CQC POLICIES REVIEW

Disposal of Confidential Waste Protocol


The purpose of this protocol is to create a process for the safe disposal of confidential waste so that the chances of this information being used by unauthorised persons for illegitimate purposes is minimised as far as possible.


• Waste to be shredded on site where possible
• Staff members to place all other confidential documents to be disposed of in the locked confidential waste box. Alex Hennessy must ensure this facility is always available and regularly monitor that there is enough capacity left on an ongoing basis.
• Alex Hennessy to empty the waste box when full, tie all sacks securely, and place them in a locked room to which only they have access.
•
• Alex Hennessy must ensure that no confidential waste is left unattended before it can be collected by the nominated disposal company.

All confidential waste is shredded on site immediately. Then its put in locked bin outside
Alex do we have a locked confidential waste box. Know we have a shredder. Is all confidential papers shredded at the end of the day?

Dissemination of Drug Alerts, Patient Safety Notices, Guidance and Formularies Protocol
Protocol

Information received by e-mail will usually have been sent directly to the correct recipient. Where it has been sent to a generic Practice e-mail address, or where information has been received by fax or by post; this should be received by nominated person(s).

The person(s) responsible for receipt of the above types of information is Alex Hennessy.


Depending on the type of information received, dissemination will take place as follows:

• Clinical alerts and guidance will be passed to the Practice Manager who will share these with clinicians at the Practice and any other healthcare professional (where relevant);
• MHRA alerts will be passed directly to the Practice Manager for investigation and subsequent further action;
• Drug Alerts must be passed to the Practice Manager so that s/he can ascertain which (if any) patients have been prescribed the affected item(s). Where the drug has been prescribed to patients, their usual doctor will contact them.

Copies of all alerts and notices received will be kept in a nominated folder and separated by type of alert. Alex Hennessy is responsible for the management of this folder.

Alerts and notices must be numbered sequentially by date of receipt.

The folder should be reviewed once every Quarter by Alex Hennessy. Any missing alerts should be investigated by the responsible person and where relevant, printed off and actioned.

All information documents should be annotated with details of any action taken, e.g. distribution list, which patients were informed, etc.

If a fax-back or e-mail response is required by the sender, a copy of the response should also be kept in the folder.

Alex have you been getting the above alerts. If so are they e mailed to you or sent in post. How are you showing the clinicians. I haven’t had any since starting.
Have we got folder for these alerts and are we checking that each clinician has had them and actioned them where appropriate? 

aLEX HASNT BEEN RECIEVING MHRA ALERTS HE WILL CONTACT MHRA ALERTS TODAY AND WILL LET ME KNOW
Drug Storage Protocol

Medicines that require storage below room temperature should be stored in a lockable medicines refrigerator. By definition refrigeration is a temperature of between 2 and 8°C.

The temperature of all fridges storing medicines is to be recorded daily using the thermometers provided. Both the minimum and maximum temperatures are to be recorded.


Have asked Sian to look at the policy and let me know if we are checking temp daily and are they in locked fridge.

Duty of Candour


To meet the requirements of CQC Regulation 20, a Practice must be:

• Open and transparent way with relevant persons in relation to care and treatment provided to people who use services in carrying on a regulated activity.
• Tell the relevant person (in person) as soon as reasonably practicable after becoming aware that a safety incident has occurred, and provide support to them in relation to the incident, including when giving the notification.
• Provide an account of the incident which, to the best of the Practice’s knowledge, is true of all the facts the Practice knows about the incident as at the date of the notification.
• Advise the relevant person what further enquiries the Practice believes are appropriate.
• Offer an apology.
• Follow up by providing the same information in writing, and any update on the investigations.
• Keep a written record of all communication with the relevant person.


I think we do most of above. Alex do we keep all communications from person i.e in complaints/significant events and have our response and what action we have taken with complaint 


wE HAVE A COMPLAINTS AND SE FOLDER AND WE INCLUDE OUR RESPONSE IN THERE ALSO

Policy for checking Emergency Drugs in the Surgery and Doctor’s Bags

The Practice needs to have a system in place to enable the checking the Expiry Dates of all Emergency Drugs within the Surgery, as well as those drugs in the Doctor’s Drug Bags.  

Frequency and Responsibility

The Practice will undertake these checks   every 6 months.

This is the joint responsibility of the Practice Manager and Sian Irving

Don’t think any of us carry drugs in our bags should we ? With the emergency drug box how often do we check this and where is register for this?

i WILL CHECK IF WE SHOULD CARRY EMERGENCY DRUGS IN BAG NONE OF US DO. Emergency drugs are in tx room and are checked weekly by Sian or Alex if Sian off. There is also a register and if take drugs use slip