Information Governance Policy Risk Management Strategy Incident Reporting and Serious Untoward Incident (SUI) Policy Information Lifecycle Policy Community Services Copying Letters to Service Users Data Encryption Guidelines Data Quality Policy E-mail Usage Policy Safe Haven Policy North East London Information Sharing Protocol EPR, RiO & other patient systems manuals, policies and procedures Equality Impact Assessment As part of its development, this policy and its impact on equality have been assessed in line with the Policy Framework. The purpose of this assessment is to minimalise Trust’s and if possible remove any disproportionate impact on employees on grounds of race, sex, disability, age sexual orientation or religious belief. No detriment was identified. Review and Monitoring This Policy should be kept under review in the light of changing circumstances and requirements. As a minimum it should be reviewed routinely every three years. If there are significant changes this should returned to the ratifying body for approval. The processes for monitoring compliance with this procedure are outlined in the table below: Measurable Monitoring/Audit Frequency Responsibility Monitoring reported Policy of for to which Objective monitoring performing groups/committees, the inc responsibility monitoring for reviewing action plans Process for Audit of tracking Ongoing Head of Information/Caldicott tracking process, Medical Committee records selection of Records tracked out records on EPR, records on wards, Community records Incident Interrogation of Quarterly Information Information Reporting incident reporting Governance Governance database, Datix, Manager / Committee to identify those Head of incidents Healthcare involving record Records keeping. These incidents include: Missing or lost patient records Mis-filed records
Information Governance Policy Risk Management Strategy Incident Reporting and Serious Untoward Incident (SUI) Policy Information Lifecycle Policy Community Services Copying Letters to Service Users Data Encryption Guidelines Data Quality Policy E-mail Usage Policy Safe Haven Policy North East London Information Sharing Protocol EPR, RiO & other patient systems manuals, policies and procedures Equality Impact Assessment As part of its development, this policy and its impact on equality have been assessed in line with the Trust’s Policy Framework. The purpose of this assessment is to minimalise and if possible remove any disproportionate impact on employees on grounds of race, sex, disability, age sexual orientation or religious belief. No detriment was identified. Review and Monitoring This Policy should be kept under review in the light of changing circumstances and requirements. As a minimum it should be reviewed routinely every three years. If there are significant changes this should returned to the ratifying body for approval. The processes for monitoring compliance with this procedure are outlined in the table below: Measurable Policy Objective Monitoring/Audit Frequency of monitoring Responsibility for performing the monitoring Monitoring reported to which groups/committees, inc responsibility for reviewing action plans Process for tracking records Audit of tracking process, selection of tracked out records on EPR, records on wards, Community records Ongoing Head of Medical Records Information/Caldicott Committee Incident Reporting Interrogation of incident reporting database, Datix, to identify those incidents involving record keeping. These incidents include: Missing or lost patient records Mis-filed records Quarterly Information Governance Manager / Head of Healthcare Records Information Governance Committee
Health%20Care%20Records%20Policy%20Final%2020120905.docx