PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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Item 5 DETAILED REPORT Trust Board (Part 1) 25 March 2011 Subject Prepared by Approved by Presented by Chief Executive’s Report Chief Executive Chief Executive Chief Executive Purpose To update the Board on important current issues. Background In the last month the focus of the executive team has mainly been on two issues: ensuring that the Trust complies with the compliance action of the Care Quality Commission (CQC) in relation to theatre safety and the completion of the annual operational plan, budget and savings programme. The annual operating plan is covered elsewhere on this agenda. The focus has now moved to ensuring that the delivery arrangements are in place for implementing the Operating Plan; both the quality and the business improvement dimensions. The team will also be focusing on taking forward the leadership development programme discussed by the Board last month. The highlight of the month has been the success of the Infection Control Team winning the national Nursing Times/Health Service Journal Patient Safety Award in the Infection Control and Hygiene Category. This is a tremendous achievement and reflects the hard work of the team (led by Claire Haill and Peter Jenks) and the many staff involved in the surgical infection surveillance programme for which the award was won. Patient safety is the top priority of the Trust and it is good to be able to show this through a high profile result such as this. Theatre Safety Last month I reported on the compliance action taken by the Care Quality Commission. The warning issued to the Trust required the organisation to be able to demonstrate compliance with “Outcome 4” by 22 March. When the Board meets it is possible that the CQC will have revisited the Trust. If so, there will be a verbal update at the meeting. The CQC will also be providing a full report of the visit that took place on the 16 February. It is likely that they will require an action plan to address other concerns raised in this report which were not covered in the warning already issued. The Trust is in regular contact with the CQC and has a clear idea of the actions which are likely to be required and is also addressing these. There has been a significant focus on ensuring that the weaknesses identified by the CQC are addressed. The programme is being led by Paul McArdle (Assistant Medical Director). A comprehensive action plan has been drawn up and is being monitored by a task group chaired by the Chief Executive. The action plan includes the development and implementation of a new, more comprehensive version of the WHO checklist, and the communication of this new version to all relevant staff. This is supported by training and discussion with key staff. 2
A second “Continuing Medical Education” session was devoted to this subject and was attended by 197 senior clinicians and theatre staff. An excellent discussion took place. The senior management team is visiting the theatres frequently to discuss safety concerns with staff and the safety team is providing excellent support to the theatre management team and staff. Review of the Human Resources Directorate The Board has asked for an update on the review and restructure of Human Resources and Workforce Development Directorate. The restructure of this service has been completed which including the following services: • Human resources • Recruitment and retention • Temporary staffing • Medical staffing • Workforce development and planning • Training and education • Workforce information and planning • HR systems and processes The process involved putting over 70 staff through an assessment process for new roles based on the “HR business partner model”. The new structure will be led by a Director of Workforce and Organisational Development supported by a Deputy Director of Workforce and an Associate Director of Organisational Development. The new HR service model will be supported by a “centre of excellence” which will give HR advice and support through a team of HR professionals in the HR Direct team. There will be a team of HR business partners who will support operational managers on transformational change to support the workforce productivity agenda. The OD team will support education and training, Organisational Development, leadership development, workforce development and planning. The interim HR Director is working with the new teams to develop an implementation plan and will be working with Directorates on the new service model to ensure a seamless transition with a suite of new HR policies and procedures. This is an exciting time for the service, developing a Workforce and OD service to support workforce morale and productivity across the Trust and to meet the financial challenges ahead. This transformation programme has saved the Trust £0.5 million recurrently. The next stage will be to undertake a thorough review of Occupational Health and Payroll Services over the next few months. Recommendation 1 The Board is asked to note this report 3
Page 1 and 2: Trust Board Standing Items Friday 2
Page 3 and 4: Item 2 any long term harm. The Chai
Page 5 and 6: Item 2 Plymouth Hospitals NHS Trust
Page 7 and 8: Item 2 studies described in the rep
Page 9 and 10: Item 2 Performance against Monitor
Page 11 and 12: Item 2 30/11 Chairman’s report fr
Page 13: Item 5 SUMMARY REPORT Trust Board M
Page 17 and 18: Item 6 DETAILED REPORT Trust Board
Page 19 and 20: Item 6 NHS Constitution Patient Ple
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Page 24 and 25: Item 7 1.2 Statement by Chief Execu
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Page 32 and 33: Item 7 Severe Trauma ( TARN) Psycho
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Page 42 and 43: Item 7 Cancelled operations by the
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Page 46 and 47: Item 7 3.8 Our Environment Providin
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Page 50 and 51: Item 8 Dementia costs the UK econom
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Page 54 and 55: Item 9 DETAILED REPORT Trust Board
Page 56 and 57: Item 10 SUMMARY REPORT Trust Board
Page 58 and 59: Item 10 Safety 9. Infection Control
Page 60 and 61: Item 10 15. Going Further on Cancer
Page 62 and 63: Item 10 The Trust’s 12 month aver
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Item 11 SUMMARY REPORT Trust Board
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Item 11 The Director of Financial S
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Item 12 Key Recommendations 1. Cont
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Item 12 The OD programme sets out t
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Item 12 • 40% of staff feel that
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Item 13 CQC Regulations Financial I
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Item 13 The Statement is not meant
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Information on staffing of the R&D
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Organisation study capabilities Typ
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Specialty Group Membership (Local a
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R&D SOP Ref Number SOP Title Versio
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Item 14 SUMMARY REPORT Trust Board
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Performance Databook February 2011
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SAFETY OBJECTIVE PERFORMANCE REPORT
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A&E BREACH REASONS 2010/11 Apr May
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AMBULANCE HANDOVER TIMES Maximum of
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DELAYED TRANSFERS OF CARE Current M
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# MRSA SCREENING Current Month: Feb
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7 Stroke Indicators Current Month:
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QUALITY OBJECTIVE PERFORMANCE REPOR
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Consultant Outpatients Waiting & Re
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Current Month : February 2011 Inpat
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11 Referral To Treatment (RTT) Time
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RAPID ACCESS CHEST PAIN SERVICE Cur
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DIAGNOSTIC NEUROPHYSIOLOGY WAITING
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# Inpatient & Day Case Waiting List
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# CANCELLED OPERATIONS - Number can
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9 Choose And Book Slot unavailabili
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CANCER TARGETS : 31 Day "Decision T
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GFOCW TARGETS : 62 Days from Screen
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GFOCW TARGETS : 2 Week Wait for Bre
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Reperfusion Waiting Times Current M
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PLYMOUTH HOSPITALS NHS TRUST Trust
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8 Access to GUM clinics - Offered t
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INFANT HEALTH & INEQUALITIES # SMOK
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PARTICIPATION IN HEART DISEASE AUDI
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WORKFORCE OBJECTIVE PERFORMANCE REP
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PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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