The following information is included in this section:
Our Annual Reports are available on the Annual Reports page.
Details of the Annual Business Plan, including commissioning and details of targets, aims and objectives are included in the Integrated Medium Term Plans (3 year plans).
Details of our performance dashboards and summaries are available on the Planning, Performance and Finance Committee.
Quality and safety reports can be found on the Quality, Safety and Risk Committee.
Structured Assessment is a self-assessment of the University Health Board’s position in relation to the Governance and Accountability Module of the Standards for Health Services in Wales. The module on Governance and Accountability provides a framework for the UHB to self-assess how well the organisation is governed, this being a fundamental factor in the provision of safe and effective care. It is also useful in demonstrating how we ensure the UHB is fit for purpose.
A summary of the Board’s corporate level assessment of its governance arrangements using the Governance and Accountability module matrix is a Welsh Government requirement for inclusion in the Annual Governance Statement (AGS).
The Governance and Accountability Module is prepared on behalf of the Board and submitted to Health Inspectorate Wales (HIW) in accordance with the stipulated timescales, in addition to the summary being included in the AGS. Both the Governance and Accountability Module and the Annual Governance Statement are presented to the Board.
The Standards for Healthcare Services in Wales were introduced in 2010 and replace the ‘Healthcare Standards for Wales (2005)’. These standards set out what our citizens have a reasonable right to expect from our health services. The Standards provide a key tool in helping the UHB drive clinical up quality and patient experience. Further information on the Standards can be found on the NHS Governance website. Every year, the UHB undertakes a self-assessment against the standards as a key source of assurance to determine the areas where the Health Board is doing well and those that need to do better. Reports on progress against the Standards are reported to the Quality, Safety and Risk Committee.
Annual Quality Statements are available here.
The Annual Governance Statement can be found here.
Caldicott is a key element of the Information Governance agenda in Wales, providing a set of recommendations and principles to help ensure that person identifiable information (including that of patients, staff and service users) is adequately protected. Further information about Caldicott Principles in Practice (CPiP) is available at the NHS Wales Informatics Service.
The Caldicott (CPiP) self-assessment provides Information Governance and Caldicott Leads with a comprehensive tool to highlight areas where improvements are required, and a benchmark for evaluating progress. Actions highlighted following the assessment are included in the Information Governance Action Plan. As this is a working action plan which is updated and amended on a regular basis, copies are only available on request to the Publication Scheme Co-ordinator.
Patient Experience Reports are provided quarterly to the Board and include analysis of surveys undertaken and patient stories.
These are available upon request. Please contact the Information Governance Team at firstname.lastname@example.org.