- Our patients – we will continue to improve the quality of care and experiences that we provide our patients, integrating care with our partners and improving our CQC rating
- Our people – we will support our people to deliver high quality care within a compassionate and inclusive culture that improves engagement, recruitment and retention and results in further improvements in our staff survey results
- Our places – we will maintain the safety of and improve the quality and look of our places and work with our partners to develop an Outline Business Case for a new hospital, aligned with the further development of our local Integrated Care Partnership
- Our performance – we will meet and achieve our performance targets, covering national and local operational, quality and workforce indicators
- Our pounds – we will manage our pounds effectively and modernise our corporate services to achieve our agreed financial control total for 2020/21 and our local system control total
These pages contain key information about the information governance and data security culture, procedures, and policies amongst the standards that are expected at The Princess Alexandra Hospital NHS Trust.
Information governance is a term that we use to describe how we manage our information legally, securely, and effectively. It brings together all the requirements, standards and best practice that apply to the handling of our information.
All of our people, including flexible, permanent, new starters, locum, temporary, student and contract staff members have the responsibility to ensure that information governance and data security is applied and effective during their working shift, by complying with our best practices and policies
The quality of the healthcare we provide is assessed in a number of different ways. By knowing our performance, you can have confidence in our services and we can continue to make improvements to ensure you receive the best care possible.
We are assessed against a range of qualitative standards, which we and all NHS trusts should meet. While we continue to face several challenges, we have made significant improvements in some areas of our performance.
Our performance is measured by the following standards:
- Emergency Care Standard (ECS) - four hour waiting times
- Cancer Waiting Time Standards
- 18 Week Waiting Time Standard - Referral to Treatment (RTT)
- Delayed Transfers of Care (DTOC)
- Cancelled operations
Putting quality first is our approach in everything we do as we strive for excellence.
The quality first team at the Princess Alexandra Hospital are passionate about quality improvement, making changes that will help us deliver excellence for our patients, people, performance, places and pounds.
This means we are driving the delivery of improvement and change for the benefit of our patients, people and wider community.
What we do
We support change across the trust by:
- Analysing data and establishing evidence to support cases for improvement and change.
- Identifying blockages in a patient's journey through our hospital so that delays in patient care can be prevented.
- Coaching and mentoring each other to ensure we are all working to our full potential.
- Challenging processes and accepted norms to encourage innovation by our colleagues.
- Working closely with our patients and stakeholders to ensure that all of our changes are beneficial to our community.
You can contact the quality first team via email: firstname.lastname@example.org or call 01279 444455 x 2912
Annual Report and Accounts
Annual Report 2015-2016
Annual Report and Accounts 2016-2017
Annual Report and Accounts 2017-2018
Annual Report and Accounts 2018-2019
Annual Report and Accounts 2019-2020
Board Expenses - March 2021
Declaration of Interest
Declarations of Interest 2020-21
Condition G(6) self certification
Condition G(6) self-certification v2
Condition G(6) self certification
Self-certification template G6_(1)
Transparency Reports 2014-2015
Transparency Reports 2015-2016
Transparency Reports 2016-2017
Transparency Reports 2017-2018
Transparency Reports 2018-2019
Transparency Reports 2019-2020
Transparency Reports 2020-2021
Policies and guidelines
Under the Civil Contingencies Act 2004, the Trust is required to plan for major incidents and put strategies in place to return to 'business as normal' as soon as possible after an event.
An emergency is an event that threatens human welfare or the environment, or a major security incident or threat such as a terrorist act or war. Emergencies could strike at any time, and the Trust's patients, service users, staff and others involved in our business could be severely affected by a major flood, fire, failure of utility services or severe weather such as heavy snow, heat wave or a period of very cold weather.
A major incident or emergency may also result in damage to an extent where facilities such as wards or clinics need to be evacuated, or conversely people may be required to stay inside a building for a period of time.
This is the general term for work that the Government, the NHS, emergency services, local authorities etc. all routinely do to prepare for an emergency situation.
Under the Civil Contingencies Act 2004, the Trust is required to plan for major incidents and put strategies in place to return to 'business as normal' as soon as possible after an event. This of course necessitates working with partner agencies to share information, participate in joint training and exercising and devise consistent plans for implementation in an emergency.
Role of the trust
- To have plans in place for major incidents and business continuity. The Trust has a corporate Major and Critical Incident Plan, and individual service lines have their own Business Continuity Plans to reflect their specific areas of operation.
- To train staff to enable them to manage a major incident or emergency
- To actively participate in multi-agency partnership working with other interested parties i.e. Local Authorities, Police, Fire and Rescue, Ambulance Service, Voluntary Sector
- To share information with those who may be affected by our activities
- To warn, inform and advise the public about emergencies
A major incident is something which by definition cannot be managed internally by the Trust so partnership working is absolutely vital to ensure that there is a coordinated response to emergency situations so that disruption to patients, service users, staff and other people affected by our activities is kept to a minimum. The Trust fulfils its obligations in respect of partnership working by:
- Attending the Essex Resilience Forum. This is a multi-agency committee where emergency planning issues in Essex are discussed and coordinated responses agreed.
- Participating in 'table-top' and live exercises in all three boroughs designed to test existing arrangements and identify where improvements are needed.
- Participating in NHS major incident meetings and training exercises.
- Sharing information with partner agencies regarding threats to human welfare.
- Reviewing and revising its major incident and business continuity plans in light of changing circumstances.
Community risk register
Risks within Essex are documented in a Community Risk Register. A risk level is assigned based on the likelihood that an incident may take place, and the potential impact it could have. This directs planning and ensures organisations are prepared for the emergencies or risks most likely to occur, and which will have the biggest impact.
Trust risk register
The Trust Risk Register works exactly in the same way as the community risk register i.e. identification of emergency situations or risks, an assessment of how likely they are, and an evaluation of their impact.
Partner organisations can view our current emergency plans via ResilienceDirect.