Loughborough University postgraduate programme in healthcare governance – next intake November 2012

February 7, 2011

This well established and popular part-time postgraduate programme in healthcare governance, run by Loughborough University School of Business and economics, will take its next intake in November 2012.

The programme accepts anyone interested in healthcare governance and with suitable qualifications and/or experience to undertake postgraduate level study. It is not always a necessity to have a first degree.

Students can study for a postgraduate certificate, postgraduate diploma or Master of Science (MSc) degree in healthcare governance. The full MSc degree takes a minimum of 2 years by part-time study and includes modules on corporate governance in healthcare, clinical governance (including patient safety) and managing healthcare risk, together with a dissertation on any healthcare governance related topic.

For further information, click here.

Free Excel Care Quality Commission standards compliance templates

August 31, 2010

For those of you whose organisation is required to comply with the Care Quality Commission’s (CQC) Essential Standards of Quality and Safety you may find the attached Microsoft Excel(TM) template of interest.

The template allows you to self assess against each of the ‘prompts’ associated with the 28 ‘outcomes’ set by the CQC and provides scoring mechanisms to track your compliance.

The template also allows you to log details of evidence and also actions. In relation to actions to comply with CQC standards, there is also a neat little ‘actions status’ tool that monitors whether actions have been completed, are late, have been aborted or are not yet due.

Four versions of the template are attached – two for Excel 2003 and two for Excel 2007. For each of the two Excel versions there is a ‘demo’ template that provides an insight into the functionality of the tool and there is a ‘fresh’ copy of the template that you can put to immediate use within your organisation.

Please report any problems with using any of these templates to stuart@healthcaregovernance.co.uk

Download the templates by clicking on the links below:





FT seeks ‘Head of Patient and Healthcare Governance’ – Band 8d

April 11, 2010

Sheffield Teaching Hospitals NHS foundation trust is looking for a ‘Head of Patient and Healthcare Governance’ (band 8d, accountable to the medical director). The right person will have an “Excellent working knowledge of clinical governance, process redesign, risk management, safety systems, statistical information analysis complaints and claims” and a “Proven ability to think laterally at a strategic level.”

The job purpose is “To provide operational leadership for the Department of Patient and Healthcare Governance within the Medical Director’s office and be responsible for Healthcare Standards, Corporate Governance and Risk Management through the Directorate leads. The post holder has an expert role in delivering the Trust’s Healthcare Standards programme.”

“The Department has been created to provide a Trust-wide focus for patient and healthcare governance and ensure that governance issues are managed through the “eyes of the patients” irrespective of the original source of the governance issue.”

The closing date for applications is 18 April 2010.

For further information, click here.

Review of early warning systems in the NHS places key requirements on boards

March 12, 2010

The National Quality Board (NQB) has published a review of early warning systems for acute and community services in the NHS in England. The review followed a request by the previous Secretary of State for Health, Alan Johnson, to take forward a review of the systems and processes in place in the NHS for safeguarding quality and preventing serious failures. This followed events at Mid Staffordshire NHS Foundation Trust, where independent reports have shown that a comprehensive failure of leadership to improve quality, and a breakdown in systems designed to detect and respond to the signs of serious failings, compromised all three dimensions of quality.

The report has a special mention boards of NHS provider organisations, who are ultimately responsible for the provision of high quality care in their organisation. It states that “In safeguarding quality and safety, boards should be:
• ensuring that the essential levels of quality and safety are met through having appropriate systems and processes for monitoring quality in place; and
• driving continuous quality improvement across the full range of services through systematic measurement of quality.”

The report further states that “Boards should also:
• foster a culture of openness and transparency around quality and incentivise quality improvement in every service line;
• engage in continuous dialogue with patients and the public including reporting publicly on quality of care through Quality Accounts;
• ensure mandatory reporting of serious incidents to the NPSA from 2010; and
• ensure that effective revalidation systems are in place within trusts for doctors from April 2010 through ‘responsible officers’.”

For further information, download the NQB review report Review of early warning systems in the NHS – Acute and community services here.

Stronger and more accountable Foundation Trusts needed to avoid “Staffordshire 2”

March 3, 2010

The MAC Partnership, specialists in public involvement, have produced an excellent blog article on the recently published Francis inquiry report on Mid Staffs foundation trust.

According to MAC “The Francis enquiry report  is not strong enough on improving Foundation Trust governance. It largely ignores the role of the Trust’s owners – the Members of the Foundation Trust and their elected Governors.   A Foundation Trust is after all defined in law as a “public benefit corporation” – a species of social enterprise -  but what that means in practice has been deliberately fudged by Ministers and Monitor since FTs were first created. Now we can see what that sort of “governance neglect” can lead to.”

“Most worrying of all” says MAC “is the question “where was the voice of professional nursing as the patients’ champion?”  The Trust’s diverse nursing team are the most numerous group of employees and always will be. They are  everywhere and they see everything.  Had nurses taken a united stand and made their collective voice heard, the care failings of the Trust would have come to light much earlier. Where were the letters to MPs that the hundreds of nurses working in this hospital should have written?  Where were the local nursing clinical leaders? Where were the nursing trade unions and professional bodies?”

Commenting on the MAC blog article the well known commentator on NHS management issues, Roy Lilley, says “Nothing matters but an answer to the question – where were the nurses? They are front-line hands-on and ubiquitous. They MUST have known what was going on. They could not have been blind to events. Why they did not speak out is the only question – the answer to which will guide us in trying to make sure this ‘plane-crash’ of deaths does not happen again.”

Read the full MAC blog article here.

Notable quote: The safety benefits of public scrutiny

February 20, 2010

“Exposing weaker performers to public scrutiny is a remarkably effective way of challenging clinicians and managers who are complacent over safety.”

Richard Vize, Editor, Health Service Journal, Leader, 18 Feb 2010

Understanding Hospital Standardised Mortality Ratios – Department of Health intervenes

February 18, 2010

As reported in the Health Service Journal (HSJ – 18 February 2010), the Department of Health is taking action to ensure the NHS agrees a way of measuring and reporting hospital’s death rates.

NHS medical director, Sir Bruce Keogh, has asked NHS North East chief executive Ian Dalton to lead a group that will agree a method for calculating hospital standardised mortality ratios (HSMR’s).

This is in response to the furore prompted by last year’s Dr Foster Hospital Guide (click here), whose HSMR’s contradicted trusts’ performance ratings according to the Care Quality Commission (CQC) and Monitor, regulator of NHS foundation trusts, calling these systems into question.

Some, according to the HSJ, have warned that an all hospital standardised mortality ratio or another single number indicator, which can easily be interpreted by the public, will never accurately reflect a hospital’s patient safety and quality. King’s Fund senior policy fellow and epidemiologist, Veena Raleigh, who last month published a report on quality measurement (click here) said the focus should be on several indicators.

Readers might be interested to read what Canada is doing about public reporting of HSMRs in relation to quality and safety. Click here.