Organisational duty of candour procedure: first year review
Evaluation of the first year of the organisational duty of candour procedure through analysis of the annual reports that were published by NHS territorial and special boards across Scotland.
Appendix 5: Analysis Mapping of Annual Duty of Candour Reports (2018/19)
Evaluation/Analysis of Health Organisations' 2018/19 Duty of Candour Annual Reports
Report Requirements (Sec 24: Reporting & Monitoring Mapping) | ||||||||
---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
(a) (b) (c) i ii (d) (e) | (a) (b) | (a) (b) (c) | (a) (b) | (a) (b) (c) | ||||
NHS Territorial Boards | ||||||||
NHS Ayrshire & Arran | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | |||||||
Included | N/A | |||||||
NHS Borders | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Not notified | N/A | ||||||
Not included | Does not | N/A | ||||||
Not included | N/A | |||||||
Included | N/A | |||||||
NHS Dumfries & Galloway | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Not notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | |||||||
Included | N/A | |||||||
NHS Fife | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | N/A | |||||||
Included | Not notified | |||||||
Included | ||||||||
Included | N/A | N/A | ||||||
NHS Forth Valley | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | |||||||
Included | N/A | |||||||
NHS Grampian | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Not included | ||||||||
Not included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Greater Glasgow & Clyde | Not Published at time of analysis of reports (Nov 2019) | |||||||
NHS Highland | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Lanarkshire | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Not included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Lothian | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Orkney | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Shetland | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Tayside | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Western Isles | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Does not | Not notified | N/A | |||||
Not included | N/A | |||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS Special Boards | ||||||||
Golden Jubilee Foundation | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
NHS 24 | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
Scottish Ambulance Service | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Not notified | N/A | ||||||
Not included | Does not | N/A | ||||||
Not included | N/A | N/A | ||||||
Not included | ||||||||
The State Hospital | Published | Not included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Not notified | N/A | ||||||
Not included | Does not | N/A | ||||||
Not included | N/A | N/A | ||||||
Included | ||||||||
National Services Scotland | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
Primary Care Sample With Incidents | ||||||||
Millig Practice (NHS Highland) | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
Riverside Medical Practice (NHS Highland) | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
Gentle Dental Care (NHS Fife) | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Not included | Notified | N/A | ||||||
Included | Does | N/A | ||||||
Included | N/A | N/A | ||||||
Included | ||||||||
Bairds Pharmacy (NHS Grampian) | Published | Included | Does not | Done | N/A | N/A | N/A | N/A |
Included | ||||||||
Included | ||||||||
Included | Notified | N/A | ||||||
Included | Does not | N/A | ||||||
Included | N/A | N/A | ||||||
Included |
(1) A responsible person who provides a health service, a care service or a social work service during a financial year must prepare an annual report on the duty of candour as soon as reasonably practicable after the end of that financial year.
(2) The report must set out in relation to the financial year— (a) information about the number and nature of incidents to which the duty under section 21(1) has applied in relation to a health service, a care service or a social work service provided by the responsible person, (b) an assessment of the extent to which the responsible person carried out the duty under section 21(1), (c) information about the responsible person's policies and procedures in relation to the duty under section 21(1), including information about— (i) procedures for identifying and reporting incidents, and (ii) support available to staff and to persons affected by incidents, (d) information about any changes to the responsible person's policies and procedures as a result of incidents to which the duty under section 21(1) has applied, and (e) such other information as the responsible person thinks fit.
(3) A report must not— (a) mention the name of any individual, or (b) contain any information which, in the responsible person's opinion, is likely to identify any individual.
(4) The responsible person must publish a report prepared under subsection (1) in such manner as the responsible person thinks appropriate.
(5) On publishing a report, the responsible person must notify— (a) Healthcare Improvement Scotland, in the case of a report published by a responsible person which provides an independent health care service (within the meaning of section 10F(1) of the 1978 Act), (b) the Scottish Ministers, in the case of a report published by any other responsible person which provides a health service, (c) Social Care and Social Work Improvement Scotland, in the case of a report published by a responsible person which provides a care service or a social work service.
(6) A person mentioned in subsection (7) may, for the purpose of monitoring compliance with the provisions of this Part, serve a notice on a responsible person requiring— (a) the responsible person to provide the person serving the notice with information about any matter mentioned in subsection (2) as specified in the notice, and (b) that information to be provided within the time specified in the notice.
(7) The persons are— (a) Healthcare Improvement Scotland, in relation to a responsible person which provides an independent health care service (within the meaning of section 10F(1) of the 1978 Act), (b) the Scottish Ministers, in relation to any other responsible person which provides a health service, (c) Social Care and Social Work Improvement Scotland, in relation to a responsible person which provides a care service or a social work service.
(8) The Scottish Ministers, Healthcare Improvement Scotland and Social Care and Social Work Improvement Scotland may publish a report on compliance with the provisions of this Part by responsible persons.
Contact
Email: dutyofcandour@gov.scot
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