Assurance & Performance Framework

Presented by

Martin Gavet, Change and Performance Manager

IntroductionThe Assurance and Performance Framework has been written to reflect best practice across global health and social care economies.

It has taken into consideration the existing Governance and Assurance Framework.

It proposes a new framework which focuses on:

• Quality Improvement• Outcomes• Our Culture

How to read the documentThe document provides the reader with:

• An overview of the new framework• How it works• Guidance for HSSD’s Board, Senior Management and Service Area managers on driving quality improvement throughout the organisation, and in partnership with service users, families, carers, and our business partners• Links to guidance on good practice in quality improvement and service user engagement• Toolkits for engagement• An action plan for implementation• A communication plan

6 Domains of QualitySafe We will avoid harm to service users from the care that is intended to help them.

Timely We will strive to reduce waits and sometimes harmful delays for both those who receive and those who give care.

Efficient We will avoid waste, including waste of equipment, supplies, ideas, and energy.

Effective We will provide services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit (avoiding under-use and misuse, respectively).

Equitable We will provide care that does not vary in quality because of personal characteristics such as gender, gender identity, ethnicity or race, sexual orientation, belief, age, etc.

People-centred We will provide care that is respectful of and responsive to individual preferences, needs, and values and ensuring that service user values are considered as part of the decision making process.

Our Culture

• The “Glue” – by which we either stick together or fall apart.

Culture includes:

• Our vision• Strategic aims• Values• Attitudes• Behaviours

The framework needs commitment from the States of Guernsey, HSSD and from our business partners. Without this we will fail.

Our Guiding Principles

• 2020 Vision• 6 C’s• Are you HOT or are you not?• The 3 E’s

How our values drive our vision

• Cascade• Escalation

• Engage• Assurance

Engagement on quality Gaining

insight and foresight into

qualityAccountability

for qualityManaging risks to quality

Themes

Proposed Framework

How it works

• Operational and Strategic Assurance• Roles and Responsibilities of Non-Executive and Executive• Tiered approach

Dependant on:

• Performance reporting/monitoring including Vital Signs• Learning & growth culture• Compliance• Risk Management• Escalation of issues and risks• We all need to live and breathe it

Action Plan• Provides a road-map for success• Investment required in systems, processes and people• Examples include: Audit, Business Intelligence, Data Quality, etc.• Supported by a communication plan