Salisbury Foundation Trust


Internal Reference Number: FOI_5731

Date Request Received: 16/07/2020 09:10:52

Date Request Replied To: 03/08/2020 08:37:25

This response was sent via: By Email

Request Summary: CQC

Request Category: Health

Question Number 1:
Has your organisation had any ‘areas of outstanding practice’ documented in CQC inspection reports directly related to Clinical Effectiveness and Audit and what were they?
Answer To Question 1:
2 examples:

ED Morbidity & Mortality reviews

Response to major incident – nerve agent poisoning

Refer to page 10 at following link if more information required:
Question Number 2:
What resource do you have in your organisation specifically for Clinical Effectiveness and Audit (i.e. wte and banding)
Answer To Question 2:
Head of Clinical Effectiveness 1.0 wte Band 8B

Clinical audit team:
Clinical audit and quality improvement facilitators Band 5 - 3.6 wte
Clinical audit administrator Band 4 - 0.76 wte
Question Number 3:
Are these staff within a central Governance or Quality team?
Answer To Question 3:
The clinical audit team and clinical effectiveness is within the Quality Directorate which is considered a corporate function.
Question Number 4:
Do you have a senior medical lead for Clinical Effectiveness and Audit at Associate / Deputy Medical director level
Answer To Question 4:
The Medical Director is the Executive Lead for Clinical Effectiveness and Audit. There is no Associate or Deputy Medical Director level lead.
Question Number 5:
If answer to 3 is Yes:
a. is this as a standalone or within a wider remit (e.g. Associate medical director of Quality)
b. How many PAs are allocated to Clinical Effectiveness and Audit
Answer To Question 5:
Not applicable.
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ
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