IGPr002 - Information Governance Management Framework
|
|
- Harold Shelton
- 6 years ago
- Views:
Transcription
1 IGPr002 - Information Governance Management Framework Page 1 of 10
2 Table of Contents Information Governance Management Framework... 1 Why we need this Framework... 3 What the Framework is trying to do... 3 Which stakeholders have been involved in the creation of this Framework... 3 Any required definitions/explanations... 3 Key duties... 4 Framework detail... 6 Training requirements associated with this Framework... 8 How this Framework will be monitored for compliance and effectiveness... 9 For further information... 9 Equality considerations... 9 Document control details Page 2 of 10
3 Why we need this Framework This document is needed to provide individuals assurance that personal information is dealt with legally, securely, efficiently and effectively, in order to deliver the best possible patient care. The Trust will establish and maintain policies and procedures to ensure compliance with requirements contained in the Northamptonshire Healthcare Foundation Trust, Information Governance Toolkit. What the Framework is trying to do This framework document sets out the approach that The Trust will take to improve and assure its Information Governance related activities and to deliver year on year assurance through the Information Governance Toolkit scores. The strategy within this framework has been developed taking into consideration: The implications of the Trust s performance against national Information Governance requirements as identified in the Information Governance Toolkit (2). The relevant legislative framework. Guidelines for Caldicott Guardians. The requirements and potential requirements of the latest version of the Information Governance Toolkit year on year. Health and Social Care Information Centre priority areas for Information Governance including compliance with the NHS Care Record Guarantee. National and local initiatives around reducing the risk of data, confidentiality and security breaches. Which stakeholders have been involved in the creation of this Framework Information Governance Planning Group IM&T Programme Board Any required definitions/explanations Trust The Trust relates to Northamptonshire NHS Foundation Trust IG Framework The IG framework describes the approach to handling information in a confidential and secure manner to appropriate legislative and best practice standards. Principles The high level principles set out in this procedure are relevant to a wide range of legislation and NHS Policy Guidance relating to the processing of information. Processing Page 3 of 10
4 Within the context of this procedure, means any activity performed on information (collecting, storing, handling, disclosing etc). Laws and codes of Practice The relevant information governance laws include, but are not limited to, the following: Common law duty of Confidence Data Protection Act 1998 Human Rights Act 1998 Mental Health Act 1983 Mental Capacity Act 2005 Freedom of Information Act 2000 and Environmental Information Regulations 2004 Access to Health Records Act 1990 (where not superseded by the Data Protection Act) Computer Misuse Act 1990 (amended in 2005) Copyright, Designs and Patents Act 1988 Children Act 2004 and the Children and Young Person Act 2008 NHS Trusts and PCT s (Sexually Transmitted Diseases Regulations) 2000 Crime and Disorder Act 1998 Electronic Communications Act 2000 Regulation of Investigatory Powers Act 2000 Re-Use of Public Sector Information Regulations Records Management NHS Code of Practice 2006 Confidentiality NHS Code of Practice 2003 Information Security Management NHS Code of Practice Information Governance Assurance The Information Governance Toolkit is a performance tool produced by NHS Digital. It draws together the legal rules and central guidance set out above and presents them in one place as a set of information governance requirements. The Trust is required to carry out self-assessments of its compliance against the 45 requirements for mental health trusts (2). Key duties Northamptonshire Healthcare Foundation Trust Board It is the role of the Trust Board to define the Trust s policy in respect of information Governance, taking into account legal and NHS requirements. The Board is also responsible for ensuring that sufficient resources are provided to support the requirements of the policy and to support any Service Level Agreements between the Trust and other organisations. Information Governance within the Trust is an organisation wide responsibility providing a focus for the safe, secure and appropriate processing of information across all formats and at all levels within the organisation. The Trust will ensure that the following roles are in place across the organisation. Page 4 of 10
5 Senior Information Risk Owner (SIRO) The SIRO is responsible for: Overseeing the development of an Information Risk Policy, and a Strategy for implementing the policy within the existing Information Governance Framework. Taking ownership of the risk assessment process for information risk, including review of the annual information risk assessment to support and inform the Statement of Internal Control. Reviewing and agreeing action in respect of identified information risks. Ensuring that the Trust s approach to information risk is effective in terms of resource, commitment and execution and that this is communicated to all staff. Providing a focal point for the resolution and/or discussion of information risk issues. As Chair of the IM&T Programme Board, ensure the Trust Board is adequately briefed on information risk issues. Ensuring the Board is adequately briefed on information risk issues. Deputy SIRO To provide support to the SIRO function Caldicott Guardian The Caldicott Guardian is responsible for: Acting as the conscience of an organisation, actively supporting work to facilitate and enable information sharing, advising on options for lawful and ethical processing of information as required. Providing a strategic role representing and championing confidentiality requirements and issues at Board level and, where appropriate, at a range of levels within the organisations overall governance framework. Ensuring that confidentiality issues are appropriately reflected in organisational strategies, policies and working procedures for staff, and oversee all arrangements, protocols and procedures where confidential patient information may be shared. Deputy Caldicott Guardian The Deputy Caldicott Guardian provides support to the Caldicott Function and deputise where necessary. Information Security Officer (ISO) The Information Security Officer (ISO) is responsible for; Developing, implementing, and enforcing policies and procedures to protect information assets. Managing risk management and business continuity. Reporting to the Forum for Information Governance & Assurance on the information security status of the organisation by means of regular reports and presentation. Page 5 of 10
