The following Terms of Reference clearly set out the responsibilities of the MTA Governance Committee.
The appointed National Audit Coordinator will be responsible for the administration of the Governance Committee supported by NOCA.
MTA Governance Committee requires the presence of six of its members in attendance in person or by telephone to establish a quorum for any meeting convened. The MTA Clinical Lead and/or National Audit Coordinator will report to and attend all Governance Committee meetings.
Appointment of members
Relevant specialities and groups as identified by the MTA Clinical Lead, the manager of NOCA and the National Audit Coordinator are to be invited to become members of the MTA Governance Committee. This is to ensure that all specialities can contribute to decision making at this level. Refer to the MTA Governance Committee Membership.
In line with the guidelines established by the NOCA Governance Board, membership of the MTA Governance Committee will be for a staggered period of three years. In certain circumstances where members are agreeable they may be asked to stay on for a second term. Members will be selected to reflect the interest of the clinical community as a whole and to achieve an appropriate mix of relevant skills to support the National Audit Emergency Medicine. The patient representative will be selected through the National Advocacy Unit, HSE.
Resignation of MTA Governance Committee Members
Membership of the Governance Committee will be for a staggered period of three years to ensure continuity of committee memory and intellectual property. Resignation before completion of tenure will be tendered and accepted only in writing to the Chair and will allow for no less than a two month notice period. In the case of resignation of an individual, who may have been involved, or offering specific advice or guidance in respect of the completion on any particular audit or review of audit data, the Member will first ensure all obligations are fully discharged before tendering resignation. The Chair shall invite additional members to fill casual vacancies from relevant cohort or as the need arises in order to ensure adequate specialist expertise is represented.
Responsibilities of the MTA Governance Committee
The MTA Governance Committee shall provide guidance to the audit and lend support to NOCA staff in achieving the overall aims and objectives. It will provide both clinical and professional expertise when required, and work closely with the NOCA Management and Governance Board. The MTA Governance Committee will be responsible for
- Shaping the strategic direction of MTA
- Monitoring participation rates, encouraging participation, and identifying clinical expertise for case review
- Review and agree content of annual reports of MTA before forwarding reports for review and sign off by the Governance Board of NOCA
- Promote MTA and encourage trauma related research
- Monitoring staffing needs in MTA and supporting requests for staff as service grows
- Ensuring that MTA complies with all legal and statutory requirements e.g. all data protection legislation as advised by the NOCA Executive
- Adheres to the highest standards of corporate and social responsibility
Duty of care
Should the MTA Governance Committee become aware of poor professional performance (Medical Practitioners Act 2007) or process which has not been satisfactorily addressed through the audit cycle, they have a duty of care to communicate without delay to the NOCA Governance Board and Management of NOCA. The NOCA Governance Board has a duty to communicate the concerns to the National Director of Quality and Patient Safety, HSE, and the Clinical Director of NOCA and the Clinical Directors of the institutions from which the participants are currently practicing, to ensure immediate action is taken while steps are taken to improve knowledge or skill or both to ensure patient safety.
The Clinical Indemnity Scheme(CIS) has been engaged by the Health Services Executive Quality and Patient Safety Division (HSE QPSD) to provide indemnity cover to NOCA staff and its officers and the convened members of the NOCA Governance Board and its respective Audit Governance Committees (including MTA Governance Committee), in respect of all clinical audit conducted by NOCA
It is intended the MTA Governance Committee will meet quarterly. Prior notice will be issued by email. In the event a member is not in a position to attend, apologies should be sent to the National Audit Coordinator in advance.
The MTA Governance Committee is a voluntary board and as such no member will be paid for their time. Limited funding will be retained for external / public representatives to allow for vouched travel.
Management of Conflicts of Interest
In order to ensure the MTA Governance Committee operates in a transparent and unbiased way, all members will be requested to complete a written declaration of conflict of interest to the Chair. In line with the policy of the National Office of Clinical Audit on the Management of Conflicts of Interest, all MTA Governance Committee members will be required to declare any conflicts of interest and this will be a standing agenda item for all meetings. All interests will be recorded and maintained by the National Audit Coordinator.