{"id":12718,"date":"2026-01-08T15:33:24","date_gmt":"2026-01-08T15:33:24","guid":{"rendered":"https:\/\/ockendenmatdev.wpenginepowered.com\/termeni-de-referinta-2\/"},"modified":"2026-03-24T14:42:40","modified_gmt":"2026-03-24T14:42:40","slug":"termeni-de-referinta-2","status":"publish","type":"page","link":"https:\/\/www.ockendenmaternityreview.org.uk\/ro\/termeni-de-referinta-2\/","title":{"rendered":"Termeni de referin\u021b\u0103"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Versiunea 3, iulie 2025<\/h4>\n\n<p><a href=\"https:\/\/www.ockendenmaternityreview.org.uk\/wp-content\/uploads\/2025\/07\/July-2025-NHS-England-Terms-of-reference_-Independent-maternity-review-%E2%80%93-Nottingham-University-Hospitals-NHS-Trust.pdf\">Desc\u0103rca\u021bi Termenii de referin\u021b\u0103 NHS PDF<\/a><\/p>\n\n<h2 class=\"wp-block-heading\" id=\"background\">Fond<\/h2>\n\n<p>Aceast\u0103 revizuire a fost stabilit\u0103 \u00een lumina preocup\u0103rilor semnificative ridicate cu privire la calitatea \u0219i siguran\u021ba serviciilor de maternitate la Nottingham University Hospitals NHS Trust (NUH) \u0219i preocup\u0103rile familiilor locale. Aceast\u0103 revizuire \u00eenlocuie\u0219te o revizuire anterioar\u0103 condus\u0103 la nivel regional, dup\u0103 ce unele familii \u0219i-au exprimat \u00eengrijorarea \u0219i au f\u0103cut declara\u021bii secretarului de stat pentru s\u0103n\u0103tate \u0219i asisten\u021b\u0103 social\u0103. <\/p>\n\n<p>Aceast\u0103 revizuire comandat\u0103 la nivel na\u021bional se va concentra pe identificarea domeniilor de interes \u00een cadrul \u00eengrijirii maternit\u0103\u021bii la NUH \u0219i va oferi informa\u021bii \u0219i va recomanda ac\u021biuni pentru a contribui la \u00eembun\u0103t\u0103\u021birea siguran\u021bei, calit\u0103\u021bii \u0219i echit\u0103\u021bii \u00eengrijirii maternit\u0103\u021bii \u0219i gestionarea preocup\u0103rilor la NUH atunci c\u00e2nd acestea sunt ridicate de femei \u0219i \/ sau familiile lor \u0219i membrii personalului.<\/p>\n\n<p>Raportul Care Quality Commission<a href=\"https:\/\/cqc-newsroom.prgloo.com\/resources\/ins2-11385749621-rx1ra-queen-s-medical-centre-2022-05-20-002\">(RX1RA Queen&#8217;s Medical Centre &#8211; 2022-05-20 [002]<\/a>\u0219i <a href=\"https:\/\/cqc-newsroom.prgloo.com\/resources\/ins2-11385749621-rx1cc-nottingham-city-hospital-2022-05-20-002\">RX1CC Nottingham City Hospital &#8211; 2022-05-20 [002]<\/a>), care a eviden\u021biat inadecvarea serviciilor de maternitate actuale furnizate comunit\u0103\u021bii locale, este men\u021bionat \u00een sprijinul necesit\u0103\u021bii unei revizuiri \u00een acest moment.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"governance\">Guvernare<\/h2>\n\n<p>Revizuirea a fost comandat\u0103 de echipa na\u021bional\u0103 NHS Anglia, iar sponsorul \u0219i ofi\u021berul responsabil senior (SRO) este ofi\u021berul \u0219ef de asisten\u021b\u0103 medical\u0103 (CNO), care va primi actualiz\u0103ri periodice (bilunare) de la pre\u0219edintele de revizuire. Directorul regional al NHS Sud-Est va sprijini, \u00een calitate de lider executiv, SRO. Aceast\u0103 revizuire a \u00eenlocuit revizuirea comandat\u0103 la nivel regional, a c\u0103rei activitate s-a \u00eencheiat la 10 iunie 2022.  <\/p>\n\n<p>Revizuirea va fi condus\u0103 de o pre\u0219edint\u0103 independent\u0103, Donna Ockenden, \u0219i va fi sus\u021binut\u0103 de o echip\u0103 de revizuire mai larg\u0103, care include:<\/p>\n\n<ol class=\"wp-block-list\">\n<li>o echip\u0103 administrativ\u0103<\/li>\n\n\n\n<li>o echip\u0103 multidisciplinar\u0103 divers\u0103 de exper\u021bi clinici \u0219i de guvernan\u021b\u0103;<\/li>\n\n\n\n<li>consiliere juridic\u0103 independent\u0103 ob\u021binut\u0103 prin intermediul Cadrului de achizi\u021bii publice al NHS<\/li>\n\n\n\n<li>exper\u021bi \u00een cercetare \u0219i dovezi, de exemplu un academician, o moa\u0219\u0103, un medic sau o asistent\u0103 medical\u0103<\/li>\n<\/ol>\n\n<p>\u00cen fiecare zi, revista va colabora cu direc\u021bia CNO a NHS Anglia.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"timeframe-and-duration\">Interval de timp \u0219i durat\u0103<\/h2>\n\n<p>Revizuirea a \u00eenceput la 1 septembrie 2022, \u00een urma lucr\u0103rilor preg\u0103titoare, inclusiv elaborarea Termenilor de referin\u021b\u0103 (ToR) \u0219i implicarea timpurie cu familiile \u0219i NUH din iunie 2022.<\/p>\n\n<p>\u00cenv\u0103\u021barea \u0219i recomand\u0103rile vor fi \u00eemp\u0103rt\u0103\u0219ite cu NUH pe m\u0103sur\u0103 ce devin evidente pentru a permite ac\u021biuni rapide pentru \u00eembun\u0103t\u0103\u021birea siguran\u021bei \u00eengrijirii maternit\u0103\u021bii.<\/p>\n\n<p>Raportul unic \u0219i final va fi publicat \u0219i prezentat familiilor, NUH, DHSC \u0219i NHS England p\u00e2n\u0103 cel t\u00e2rziu mar\u021bi 30 iunie 2026. Nu va mai exista nicio prelungire a acestei date. <\/p>\n\n<h2 class=\"wp-block-heading\" id=\"grading-of-cases-and-family-feedback\">Clasificarea cazurilor \u0219i feedback-ul familiei<\/h2>\n\n<p>\u00cengrijirea clinic\u0103 \u00een cazurile luate \u00een considerare de echipa de revizuire va fi clasificat\u0103 utiliz\u00e2nd un sistem stabilit de notare a clasific\u0103rii \u00eengrijirii (a se vedea tabelul de mai jos) dezvoltat de ancheta confiden\u021bial\u0103 privind na\u0219terile de copii mor\u021bi \u0219i decesele \u00een copil\u0103rie (CESDI).<\/p>\n\n<p>Scopul revizuirii r\u0103m\u00e2ne acela de a asigura \u00eenv\u0103\u021barea \u00een timp util, ac\u021biuni \u0219i \u00eembun\u0103t\u0103\u021biri \u00een ceea ce prive\u0219te siguran\u021ba \u0219i calitatea \u00eengrijirii maternale oferite. O clasificare a scorului de \u00eengrijire nu ofer\u0103 o baz\u0103 de sine st\u0103t\u0103toare pentru determinarea neglijen\u021bei clinice. <\/p>\n\n<p>Procesele existente, inclusiv, dar f\u0103r\u0103 a se limita la, anchetele coroniale \u0219i investiga\u021biile efectuate de Healthcare Safety Investigation Branch (HSIB) pot trage concluzii diferite de cele la care a ajuns echipa independent\u0103 de revizuire.<\/p>\n\n<h4 class=\"wp-block-heading\" id=\"table-1-cesdi-grading\">Tabelul 1: Clasificarea CESDI  <\/h4>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Clas\u0103<\/strong><\/td><td><strong>Descrierea sumar\u0103 a \u00eengrijirii<\/strong><\/td><td><strong>Descrierea detaliat\u0103 a \u00eengrijirii<\/strong><\/td><\/tr><tr><td>0<\/td><td>Adecvat<\/td><td>\u00cengrijire adecvat\u0103 \u00een conformitate cu cele mai bune practici la momentul respectiv<\/td><\/tr><tr><td>1<\/td><td>Preocup\u0103ri minore<\/td><td>\u00cengrijirea ar fi putut fi \u00eembun\u0103t\u0103\u021bit\u0103, dar un management diferit nu ar fi f\u0103cut nicio diferen\u021b\u0103 \u00een ceea ce prive\u0219te rezultatul<\/td><\/tr><tr><td>2<\/td><td>Preocup\u0103ri semnificative<\/td><td>\u00cengrijire suboptimal\u0103 \u00een cazul c\u0103reia un management diferit ar fi putut face o