6 Information Asset Owners (IAO) Information Asset owners (IAO) are responsible for; Addressing risks to the information assets they own and to provide assurance to the SIRO on the security and use of these assets Ensuring that changes to the information asset are documented with a formal sign off from the IG department following the undertaking of a Privacy Impact Assessment. Being aware what information is held and who has access to it for what purpose Taking steps to ensure compliance with the Trust s Information Governance Management Framework and associated policies. Clinical Safety Officer The Clinical Safety Officer is responsible for ensuring that the Trust has an IT Clinical Safety Management system and it is audited and reviewed throughout the year. Information Governance Planning Group The Information Governance group is responsible for reporting to the IMT board on the implementation, development, and monitoring of the strategic framework. Data Protection Officer The Data Protection Officer is responsible for managing the organisations Information Governance function, including setting and implementing appropriate policy, procedures and codes of conduct; end user training awareness and campaigns; ensuring appropriate audits and monitoring mechanisms and supporting year on year improvements across the Trust. These activities will be reported through the IG Group internally and, externally, through the IG Toolkit and IM&T Programme board. All Staff All staff, whether permanent, temporary or contracted are responsible for ensuring that they are aware and they comply with information governance requirements at all times. This is a legal and professional obligation, which is also set out in Trust employment contracts. Framework detail Information Sharing Information will be used proactively within the Trust, both for patient care and service management as determined by law, statute and best practice. Information will be used proactively between the Trust, other NHS and partner organisations to support patient care as determined by law, statute and best practice. Information sharing protocols setting out formalised mechanisms for the sharing of information with Trust partners will be agreed in line with requirements of the Information Page 6 of 10
7 Governance Toolkit. Agreed protocols will be placed on the intranet site for staff to access. Robust mechanisms will be used to support the ongoing capture and mapping of data flows into, across and out of the Trust. Openness and Confidentiality Non-confidential information on the Trust and its services should be available to the public through a variety of media, in line with the Trust s policy for the Freedom of Information act (FOI). The Trust will establish and maintain policies to ensure compliance with the FOI. Patients should have ready access to information relating to their own health care, their options for treatment and their rights as patients. The Trust will have clear procedures and arrangements for liaison with the press and broadcasting media. The Trust will have clear procedures and arrangements for handling queries from patients and the public. The Trust will include details of any serious untoward incidents associated with information governance within its public Annual Report. The Trust will pseudonymise information where necessary or use the safe haven approach where not practicable. Information Quality Assurance The Trust will establish and maintain policies and procedures for the effective management of records and Information Quality Assurance, clinical and non-clinical, in line with legislation and codes of practice. Information within the Trust should be of the highest quality in terms of accuracy, timeliness and relevance. Managers are expected to take ownership of and seek to improve the quality of information within their services. The Trust will undertake or commission annual assessments and audits of the Trust s quality of data and records management. Data standards will be set through clear and consistent definition of data items, in accordance with national standards. The Trust will promote information quality and effective records management through policies, procedures/user manuals and training. The Trust uses the Records Management Code of Practice for Health and Social Care 2016(3) as its standard for records management. Legal Compliance Page 7 of 10
