MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored Policy audit report to: Yearly financial CSC / Procurement Yearly Ward Managers, monitoring via Procurement System Procurement team Ward Managers supplies for units purchased and used Policy audit report to: Monitoring of IPCT VitalPAC Weekly IPCT, HoN, Ward Trust Board C.difficile and other and Infection Managers HoN diarrhoea cases Control IPMC and targets by Dashboards Infection Prevention Ward Managers Policy audit report to: CSC Governance Quarterly Governance leads, HoN, Reports to IPMC Governance Committee Infection Prevention & governance Governance & Lead Report Control team committees of CSC Quality Meeting and Infection IPCT IPMC Prevention Committee Management Report Committee
MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations Yearly financial monitoring via supplies for units purchased and used CSC / Procurement Procurement System Yearly Policy audit report to: Ward Managers Ward Managers, Procurement team Monitoring of C.difficile and other diarrhoea cases and targets by Infection Prevention IPCT VitalPAC and Infection Control Dashboards Weekly Policy audit report to: Trust Board HoN IPMC Ward Managers IPCT, HoN, Ward Managers Reports to governance committees of CSC and Infection Prevention Management Committee CSC Governance Lead IPCT Governance Committee Report IPMC Committee Report Quarterly Policy audit report to: IPMC Governance & Quality Meeting Governance leads, HoN, Infection Prevention & Control team