diferen\u021b\u0103 \u00een ceea ce prive\u0219te rezultatul<\/td><\/tr><tr><td>3<\/td><td>Preocup\u0103ri majore<\/td><td>\u00cengrijire suboptimal\u0103, \u00een cazul \u00een care o gestionare diferit\u0103 ar fi putut, \u00een mod rezonabil, s\u0103 fac\u0103 o diferen\u021b\u0103 \u00een ceea ce prive\u0219te rezultatul<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p><a href=\"https:\/\/www.ockendenmaternityreview.org.uk\/family-feedback\/\">Reac\u021biile familiilor<\/a> vor fi finalizate \u00een termen de 6 luni de la publicarea raportului \u0219i nu mai t\u00e2rziu de 31 decembrie 2026. \u00cenchiderea evalu\u0103rii se va face, de asemenea, \u00een termen de 6 luni de la publicarea raportului \u0219i va fi finalizat\u0103 c\u00e2t mai cur\u00e2nd posibil dup\u0103 finalizarea feedback-ului familiei. <\/p>\n\n<p>La \u00eencheierea reexamin\u0103rii, trebuie s\u0103 se \u021bin\u0103 seama de orice solicitare sau instruc\u021biune din partea investiga\u021biei Operation Perth cu privire la p\u0103strarea \u0219i\/sau divulgarea documenta\u021biei \u0219i a informa\u021biilor de\u021binute de reexaminare.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"scope\">Aplicare<\/h2>\n\n<p>Revizuirea va lua \u00een considerare cazurile \u00eenregistrate \u00eentre 1 aprilie 2012 \u0219i 31 mai 2025 inclusiv, \u00een cazul \u00een care sunt \u00eendeplinite criteriile de revizuire (descrise \u00een sec\u021biunea Metodologie).<\/p>\n\n<p>Num\u0103rul total de cazuri care vor fi incluse \u00een revizuire va fi confirmat de echipa de revizuire c\u0103tre NUH \u0219i NHS England p\u00e2n\u0103 joi, 31 iulie 2025. Acest interval de timp va permite echipei de revizuire s\u0103 contacteze familiile afectate, oferindu-le posibilitatea de a se retrage dac\u0103 doresc acest lucru. <\/p>\n\n<p>Incidentele care au loc dup\u0103 31 mai 2025 nu vor face parte din revizuire. Orice astfel de incidente vor fi \u00eenregistrate \u0219i tratate \u00een conformitate cu cerin\u021bele politicii na\u021bionale \u0219i locale &#8211; inclusiv, dar f\u0103r\u0103 a se limita la, <a href=\"https:\/\/www.england.nhs.uk\/patient-safety\/patient-safety-insight\/incident-response-framework\/\">politica \u0219i planul de r\u0103spuns la incidentele privind siguran\u021ba pacien\u021bilor (PSIRF)<\/a>. <\/p>\n\n<p>Cazurile care intr\u0103 \u00een domeniul de aplicare al revizuirii vor include incidente clinice \u00een care mamele \u0219i\/sau bebelu\u0219ii au suferit v\u0103t\u0103m\u0103ri grave sau deces (termenul &#8222;v\u0103t\u0103m\u0103ri grave&#8221; va fi definit \u0219i convenit). Revizuirea va stabili \u00een mod clar \u0219i concis pentru NUH o \u00een\u021belegere a elementelor de \u00eengrijire a maternit\u0103\u021bii care au e\u0219uat \u00een perioada revizuirii referitoare la: <\/p>\n\n<ul class=\"wp-block-list\">\n<li>\u00cengrijire clinic\u0103<\/li>\n\n\n\n<li>guvernarea \u0219i raportarea incidentelor, investigarea \u0219i r\u0103spunsul la familii<\/li>\n\n\n\n<li>conducerea \u0219i cultura organiza\u021bional\u0103, inclusiv vocea \u0219i bun\u0103starea personalului, inclusiv r\u0103spunsurile la sesiz\u0103rile personalului \u0219i luarea \u00een considerare a standardelor locale de egalitate rasial\u0103 a for\u021bei de munc\u0103 (WRES) \u0219i a altor date privind for\u021ba de munc\u0103<\/li>\n\n\n\n<li>luarea \u00een considerare a punerii \u00een func\u021biune \u0219i a supravegherii serviciilor de maternitate \u0219i a