Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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SWBTB (2/10) 042 TRUST BOARD DOCUMENT TITLE: The NHS Performance Framework Monitoring Report and summary performance assessed against the NHS FT Governance Risk Rating (FT Compliance Report) SPONSORING DIRECTOR: AUTHOR: DATE OF MEETING: 25 February 2010 Robert White, Director of Finance and Performance Mgt Mike Harding, Head of planning & Performance Management and Tony Wharram, Deputy Director of Finance SUMMARY OF KEY POINTS: The NHS Performance Framework Monitoring Report provides an assessment of the Trust’s performance mapped against the indicators which comprise the framework. There is one area of underperformance in the latest reporting period (January). Performance against the A&E 4-hour wait target was 97.80%, marginally below the 98.0% threshold for achievement. Foundation Trust Compliance Report – the Trust’s Governance Risk Rating remains AMBER due current A/E 4-hour wait performance, and in-year non-compliance with two Care Quality Commission Core Standards. PURPOSE OF THE REPORT (Indicate with ‘x’ the purpose that applies): Approval Receipt and Noting Discussion x ACTIONS REQUIRED, INCLUDING RECOMMENDATION: The Trust Board is asked to NOTE the report and its associated commentary. Page 1
SWBTB (2/10) 042 ALIGNMENT TO OBJECTIVES AND INSPECTION CRITERIA: Accessible and Responsive Care, High Quality Care and Good Strategic objectives Use of Resources Annual priorities National targets and Infection Control NHS LA standards Core Standards Auditors’ Local Evaluation Internal Control and Value for Money IMPACT ASSESSMENT (Indicate with ‘x’ all those that apply in the second column): Financial x Business and market share Clinical x Workforce Environmental Legal & Policy x Equality and Diversity Patient Experience x Communications & Media Risks PREVIOUS CONSIDERATION: Finance and Performance Management Committee on 18 February 2010 and Financial Management Board on 16 February 2010. Page 2
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SWBTB (2/10) 026 AGENDA Trust Board
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SWBTB (2/10) 026 18 Any other busin
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MINUTES approved as true and accura
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MINUTES expectation that there woul
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MINUTES however the structure would
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MINUTES which was reported to be un
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MINUTES Mr Cash asked which communi
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MINUTES Mr Seager presented an upda
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SWBTB (2/10) 025 (a) Next Meeting:
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SWBTB (2/10) 035 TRUST BOARD DOCUME
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SWBTB (2/10) 035 PREVIOUS CONSIDERA
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SWBTB (2/10) 035 (a) Contents Page
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SWBTB (2/10) 035 (a) 2. Methodology
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SWBTB (2/10) 035 (a) 2.3 Reach 780
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SWBTB (2/10) 035 (a) 7
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SWBTB (2/10) 035 (a) 3. Option Pref
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SWBTB (2/10) 035 (a) Table 3 Comple
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SWBTB (2/10) 035 (a) • A number o
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SWBTB (2/10) 035 (a) • Satisfied
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SWBTB (2/10) 035 (a) • Bad experi
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SWBTB (2/10) 035 (a) Table 5 Focus
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SWBTB (2/10) 035 (a) Some women kne
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SWBTB (2/10) 035 (a) • Reputation
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SWBTB (2/10) 035 (a) Young people p
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SWBTB (2/10) 035 (a) Table 7 Showin
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SWBTB (2/10) 035 (a) home birth wou
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SWBTB (2/10) 035 (a) Black Caribbea
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SWBTB (2/10) 035 (a) White and Blac
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SWBTB (2/10) 035 (a) • Labour Par
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SWBTB (2/10) 035 (a) Role Number of
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SWBTB (2/10) 035 (a) Appendix 1 Foc
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SWBTB (2/10) 035 (a) Appendix 2 Pro
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SWBTB (2/10) 035 (a) Postcode Area
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SWBTB (2/10) 035 (a) Chart 2: Women
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SWBTB (2/10) 035 (a) Chart 6: Women
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SWBTB (2/10) 035 (a) Chart 10: Wome
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SWBTB (2/10) 035 (a) Appendix 5 Com
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SWBTB (2/10) 035 (a) Appendix 7 Bir
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SWBTB (2/10) 045 IMPACT ASSESSMENT
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SWBTB (2/10) 045 (a) MATERNITY SERV
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SWBTB (2/10) 045 (a) All consultant
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SWBTB (2/10) 045 (a) • APPROVE th
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SWBTB (2/10) 045 (a) strategy the S
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SWBTB (2/10) 045 (a) These efforts
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SWBTB (2/10) 045 (a) risk women in
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SWBTB (2/10) 045 (a) • Shorter la
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SWBTB (2/10) 045 (a) Benefit Descri
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SWBTB (2/10) 045 (a) From the compl
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SWBTB (2/10) 045 (a) Concerns about
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SWBTB (2/10) 045 (a) Stages 5 - 9:
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SWBTB (2/10) 045 (a) The scheme dur
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SWBTB (2/10) 045 (a) • The stand
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SWBTB (2/10) 045 (a) 10. INVESTMENT
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SWBTB (2/10) 045 (a) 11.2 Activity
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SWBTB (2/10) 045 (a) 13. CASHFLOW P
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SWBTB (2/10) 045 (a) 15. JOINT HEAL
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SWBTB (2/10) 045 (a) Sandwell PCT w
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SWBTB (2/10) 045 (a) APPENDIX 7 DOC
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SWBTB (2/10) 045 (b) Outpatients Fi
