in development with Minimum standards agreed. Systems & Processes Regular assurance to Instances of mixing Nursing and Senior Nurse Ongoing Systems will be in place to Board Reports will be reported as Patient Services Practice assure the Board of the Board. per policy. Director Development compliance with MSSA Monthly returns to justified principles. DoH A system of monitoring all instances of occurrences of mixing, sleeping Instances of mixing will be whether clinically justified accommodation escalated and EMSA Policy or not breaches will be investigated available to staff and reported at Board Patients, contains level and via Unify clear reporting to DoH arrangements. Where there are rare Reporting will take Nursing and Senior Nurse Ongoing Systems will be in place to Board Reports place through as per Patient Services Practice assure the Board of occurrences for policy Director Development compliance with EMSA Exception reports to reasons, a process principles. SHA and RCA where exists to investigate Root cause analysis required (none in reason, take prompt action (RCA) will be Instances of mixing will be 2012-13, 2013-14, and take remedial actions undertaken for any escalated and 2014-15 or 2015-16) as required to prevent instances of mixing investigated future occurrence Relevant Trust policies policies will Nursing and Senior Nurse Ongoing Trust policies will support Same Sex make expectations Patient Services Practice the delivery of SSA. Accommodation refer to requirement to clear in relation to Director Development Policy EMSA and privacy and EMSA and privacy dignity and dignity Privacy and Dignity Policy Transfer of Patients Policy
in development with Minimum standards agreed. Systems & Processes Regular assurance to the Board. A system of monitoring all occurrences of mixing, whether clinically justified or not Instances of mixing will be reported as per policy. justified instances of sleeping accommodation breaches will be reported at Board level and via Unify to DoH Nursing and Patient Services Director Senior Nurse Practice Development Ongoing Systems will be in place to assure the Board of compliance with MSSA principles. Instances of mixing will be escalated and investigated Board Reports Monthly returns to DoH EMSA Policy available to staff and Patients, contains clear reporting arrangements. Where there are rare occurrences for reasons, a process exists to investigate reason, take prompt action and take remedial actions as required to prevent future occurrence Reporting will take place through as per policy Root cause analysis (RCA) will be undertaken for any instances of mixing Nursing and Patient Services Director Senior Nurse Practice Development Ongoing Systems will be in place to assure the Board of compliance with EMSA principles. Instances of mixing will be escalated and investigated Board Reports Exception reports to SHA and RCA where required (none in 2012-13, 2013-14, 2014-15 or 2015-16) Relevant Trust policies refer to requirement to EMSA and privacy and dignity policies will make expectations clear in relation to EMSA and privacy and dignity Nursing and Patient Services Director Senior Nurse Practice Development Ongoing Trust policies will support the delivery of SSA. Same Sex Accommodation Policy Privacy and Dignity Policy Transfer of Patients Policy
2016-09-23_A5(vi)Eliinating_Mixed_Sex_Accommodation_14.9.2016.docx