8 The Trust regards all identifiable personal information relating to patients as confidential. The Trust regards all identifiable personal information relating to staff as confidential except where national policy on accountability and openness requires otherwise The Trust will establish and maintain policies to ensure compliance with the DPA, Human Rights Act, the Common Law Duty of Confidentiality and the Caldicott Principles The Trust will establish and maintain policies for the controlled and appropriate sharing of personally identifiable information with other agencies, taking account of relevant legislation (e.g. Health and Social Care Act, Mental Health Act, Mental Capacity Act, Crime and Disorder Act, Protection of Children Act). Policies will be available on the staff intranet. Information Security The Trust will establish and maintain policies for the effective and secure management of its information assets and resources. The Trust will undertake or commission annual assessments and audits of its information and IT security arrangements. The Trust will promote effective confidentiality and security practice to its staff through policies, procedures and training. The Trust will establish and maintain incident reporting procedures and will monitor and investigate. Information assets and information flows will be mapped and recorded to assess and prevent the unlawful and unnecessary use of person identifiable information. Contractors and Support Organisations The Trust will work to strengthen current arrangements with contractors and support organisations to maintain the security of Trust information. The Trust will undertake a privacy impact risk assessment prior to entering into an agreement with an external party to process Trust information. Utilise the information Governance Toolkit for third parties where practicable to provide assurance that the third party has appropriate controls, policies and training in place. Training requirements associated with this Framework Information Governance training has been integrated into NHFT s induction programme for all new staff. For existing staff, an ongoing programme of training will be delivered as part of NHFT s Information Governance training programme. Additional campaigns and awareness raising will be undertaken as appropriate. Page 8 of 10
9 It is the responsibility of all managers to ensure attendance at induction and training programmes and to obtain feedback from staff regarding the knowledge and understanding they have obtained. Individuals have an obligation to seek training, advice and support where uncertain in order to improve information governance practices appropriately. Ad hoc training sessions will be made available based on an individual s training needs as defined within their annual appraisal or job description. How this Framework will be monitored for compliance and effectiveness This framework will be made available to the Public through the Trust Internet site in supporting documentation and upon application. New employees will be made aware of this procedure through the Induction process. Information Governance activity will be reported monthly in Information Governance Highlight Reports to the Information Governance Group and the IMT Programme Board. For further information Please contact the Information Governance Team by ing information.governance@nhft.nhs.uk Equality considerations The Trust has a duty under the Equality Act and the Public Sector Equality Duty to assess the impact of Framework changes for different groups within the community. In particular, the Trust is required to assess the impact (both positive and negative) for a number of protected characteristics including: Age; Disability; Gender reassignment; Marriage and civil partnership; Race; Religion or belief; Sexual orientation; Pregnancy and maternity; and Other excluded groups and/or those with multiple and social deprivation (for example carers, transient communities, ex-offenders, asylum seekers, sex-workers and homeless people). The author has considered the impact on these groups of the adoption of this Framework and identified that the advice and guidance service offered to patients and staff and reported IG Page 9 of 10
10 incidents will be monitored. Reference Guide 1. Data Protection Act 1998, 2. Information Governance Toolkit, 3. Records Management Code of Practice for Health and Social Care 2016, 4. NHS Care Record Guarantee, National Information Governance Board, Guidance for NHS Boards: Information Governance, August 2011 Freedom of Information Act 2000, n_schemes.aspx 8. Caldicott Review 2013, _InfoGovernance_accv2.pdf Document control details Author: Approved by and date: Responsible committee: Any other linked Policies: Framework number: Version control: V.2 Information Governance Team The Information Governance Planning Group IM&T Programme Board IGIS001 Use of Information & Communications Technology Policy IGP107 Health Records Management Policy Version No. Date Ratified/ Amended Date of Implementation Next Review Date Reason for Change (eg. full rewrite, amendment to reflect new legislation, updated flowchart, minor amendments, etc.) V IGP101 has been reclassified as a procedure and has been reformatted in the new structure. Page 10 of 10
Information Governance Policy
Information Governance Policy Policy Number IG001 Target Audience CCG/ GMSS Staff Approving Committee CCG Chief Officer Date Approved February 2018 Last Review Date February 2018 Next Review Date February
More informationInformation Governance Policy
Information Governance Policy Version: 4.0 Ratified by: NHS Bury Clinical Commissioning Group Information Governance Operational Group Date ratified: 19 th September 2017 Name of originator /author (s):
More informationINFORMATION GOVERNANCE STRATEGY AND STRATEGIC VISION
INFORMATION GOVERNANCE STRATEGY AND STRATEGIC VISION Policy approved by: Joint Audit and Governance Committee Date: December 2016 Next Review Date: October 2018 Version: 2.0 Information Governance Strategy
More informationInformation Governance Assurance Framework
Document Reference POL008 Document Status Approved Version: V4.0 DOCUMENT CHANGE HISTORY Initiated by Date Author IG Toolkit Requirements November 2010 IG Manager Version Date Comments (i.e. viewed, or
More informationFit and Proper Person s Policy CRM011
Fit and Proper Person s Policy CRM011 1 Table of contents Policy Title... Error! Bookmark not defined. Why we need this Policy... 2 What the Policy is trying to do... 2 Which stakeholders have been involved
More informationThis Policy supersedes the following Policy, which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Forensic Readiness Policy NTW(O)56 Lisa Quinn, Executive Director of Commissioning and Quality Assurance Angela
More informationThis Policy supersedes the following Policy, which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Forensic Readiness Policy NTW(O)56 Lisa Quinn Executive Director of Performance and Assurance Sue Proud Information
