The self assessment of the overall maturity level for 2015-2016 was assessed as Trust’s Level 4; the maturity level has remained the same for 2015-2016 as was assessed in Governance, 1. do not yet 2. are aware of the 3. are developing 4. have well 5. can Leadership & have a clear, improvements that plans and developed demonstrate Accountability agreed need to be made processes and can plans and sustained good – Self Assessment understanding and have prioritised demonstrate processes and practice and of where they them, but are not yet progress with can innovation that are (or how able to demonstrate some of their key demonstrate is shared they are doing) meaningful action. areas for sustainable throughout the and what / improvement. improvement organisation/ where they throughout the business, and need to organisation / which others improve. business. can learn from. Rating The audit of the Health & Care Standards in Wales conducted by Internal Audit identified sought to provide assurance that the Trust has adequate procedures in place to ensure that it is operating in accordance with the Standards and that appropriate self-assessment against the Standards is undertaken. The audit identified that the Trust has made good progress towards the implementation of the new Health and Care Standards. There is a framework in place that sets out guidance for the completion of the self assessments for the Health and Care Standards. The framework also details the roles and responsibilities for all staff involved in completing the self assessments. For the self assessments reviewed on the whole they were completed and rated appropriately and it was also noted that improvements had been identified and priorities assigned. Overall, Internal Audit concluded and reported Substantial Assurance. NWSSP Shared Services Partnership also undertook a self assessment of their position against the Governance, Leadership and Accountability module and seven themes within the new Health and Care Standards, the overall overall compliance rating reflecting NWSSP’s against the standards and has been rated as a 4. Velindre NHS Trust has embraced the 1000 Lives Plus Campaign over the last few years with particular focus on the work within the Velindre Cancer Centre. The Cancer Centre continues to lead on developing the harm and mortality tools adapted for use within an oncology setting. The Trusts partnership work with Aneurin Bevan University Health Board and Cardiff and Vale University Health Board to develop a dedicated service for patients with
The Trust’s self assessment of the overall maturity level for 2015-2016 was assessed as Level 4; the maturity level has remained the same for 2015-2016 as was assessed in Governance, Leadership & Accountability – Self Assessment 1. do not yet have a clear, agreed understanding of where they are (or how they are doing) and what / where they need to improve. 2. are aware of the improvements that need to be made and have prioritised them, but are not yet able to demonstrate meaningful action. 3. are developing plans and processes and can demonstrate progress with some of their key areas for improvement. 4. have well developed plans and processes and can demonstrate sustainable improvement throughout the organisation / business. 5. can demonstrate sustained good practice and innovation that is shared throughout the organisation/ business, and which others can learn from. Rating The audit of the Health & Care Standards in Wales conducted by Internal Audit identified sought to provide assurance that the Trust has adequate procedures in place to ensure that it is operating in accordance with the Standards and that appropriate self-assessment against the Standards is undertaken. The audit identified that the Trust has made good progress towards the implementation of the new Health and Care Standards. There is a framework in place that sets out guidance for the completion of the self assessments for the Health and Care Standards. The framework also details the roles and responsibilities for all staff involved in completing the self assessments. For the self assessments reviewed on the whole they were completed and rated appropriately and it was also noted that improvements had been identified and priorities assigned. Overall, Internal Audit concluded and reported Substantial Assurance. NWSSP Shared Services Partnership also undertook a self assessment of their position against the Governance, Leadership and Accountability module and seven themes within the new Health and Care Standards, the overall rating reflecting NWSSP’s overall compliance against the standards and has been rated as a 4. Velindre NHS Trust has embraced the 1000 Lives Plus Campaign over the last few years with particular focus on the work within the Velindre Cancer Centre. The Cancer Centre continues to lead on developing the harm and mortality tools adapted for use within an oncology setting. The Trusts partnership work with Aneurin Bevan University Health Board and Cardiff and Vale University Health Board to develop a dedicated service for patients with