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Clinical Goverance 

Each month there is a governance meeting where the SHOs are expected to present their consultants M&M data (Power Point). All M&M cases should be recorded when they happen so patients are not missed. (Excel M&M database is on the Q drive / Trauma and Orthopaedics / Clinical Governance / M&M database) The presentations should be discussed with consultant / SpR prior to the meeting to ensure their accuracy. 

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Agenda outlines for each CG meeting:

1: Attendees

2: Minutes from the last meeting

3: Matters arising 

4: Action log review

5: Registry 

6: Quality care indicators 

7: Complaints and claims

8: Presentation 

9: Items for quarterly discussion 

10: Other business 

11: Summary of actions 

12: Date for next meeting 

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M&M Template

Contact Us

Trauma Coordinator: ext 35831 

Oncall Registrar: bleep 5599

Oncall SHO: bleep 5500

Plaster Room: ext 35443

Ward 30: ext 35412, 35868

Ward 31: ext 35626, 35355

Ward 30 doctor - bleep 5501 (8am-5pm)

Ward 31 doctor - bleep 5502 (8am-5pm)

T&O outlier doctor - bleep 5503 (8am-5pm)

Post-take doctor - bleep 5503 (8am-5pm)

Twilight doctor - bleep 5503 (2.45-10:45pm)

Orthogeriatric team - bleep 1458 (not for referrals)

Oncall email: mtw-tr.ortho-oncall@nhs.net

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