More informationOverarching Information Governance Policy
Document Information Board Library Reference Document Type Document Subject Original Document Author Reviewed By Review Cycle IM&T_01 Policy Information Information IGMG 3 Years Note: This document is
More informationInformation Governance Policy and Management Framework
Putting Barnsley People First Information Governance Policy and Management Framework Version: 2.0 Approved By: Governing Body Date Approved: February 2014 Name of originator / author: Richard Walker Name
More informationInformation Governance Policy
Information Governance Policy Applicable to All employees Version1.0 Last Updated March 2014 CONFIDENTIAL Page 2 of 6 Contents 1. Objectives 3 2. Scope 3 3. Principles 3 4. Information Governance Policy
More informationInformation Governance Policy
Information Governance Policy Date completed: February 2016 Responsible Director: Approved by/ date: Director of Compliance Review date: October 2017 Amended: Author: Ben Westmancott Information Governance
More informationINFORMATION GOVERNANCE MANAGEMENT FRAMEWORK
INFORMATION GOVERNANCE MANAGEMENT FRAMEWORK Document History Document Reference: IG33 Document Purpose: The document complements all other Information Governance policies and sets out the management arrangements
More informationINFORMATION GOVERNANCE STRATEGY IMPLEMENTATION PLAN
INFORMATION GOVERNANCE STRATEGY & IMPLEMENTATION PLAN 2015-2018 Disclaimer The latest version of this document is located on PTHB intranet. Please check the review date and if there are any doubts contact
More informationInformation Governance Policy
Author Darren Rigg Head of Information Governance Corporate Lead Bryan Machin Executive Director of Finance and Resources Document Version 1 Date ratified by Quality Committee 24 th October 2014 Date issued
More informationINFORMATION GOVERNANCE POLICY
INFORMATION GOVERNANCE POLICY Unique Reference / Version Primary Intranet Location Information Management & Governance Secondary Intranet Location Policy Name Information Governance Policy Version Number
More informationInformation Governance Strategy and Management Framework
Information Governance Strategy and Management Framework Summary: This strategy sets out the framework, structure, system and accountabilities for Information Governance Management within NHS Eastbourne,
More informationINFORMATION GOVERNANCE STRATEGY
INFORMATION GOVERNANCE STRATEGY Document Number 2009/49/V2 Document Title Information Governance Strategy Author Phil Cottis Author s Job Title Information Governance & RA Manager Department IM&T Ratifying
More informationNHS Sunderland Clinical Commissioning Group. Information Governance Strategy 2016/17
NHS Sunderland Clinical Commissioning Group Information Governance Strategy 2016/17 Document Status Equality Impact Assessment Document Ratified/Approved By Final No impact Executive Committee Governing
More informationInformation Security Policy
Information Security Policy Issue sheet Document reference Document location Title Author Issued to Reason issued NHSBSARM001 NHS Business Services Authority Information Security policy Head of Security
More informationInformation Governance Management Framework
Information Governance Management Framework November 2014 Author: Responsibility: Lynda Harris, Head of Information Governance All Staff Effective Date: November 2014 Review Date: November 2015 Reviewing/Endorsing
More informationINFORMATION GOVERNANCE POLICY AND FRAMEWORK
INFORMATION GOVERNANCE POLICY AND FRAMEWORK Policy approved by: Audit and Governance Committees Date: 9 th October 2017 Next Review Date: September 2018 Version: 4.0 Information Governance Policy & Framework
More informationInformation Governance Strategic Management Framework
Information Governance Strategic Management Framework 2016-2018 Susan Meakin Information Governance Manager June 2016 Information Governance DOCUMENT CONTROL: Version: 2 Ratified by: Health Informatics
More informationInformation governance strategy
Information governance strategy January 2018 Version 1.0 NHS fraud. Spot it. Report it. Together we stop it. Version control Version Name Date Comment V 1.0 Trevor Duplessis 22/01/18 Due for review Dec
More informationPrivacy Impact Assessment Policy and Procedure
Privacy Impact Assessment Policy and Procedure This document outlines the Trust s approach and methodology for conducting Privacy Impact Assessments in line with the Information Risk Policy Key Words:
More informationNHS SOUTH DEVON AND TORBAY CLINICAL COMMISSIONING GROUP INFORMATION LIFECYCLE MANAGEMENT POLICY
NHS SOUTH DEVON AND TORBAY CLINICAL COMMISSIONING GROUP INFORMATION LIFECYCLE MANAGEMENT POLICY Version Control Version: 2.0 dated 17 July 2015 DATE VERSION CONTROL 04/06/2013 1.0 First draft of new policy
More informationData Protection Policy
Data Protection Policy StCH Data Protection Policy - POL 53 vs1 - July 2016 1 Document Control Table Document Title: Data Protection Policy Document Ref: POL 53 Author (name and job title): Karen Anderson,
More informationEQUALITY AND DIVERSITY COMMITTEE. Terms of Reference
1. INTRODUCTION AND PURPOSE EQUALITY AND DIVERSITY COMMITTEE Terms of Reference 1.1. The role and purpose of the Equality and Diversity Committee is to enable the Trust Board and Executive Committee to
More informationINFORMATION GOVERNANCE POLICY
INFORMATION GOVERNANCE POLICY Page 1 of 13 INFORMATION GOVERNANCE POLICY EXECUTIVE SUMMARY Key Messages Principles of Information Governance Openness Confidentiality and Legal Compliance Information Security
More informationNHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2017/18
NHS Newcastle Gateshead Clinical Commissioning Group Information Governance Strategy 2017/18 Document Status Equality Impact Assessment Document Ratified/Approved By Final No impact Quality, Safety & Risk
More informationInformation Security Risk Management Programme and Strategy
Information Security Risk Management Programme and Strategy Table of Contents 1. Introduction... 3 2. Purpose... 3 3. Definitions... 3 4. Roles and Responsibilities... 4 4.1. Accountable Officer... 4 4.2.
