4 Are there clear priorities for ensuring sustainable, compassionate, inclusive and effective leadership, and is there a leadership strategy or development programme which includes succession planning FR4 C4 - Systems in place to ensure that all staff are properly inducted into their roles, together with any additional education and training provided as necessary FR4 C7 - Systems in place to ensure that all staff are supported to maintain necessary skills, knowledge and levels of competence, and to develop new competencies FR5 C2 – Systems in to ensure strategic service planning and workforce planning are integrated FR5 –C6 – Systems in place to support and monitor staff retention and ensure succession planning arrangements KLOE W2 Is a clear vision and credible strategy to deliver high-quality sustainable care to people, and robust plans to deliver? ISAS 1 Is there a clear vision and a set of values, with quality and sustainability as top priorities? LM1 C1 – Defined organisational roles and responsibilities for the overall management, leadership and direction of the service. LM1 C8 – Systems in place to define, document and communicate to staff the organisation’s core values and objectives LM1 C9 – Systems in place to communicate to staff the need to meet the needs and requirements of users, as well as regulatory, professional and accreditation bodies LM2 C5 – Systems in place to implement actions necessary to achieve agreed quality objectives and continual improvement of all service activities and processes CL8 – The service implements and monitors systems to review current and emerging practice, implementing as appropriate
should review emerging developments in clinical practice and develop new clinical practices in line with current research and guidance FR5 - The service should review clinical and non-clinical practice and workforce deployment. All service improvement activities and workforce development should facilitate an effective diagnostic imaging and interventional radiology service in response to changing healthcare needs. 2 Do quality and sustainability both receive sufficient coverage in relevant meetings at all levels? Do all staff have sufficient access to information, and do they challenge it appropriately? CL2 C4 - Systems in to ensure analysis and feedback on imaging practice in all service areas is available and communicated to all relevant staff and colleagues to inform development of practice CL8 - The service should carry out audits to explore the effect of current clinical practice. Audit information should be used in collaborative review processes to develop practice. The service should review emerging developments in clinical practice and develop new clinical practices in line with current research and guidance. FR5 C1 - Systems in place to support service review, improvement and planned development with the involvement of patients, staff, users and others 3 Are there clear and robust service performance measures, which are reported and monitored? LM2 C5 – Systems in place to implement actions necessary to achieve agreed quality objectives and continual improvement of all services activities and processes 4 Are effective arrangements to ensure that the information used to monitor, manage and report on quality and performance is accurate, valid, reliable, timely and relevant? What action is taken when issues are identified? LM2 - The Service must have an appropriately designed quality management system that integrates all agreed processes and regular monitoring of effectiveness whether at its permanent facilities or when using mobile units or outsourced services. 5 Are information technology systems used effectively to monitor and improve the quality of care? As 6 Are there effective arrangements to ensure that data or notifications are submitted to external bodies as required? As Above 7 Are there robust arrangements (including appropriate internal and external validation) to ensure the availability, LM2 – Quality Management System