems to ensure that medicines are handled safely and securely Healthcare organisations keep patients, staff and visitors safe by having systems to ensure that the prevention, segregation, handling, transport and disposal of waste is properly managed so as to minimise the risks to the health and safety of staff, patients, the public and the safety of the environment Healthcare organisations ensure that they conform to National Clinical Excellence (NICE) technology appraisals and, where it is avaialbe, take into account nationally agreed guidance when planning and delevering treatment and care Healthcare organisations ensure that clinical care and treatment are carried out under supervsion and leadership Healthcare organisations ensure that clinicians continuously update skills and techniques relevant to their clinical work Healthcare organisations ensure that clinicians participate in regular clinical audit and reviews of clinical services Healthcare organisations cooperate with each other and social care organisations to ensure that patients' individual needs are properly managed and met Healthcare organisations apply the principles of sound clinical and corporate governance and Healthcare organisations undertake systematic risk assessment and risk management Healthcare organisations activity support all employees to promote openness, honestly, probity, accountability, and the efective use of resources Healthcare organisations challenge discrimination, promote equality and respect human rights Healthcare organisations support their staff through having access to processes which permit them to raise, in confidence and witout prejudicing their prosition, concerns over any aspect of service delivery, treatment or management that they consider to have a detrimental effect on pateint care or on the delivery of services Healthcare organisations support their staff through organisational and personal development programmes which recognise the contribution and value of staff and sddress, where appropriate, under-representation of minority groups Healthcare organisations have a systematic and planned approcah to the management of records to ensure that from the moment a record is created until its ultimate disposal, the organisation maintains information so that it serves the purpose it was collected for and disposes of the information when no longer required Healthcare organisations undertake all appopriate employment checks and ensure that all employed or contracted professionally qualified staff are registered with the appropriate bodies Healthcare organisations require that all employed professionals abide by relevant published codes of professional practice Healthcare organisations ensure that staff concerned with all aspects of the provision of healthcare are appropriately recruited, trained and qualified for the work they undertake Healthcare organisations ensure that staff concerned with all aspects of the provsion of healthcare participate in mandatory training programmes Healthcare organsiations ensure that staff concerned with all aspects of the provision of healthcare participate in further professional and occupational development commensurate with their work throughout their working lives Healthcare organisations which either lead or participate in research have systems in place to ensure that the research governance framework are consistently applied Healthcare organisations have systems in place to ensure that staff treat patients, their relatives and carers with dignity and respect Healthcare organisations have systems in place to ensure that appropriate consent is obtained when required, for all contacts with patients and for the use of any confidential patient information Healthcare organisations have systems in place to ensure that staff treat patient information confidentially, except where authorised by legislation to the contrary Healthcare organisations have systems in place to ensure that patients, their relatives and carers have suitable and accessible information about, and clear access to, procedures to register formal complaints and feedback on the quality of services Healthcare organisations have systems in place to ensure that patients, their relatives and carers are not discriminated against when complaints are made Healthcare organisations have systems in place to ensure that patients, their relatives and carers are assured that organisations act appropriately on any concerns and, where appropriate, make changes to ensure improvements in service delivery Where food is provided, healthcare organisations have systems in place to ensure that patients are provided with a choice and that it is prepared safely and provides a balanced diet Where food is provided, healthcare organisations have systems in place to ensure that patients' individual nutritional , personal and clinical dietary requirements are met, including any necessary help with feeding and access to food 24 hours a day Healthcare organisations make information available to patients and the public on their services, provide patients with suitable and accessible information on the care and treatment they receive and, where appropriate, inform patients on what to expect during treatment, care and after care. The views of patients, their carers and others are sought and taken into account in designing, planning, delivering and improving healthcare services Healthcare organisations enable all members of the population to access services equally and offer choice in access to services and treatment equitably Healthcare services are provided in environments which promote effective care and optimise health outcomes by being a safe and secure environment which protects patients, staff, visitors and their property, and the physical assets of the organisation Healthcare services are provided in environments which promote effective care and optimise health outcomes by being supportive of patient privacy and confidentiality Healthcare services are provided in environments which promote effective care and optimise health outcomes by being well designed and well maintained with cleanliness levels in clinical and non-clinical areas that meet the national specification for clean NHS premises Healthcare organisations promote, protect and demonstrably improve the health of the community served, and narrow health inequalities by cooperating with each other and with local authorities and other organisations and Healthcare organisations promote, protect and demonstrably improve the health of the community served, and narrow health inequalities by making an appropriate and effective contribution to local partnership arrangements including local strategic partnerships and crime and disorder reduction partnerships Healthcare organisations promote, protect, and demonstrably improve the health of the community served, and narrow health inequalities by ensuring that the local Director of Public Health's annual report informs their policies and practices Healthcare organisations have systematic and managed disease prevention and health promotion programmes which meet the requirements of the national service frameworks (NSFs) and national plans with particular regard to reducing obesity through action on nutrition and exercise, smoking, substance misuse and sexually transmitted infections Healthcare organisations protect the public by having a planned, prepared and, where possible, practised response to incidents and emergency situations, which could affect the provision of normal services