More informationINFORMATION GOVERNANCE POLICY
INFORMATION GOVERNANCE POLICY Including the Information Governance Strategy Framework and associated Information Governance Procedures Last Review Date June 2017 Approving Body Audit Committee Date of
More informationInformation Governance Management Framework Version 6 December 2017
Information Governance Management Framework Version 6 December 2017 Page 1 of 8 Introduction Robust information governance requires clear and effective management and accountability structures, governance
More informationIG01 Information Governance Management Framework
IG01 Information Governance Management Framework 1 INFORMATION GOVERNANCE MANAGEMENT FRAMEWORK Document History Document Reference: IG01 Document Purpose: The document compliments all other Information
More informationINFORMATION GOVERNANCE MANAGEMENT FRAMEWORK POLICY
INFORMATION GOVERNANCE MANAGEMENT FRAMEWORK POLICY Version: 1.4 Approved by: Date approved: 19 January 2017 Name of Originator/Author: Name of Responsible Committee/Individual: Date issued: Information
More informationINFORMATION GOVERNANCE POLICY
INFORMATION GOVERNANCE POLICY CONSULTATION AND RATIFICATION SCHEDULE Document Name: Governance Policy Policy Number/Version: 2.0 Name of originator/author: Midlands & Lancashire CSU Governance Team Ratified
More informationInformation Sharing Policy
Information Sharing Policy DOCUMENT CONTROL: Version: 1 Ratified by: Risk Management Sub Group Date ratified: 19 December 2012 Name of originator/author: Information Governance Manager Name of responsible
More informationINFORMATION GOVERNANCE STRATEGY. Documentation control
INFORMATION GOVERNANCE STRATEGY Documentation control Reference Date Approved Approving Body Version Supersedes Consultation Undertaken Target Audience Supporting procedures GG/INF/01 TRUST BOARD Information
More informationInformation Governance Management Framework 2016/17
Information Governance Management Framework 2016/17 Reference: IG12 Compliance with all CCG policies, procedures, protocols, guidelines, guidance and standards is a condition of employment. Breach of policy
More informationPOLICY MANAGEMENT FRAMEWORK
POLICY MANAGEMENT FRAMEWORK October 2012 Author: Responsibility: Janet Young, Governance and Risk Manager All Staff Effective Date: ctober 2012 Review Date: October 2014 Reviewing/Endorsing committees
More informationINFORMATION GOVERNANCE POLICY
INFORMATION GOVERNANCE POLICY 1. CONSULTATION AND RATIFICATION SCHEDULE 1.2. Document Name: Governance Policy 1.4. Policy Number/Version: V4.0 1.6. Name of originator/author: Midlands & Lancashire CSU
More informationInduction Policy. Document author Assured by Review cycle. 1. Introduction Policy Statement Purpose or Aim Scope...
Induction Policy Board library reference Document author Assured by Review cycle P091 Head of Learning and Development Quality and Standards Committee 3 Year This document is version controlled. The master
More informationInformation Assets: Security and Risk Management Policy. Choice, Responsiveness, Integration & Shared Care
s: Security and Risk Management Policy Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Reader Box Document Type: Document Purpose: Unique identifier:
More informationINFORMATION GOVERNANCE MANAGEMENT FRAMEWORK
NHS South West Lincolnshire Clinical Commissioning Group (CCG) INFORMATION GOVERNANCE MANAGEMENT FRAMEWORK Document History: Document Reference: Document Purpose: IG01 Date Ratified: January 2015 Ratified
More informationHR PROCEDURE: BUYING AND SELLING ANNUAL LEAVE (ADDENDUM TO FLEXIBLE WORKING HRP001)
HR PROCEDURE: BUYING AND SELLING ANNUAL LEAVE (ADDENDUM TO FLEXIBLE WORKING HRP001) Table of Contents 1. Why we need this Policy... 3 2. What the Policy is trying to do... 3 3. Which stakeholders have
More informationData protection (GDPR) policy
Data protection (GDPR) policy January 2018 Version: 1.0 NHS fraud. Spot it. Report it. Together we stop it. Version control Version Name Date Comment 1.0 Trevor Duplessis 22/01/18 Review due Dec 2018 OFFICIAL
More informationDated 26 th February 2016 DIVERSITY POLICY & PROCEDURE RV1
Dated 26 th February 2016 DIVERSITY POLICY & PROCEDURE 07-021 RV1 Our Commitment The organisation is fully committed to the elimination of unlawful and unfair discrimination and values the differences
More informationData Quality Policy
Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) Data Quality Policy 2017-2019 Ratification Process Lead Author(s): Reviewed / Developed by: Approved by: Ratified by: Associate Director
More informationRecords management policy. Document author Assured by Review cycle. Audit and Risk Committee. 1. Introduction Purpose or aim Scope...