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SWBTB (2/10) 045 (b) Sandwell & Wes
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Sandwell & West Birmingham Hospital
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Risk Register APPENDIX 7 Version 1
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Risk Register APPENDIX 7 Version 1
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Risk Register Impact Narrative Poss
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SWBTB (2/10) 036 ALIGNMENT TO OBJEC
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POLICY PROFILE 2 SWBTB (2/10) 036 (
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Contents page SWBTB (2/10) 036 (a)
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Infection Control Surveillance Nurs
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5.4.5 Infection Control Surveillanc
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SWBTB (2/10) 036 (a) i) To circulat
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SWBTB (2/10) 036 (a) 6.3.2. Lines o
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12.0 Monitoring Effectiveness SWBTB
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SWBTB (2/10) 036 (b) Step 2 - Gathe
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SWBTB (2/10) 036 (c) Appendix 5 POL
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SWBTB (2/10) 036 (c) Identify which
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SWBTB (2/10) 037 (a) 1 Introduction
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SWBTB (2/10) 037 (a) including the
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SWBTB (2/10) 037 (a) • Has the ab
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SWBTB (2/10) 037 (a) either through
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SWBTB (2/10) 037 (a) If a proposed
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SWBTB (2/10) 037 (a) The provision
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SWBTB (2/10) 037 (a) Staff who are
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• Does this decision need to be m
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SWBTB (2/10) 037 (a) and hence impr
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SWBTB (2/10) 037 (a) The consultant
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SWBTB (2/10) 037 (a) Staff undertak
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SWBTB (2/10) 037 (a) • Procedures
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SWBTB (2/10) 037 (b) 1 Appendix A 1
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Appendix A: Consent Form 1 - Right
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SWBTB (2/10) 037 (b) You should alw
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Appendix A: Consent Form 2 - Right
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SWBTB (2/10) 037 (b) appointed guar
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SWBTB (2/10) 037 (b) Form 3 guidanc
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Appendix A: Consent Form 4 - Left h
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SWBTB (2/10) 037 (b) Appendix A: Co
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SWBTB (2/10) 037 (b) Second opinion
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SWBTB (2/10) 037 (b) Appendix C San
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SWBTB (2/10) 037 (b) The young pers
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SWBTB (2/10) 037 (b) Appendix D Fun
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SWBTB (2/10) 037 (b) Appendix E How
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SWBTB (2/10) 037 (b) Appendix G THE
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SWBTB (2/10) 037 (b) Appendix G3 Tr
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SWBTB (2/10) 037 (d) Sandwell and W
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SWBTB (2/10) 037 (d) Introduction T
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SWBTB (2/10) 037 (d) What are the m
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SWBTB (2/10) 037 (d) How do I begin
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Frequently asked Questions SWBTB (2
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SAPG OCT 09 - 11 - SWBTB (2/10) 037
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SWBTB (2/10) 037 (d) Q5) Who was in
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SWBTB (2/10) 037 (d) Appendix B San
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SWBTB (2/10) 037 (d) 4d The EIA rev
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SWBTB (2/10) 037 (d) Date: Contact
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SWBTB (2/10) 037 (e) KEY TASKS ISSU
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KEY TASKS ISSUES IDENTIFIED ACTION
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SWBTB (2/10) 038 ALIGNMENT TO TRUST
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SWBTB (2/10) 038 (a) From 2010/11 M
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SWBTB (2/10) 038 (a) Median rate 2.
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SWBTB (2/10) 038 (a) Audit and Trai
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SWBTB (2/10) 046 (a) Compliance Cri
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3 Provide suitable and sufficient i
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8 Have and adhere to appropriate po
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SWBTB (2/10) 027 (a) PEAT Expendit
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SWBTB (2/10) 027 (a) A study was co
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SWBTB (2/10) 039 (a) Theme Triggers
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SWBTB (2/10) 029 (a) INTRODUCTION S
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In terms of affordability the follo
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SMOCS Sandwell PEC HoBt PEC Childre
Page 270 and 271: As reported last month, the date fo
Page 272 and 273: Les Williams Programme Director 201
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Page 278 and 279: SWBTB (2/10) 028 ALIGNMENT TO OBJEC
Page 280 and 281: With the revised activity / afforda
Page 282 and 283: SWBTB (2/10) 041 ALIGNMENT TO OBJEC
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Page 288 and 289: SWBTB (2/10) 030 TRUST BOARD DOCUME
Page 290 and 291: SWBGB NEW REF SWBTB (2/10) 030 (a)
Page 302 and 303: SWBTB (2/10) 031 (a) Financial Perf
Page 314 and 315: SANDWELL AND WEST BIRMINGHAM HOSPIT
Page 316 and 317: Exec Lead RK R0 Readmission Rates I
Page 318 and 319: Exec Lead RK RK YTD 09/10 No. 6388
Page 322 and 323: SWBTB (2/10) 042 (a) SANDWELL AND W
Page 324 and 325: SWBTB (2/10) 043 DOCUMENT TITLE: SP
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Page 330 and 331: SWBFC (1/10) 010 Finance and Perfor
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Page 334 and 335: SWBFC (1/10) 010 The Committee was
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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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