MIAA REPORT

Summary

The request asked when MIAA recommendations were activated and if a further review would be conducted. The Department of Health and Social Care disclosed that changes began immediately after April 1, 2018, and stated that a re-audit is not currently planned as progress is monitored internally.

Key Facts

• Significant changes to endoscopy service management began immediately after the issue was noted on 1st April 2018.
• Actions included increasing capacity, changing patient tracking methodology, and tightening policies.
• The hospital has commenced a programme to achieve Joint Accreditation Group (JAG) accreditation.
• Progress against the MIAA Action Plan is monitored at monthly Endoscopy Governance Group meetings.
• The authority is not planning to ask MIAA to undertake a re-audit, though it has not been completely discounted.

Data Disclosed

• 1st April 2018
• 24th December 2018
• 8th January 2019
• 688566

Original Request

When were the recommendations in the MIAA activated? Will the MIAA be asked to carry out a further review so the public can be assured that all the failed areas have been rectified?

Data Tables (1)

Full Response Text

Chief Executive: Malcolm Couch Freedom of Information Team DHSC Crookall House Demesne Road Douglas IM1 3QA

(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 688566 8th January 2019

Dear ###

We write further to your request which was received on 24th December 2018 and states:

Question 1: "When were the recommendations in the Mersey Internal Audit Agency (MIAA) activated? Question 2 Will the MIAA be asked to carry out a further review so the public can be assured that all the failed areas have been rectified?"

Our response to your request is as follows: I have detailed below the information that is being released to you.

Question 1: When were the recommendations in the Mersey Internal Audit Agency (MIAA) activated? The hospital started making significant changes to the way that the endoscopy service is managed immediately after the issue (1st April 2018) around the provision of endoscopy appointments for patients who were awaiting a follow-up was noted. This included increasing capacity to ensure there is sufficient appointments for those requiring regular follow up, changing the methodology for tracking these patients through our computer system, and also tightening up our policies and processes.
Shortly thereafter, we strengthened our clinical leadership arrangements and have commenced on the programme to get the unit Joint Accreditation Group (JAG) accredited, which is the national standard for endoscopy units across the UK.

Question 2: Will the MIAA be asked to carry out a further review so the public can be assured that all the failed areas have been rectified? As we are regularly monitoring progress against the MIAA Action Plan at the monthly Endoscopy Governance Group meetings, we are not planning to ask MIAA back to undertake a re-audit, although this has not been completely discounted at this stage. Please quote the reference number 688566 in any future communications.

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Yours sincerely