Records management policy Board library reference Document author Assured by Review cycle P017 Head of Compliance Audit and Risk Committee 3 Years This document is version controlled. The master copy is
More informationFreedom of Information (FOI) Policy
Freedom of Information (FOI) Policy Subject Freedom of Information Act (2000) Policy number Tbc Approved by Trust Executive Group Date approved March 2015 Version 2 Policy owner Director of Communications
More informationDATA QUALITY POLICY. Version: 1.2. Management and Caldicott Committee. Date approved: 02 February Governance Lead
DATA QUALITY POLICY Version: 1.2 Approved by: Date approved: 02 February 2016 Name of Originator/Author: Name of Responsible Committee/Individual: Information Governance, Records Management and Caldicott
More informationInformation Governance Policy
Information Governance Policy Owner Author Information Team Information Governance Manager Reviewed by Approved by and date Council/Committee/EMT Board - Date approved Effective from 24 April 2017 Review
More informationLisa Quinn Executive Director of Performance and Assurance. Lead Officer
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Data Quality Policy NTW(O)26 Lisa Quinn Executive Director of Performance and Assurance Jennifer Illingworth Deputy
More informationMinor adjustments from IG Steering Group 0.3 Neil Taylor September 2013
Author(s) Andrew Thomas Version 0.3 Version Date 21 August 2013 Implementation/approval Date Review Date August 2014 Review Body Governing Body Policy Reference Number 014 Version Author Date Reason for
More informationEquality and Diversity Policy
Equality and Diversity Policy Hertfordshire, Bedfordshire and Luton Clinical Commissioning Groups Page 1 of 15 DOCUMENT CONTROL SHEET Document Owner: Director of Workforce Document Author(s): Louise Thomas,
More informationInformation Governance Management Framework 2017/18 Reference: IG12
Information Governance Management Framework 2017/18 Reference: IG12 Compliance with all CCG policies, procedures, protocols, guidelines, guidance and standards is a condition of employment. Breach of policy
More informationInformation Governance Management Framework
Management Framework Summary: This document sets out the framework, structure, system and accountabilities for Management within West Kent CCG Clinical Commissioning Group. APPROVED BY: Chief Finance Officer
More informationWest Kent Clinical Commissioning Group
West Kent Clinical Commissioning Group Information Governance Strategy 2017-18 Release: Final Approved Date: 27/10/2016 Author: Jamie Sheldrake Senior Associate - Information Governance Owner: SOUTH EAST
More informationNHS BARNSLEY CCG DATA QUALITY POLICY SEPTEMBER 2016
Putting Barnsley People First NHS BARNSLEY CCG DATA QUALITY POLICY SEPTEMBER 2016 Version: 1.0 Approved By: Governing Body Date Approved: 8 September 2016 Name of originator / author: Name of responsible
More informationPolicy for the Development, Approval, Management and Dissemination of Trust Controlled Documents
J Policy for the Development, Approval, Management and Dissemination of Trust Controlled Documents Reference Number Version Status Executive Lead(s) Name and Job Title Author(s) Name and Job Title 55 6
More informationCCG CO12 Policy and Framework for Partnership Governance
Corporate CCG CO12 Policy and Framework for Partnership Governance Version Number Date Issued Review Date V2: 21/02/2015 29/04/2015 21/02/2018 Prepared By: Consultation Process: Formally Approved: 25/02/2015
More informationEMPLOYEE CAPABILITY POLICY & PROCEDURE
EMPLOYEE CAPABILITY POLICY & PROCEDURE Responsible Director Approved By Equality Assessed: Director of HR Area Partnership Forum We are working to ensure that no-one is treated in an unlawful and discriminatory
More informationSOMERSET PARTNERSHIP NHS FOUNDATION TRUST STRENGTHENING GOVERNANCE ARRANGEMENTS. Report to the Trust Board 24 May 2016
R SOMERSET PARTNERSHIP NHS FOUNDATION TRUST STRENGTHENING GOVERNANCE ARRANGEMENTS Report to the Trust Board 24 May 2016 Sponsoring Director: Author: Purpose of the report: Key Issues and Recommendations:
More informationFindings from ICO audits of 16 local authorities
Data protection Findings from ICO audits of 16 local authorities January to December 2013 Introduction This report is based on ICO audits of 16 local authorities between January and December 2013. This
More informationNORTH EAST HAMPSHIRE AND FARNHAM CLINICAL COMMISSIONING GROUP POLICY FOR THE MANAGEMENT OF POLICIES AND CORPORATE DOCUMENTS
NORTH EAST HAMPSHIRE AND FARNHAM CLINICAL COMMISSIONING GROUP POLICY FOR THE MANAGEMENT OF POLICIES AND CORPORATE DOCUMENTS Document Control Sheet Version 1 Date 22 October 2013 Status Draft Author Justina
More informationAuthor s job title Head of Clinical Coding and Data Quality Directorate IM&T
Document Control Title Data Quality Policy Author Author s job title Head of Clinical Coding and Data Quality Directorate IM&T Department Clinical Coding Version Date Issued Status Comment / Changes /