oric\u0103ror m\u0103suri luate pentru \u00eembun\u0103t\u0103\u021birea siguran\u021bei serviciilor de maternitate de c\u0103tre trustul de \u00eengrijire primar\u0103 (PCT)\/grupul de punere \u00een func\u021biune clinic\u0103 (CCG) sau alte organisme externe<\/li>\n<\/ul>\n\n<p>Revizuirea va analiza dac\u0103 NUH a avut \u0219i continu\u0103 s\u0103 aib\u0103 mecanisme robuste de guvernan\u021b\u0103 \u0219i supraveghere pentru a asigura identificarea, \u00eenv\u0103\u021barea \u0219i ac\u021biunile adecvate legate de temele care apar din incidente, pl\u00e2ngeri \u0219i preocup\u0103ri legate de \u00eengrijirea maternit\u0103\u021bii la toate nivelurile, \u00een \u00eencrederea pacien\u021bilor, familiilor \u0219i personalului (actual sau fost).<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"methodology\">Metodologie<\/h2>\n\n<p>Abordarea identific\u0103rii cazurilor se va baza pe abordarea de tip &#8222;carte deschis\u0103&#8221; utilizat\u0103 \u00een revizuirea serviciilor de maternitate la Shrewsbury and Telford Hospital NHS Trust, \u00een urm\u0103toarele 5 categorii:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Na\u0219teri de copii mor\u021bi de la 24 de s\u0103pt\u0103m\u00e2ni de gesta\u021bie.<\/li>\n\n\n\n<li>Decese neonatale de la 24 de s\u0103pt\u0103m\u00e2ni de gesta\u021bie care apar p\u00e2n\u0103 la 28 de zile de via\u021b\u0103; echipa de revizuire va lua \u00een considerare, de asemenea, rapoartele de incidente grave neonatale \u0219i evenimentele neonatale niciodat\u0103.<\/li>\n\n\n\n<li>Bebelu\u0219i diagnostica\u021bi cu encefalopatie ischemic\u0103 hipoxic\u0103 (grade 2 \u0219i 3) \u0219i alte leziuni hipoxice semnificative<\/li>\n\n\n\n<li>Moartea matern\u0103 p\u00e2n\u0103 la 42 de zile post-partum.<\/li>\n\n\n\n<li>V\u0103t\u0103m\u0103ri materne grave care includ cazuri precum:\n<ul class=\"wp-block-list\">\n<li>toate admiterile nea\u0219teptate la ITU care necesit\u0103 ventila\u021bie<\/li>\n\n\n\n<li>hemoragie obstetrical\u0103 major\u0103 &#8211; de exemplu, cazurile \u00een care pierderea de s\u00e2nge dep\u0103\u0219e\u0219te 3,5L<\/li>\n\n\n\n<li>histerectomia peripartum \u0219i alte interven\u021bii chirurgicale majore care decurg din episodul maternitate<\/li>\n\n\n\n<li>cazuri de eclampsie<\/li>\n\n\n\n<li>cazuri clinic semnificative de embolie pulmonar\u0103 care necesit\u0103 tratament suplimentar<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n<p>Revizuirea va lua \u00een considerare guvernan\u021ba \u0219i \u00eenv\u0103\u021b\u0103mintele desprinse din cazuri prin:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>ascultarea experien\u021belor familiilor, inclusiv a celor din diverse medii etnice, \u0219i identificarea temelor comune<\/li>\n\n\n\n<li>luarea \u00een considerare a \u00eenv\u0103\u021b\u0103rii pentru practica clinic\u0103 curent\u0103, \u00eempreun\u0103 cu orice rela\u021bie cu teme comune \u00een experien\u021bele familiilor \u0219i \u00eengrijirea clinic\u0103 oferit\u0103<\/li>\n\n\n\n<li>asigurarea faptului c\u0103 cazurile luate \u00een considerare sunt adecvate \u0219i reflect\u0103 demografia local\u0103, pentru a garanta c\u0103 lec\u021biile \u0219i \u00eenv\u0103\u021b\u0103mintele pentru NUH reflect\u0103 experien\u021ba familiilor, a personalului \u0219i a tuturor sec\u021biunilor comunit\u0103\u021bilor locale din Nottingham<\/li>\n<\/ul>\n\n<p>Revizuirea se va angaja cu:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>familii, inclusiv