St Giles Hospice Quality Account 2017 St_Giles_Hospice_Quality_Account_2017 | Page 22

Board commitment to quality
The Clinical Governance Committee comprises of 4 trustees of the main Board, the Director of Clinical
Services, the Director of Supportive Care, Lead Consultant, Chief Executive and Deputy Chief Executive.
The committee met quarterly as scheduled during this period and then reported directly to the main Board.
Each meeting has a set agenda which considers core quality assurance measures, clinical strategy and
performance, audit results and regulatory reports. A new framework for core assurance was developed and
ratified in year.
The Board of Trustees has demonstrated its commitment to, and responsibility for, quality by ensuring a robust
governance structure for all aspects of the organisation, with four other governance committees meeting on a
regular pattern.
Abbreviations and Glossary
NHS National Health Service
CCG Clinical commissioning groups (CCGs) are NHS organisations set up by the Health
and Social Care Act 2012 to organise the delivery of NHS services in England
DNACPR Do Not Attempt Cardiopulmonary Resuscitation
RCA Root Cause and Analysis
QCF A framework for vocational qualifications - the Qualifications and Credit Framework
(QCF) will provide a more flexible approach to learning and enable learners to achieve
Credit for their qualifications.
RIDDOR The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995.
Employers, the self-employed and those in control of premises are required by law
to report specified workplace incidents, such as work-related deaths, major injuries,
7-day injuries (those causing more than seven day’s inability to carry out normal
duties), work related diseases, and dangerous occurrences (near miss accidents).
HCAI Healthcare Associated Infections - A hospital-acquired infection, also known as a HAI
or in medical literature as a nosocomial infection, is an infection whose development
is favoured by a hospital environment, such as one acquired by a patient during a
hospital visit or one developing among hospital staff
TTO Tablets to take home – medication provided to patients upon discharge
CQUIN Commissioning for Quality and Innovation
OACC Outcome Assessment & Collaborative measures
ACP Advance Care Plan
HCA Healthcare Assistant
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