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The report also records improvement advice covering electronic mortuary database implementation, staffing review, risk assessment for oversight of post mortem tissue arrangements, and installation of an additional CCTV 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HTA standards were assessed during the inspection?","Question",{"text":63,"@type":64},"All 72 HTA licensing standards were covered during the inspection.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What did the HTA conclude about the DI and Licence Holder?",{"text":68,"@type":64},"The HTA found the Designated Individual (DI) and the Licence Holder (LH) suitable under the legislative requirements.",{"name":70,"@type":61,"acceptedAnswer":71},"What improvement advice was given to the Designated Individual?",{"text":72,"@type":64},"The HTA advised continuing with an electronic mortuary database review, expediting a staffing review and related risk assessments for tissue oversight and maintenance, and installing an additional CCTV camera in the body store at the hub 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table below shows the activities this establishment is licensed for and the activities currently undertaken at the establishment.  \n\n| Area | Making of a postmortem examination | Removal from the body of a deceased person (otherwise than in the course of an anatomical examination or post-mortem examination) of relevant material of which the body consists or which it contains, for use for a scheduled purpose other than transplantation | Storage of the body of a deceased person or relevant material which has come from a human body for use for a scheduled purpose |\n| --- | --- | --- | --- |\n| Hub site University Hospital Wales | Licensed | Licensed | Licensed |\n| Mortuary | Carried out | Carried out | Carried out |\n| Pathology lab | - | - | Carried out |\n| Satellite site University Hospital Llandough | Licensed | Licensed | Licensed |\n| Mortuary (satellite site) | - | - | Carried out |\n\nSummary of inspection findings  \nThe HTA found the Designated Individual (DI) and the Licence Holder (LH) to be suitable in accordance with the requirements of the legislation.  \nThe University Hospital of Wales (‘the establishment’) was found to have met all HTA standards.  \nCompliance with HTA standards  \nAll applicable HTA standards have been assessed as fully met.  \nAdvice  \nThe HTA advises the DI to consider the following to further improve practice:  \n\n| Number | Standard | Advice |\n| --- | --- | --- |\n| 1. | GQ4(a) | The DI is advised to continue with the existing plans in place to review the implementation of an electronic mortuary database. This will enable mortuary records relating to the care of the deceased tobe held in one place. |\n| 2. | GQ6(c) | The DI is advised to expedite existing plans in place for a staffing review.\u003Cbr>Additionally, the DI is advised to risk assess the current arrangements in place for the oversight and maintenance of tissue taken at Post Mortem examination to ensure there is suitable resilience and succession planning. |\n| 3. | PFE1(d)(e) | The DI is advised to expedite plans in place to install an additional CCTV camera in the body store atthe Hub site. |\n\nBackground  \nThe University Hospital of Wales has been licensed by the HTA since July 2007. This was the fourth announced inspection of the establishment; the most recent previous inspection took place in November 2023.  \nSince the previous inspection, there has been the addition of the satellite site at the University Hospital of Landough to the licence, and a major refurbishment of the mortuary facilities at the University Hospital of Wales. However, there has been a change to the named personnel on the licence with a change of Corporate Licence Holder contact (CLHc) in February 2024.  \nDescription of inspection activities undertaken  \nThe HTA’s regulatory requirements are set out in Appendix 1. The inspection team covered the following areas during the inspection:  \nStandards assessed against during inspection  \nAll 72 HTA licensing standards were covered during the inspection (standards published 3 April 2017)  \nReview of governance documentation  \nThe inspection included a review of the establishment’s governance documentation relating to licensed activities. This included policies and procedural documents relating to licensed activities, cleaning records for the mortuary, records of servicing of equipment, ventilation reports, audits, risk assessments, meeting minutes, reported incidents and training records for both the mortuary staff, consent seekers and porters at the hub and satellite sites.  \nVisual inspection  \nThe inspection included a visual assessment of the post mortem suite, body storage areas and viewing rooms at the Hub and Satellite sites. Areas outside the mortuary carrying out licensed activity were also visited inc","cbCaiqOthu2OfZ3V","https://ap.wps.com/l/cbCaiqOthu2OfZ3V","pdf",178994,8,"English","# Summary of inspection findings\n# Compliance with HTA standards\n# Advice\n# Background\n# Description of inspection activities undertaken\n## Review of governance documentation\n## Visual inspection\n## Audit of records\n## Meetings with establishment staff\n# Appendix 1: The HTA’s regulatory requirements","[{\"question\":\"Which HTA standards were assessed during the inspection?\",\"answer\":\"All 72 HTA licensing standards were covered during the inspection.\"},{\"question\":\"What did the HTA conclude about the DI and Licence Holder?\",\"answer\":\"The HTA found the Designated Individual (DI) and the Licence Holder (LH) suitable under the legislative requirements.\"},{\"question\":\"What improvement advice was given to the Designated Individual?\",\"answer\":\"The HTA advised continuing with an electronic mortuary database review, expediting a staffing review and related risk assessments for tissue oversight and maintenance, and installing an additional CCTV camera in the body store at the hub site.\"}]","University Hospital Wales HTA Licensing Inspection Report - FINAL | PDF",1789178268]