cele din medii diverse, reprezentative pentru popula\u021bia local\u0103<\/li>\n\n\n\n<li>actualul \u0219i fostul personal dintr-o gam\u0103 larg\u0103 de medii culturale \u0219i profesionale<\/li>\n\n\n\n<li>P\u0103r\u021bile interesate de la nivel local, regional \u0219i na\u021bional<\/li>\n\n\n\n<li>Autorit\u0103\u021bi de reglementare profesionale<\/li>\n<\/ul>\n\n<p>Revizuirea va lua \u00een considerare cele mai recente practici clinice \u00een ceea ce prive\u0219te \u00eengrijirea maternit\u0103\u021bii NHS \u0219i \u00eendrum\u0103rile locale \u0219i na\u021bionale disponibile pentru a identifica domeniile de \u00eenv\u0103\u021bare pentru NUH \u00een viitor. Cazurile vor fi analizate \u00een raport cu politicile \u0219i orient\u0103rile locale \u0219i na\u021bionale \u00een vigoare la momentul incidentului\/cazului<\/p>\n\n<p>Pe parcursul evalu\u0103rii, \u00een cazul \u00een care sunt identificate probleme care necesit\u0103 sesizarea unui organism profesional adecvat, echipa de evaluare ar trebui, \u00een primul r\u00e2nd, s\u0103 ridice problema la furnizor (dac\u0103 este vorba despre un medic, problema trebuie ridicat\u0103 la responsabilul acestuia \u0219i la furnizor).<\/p>\n\n<p>De asemenea, echipa de evaluare poate dori s\u0103 sesizeze direct organismul profesional (autoritatea de reglementare) \u00een conformitate cu procedura identificat\u0103 de organismul profesional; \u00een aceste cazuri, echipa de evaluare se va asigura c\u0103 furnizorul este informat cu privire la aceast\u0103 sesizare. Echipa de evaluare trebuie s\u0103 \u021bin\u0103 o eviden\u021b\u0103 a tuturor sesiz\u0103rilor efectuate. Num\u0103rul \u0219i temele care apar ar trebui s\u0103 fie \u00eemp\u0103rt\u0103\u0219ite cu comisarul anchetei la intervale convenite.  <\/p>\n\n<p>Revizuirea va \u00eemp\u0103rt\u0103\u0219i constat\u0103rile cheie cu NUH \u0219i NHS Anglia \u00een mod oficial bilunar. Acest lucru va sprijini NUH s\u0103 \u00eenve\u021be continuu \u0219i s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 siguran\u021ba \u0219i calitatea \u00eengrijirii maternit\u0103\u021bii (\u00eembun\u0103t\u0103\u021bind planul actual de \u00eembun\u0103t\u0103\u021bire al \u00eencrederii, acolo unde este cazul). <\/p>\n\n<p>\u00cen cazul \u00een care cazurile sunt incluse \u00een revizuire \u0219i elementele de \u00eengrijire au fost furnizate de organiza\u021bii diferite, altele dec\u00e2t NUH, echipa de revizuire poate considera necesar s\u0103 ia \u00een considerare \u00eengrijirea acordat\u0103 de cealalt\u0103 (celelalte) organiza\u021bie (organiza\u021bii) ca parte a procesului de revizuire \u0219i, prin urmare, poate solicita note de caz relevante de la aceste organiza\u021bii, dac\u0103 este cazul.<\/p>\n\n<p>Asisten\u021ba oferit\u0103 de aceste organiza\u021bii nu va fi evaluat\u0103 de echipa de evaluare. Cu toate acestea, pentru a asigura \u00eemp\u0103rt\u0103\u0219irea \u00eenv\u0103\u021b\u0103mintelor \u0219i aducerea de \u00eembun\u0103t\u0103\u021biri acolo unde este necesar, orice tem\u0103 sau preocupare identificat\u0103 de echipa de evaluare cu privire la \u00eengrijirea oferit\u0103 de alte organiza\u021bii dec\u00e2t NUH va fi raportat\u0103 de pre\u0219edintele evalu\u0103rii asistentei \u0219efe \u0219i directorului medical al organiza\u021biei, asistentei \u0219efe regionale \u0219i SRO la NHS England. <\/p>\n\n<p>Acest lucru va permite organiza\u021biei s\u0103 abordeze problemele, inclusiv s\u0103 contacteze familia, \u00een conformitate cu obliga\u021biile de sinceritate; supravegherea va fi asigurat\u0103 de asistentul medical \u0219ef regional, care va raporta OAR cu privire la m\u0103surile luate \u00een mod corespunz\u0103tor \u0219i \u00een timp util.