Clinical Risk, Audit & Governance

Audit

The Network is committed to delivering effective clinical audit across its stakeholder footprint. The Network sees clinical audit as essential to continually evolve, develop and maintain high quality patient-centred services. When carried out in accordance with best practice standards, clinical audit:

  • Provides assurance of compliance with clinical standards.
  • Identifies and minimises risk, waste and inefficiencies.
  • Improves quality of care and patient outcomes.

The ODN is committed to ensuring that clinical audit delivers these benefits and has developed a number of resources to support its regional work plan.

If you have an audit proposal please complete the below Audit Proposal Form (click) and send to ODN.Office@mft.nhs.uk.

For more information on Network audits please see resources below.

 

PCC SIC LTV ODN Clinical Audit Proposal Form
Clinical Audit Strategy
Clinical Audit Policy
Audit Report Form

Risk Management

The North West Paediatric Critical Care, Surgery in Children, Long Term Ventilation Operational Delivery Network (PCC SiC LTV ODN) supports the delivery of safe, effective services by ensuring that significant risks are recognised, documented, monitored, and mitigated appropriately.

The Network is responsible for maintaining a record which enables oversight of risks specific to the Network’s activities, operations, and strategic goals.

The Network’s risks are reviewed quarterly in the Network Risk and Audit Governance Group and updated in collaboration with relevant stakeholders, including clinical and operational leads, to ensure comprehensive oversight of all relevant risks.

Risks are shared in the relevant oversight committee with high level risks (>15) reviewed biannually by the ODN Formal Board meeting.

For more information on how the Network manage risks please click the link below for the Risk Management Standard Operating Procedure.

Risk SOP

Incidents

The Network has a responsibility to ensure that lessons are learnt from;

  • Serious Untoward Incident case reviews
  • Incident reports
  • Morbidity and Mortality reviews

The Network oversees the incident reporting & governance process across the PCC SiC LTV ODN and acts as the impartial body to ensure that investigations take place and subsequent feedback is provided.

The Network will communicate themes and incidents through the Network Risk Audit and Governance Group (NRAG) and relevant oversight committee with overall responsibility through the PCC SiC LTV Formal Board.

Incidents to be reported to the Network are:

  • PCC SiC LTV pathway incidents
  • Internal incidents relating to PCC SiC LTV patients with a risk score of 12 or above or when local action is insufficient to alleviate or remove the concern, or recurrent incident themes
  • Learning from PCC SiC LTV morbidity and mortality case reviews

To report a Network Incident please complete the following form and email ODN.Office@mft.nhs.uk

Incident Reporting Form