5. Aims and targets
The Trust has a statutory duty to break even (i.e. expenditure must not exceed income) and must also take full account of the priorities of the commissioning PCTs (expressed through their service agreements) when determining internal budgets.
The Medical Director and Director of Nursing and Quality share executive responsibility and leadership for clinical governance in the Trust. The Trust’s Clinical Governance framework is designed to ensure continuous quality improvement of the care and services provided.
All the clinical services engage in clinical governance activities, including risk management, clinical audit, case and service review, professional development and training. They regularly seek the views of patients and users to ensure the highest standards and quality of care is provided.
A multi-professional Clinical Governance Committee with user representation meets monthly, and there are also working groups and forums to ensure key clinical governance issues such as patient safety, effectiveness, quality and complaints are reviewed and actioned appropriately.
The Clinical Governance Team produces a Clinical Governance Annual Report and Clinical Governance Annual Development Plan.
The Trust is monitored for governance compliance by the following bodies:
Clinical Negligence Scheme for Trusts (CNST)
Risk Pooling Scheme for Trusts
East LondonStrategic Health Authority
Patient and staff safety is a high priority for the Trust. The Trusts aims to be an open and learning organisation and has adopted a philosophy of ‘effective risk management within a fair and just culture’.
Staff are encouraged to report any incident or error and are trained and supported in doing so by clear and accessible policies and guidelines. All adverse events are thoroughly investigated to identify the underlying root causes and potential system failure. Lessons are learnt and action taken to prevent reoccurrence.
There are also clear and publicised mechanisms in place for any member of staff to raise a patient or professional safety or quality issue to a confidential and appropriate source.See Section 8 for information relating to the Trust’s policies and guidelines.