More informationInformation Governance Strategic Management Framework (Including Policy and Strategy)
Information Governance Strategic Management Framework (Including Policy and Strategy) This document sets out the framework that brings together all the requirements, standards and best practice that apply
More informationExecutive Director of Workforce and Organisational Development. Workforce Projects Manager. Date ratified January Implementation Date
Document Title Reference Number Lead Officer Author(s) Ratified by Induction Policy NTW(HR)01 Lisa Crichton-Jones Executive Director of Workforce and Organisational Development Jacqueline Tate Workforce
More informationDate: INFORMATION GOVERNANCE POLICY
Date: INFORMATION GOVERNANCE POLICY Information Governance Policy IGPOL/01 Information Systems Corporate Services Division March 2017 1 Revision History Version Date Author(s) Comments 0.1 12/12/2012 Helen
More informationThis Policy supersedes the following Policy which must now be destroyed:
Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified by Environmental Sustainability Policy NTW(O)02 Paul McCabe, Head of Estates and Facilities (NTW Solutions Ltd) Sarah
More informationSponsorship of Clinical Research Studies
Sponsorship of Clinical Research Studies Category: Summary: Equality Impact Assessment undertaken: Policy The UK Policy Framework for Health and Social Care 2017 (UKPF) and The Medicines for Human Use
More informationColchester Hospital University NHS Foundation Trust. Equality Act Equality Delivery System Equality Objectives April March 2016
Introduction Colchester Hospital University NHS Foundation Trust Equality Act Equality Delivery System Equality Objectives April 2012 - March 2016 The Public Sector Equality Duties require that public
More informationHours of Work: 37.5 hours per week (part time hours negotiable)
JOB DESCRIPTION Post Title: Head of Performance Assurance Location: NHS Oldham CCG Headquarters (Ellen House) Salary/Grade: Band 8c Hours of Work: 37.5 hours per week (part time hours negotiable) Type
More informationData Protection Impact Assessment Policy
Data Protection Impact Assessment Policy Version 0.1 1 VERSION CONTROL Version Date Author Reason for Change 0.1 16.07.18 Debby Jones New policy 2 EQUALITY IMPACT ASSESSMENT Section 4 of the Equality Act
More informationDate ratified June, Implementation Date August, Date of full Implementation August, Review Date Feb, Version number V02.
Document Title Reference Number Lead Officer Author(s) Ratified by Disputes Policy NTW(HR)07 Lisa Crichton-Jones Acting Executive Director of Workforce and Organisational Development Jacqueline Tate-Workforce
More informationRecords Management Policy and Strategy
Records Management Policy and Strategy Ratified Status Approved Final Issued November 2017 Approved By Governance and Risk Committee Consultation Governance and Risk Committee Equality Impact Assessment
More informationHR Procedure: HRP037 Probationary Periods
HR Procedure: HRP037 Probationary Periods Page 1 of 25 Contents Why we need this Procedure 3 What the Procedure is trying to do... 3 Which stakeholders have been involved in the creation of this Procedure...
More informationPerformance Development Review (Appraisal) Policy
Performance Development Review (Appraisal) Policy Executive Director lead Author / Lead Feedback on implementation to Dean Wilson, Director of Human Resources Jennie Wilson / Dean Wilson Jennie Wilson,
More informationDocument History Version Date Significant Changes
Corporate IG02: Data Quality Version Number Date Issued Review Date V4.1 January 2018 May 2018 Prepared By: Consultation Process: Senior Governance Manager, North of England Commissioning Support CCG Quality
More informationOperational Executive
Title: Talent Development and Staff Retention Strategy Reference No: 015/HR Owner: Operational Executive Author C Edwards First Issued On: April 2014 Latest Issue Date: February 2016 Operational Date:
More informationEquality & Diversity Policy
Equality & Diversity Policy 2016-2019 Outlining our commitment to eliminating discrimination, encouraging diversity and inclusion throughout the partnership Leadership, Innovation & Promotion Safeguarding
More informationWorkforce Equality and Diversity Policy
Type of Document Code: Policy Sponsor Lead Executive Recommended by: Workforce Equality and Diversity Policy Policy STHK0088 Deputy Human Resources Director Human Resources Director Policy Sub-Group Date
More informationManaging Stress at Work Policy
Managing Stress at Work Policy Reference No: P_HS_09 Version: 6 Ratified by: Trust Board Date ratified: 10 July 2018 Name of author: John Prictor, Health & Safety Advisor Name of approving committee Employment
More informationJob Description FOSTERING BRANCH MANAGER. Appropriate designated staff as the service develops
