Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

MINUTES
It was agreed that the national patient survey should be added to the reporting
cycle on a quarterly basis, although acknowledged that the publication of these
results may not exactly fall at the allocated time. Miss Overfield asked for ward
review outcomes to be added to the cycle on a twice-yearly basis, in March and
September.
AGREEMENT:
Subject to minor amendment, the Trust board approved its reporting
cycle
11 Quality and Governance
11.1 Update on the implementation of Service Line Management and the Quality
Management Framework
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Mr O’Donoghue advised that Service Line Reporting and the Quality Management
Framework had been introduced in the Integrated Business Plan (IBP) as part of the
Trust’s application for Foundation Trust status.
The Board was advised that to progress the implementation of Service Line
Reporting, a steering group had been established.
The work was reported to fall into a number of key themes: organisation
structures/management//human resources; financial; clinical; and information
systems.
The aim was ultimately to introduce patient level costing.
In terms of the directorates, appointments were reported to have been made to
clinical director posts and work to map the estate to the directorates is underway. It
is necessary to identify which individuals are involved in the various pathways of
care. Further work is needed to map existing structures to the HR and nursing roles.
Devolution of responsibility for decision making was highlighted to be an ultimate
aim of the work.
Mrs Hunjan noted that a costing system had been brought in to support the work
but noted that it was currently being evaluated for fitness for purpose. Mr White
explained that there were currently issues with obtaining outputs from the system
that had been expected and there were minor problems with the feeding
mechanisms into the overarching system. Work is underway with the company
responsible for delivering the work to address the issues.
Mrs Hunjan asked whether there was a possibility of learning best practice from
other organisations. She was advised that this was possible, although the system in
other trusts had been adapted to suit the needs of the organisation.
Mr Trotman observed that there were plans to introduce quarterly reporting from
April 2010 onwards. Mr White advised that a twin track approach will be adopted
whereby manual reports will be considered alongside the outputs of the new system
and would be considered by the Finance and Performance Committee.
Miss Bartram asked whether a full structure would be available to review to
determine how many directorates span more than one division. Mr Kirby advised
that there are in excess of 30 directorates that do not span divisions at present,
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