Claims Defensibility for the Health and Care Sector Checklist - Loss Prevention Standards - V1.0

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• To view our Loss Prevention Standard that supports this checklist, please view the following link: https://broker.aviva.co.uk/documents/view/aviva_claims_defensibility_for_the_health_and_care_sector_lps.pdf

Claims Defensibility for the Health and Care Sector

Claims Defensibility Checklist

• 1. There is a documented safety management system in place that is reviewed at least annually or when changes occur?

  Yes

  No

  N/A

• 2. Risk assessments identify all activities, are documented and reviewed regularly?

  Yes

  No

  N/A

• 3. Accidents are reported and records maintained?

  Yes

  No

  N/A

• 4. Staff know how to report suspected spurious or fraudulent claims to Aviva?

  Yes

  No

  N/A

Accident Investigation

• 5. Accident investigations are undertaken by trained and authorised persons?

  Yes

  No

  N/A

• 6. Accident investigators are appropriately trained and competent, and report quality is monitored?

  Yes

  No

  N/A

• 7. Investigations identify root causes effectively and implement appropriate remedial action?<br>

  Yes

  No

  N/A

Documentation

• 8. Training and competency records are maintained and up to date?

  Yes

  No

  N/A

• 9. There is an inventory, tests and inspections in place for all physical precautionary measures and records are maintained?

  Yes

  No

  N/A

• 10. Systems are in place to keep up to date with risk exposure changes, e.g. non-injury incident reporting, regular communications with external agencies (e.g. police and local authority), new and emerging risks that may give rise to future claims?

  Yes

  No

  N/A

Monitoring and Review

• 11. Random monitoring of the quality of documentation is undertaken?

  Yes

  No

  N/A

• 12. There is a review of claims trends undertaken that includes all interested parties, e.g. via claims review meeting?

  Yes

  No

  N/A

• 13. Where liability has to be admitted, a review of the reasons why is undertaken?

  Yes

  No

  N/A

• 14. Do insurance, risk and health & safety work closely together to identify emerging trends and put into place preventative measures?

  Yes

  No

  N/A

COVID-19 Specifics

• 15. If you have taken in NHS patients, can you timeline this and demonstrate the isolation facilities both prior to the 15th April 2020 and afterwards?<br>

  Yes

  No

  N/A

• 16. Are you implementing the measures recommended by Public Health England plus others to minimise transmission of COVID-19 (this includes clinical procedures as well as other hygiene and social distancing measures)?

  Yes

  No

  N/A

• 17. Do you have procedures in place to manage suspected or confirmed COVID-19 cases in staff or service users?<br>

  Yes

  No

  N/A

• 18. Do you have procedures in place to monitor and implement any revised guidance from Public Health England, etc?

  Yes

  No

  N/A

• 19. Have you been able to maintain adequate levels of appropriate PPE to manage risks from COVID-19?

  Yes

  No

  N/A

• 20. Have you experienced any difficulties in obtaining appropriate PPE?

  Yes

  No

  N/A

• 21. Do you have records to support purchases and/or attempted purchases of appropriate PPE?

  Yes

  No

  N/A

• 22. What arrangements do you have in place for staff testing of COVID-19 and can you show the revisions to this plan?

  Yes

  No

  N/A

• 23. Do new starters receive adequate training before commencing work?

  Yes

  No

  N/A

• 25. What COVID-19 training is given to employees, how is this delivered and are records maintained?

  Yes

  No

  N/A

• 25. Have absence and return to work procedures been reviewed to incorporate the latest guidance on isolation of employees with suspected or confirmed COVID-19?

  Yes

  No

  N/A

• 26. Are safeguarding standards being maintained during the pandemic?

  Yes

  No

  N/A

Completion

• Additional Comments

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• Please Note:
  
  This document contains general information and guidance only and may be superseded and/or subject to amendment without further notice. Aviva has no liability to any third parties arising our of ARMS' communications whatsoever (including Loss Prevention Standards), and nor shall any third party rely on them. Other than liability which cannot be excluded by law, Aviva shall not be liable to any person for any indirect, special, consequential or other losses or damages of whatsoever kind arising out of access to, or use of, or reliance on anything contained in ARMS' communications. The document may not cover every risk, exposure or hazard that may arise and Aviva recommends that you obtain specific advice relevant to the circumstances.