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

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Item 2 Present: Apologies: Plymouth Hospitals NHS Trust Minutes of the Trust Board meeting Part 1 held on Friday 25 February 2011 in the Board Room, Derriford Health & Leisure Centre 2.00 pm Questions Steven Jermy, Chairman Peter Burroughs, Non-Executive Director Alex Mayor, Medical Director Helen O’Shea, Chief Operating Officer Lee Paschalides, Non-Executive Director David Pond, Non-Executive Director Paul Roberts, Chief Executive Margaret Schwarz, Non-Executive Director D Sarah Watson-Fisher, Chief Nurse Ian Douglas, Non-Executive Director Joe Teape, Director of Finance R Sarah Brampton, Director of Financial Services & Performance In Attendance: Paul Beal, Interim Director of Workforce ‘Governors’ In Attendance Lee Budge, Auditor Gill Hunt, FT Board Secretary Barry Lucas, LINk and Patient Representative, Public ‘Governor’, Plymouth Constituency A Amanda Nash, Head of Communications Brian Bird, Public ‘Governor’, Devon Constituency Vera Mitchell, Public ‘Governor’, Plymouth Constituency Ivor Vaughan, Public ‘Governor’, Cornwall Constituency F The Chairman welcomed ‘governors’, members of the public and press, and apologised for the late start to the public meeting. The Chairman invited questions. These primarily concerned recent media attention on six ‘never events’ and the issue, by the Care Quality Commission (CQC), of a warning notice on 22 February 2011. T On behalf of Plymouth LINk, Mr Lucas asked why the Trust had not been proactive in alerting the CQC as each ‘never event’ had occurred. The Chief Executive updated Mr Lucas on his recent meeting with the CQC at which the warning notice had been issued. He assured Mr Lucas that the Board regularly received reports of all Serious Clinical Incidents (SUIs) and ‘never events’ had been discussed at the Board, both in private and in public. The Chief Executive offered to speak directly with LINk, if LINk felt this was appropriate. The Medical Director stated the Board’s desire to be as open and honest as possible, and although patient confidentiality did not permit discussion of specific cases, he stressed that no patient had come to 1
Item 2 any long term harm. The Chairman affirmed that it was the Board’s absolute intention to be open and to promote a just culture where staff were held to account. Patient safety was the Board’s highest priority. Mr Lucas asked if the Trust intended to dismiss any staff in respect of the ‘never events’. The Chief Executive stated that there were policies and procedures in place for staff to follow. The Trust would be fair in its investigations but staff would be held to account. The Chairman stressed the importance of understanding the cause of ‘never events’; it may be a systematic failure but, if blame were attributable then, as the Chief Executive had stated, individuals would be held to account. Mr Lucas asked whether the ‘never events’ were the result of a systems failure. The Medical Director stated that a detailed investigation had been completed and where systems issues had D been identified, actions had been put into place to address them. Patient confidentiality prevented him from going into further detail. Mr Lucas asked whether the public would be advised when any disciplinary process had been finalised. The Interim Director of Workforce stated that this would be a matter for the Trust. R ‘Governor’ Brian Bird stated that public confidence in the hospital had been seriously damaged by the ‘never events’ and that risk management appeared to have failed in these cases. Patient safety had been denied and he was concerned that the Trust had not been proactive in contacting the CQC. Mr Bird was concerned by the number of serious clinical incidents reported at the last meeting and urged the Trust to take A disciplinary action, where necessary. The Chief Executive stated that the Board had agreed at their meeting in January to contact the CQC and the Chairman assured Mr Bird that should negligence be identified, appropriate action would be taken. The Chief Executive stated that the CQC expected the Trust to make rapid improvements and he was confident that these would be achieved. Staff had worked hard to ensure incident reporting increased because this was absolutely crucial F for public safety. ‘Governor’ Ivor Vaughan asked why the standard WHO checklist had not been in use. The Medical Director advised that Trust policies and procedures clearly stated that it should be. Audit had ascertained some variability to the standard checklist; this had been confirmed by the CQC and variability would be eliminated. The Board expected 100% compliance. T ‘Governor’ Vera Mitchell expressed her disappointment at the issue of the CQC’s warning notice but was confident in the Trust’s intention, and in its ability, to put matters right. Mrs Mitchell was concerned by South West Water’s intention to increase water bills by 8.1% and asked what effect this would have on the Trust. The Director of Financial Services stated that utilities inflation costs were included in the Annual Business Plan for 2011/2012 and she would be pleased to pick this up further with Mrs Mitchell outside the meeting. A member of the public asked why the Trust appeared to discriminate against patients with medical phobias. She had made a formal complaint about her own 2
Page 1: Trust Board Standing Items Friday 2
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 and 14: Item 5 SUMMARY REPORT Trust Board M
Page 15 and 16: A second “Continuing Medical Educ
Page 17 and 18: Item 6 DETAILED REPORT Trust Board
Page 19 and 20: Item 6 NHS Constitution Patient Ple
Page 21: Item 7 Plymouth Hospitals NHS Trust
Page 24 and 25: Item 7 1.2 Statement by Chief Execu
Page 26 and 27: Item 7 The five priorities were dev
Page 28 and 29: Item 7 How will we do it? The Enhan
Page 30 and 31: Item 7 Nursing dashboards are curre
Page 32 and 33: Item 7 Severe Trauma ( TARN) Psycho
Page 34 and 35: Item 7 Criteria Measured 2009/10 %
Page 36 and 37: Item 7 3.2 Performance against key
Page 38 and 39: Item 7 Target Performance Performan
Page 40 and 41: Item 7 MRSA Reporting Medicines Man
Page 42 and 43: Item 7 Cancelled operations by the
Page 44 and 45: Item 7 Complaints and Compliments T
Page 46 and 47: Item 7 3.8 Our Environment Providin
Page 48 and 49: Item 8 SUMMARY REPORT Trust Board (
Page 50 and 51: Item 8 Dementia costs the UK econom
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Item 8 Standard 4: The hospital and
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Item 9 DETAILED REPORT Trust Board
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Item 10 SUMMARY REPORT Trust Board
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Item 10 Safety 9. Infection Control
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Item 10 15. Going Further on Cancer
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Item 10 The Trust’s 12 month aver
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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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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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