C01a C01b C02 C03 C04a C04b C04c C04d C04e C05a C05b C05c C05d C06 C07a&c C07b C07e C08a C08b C09 C10a C10b C11a C11b C11c C12 C13a C13b C13c C14a C14b C14c C15a C15b C16 C17 C18 C20a C20b C21

C22a&c

C22b C23 C24

Core Standard Monitoring

Core Standards Forecast Position - Summary Tracking
North Bristol NHS Trust
Projected Project Compliance Compliance 31st 30th June 2009 October 2009 39 43 3 0 2 1 0 0 44 44

Compliant Insufficient Assurance Not Met Not Applicable Total Compliance position for whole year 08/09 C01a Compliant Compliant Compliant Compliant Compliant C05c Compliant Compliant Compliant Compliant Compliant C11a Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C15b Compliant Compliant Compliant Compliant Compliant

Compliance postion as at 31 March 2009 35 5 4 0 44

Compliance position for whole year 08/09 35 5 4 0 44

Project Compliance 31st March 2010 43 0 1 0 44

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

C01b Compliant Compliant Compliant Compliant Compliant C05d Compliant Compliant Compliant Compliant Compliant C11b Not Met Not Met Not Met Compliant Compliant C16 Compliant Compliant Compliant Compliant Compliant

C02 Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C06 Compliant Compliant Compliant Compliant Compliant C11c Compliant Compliant Compliant Compliant Compliant C17 Compliant Compliant Compliant Compliant Compliant

C03 Compliant Compliant Compliant Compliant Compliant C07a Compliant Compliant Compliant Compliant Compliant C12 Compliant Compliant Compliant Compliant Compliant C18 Compliant Compliant Compliant Compliant Compliant

C04a Not Met Not Met Compliant Compliant Compliant C07b Compliant Compliant Compliant Compliant Compliant C13a Compliant Compliant Compliant Compliant Compliant C20a Compliant Compliant Compliant Compliant Compliant

C04b Insufficient Assurance Insufficient Assurance Compliant Compliant Compliant C07e Compliant Compliant Compliant Compliant Compliant C13b Compliant Compliant Compliant Compliant Compliant C20b Compliant Compliant Compliant Compliant Compliant

C04c Not Met Not Met Compliant Compliant Compliant C08a Compliant Compliant Compliant Compliant Compliant C13c Compliant Compliant Compliant Compliant Compliant C21 Not Met Not Met Not Met Not Met Not Met

C04d Compliant Compliant Compliant Compliant Compliant C08b Compliant Compliant Compliant Compliant Compliant C14a Compliant Compliant Compliant Compliant Compliant C22a Compliant Compliant Compliant Compliant Compliant

C04e Compliant Compliant Compliant Compliant Compliant C09 Compliant Compliant Compliant Compliant Compliant C14b Compliant Compliant Compliant Compliant Compliant C22b Compliant Compliant Compliant Compliant Compliant

C05a Compliant Compliant Compliant Compliant Compliant C10a Insufficient Assurance Insufficient Assurance Compliant Compliant Compliant C14c Compliant Compliant Compliant Compliant Compliant C23 Compliant Compliant Compliant Compliant Compliant

C05b Insufficient Assurance Insufficient Assurance Insufficient Assurance Compliant Compliant C10b Compliant Compliant Compliant Compliant Compliant C15a Compliant Compliant Compliant Compliant Compliant C24 Compliant Compliant Compliant Compliant Compliant

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliance postion as at 31 March 09 Compliance position for whole year 08/09 Project Compliance 30th June 2009 Projected Compliance 31st October 2009 Project Compliance 31st March 2010

Compliant Insufficient Assurance Not Met Not Applicable

1 2 3 4

North Bristol NHS Trust

27th August 2009


				
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