Standard |
DHSS&PS Expected Level of Compliance |
Trust Level of Compliance |
Reviewed By |
Buildings, land, plant and non-medical equipment |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Decontamination of medical devices |
70% - 99% (Substantive) |
Not Assessed * |
|
Emergency Planning |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Environmental Cleanliness |
70% - 99% (Substantive) |
Moderate |
Internal Audit |
Environment Management |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Financial Management (Core Standard) |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Fire safety |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Fleet and Transport Management |
70% - 99% (Substantive) |
Moderate |
Self Assessment |
Food Hygiene |
70% - 99% (Substantive) |
Not Assessed * |
|
Governance
(Core Standard) |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Health & Safety |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Human Resources |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Infection Control |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Information Communication Technology |
70% - 99% (Substantive) |
Substantive |
Self assessment |
Management of Purchasing and Supply |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Medical Devices and Equipment Management |
70% - 99% (Substantive) |
Substantive |
Self assessment |
Medicines Management |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Records Management |
70% - 99% (Substantive) |
Moderate |
Self Assessment |
Research Governance |
30% - 69% (Moderate) |
Not Assessed * |
|
Risk Management
(Core Standard) |
70% - 99% (Substantive) |
Substantive |
Internal Audit |
Security Management |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
Waste Management |
70% - 99% (Substantive) |
Substantive |
Self Assessment |