<\/p>\n\n<p><a href=\"https:\/\/www.ockendenmaternityreview.org.uk\/family-feedback\/\">Feedback-ul familiei<\/a> pentru \u00eengrijirea neonatal\u0103 la NUH va fi furnizat \u00een acela\u0219i mod ca toate cazurile incluse \u00een revizuire.<\/p>\n\n<p>\u00centruc\u00e2t evaluarea se concentreaz\u0103 asupra \u00eengrijirii oferite de NUH, orice tem\u0103 sau preocupare identificat\u0103 care se refer\u0103 la \u00eengrijirea oferit\u0103 de alte organiza\u021bii dec\u00e2t NUH poate face parte din raportul de evaluare; cu toate acestea, organiza\u021biile respective nu vor fi identificate.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"engaging-with-families-who-joined-the-previous-review\">Interac\u021biunea cu familiile care s-au al\u0103turat revizuirii anterioare<\/h2>\n\n<p>Familiilor care au participat deja la revizuirea anterioar\u0103 li se va oferi posibilitatea de a se al\u0103tura revistei Donna Ockenden, dac\u0103 doresc.<\/p>\n\n<p>\u00cen cazul \u00een care familiile au avut deja o &#8222;sesiune de ascultare&#8221; sau au \u00eemp\u0103rt\u0103\u0219it informa\u021bii cu prima revizuire, li se va cere permisiunea ca aceste informa\u021bii s\u0103 fie partajate cu revizuirea curent\u0103.  <\/p>\n\n<p>Familiile ar putea dori s\u0103 vorbeasc\u0103 din nou cu echipa Donnei Ockenden sau ar putea s\u0103 nu doreasc\u0103 s\u0103 participe la aceast\u0103 revizuire independent\u0103. Decizia familiilor individuale va fi respectat\u0103. <\/p>\n\n<p>Donna Ockenden \u0219i echipa ei vor depune toate eforturile pentru a ajunge \u0219i a interac\u021biona cu familiile care au participat la evaluarea anterioar\u0103.<\/p>\n\n<p>Familiile vor fi, de asemenea, semnalizate \u0219i pot fi \u00eendrumate c\u0103tre \u00eengrijirea informat\u0103 despre traume, dac\u0103 au nevoie de ea.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"family-support\">Sprijin familial<\/h2>\n\n<p>NHS local se va asigura c\u0103 sprijinul psihologic de specialitate adecvat din punct de vedere cultural continu\u0103 s\u0103 fie disponibil familiilor care fac parte din aceast\u0103 revizuire pe durata acesteia \u0219i pe tot parcursul proceselor de feedback \u0219i \u00eenchidere a familiei \u0219i c\u0103, acolo unde este necesar, acestea sunt ulterior transferate \u00een servicii de mas\u0103, care vor fi responsabile pentru furnizarea de sprijin continuu.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"staff-support\">Suport personal<\/h2>\n\n<p>Echipa de revizuire va fi responsabil\u0103 pentru gestionarea leg\u0103turii cu membrii personalului NUH, at\u00e2t actuali, c\u00e2t \u0219i fo\u0219ti, c\u0103rora li se va oferi sprijin adecvat de c\u0103tre Trust. Revizuirea va asigura existen\u021ba unor mecanisme de sprijin adecvate pentru a \u00eencuraja ace\u0219ti membri ai personalului s\u0103 \u00ee\u0219i exprime perspectivele \u0219i experien\u021bele \u00een mod liber \u0219i f\u0103r\u0103 team\u0103. <\/p>\n\n<h2 class=\"wp-block-heading\" id=\"ways-of-working\">Modalit\u0103\u021bi de lucru<\/h2>\n\n<h3 class=\"wp-block-heading\" id=\"resources\">Resurse<\/h3>\n\n<p>Revizuirea va conveni asupra unui plan financiar pentru durata revizuirii cu NHS Anglia pe baza unui acord formal stabilit \u00een scris \u00eentre NHS Anglia \u0219i pre\u0219edinte cu privire la resurse.