SSG UKSAS - CRITICAL CHANGE PROGRAMME (CCP)
STAKEHOLDER COMMUNICATION AGAINST PLAN – 22nd February 2019
Milestone
Progress to date
Progress next period
Due
RAG
Medicine Management (including
Audits are on trajectory with the audit
Identify specific start date for the 15th
Controlled Drugs)
schedule
medicine tracking trial – waiting
February
Medicines are managed safely and
to hear from the pharmacist lead 2019
securely including transport and
when this can commence
destruction. To include a review of
The current tracking system is under
G
Remote Prescribing, personal issue
review by the CCP Clinical Assurance
*This milestone has been
CDs and managing medicine safety
lead
completed with additional actions
alerts
being delivered as a result
Management of PGDs
All Operational Paramedics are working Meeting with [redacted]
15th
To include an audit trail of staff who
to the PGDs. Where confusion exists
arranged 6th March 2019
February
have used PGDs
between the contracting authority and
2019
SSG with the use of PGDs the relevant
RISK: until this has been resolved
R
drugs have been removed with the
there wil be no PGD use on the
*overdue*
agreement of both parties following a
[redacted] contract
risk assessment
Review of POMs to improve stock
Fareham re-audited and some
Random audits on sealed bags
15th
levels, and the tracking of medicines
accuracy issues were identified. A
shall be performed as a quality
February
double check system has been
assurance mechanism
2019
Complete
implemented.
*this milestone is now complete
for ongoing monitoring by BAU
Incident Reporting
Develop Incident Reporting system plan Incident Reporting System
15th
Ensure effective incident reporting to and resource to deliver
remains delayed pending
February
the CQC is embedded, and lessons
resource allocation and budget
2019
R
are learned
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IG issue resolved by confirmation the
RISK: Whilst the electronic Incident
data can be stored in the UK without
Report system wil not be delivered
technical difficulty
for the 15th February, the paper
based system has been
implemented. RED risk due to the
uncertainty of CQC expectation of
paper versus electronic system
being delivered to this timeframe
Policies and Procedures
Process for policies and procedures
Complete
15th
Ensure Policies and Procedures are
approved 20th February 2019
February
current and embedded
2019
Complete
Maintain records of care
Risk Assessment database underway
Risk assessment database
31st May
To include risk assessments and be
to be designed in order to asses trend
requires completion for approval 2019
able to clearly demonstrate how
and incorporate learning into a training
on the 7th March 2019 by the
G
risks are managed.
plan
CCP
Ensure there are effective Audit
Audit data has been inputted with new
Standardising audit processes
31st May
systems in place
forms created
2019
G
Training
- Skills matrix completed
*There are no further actions
15th
Ensure all staff are current in the
- Purchased and configured
against this milestone. We
February
appropriate training for their role
200 Samsung tablets to
continue to monitor and
2019
enable remote training for the communicate with the workforce
workforce
R
- Developed database model
RED: Whilst we await the Statutory
to assist in the monitoring of
training courses to be completed
compliance
there are no further actions and
the risk has been accepted that
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- Weekly communication to
CQC may not be satisfied on
Managers pressing for all
actions taken
staff to be encouraged to be
current and compliant in their
training
Information Management
IG issue resolved by confirmation the
A project plan and resource to
31st May
Improved Information Management,
data can be stored in the UK without
deliver the system scheduled
2019
including implementing new systems technical difficulty
28th February 2019
G
to improve trend analysis and
ensure feedback is given
Governance
Corporate Governance Structure
Terms of Reference and other
28th
Improved Corporate Governance
drafted and discussed at the SSG
key documentation being
February
UKSAS Board on the 14th/15th February prepared and meetings to be
2019
2019
coordinated with schedules.
A
AMBER: Due to pressure on
resources to manage the
coordination between Spain and
UK schedules
Human Resources
The process for auditing staff files is
New HR system: next steps
31st May
Implement a new HR system to
complete. Temporary files have been
pending discussion with the
2019
improve staff management
audited. A database has been created
CCP early March 2019
for active workforce, separating staff
and self employed.
Fareham JDs reviewed for
approval early March 2019 by a
A
HR System and Legal Support service
dedicated panel
business case drafted. Meeting to take
place in early March 2019 due to
contractual obligations with current
supplier.
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Recruitment and Selection Policy and
Procedure approved as wel as the
Appraisals and Contract Management
Review policy.
KEY:
Green – No threat to delivery on time, to budget and quality
Amber – A threat to delivery on time, to budget and quality, however can be brought back on plan
Red – Wil not be delivered to either time, budget and/or quality
Purple - Complete
MILESTONE SPECIFIC RISKS and ISSUES – please see comments above where milestone specific risks and issues are detailed
GENERAL RISKS AND ISSUES
Risk/Issue
Mitigation/Resolution
Update
RAG
RISK:
MITIGATION:
MD visited Fareham and
Staff capacity to absorb the pace of
Vary the methods of communication
Cramlington in February
change – there are numerous changes
Increase the face to face methods
Open Forum/Town Hal
being communicated throughout the
Provide more channels for feedback and
meetings held
organisation and whilst audits are taking
questions
Comms Officer being recruited
A
place to ensure compliance it is a risk the Provide more training to managers to
CCP Workforce Reps
staff become disengaged due to overload
ensure they are able to better support
commenced and attended CCP
their teams when they are unsure
Board 20th February 2019
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