Class 5. Aims, Targets and Achievements

Class Description: Financial targets, aims and objectives and key performance indicators. See also Class 9.

Contents Table

Quality

The Trust has a quality strategy that outlines the process for continuous quality improvement. A planned programme is in place to monitor services meeting their quality targets.

Examples are:

Standard setting, Multidisciplinary and Unidisciplinary Audit, Peer Review.

Awards – The Trust has achieved the following awards:-

Charter Mark

Northern Ireland Health & Social Care Quality Award

Cash Grant Award

Regional Multi-professional Audit Awards

DHSS Service Improvement Projects

UK Public Servant of the Year

How we measure ourselves

This year the Trust is implementing The Clinical & Social Care Governance framework to meet the requirements of the new legislation “The Health & Personal Social Services (Quality Improvement and Regulations) Northern Ireland Order 2003”. In order to implement these new arrangements the Trust is using the European Foundation of Quality Management Excellence model as its Quality Improvement Tool that will measure performance and improvements.

Controls Assurance

The Trust Board has endorsed the NHS Controls Assurance framework as a key internal control system. Full details of the Controls Assurance standards can be obtained from http://www.dhsspsni.gov.uk/

Risk Management

The Trust continues to develop its approach to Risk Management and has developed a risk management strategy which has identified the organisations objectives and risks and sets out a control strategy for each of the significant risks. Procedures are in place for identifying aspects of risk management and internal controls are regularly reviewed and that risk management has been incorporated fully into the corporate planning and decision making process of the Trust.

Equality

The Trust has an Equality Scheme which sets out how the Trust intends to fulfil its statutory duties in relation to the promotion of equality of opportunity and good relations as required by Section 75 of the Northern Ireland Act 1998. The Equality Scheme was approved by the Equality Commission in June 2001 for a period of five years.

New Targeting Social Need (TSN)

The Trust is committed to the implementation of the New TSN initiative and has developed an Action Plan on how it will work in partnership with other agencies and the community to identify and tackle the needs of disadvantaged groups in the North & West Belfast area.

Class No: 5

Class Name: Aims, Targets and Achievements

Class Description: Financial targets, aims and objectives and key performance indicators

Reference Number	Content Title	Content Description	How to obtain / format	Frequency of update	Available from
5.1	NI Patients and Clients Community Standards Audit	Summary of audit of the community service standards	Hard copy on request	Annual	Quality Department 02890 327156
5.2	Trust Service Delivery Plan	In year planning document summarising current services and service development for the Trust	On line PDF (2.72Mb	Annual	Planning Department 02890 327156
5.3	Priorities for Action Response	Summary of key targets for Trust and achievement to date	Hard copy on request	Quarterly	Planning Department 02890 327156
5.4	Risk Management Strategy	Detailed Strategy for the Trust highlighting process for managing risk	Hard copy on request	As required	Corporate Affairs and Human Resources Dept 02890 327156
5.5	Quality Strategy	Document summarising Quality Strategy for the Trust	Hard copy on request	As required	Quality Department 02890 327156
5.6	Adverse Event / Incident Management Policy	Operational Policy for the reporting of adverse events / incidents	Hard copy on request	As required	Corporate Affairs and Human Resources Dept 02890 327156
5.7	Claims Management Policy	Administration Operational Policy for claims management within the Trust	Hard copy on request	As required	Chief Executives Office 02890 327156
5.8	Risk Assessment Policy	Framework for conducting generic risk assessments	Hard copy on request	As required	Corporate Affairs and Human Resources Dept 02890 327156
5.9	Targeting Social Need Action Plan	How Trust achieves its goals of targeting those groups most in need	Hard copy on request	As required	Equality Department 02890 327156
5.10	Equality Scheme	How Trust intends to meet section 75 Equality duties	Online Hard copy on request	Every 5 years	Equality Department 02890 327156
5.11	Summary of Equality Scheme	Summary of how Trust intends to meet Section 75 equality duties	Hard copy on request	Every 5 years	Equality Department 02890 327156