<\/p>\n\n<p>Pre\u0219edintele de revizuire va consulta NHS Anglia \u00eenainte ca revizuirea s\u0103 pun\u0103 \u00een aplicare orice aranjamente contractuale. Toate aranjamentele contractuale vor trebui s\u0103 fi fost considerate conforme cu Cadrul de achizi\u021bii NHS de c\u0103tre NHS England. <\/p>\n\n<h3 class=\"wp-block-heading\" id=\"information-sharing-and-governance\">Schimbul de informa\u021bii \u0219i guvernan\u021ba<\/h3>\n\n<p>Revista va p\u0103stra un contact regulat cu NHS Anglia prin intermediul sponsorului s\u0103u \u0219i al echipei sale. \u00cen cazul \u00een care echipa de revizuire independent\u0103 identific\u0103 domenii de \u00eengrijorare legate de siguran\u021ba actual\u0103 a pacien\u021bilor \u00een serviciile de maternitate NUH, aceasta va contacta echipa sponsorului \u0219i echipa executiv\u0103 de la NUH c\u00e2t mai cur\u00e2nd posibil pentru a permite luarea de m\u0103suri \u00een vederea solu\u021bion\u0103rii problemelor.<\/p>\n\n<p>Se a\u0219teapt\u0103 ca toate organiza\u021biile NHS \u0219i autorit\u0103\u021bile de reglementare relevante s\u0103 coopereze cu evaluarea, conform practicii profesionale normale, inclusiv prin furnizarea de documenta\u021bie, dup\u0103 cum \u0219i atunci c\u00e2nd este solicitat de echipa de evaluare. Dac\u0103 pre\u0219edintele revizuirii are probleme semnificative cu privire la lipsa de cooperare care nu pot fi rezolvate, acestea vor fi transmise echipei sponsorului.<\/p>\n\n<p>Includerea cazurilor individuale \u00een revizuire se va baza pe o metodologie de neparticipare. Nu se va solicita consim\u021b\u0103m\u00e2ntul explicit din partea familiilor pentru ca informa\u021biile lor s\u0103 fie partajate de Trust cu echipa de revizuire. \u00cen schimb, informa\u021biile referitoare la cazuri individuale vor fi incluse \u00een revizuire \u00een cazul \u00een care familiile nu au declarat \u00een mod explicit c\u0103 nu doresc s\u0103 fie implicate \u00een procesul de revizuire.  <\/p>\n\n<p>\u00cen cazul \u00een care familiile au ales s\u0103 renun\u021be la proces, este posibil ca detaliile lor individuale s\u0103 fi fost furnizate Revizuirii \u00een scopul ca acele familii s\u0103 fie informate cu privire la procesul de renun\u021bare, dar odat\u0103 ce familiile au renun\u021bat, informa\u021biile lor nu vor fi incluse \u00een Revizuire, cu excep\u021bia cazurilor \u00een care, \u00een interesul public, o cantitate minim\u0103 de informa\u021bii poate fi luat\u0103 \u00een considerare \u00een circumstan\u021bele \u00een care acestea sunt con\u021binute \u00een documentele corporative NUH.<\/p>\n\n<p>Toate \u00eenregistr\u0103rile \u0219i datele referitoare la revizuire vor fi prelucrate \u00een conformitate cu acordurile convenite privind schimbul de informa\u021bii. Revizuirea va avea politici de gestionare a informa\u021biilor \u0219i de confiden\u021bialitate care vor stabili abordarea pe care revizuirea o adopt\u0103 pentru gestionarea informa\u021biilor care respect\u0103 legisla\u021bia privind informa\u021biile. <\/p>\n\n<p>Politicile vor include abordarea privind gestionarea informa\u021biilor \u0219i a documenta\u021biei dup\u0103 finalizarea reexamin\u0103rii, care trebuie s\u0103 \u021bin\u0103 seama de ancheta privind opera\u021biunea Perth \u0219i de orice solicitare sau instruc\u021biune care poate fi primit\u0103 \u00een urma acestei anchete cu privire la p\u0103strarea \u0219i\/sau divulgarea documenta\u021biei \u0219i a informa\u021biilor.