Describe the process in place to ensure that performance issues, complaints and SUIs are appropriately escalated to the Board.
Describe how the Board receives assurance that these processes are operating effectively.
Describe the complaints process and how the Board is provided with assurance that this is operating effectively.
Describe how the Board is made aware of staff concerns including the whistleblowing process.
Describe the lessons learned process and how this is disseminated to staff.
Describe the action planning process in place for dealing with performance issues and how these are followed up and reported to board.
Describe how the performance management processes addresses clinical governance under-performance and recognises good performance.