AgendaDate: 04 December 2018

Enquiries to:Lynn Godsell

Direct Line:01592 643355 x 28138

A MEETING OF THE NHS FIFE CLINICAL GOVERNANCE COMMITTEE WILL BE HELD ONWEDNESDAY 8th OCTOBER2014 AT 2.00PM IN THEBOARD ROOM, HAYFIELD CLINIC, VICTORIA HOSPITAL

Chairperson–Dr L Bisset

Welcome and Introductions
Welcome:
Mrs Y Bronsky, LSAMO South East and West of Scotland Region
Mr W Edwards, Head of eHealth
In Attendance:
Apologies for Absence:
Professor I Campbell, Chairman, Acute Services Division Clinical Governance Committee
Dr B Montgomery, Medical Director, NHS Fife
Mr J Wilson, Chief Executive – NHS Fife
Declarations of Interest
  1. 6
/ Unconfirmed Minutesof NHSF CGC Meeting:
13th August 2014 / Attached
Matters Arising
(a) / Action List / Attached
Executive Leads’ Clinical Governance Reports
(a) / Unconfirmed Minute of Kirkcaldy & Levenmouth CHP Quality, Safety & Clinical Governance Group of 5th August 2014 (Mrs M Porter) / Attached
(b) / Unconfirmed Minute of Dunfermline & West Fife CHP Clinical Governance Group 16th September 2014 (Mrs M Porter) / Attached
(c) / Unconfirmed Minute of Glenrothes and North East Fife CHP Clinical Governance Group of 15th August 2014 (Dr E Wallace) / Attached
(d) / Minute of the Public Health Governance Group of 11th September 2014 (Dr E Coyle)
N/A – meeting cancelled / N/A
(e) / UnconfirmedMinute of the NHS Fife Quality Safety Governance Group Meeting of 27th August2014 (ProfessorS McLean) / Attached
  1. 7
/ Governance Items
(a) / Midwifery LSA Annual Report (Mrs Y Bronsky) / Attached
(b) / Research & Development Strategy (Dr S Clark)
N/A – c/f to December 2014 / N/A
(c) / Research & Development Annual Report 2013/14 (Dr S Clark)
N/A – c/f to December 2014 / N/A
(d) / OHSAS Clinical Governance Report for 2013 (Dr A Leckie)
N/A – c/f to December 2014 / N/A
(e) / Balanced Scorecard Review (Dr Montgomery/Dr McLean/Dr Coyle) / Attached
(f) / Management of Controlled Drugs Update (Jan – June 14) (Dr B Montgomery) / Attached
(g) / SEAT Annual Report 2013 – 14 (Dr B Montgomery) / Attached
(h) / OPAH – Report and Action Plan (Professor S McLean) / Attached
(i) / Corporate Risk 516 – Infection Control (Professor S McLean) / Attached
(j) / Corporate Risk 520 – Child Protection (Professor S McLean)
N/A – c/f to December 2014 / N/A
(k) / Corporate Risk 529 (was 3036) – Information Governance (Dr E Coyle) / Attached
(l) / Clinical Governance Risk Report (Jan 14 – June 14) (Mrs H Woodburn)
/ Attached
(m) / Incident Report (Jan 14 – June 14) (Mrs H Woodburn) / Attached
(n) / Management of Adverse Events Improvement Plan Update(Mrs H Woodburn / Attached
(o) / LEARN Summary Reports(Mrs H Woodburn) / Attached
(p) / Clinical Governance Deep Dive – Multiple Records & Information Transfer(Mr W Edwards) / Attached
(q) / Refresh of the Clinical Governance Framework/Strategy (Dr G Birnie) / Verbal
Items for Discussion
(a) / NHS Fife Clinical Governance Work Plan 2014/15(Mrs E Muir) / Attached
(b) / List of Outstanding Items on Clinical Governance Map 14/15
(Mrs E Muir) / Attached
(c) / NHS HIS Update (Mrs E Muir) / Attached
Minutes from Linked Committees – For Information Only
(a) / Infection Control Committee - 30 July 2014 / Attached
(b) / Information Governance Group (DRAFT) – 21 August 2014 / Attached
(c) / E Health Board – 21 August 2014 / Attached
(d) / Fife Research Governance Group – 11 June 2014 & 25 September 2014 - Sept minutes unavailable– c/f to December 2014 / Attached
Date of Next Meeting
Wednesday 10th December 2014 at 2.00p.m. in the Board Room, Hayfield Clinic, VHK, Kirkcaldy

Distribution:

Members: / In Attendance:
Dr Les Bisset / Dr Gordon Birnie / Ms Heather Knox / Mrs Helen Woodburn
Mr Nick Barber / Prof Ian Campbell / Mrs Susan Manion / Mrs Mary Porter
Mrs Wilma Brown / Dr Stella Clark / Dr Alan McGovern / Mrs Vicky Irons
Dr Katharine Cheshire / Mrs Julie O’Neill / Professor Scott McLean
Mr Simon Little / Dr Edward Coyle / Dr Brian Montgomery
Mrs Evelyn McPhail / Mrs Elizabeth Muir / Dr Ed Wallace
NHS Fife Clinical Governance Committee / FINAL / Date: 020614
Medical Director’s Directorate / Page 1 of 3 / Review: N/A