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"publication-of-findings\">Publicarea constat\u0103rilor<\/h3>\n\n<p>\u00cen cazul \u00een care echipa de evaluare propune includerea \u00een raportul final a unor critici semnificative la adresa unor persoane sau organiza\u021bii, echipa de evaluare va notifica aceste persoane \u0219i organiza\u021bii \u0219i le va oferi posibilitatea de a r\u0103spunde \u00een timp util la orice astfel de critic\u0103 propus\u0103 \u00eenainte de elaborarea raportului final. Toate aceste informa\u021bii vor fi anonimizate\/pseudonimizate. <\/p>\n\n<p>Procesul precis, cunoscut sub numele de Maxwellisation, \u0219i calendarul care urmeaz\u0103 s\u0103 fie utilizat, vor fi convenite \u00eentre NHS England SRO \u0219i pre\u0219edintele revizuirii independente, \u00een urma sfaturilor profesionale adecvate. \u00cenainte de publicare, familiile \u0219i personalul vor avea ocazia s\u0103 vad\u0103 \u0219i s\u0103 ofere feedback cu privire la &#8222;viniete&#8221; pseudonimizate sau extrase din interviuri cu privire la cazul lor. \u00cen cazul \u00een care familiile sau personalul refuz\u0103 includerea extrasului &#8222;lor&#8221;, acest lucru va fi respectat.  <\/p>\n\n<p>Publicarea raportului final (inclusiv a unui rezumat u\u0219or de citit) va fi precedat\u0103 de informarea \u00een comun a familiilor, NUH, DHSC \u0219i NHS England la o dat\u0103 care urmeaz\u0103 s\u0103 fie convenit\u0103, astfel \u00eenc\u00e2t acestea s\u0103 fie la curent cu con\u021binutul raportului care urmeaz\u0103 s\u0103 fie publicat.<\/p>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<p>Referin\u021ba public\u0103rii: PRN00847<\/p>\n\n<p><strong>Data public\u0103rii<\/strong>: 28 septembrie, 2023  <\/p>\n\n<p><strong>Data ultimei actualiz\u0103ri<\/strong>: 22 iulie, 2025<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Versiunea 3, iulie 2025 Desc\u0103rca\u021bi Termenii de referin\u021b\u0103 NHS PDF Fond Aceast\u0103 revizuire a fost stabilit\u0103 \u00een lumina preocup\u0103rilor semnificative ridicate cu privire la calitatea \u0219i siguran\u021ba serviciilor de maternitate la Nottingham University Hospitals NHS Trust (NUH) \u0219i preocup\u0103rile familiilor locale. Aceast\u0103 revizuire \u00eenlocuie\u0219te o revizuire anterioar\u0103 condus\u0103 la nivel regional, dup\u0103 ce unele familii &hellip; <a href=\"https:\/\/www.ockendenmaternityreview.org.uk\/ro\/termeni-de-referinta-2\/\">Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-narrow.blade.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-12718","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Termeni de referin\u021b\u0103 - Ockenden Review<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ockendenmaternityreview.org.uk\/nottingham-terms-of-reference\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Termeni de referin\u021b\u0103 - Ockenden Review\" \/>\n<meta property=\"og:description\" content=\"Versiunea 3, iulie 2025 Desc\u0103rca\u021bi Termenii de referin\u021b\u0103 NHS PDF Fond Aceast\u0103 revizuire a fost stabilit\u0103 \u00een lumina preocup\u0103rilor semnificative ridicate cu privire la calitatea \u0219i siguran\u021ba serviciilor de maternitate la Nottingham University Hospitals NHS Trust (NUH) \u0219i preocup\u0103rile familiilor locale. 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