Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Healthcare Inspectorate Wales
The Welsh Language Act
– how it influences what
we do and how we do it
1
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
What I will Cover
• Our purpose as set out in statute
• Our powers and responsibilities
• How HIW complies with the Welsh Language
Act
• How HIW checks that the outcomes intended
by the Welsh Language Act are achieved
across healthcare in Wales
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our Statutory Responsibilities - Part 2 Chapter 4 of the Act
• The availability of, and access to health care
• The quality and effectiveness of health care
• The financial or other management of health
care and the economy and efficiency of its
provision
• The availability and quality of information
provided to the public
• The need to safeguard and promote the
rights and welfare of children
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our powers enable us to
• Conduct inspections & investigations
• Require documents & information
• Interview people
• Publish reports
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Welsh Language
Task Group
4 November 2010
Our Powers and Responsibilities have kept on growing
2009
DOLS
NHS
Inspection
&
Investigation
2006
IHC
2006
QA
NMC
2009
Dentists
2009
MHAC
2008
Substance
Misuse
Healthcare
Inspectorate
Wales
2006
Statutory
Supervision
of Midwives
2007
Clinical
Reviews of
Deaths
in prison
2007
Homicide
Investigations
2007
YOTS
2007
IR(ME)R
2007
Nurse
Agencies
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our statutory basis as at May 2010
• The Health and Social Care Act 2003
• The Mental Health Act 1983 (Amended by the 2007 Mental Health
Act)
• The Mental Capacity Act 2005: Deprivation of Liberties Safeguards
were added to this through amendments made by the Mental Health
Act 2007
• Codes of Practice for the Mental Health Act, Mental Capacity Act
and DOLS
• Ionising Radiation (Medical Exposures) Regulations 2000
• Ionising Radiation (Medical Exposure) (Amendment) Regulations
2006
• The Care Standards Act (2000)
• The Care Standards Act 2000 (as amended by the Health and
Social Care Act 2008 (Schedule 5)
6
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our statutory basis as at May 2010
• The Registration of Social Care and Independent Health Care
(Wales) Regulations 2002
• The CSA 2000 (Commencement No 8 (Wales) and Transitional
Savings Consequential and Amendment Provisions) Order 2002
• The Children Act 1989 and the Care Standards Act 2000
(Miscellaneous Regulations) (Amendment) (Wales) Regulations
2002
• The Registration of Social Care and Independent Healthcare (Fees)
(Wales) Regulations 2002
• The Registration of Social Care and Independent Health Care
(Amendment) (Wales) Regulations 2003
• The Protection of Children and Vulnerable Adults and Care
Standards Tribunal (Amendment) Regulations 2004
• The Protection of Children and Vulnerable Adults and Care
Standards Tribunal Regulations 2002
• The Protection of Children and Vulnerable Adults and Care
Standards Tribunal (Amendment) Regulations 2003
7
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our statutory basis as at May 2010
• The Private and Voluntary Health Care (Wales) Regulations 2002
• The Private and Voluntary Health Care (Wales) (Amendment)
Regulation 2007
• The Private and Voluntary Health Care and Miscellaneous (Wales)
(Amendment) Regulations 2006
• The Private Dentistry (Wales) Regulations 2008
• The Abortion Act 1967
• The Controlled Drugs (Supervision of Management and Use)
(Wales) Regulations 2008 (under provisions of the Health Act 2006).
• The Employment Rights Act 1996 (guidance developed on the
disclosure of information to HIW during reviews, inspections and
investigations)
• The Protection of Children and Vulnerable Adults and Care
Standards Tribunal (Amendment no. 3) Regulations 2003
• The Care Standards Act 2000 and the Children Act 1989
(Amendment of Miscellaneous Regulations) (Wales) Regulations
2004
8
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our statutory basis as at May 2010
• The Safeguarding Vulnerable Groups Act 2006
• Nursing and Midwifery Order 2001
• Nursing and Midwifery Order 2001 (Consequential Amendments)
Order 2002
• Midwives Rules and Standards (NMC 2004)
• NMC Circular 32/2007 Standards for Supervised Practice of
Midwives
• LSA Guidelines and Standards and LSA National (UK) Policies and
Guidelines (2009)
• Local Health Boards (Functions) (Amendment) Regulations 2003
(exempts the LSA function from transfer to LHBs and retains
function with National Assembly for Wales)
• The Disqualification from Caring for Children (Wales) Regulations
2004
9
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
The organisations we have access to
• Health Boards and Trusts
• Primary and community care
practitioners – health visitors, district
nurses etc.
• Primary care contractors – GPs,
dentists, ophthalmologists, pharmacists
• Independent healthcare providers
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
How HIW complies with the Welsh
Language Act
11
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
Our Ways of Working….
have been designed to foster the
‘right’ behaviours necessary to
uphold our values and achieve our
vision in the longer term
12
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
How we ensure our compliance with the Act
• We have a Welsh Language Scheme
• Our reports are bilingual
• We have a number of welsh speaking fulltime staff and reviewers
• Any interviews we undertake are undertaken
in the first language/language of choice of the
individual
• Any literature explaining our role is bilingual
• Any workshops/conferences we hold offer
simultaneous translation
• Media interviews held in English and Welsh
Welsh Language
Task Group
4 November 2010
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW
How HIW checks that the
outcomes intended by the Welsh
Language Act are achieved across
healthcare in Wales
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DRIVING
Welsh Language
IMPROVEMENT
THROUGH
Task Group
INDEPENDENT AND
OBJECTIVE REVIEW
4 November 2010
Our basket of tools and approaches has expanded
and developed
Clinical
Governance
Reviews
Thematic Reviews
Investigations/Special
Exercises
Healthcare Standards Assessments
Unannounced Cleanliness spot checks
Unannounced Dignity & Respect Checks
Healthcare Summits
DRIVING
Welsh Language
IMPROVEMENT
THROUGH
Task Group
INDEPENDENT AND
OBJECTIVE REVIEW
4 November 2010
We focus on quality and safety – this highlights the
importance of the Act to clinicians and those delivering care
• Is information available in an individuals
language of choice?
• Are individuals assessed, provided with
information and guidance in their language of
choice?
 Assessment of competence
 Speech and language therapy
 Psychiatric assessment
 Counselling
16
DRIVING
Welsh Language
IMPROVEMENT
THROUGH
Task Group
INDEPENDENT AND
OBJECTIVE REVIEW
4 November 2010
We focus on quality and safety – this highlights the
importance of the Act to clinicians and those delivering care
• Are instructions in relation to medication
provided in the individuals language of choice?
• Do care plans note and take account of an
individuals first language?
 How are the patients language needs facilitated?
 What resources are made available to them?
 How do staff ensure that patients don’t become
isolated?
17
DRIVING
Welsh Language
IMPROVEMENT
THROUGH
Task Group
INDEPENDENT AND
OBJECTIVE REVIEW
4 November 2010
We focus on quality and safety – this highlights the
importance of the Act to clinicians and those delivering care
• Policies and action plans clearly have their place – it
is for the Boards of organisations to ensure that they
are compliant with the Act in this respect.
• Our focus is on quality and safety - By driving the
importance of language in relation to the delivery of
quality and safe services we are ensuring that the
Welsh Language Act is being embedded.
18
Welsh Language
Task Group
4 November 2010
www.hiw.org.uk/hssat/login
DRIVING
IMPROVEMENT
THROUGH
INDEPENDENT AND
OBJECTIVE REVIEW