Job Description Post title: Reports to: Staff managed: FOSTERING BRANCH MANAGER Fostering Manager Appropriate designated staff as the service develops JOB PURPOSE This post will play a lead role in the
More informationTRUST-WIDE NON-CLINICAL POLICY DOCUMENT. Date Ratified: February 2015 Next Review Date (by): Interim Review August 2017 Version Number: 2015 Version 1
TRUST-WIDE NON-CLINICAL POLICY DOCUMENT Policy Number: Scope of this Document: Recommending Committee: Appproving Committee: SA01 All Staff Policy Group Executive Committee Date Ratified: February 2015
More informationINFORMATION GOVERNANCE ASSURANCE FRAMEWORK
INFORMATION GOVERNANCE ASSURANCE FRAMEWORK Summary This document sets out an overarching framework for the strategic Information Governance agenda in the Business Services Organisation. In particular,
More informationRECRUITMENT AND SELECTION POLICY
RECRUITMENT AND SELECTION POLICY This policy should be read and used in conjunction with the associated NHS Western Isles Best Practice Guidelines in Recruitment and Selection available on the Intranet
More informationRISK MANAGEMENT COMMITTEE TERMS OF REFERENCE
RISK MANAGEMENT COMMITTEE TERMS OF REFERENCE Terms of Reference Agreed by the Committee Signed by the Chair on Behalf of the Committee Print Signature Date 16 th December 2011 Review Date December 2012
More informationPerformance and Development Review (PDR) Policy
Performance and Development Review (PDR) Policy This Policy describes the process for undertaking a mandatory annual Performance and Development Review. Key Words: Performance, Development, Review Appraisal,
More informationJOB DESCRIPTION. E-Commerce and Merchandise Manager
JOB DESCRIPTION POST: E-Commerce Team Leader GRADE: Band 3 ACCOUNTABLE TO: RESPONSIBLE TO: BASE: DBS CHECK: Director of Retail & New Business E-Commerce and Merchandise Manager Aylesbury Broadfields Site
More informationVolunteer Services Policy
Volunteer Services Policy Version Number 4 Version Date 1 February 2014 Policy Owner Head of Operations Author Volunteer Services Co-ordinator Last Reviewed November 2013 Staff/Groups Consulted Head of
More informationInformation Governance Clauses Clinical and Non Clinical Contracts
Information Governance Clauses Clinical and Non Clinical Contracts Policy Number Target Audience Approving Committee Date Approved Last Review Date Next Review Date Policy Author Version Number IG014 All
More informationCommunications and Engagement Strategy
Communications and Engagement Strategy 2017-18 Page 1 of 19 Contents Introduction 3 Our commitment to communications and engagement 4 Our strategic communication and engagement priorities 6 Our communications
More informationEquality and Diversity Policy
Equality and Diversity Policy Author(s) (name and post): Version No.: Version 2 Lisa Kelly, HR Business Partner, MLCSU Approval Date: 21 st November 2017 Review Date: July 2021 Author/s: NHS Staffordshire
More informationHCUC CORPORATION EQUALITY AND DIVERSITY POLICY
HCUC CORPORATION EQUALITY AND DIVERSITY POLICY Subject: Equality and Diversity Origination Date: September 2002 Last approved: November 2015 Effective date: September 2017 Person responsible: Approved
More informationDirectorate of Finance, Information & Performance Management DATA QUALITY POLICY
Directorate of Finance, Information & Performance Management DATA QUALITY POLICY Reference: FPP003 Version: 1.5 This version issued: 10/03/11 Result of last review: Minor changes Date approved: 21/01/11
More informationh. Is the policy relevant to the General Duty to eliminate discrimination? advance equality of opportunity? foster good relations?
Equality Impact: Screening and Assessment Form Section 1: Policy details - policy is shorthand for any activity of the organisation and could include strategies, criteria, provisions, functions, practices
More informationPROCEDURE Data Quality. Number: W 2020 Date Published: 19 March 2015
1.0 Summary of Changes This is a new procedure, which should be read by all staff, especially those that: Develop, review or amend Force policy and procedures; Enter data into Essex Police IT applications;
More informationJOB DESCRIPTION. Director of Primary and Out of Hospital Care
JOB DESCRIPTION JOB TITLE: BAND: ACCOUNTABLE TO: RESPONSIBLE TO: BASE: Head of Transformation 8c Director of Primary and Out of Hospital Care Director of Primary and Out of Hospital Care Bernard Weatherill
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Sustainability Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust Sustainability Policy Version No.: 2.0 Effective From: 22 December 2017 Expiry Date: 22 December 2020 Date Ratified: 20 July 2017 Ratified By: Sustainable
More informationBusiness Continuity Management Policy
Business Continuity Management Policy Version FINAL 1.0 Ratified by Dudley CCG Audit Committee Date ratified 17/03/16 Name of originator(s) / author(s) David Morris, Midlands and Lancashire CSU/ Sue Johnson,
More information