Agenda and supporting papers - Plymouth Hospitals NHS Trust

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Item 3 Plymouth Hospitals NHS Trust Minutes of the Trust Board meeting Part 1 9.00 am on Friday 7 June 2013 Board Room, Derriford Health & Leisure Centre Present: Apologies: Richard Crompton, Chairman Kevin Baber, Chief Operating Officer Greg Dix, Director of Nursing Ian Douglas, Non-Executive Director D Ann James, Chief Executive Terence Lewis, Non-Executive Director Alex Mayor, Medical Director Elizabeth Raikes, Non-Executive Director Joe Teape, Director of Finance & Strategy Henry Warren, Associate Non-Executive Director R Denis Wilkins, Associate Non-Executive Director Mike Williams, Non-Executive Director Hein Scheffer, Director of Human Resources & Organisational Development A Margaret Schwarz, Vice-Chair Rob Sneyd, Dean, Plymouth University Peninsula Schools of Medicine & Dentistry In attendance: Martin Bamber, Deputy Director of Human Resources Lee Budge, Director of Governance Gill Hunt, Board Secretary ‘Governors’ in attendance F Brian Jones, Associate Director of Finance Amanda Nash, Head of Communications Steve Spencer, Commanding Officer, MDHU Nick Thomas, Director of Planning & Site Services Sally Wilson, Chief Financial Accountant T Marina Taylor, Public ‘Governor’, Plymouth constituency Action 101/13 Welcome, apologies and declarations of interest The Chairman welcomed members of the public in attendance. Apologies had been received on behalf of Hein Scheffer, Margaret Schwarz and Rob Sneyd. Commander Steve Spencer, MDHU, was attending his last Board meeting on stepping down from his command to take up an overseas posting. The Chairman thanked Commander Spencer for his contribution and wished him well. The Chairman welcomed Lt Commander Tim Jones, who would be taking up his appointment as MDHU Commander in July 2013 and attended the meeting as an 1
Item 3 observer. The Chairman required those present to declare any interests they may have pertaining to the matters listed on the agenda. There were no declarations of interest. 102/13 Questions to the Board pertinent to the agenda A member of the public D wished to place on record her appreciation of the care that her husband, currently a patient on Braunton Ward, had received since his admission one week ago. Her husband had been a patient on the same ward three years previously and it was apparent to both her and her husband that standards were much improved. R Referring to recent local media reporting of the recruitment of additional nursing staff and an increase in the Trust’s bed base, a member of the public queried how, given the Trust’s financial position, this would be funded. Ms James stated that this would be discussed as part of agenda items 8 and 10. A The Board Secretary read a written question from shadow ‘governor’ Mrs Vera Mitchell. Mrs Mitchell noted the pressures nationally on emergency access and suggested the Department of Health had a role to play in influencing the irresponsible lifestyles that contributed to disease and trauma. She asked what the Board would do, in partnership with stakeholders, to encourage healthy and responsible lifestyles. In response, F Dr Mayor stated that there was a clear commitment from the Board to contribute to the local public health agenda. He highlighted the smoke-free Trust initiative, the Trust’s involvement in the Plymouth Alcohol Strategy, and its role, through Dr Paddy English and his colleagues, in tackling health problems associated with obesity. T The Board Secretary read a second written question from Mrs Mitchell. Mrs Mitchell enquired whether the Board would continue its rigorous support to maintain and extend the work of the Infection Prevention and Control team. Mr Dix affirmed that the Board would do so; in addition to the team’s work with the Peninsula College of Medicine and Dentistry to develop and deliver a Master’s programme in Infection Prevention and Control, the Trust’s new organisational structure would facilitate improved practice at service line level. There were no further questions. 103/13 A Learning Story for the Board Dr Ian Higginson, Consultant in Emergency Medicine, related his own experiences in January 2013 during a 28 hour inpatient stay. Dr Higginson described all aspects of his assessment, diagnosis and surgery as highly efficient and was of the view that the good nursing care he had received had facilitated his prompt discharge. 2
Page 1 and 2: Trust Board Friday 5 July 2013, 9.0
Page 3: Members of Plymouth Hospitals NHS T
Page 7 and 8: Item 3 Board oversight of contribut
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Page 11 and 12: Item 3 been involved and there was
Page 13 and 14: Item 3 continuing to build. Mr Babe
Page 15 and 16: Item 3 to Norovirus, Professor Lewi
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Page 21 and 22: Updated: prior to July Board Item 4
Page 23 and 24: Updated: prior to July Board Item 4
Page 25 and 26: Item 8 Quality Impact Assessment Pa
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Page 31 and 32: Item 8 Inpatient falls are currentl
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Page 37 and 38: Item 8 The graphs below illustrate
Page 39 and 40: Item 8 5.5 Friends and Family Test
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Page 45 and 46: Item 8a SUMMARY REPORT Trust Board
Page 47 and 48: Annex 2 Item 8a Summary of Serious
Page 49 and 50: Item 9 Key Recommendations The Trus
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Item 9 4.6 Non Elective Activity is
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Item 9 Summary of performance excep
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Item 9 Ensure that all patients adm
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Item 9 Forecast Significant progres
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Item 9 Update on previous actions C
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Contents EXECUTIVE SUMMARY D FINANC
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B1 Safe care Description Hospital S
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Response Rate Recommender Score B3
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B5 Other safety & quality metrics D
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C2 Non-Elective Activity Descriptio
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C4 Referral To Treatment (RTT) Desc
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C6 Other access & activity metrics
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D2 Cost improvement programme (CIP)
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D4 Cash Management Description Revi
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E1 Staffing numbers Description Est
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E3 Sickness absence PERFORMANCE IND
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Risk Rating F2 Monitor's Financial
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Item 10 DETAILED REPORT Trust Board
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Item 10 4. Key Issues for the Board
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Item 11 SUMMARY REPORT Trust Board
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Item 11 DETAILED REPORT Trust Board
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Item 11 • Challenge in respect of
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Item 11 Over the past two years, me
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Item 11 Getting it Right Charter An
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Item 11 Outcome of review with exte
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Item 11 Learning Disabilities Natio
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Item 11 Peer Review 2.5 Peer Review
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Item 12 Next Steps 1. Conversation
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Item 12 2. Board Inclusion Developm
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Item 12 EDS Grades and E & D Object
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Item 12 Plymouth Hospitals Trust -
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Item 12 3.6 The workforce is suppor
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Item 13 Key Recommendations The Tru
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Item 13 Telephone conversations.
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Item 13 19. The Medical Director ha
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Item 15 incident investigations to
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Item 15, Annex 1 3. Review of Actio
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Item 15, Annex 1 • Top three issu
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Item 15, Annex 1 The Chair asked SS
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Item 16 COMMITTEE MINUTES Finance,
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Item 16 pay and staffing, highlight
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Item 16 • PACS contract - likely
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Item 17 Terms and Conditions of Emp
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Item 17, Annex 1 29/2013 Minutes an
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Item 17, Annex 1 31/2013 Francis Re
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Item 18 Next Steps The Audit Commit
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Item 18, Annex 1 Matters arising 4/
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Item 18, Annex 1 time to embed and
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Item 18, Annex 1 Payroll & Expenses
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Item 18, Annex 1 The Committee note
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Item 18, Annex 1 Going Concern Revi
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Item 18, Annex 1 if Internal Audit
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Agenda and supporting papers - Plymouth Hospitals NHS Trust

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