Minutes of the Twenty First Meeting of the Board of NHS Leicester ...

Paper ANHS Leicester City Board Meeting12 May 2011Minutes of the Twenty First Meeting of the Board ofNHS Leicester Cityheld on Thursday 14 April 2011 at 12.30 p.m.at St Johns House, 30 East Street, Leicester LE1 6NBPRESENT:Ms Daxa PatelMr Fayyaz SulemanMr Brian WilsonMr Ross WillmottMr Barry FinanMs Eileen ClarkeMs Catherine GriffithsMs Patsy RosebladeMs Deb WatsonChairNon Executive DirectorNon Executive DirectorNon Executive DirectorNon Executive DirectorNon Executive DirectorChief ExecutiveDirector of FinanceDirector of Public Health and Heath ImprovementIN ATTENDANCE:Mr Toby SandersMs Liz RowbothamDr Simon FreemanMrs Daljit K. BainsMr Ivan BrowneMs Sue MasonMrs Clare MairDirector of Primary Care and Deputy ChiefExecutiveDirector of Quality and Chief Operating Officer(County)Director of Contracting, Performance andInformaticsAssociate Director of Corporate GovernanceConsultant in Public HealthLeicester LINksCorporate Governance Executive AssistantLCB/11/52Apologies for Absence and WelcomeApologies for absence were received from Dr Azhar Farooqi,Interim Chair Leicester City Consortia, Ms Gill Brigden, NonExecutive Director, Mr Nigel Skea, Director of OrganisationalDevelopment and Workforce, Professor Mandy Ashton, Directorof Governance and Chief Operating Officer (City) / Nurse, andProfessor Aly Rashid, Medical DirectorLCB/11/53Questions from the PublicNo questions were raised prior to or during the meeting.LCB/11/54Declarations of Interest on Agenda TopicsNo declarations of interest were made.1

Paper ANHS Leicester City Board Meeting12 May 2011LCB/11/55 Minutes of the Board Meeting Held on 10 March 2011The Minutes of the Board Meeting held on 10 March 2011 werereviewed and approved as a correct record (as attached inMinute book (LCB/04/11/A).LCB/11/41 Action Notes from February 2010B/11/35 Expenditure Approval LimitsMr Finan reported that he had atelephone conversation with MsRoseblade and then discussed theproposal with Mr Wilson. Mr Finan andMr Wilson then agreed to the proposals.LCB/11/56 Actions from the Trust Board Meeting held on 10 March2011The action notes associated with the minutes of the Boardmeeting held on 10 March were reviewed as follows (asattached in Minute book – Appendix number LCB/04/11/B).LCB/11/46Finance ReportMr Finan reported that he has met with MsRoseblade and Ms Bishop to discuss format of thereport going forward and Ms Bishop is puttingtogether a template which should be introducedearly in the new financial year.LCB/11/57Notification of Any Other BusinessThe Chair was not notified of any other items of business.STRATEGY AND COMMISSIONINGLCB/11/58 Financial Plan 2011-12Ms Patsy Roseblade, Director of Finance provided an update onthe Financial Plan 2011-12 since the Board had met in Marchand prior to submitting to the SHA. The plan was updated toincorporate latest information on allocations, QIPP and contractsand the report outlines those movements (as attached in Minutebook – Appendix number LCB/04/11/C).Mr Suleman firstly noted that the table under paragraph 14 ofthe report was incorrect with regard to Commissioner2

Paper ANHS Leicester City Board Meeting12 May 2011apportionment and Ms Roseblade confirmed that the split is infact 37% for NHSLC and 63% for NSLCR.Mr Suleman asked how the increased funding to the Drug PoolTreatment allocation would be monitored. Ms Rosebladeassured that the funding has a whole set of requirementsattached to it and there is a robust structure of monitoring.Mr Sanders advised that the running costs aligned to the GPconsortium would soon need to be reported on. A piece of workfor the Executive Team is to understand the functions that canbe directly aligned to the Consortium.Dr Freeman made the Board aware of the demand managementchallenge coming from the right care initiative and clinicalvariation which is a substantial and significant challenge with ahigh risk of non-achievement. Everything will be done tosuccessfully deliver but it will be challenging.Mr Wilson noted in Appendix 2 the optimum provision is toprovide 15% to 20% of dependent alcohol users access toalcohol treatment and intervention services. However the Citycommitment appeared to be lower and he asked if funding fromelsewhere could be channelled such as Chlamydia funds. MsWatson advised that the tender to the City Council is to provide18% of dependents with access to alcohol treatment services.Alcohol is a big issue for the city and intervention needs to behappening earlier. Ms Watson was happy to re-look at otherareas of funding but Ms Griffiths warned that care must be takenthat Leicester City does not become an outlier for Chlamydiatesting and treatment.Mr Finan asked about the planned capital expenditure of £13m.Mr Sanders assured that business cases have or will bedeveloped for all of the schemes. The Belgrave and DeMontfortschemes were approved some time ago by the Board and MrSanders undertook to send Mr Finan some information as itpredated Mr Finan joining the Board. Capital will only be spentwhere required and in 2010/11 capital was returned as capitalworks were secured for a lower than expected cost.Ms Clarke noted that some of the childhood obesityprogrammes are being independently evaluated and asked if MsWatson had a view on the future of those services. Ms Watsonfelt that there would not be a significant change of direction butwould seek to include multi-faceted aspects such as the widerfamily members and identify elements that have worked best toembed in future service specifications. This will be helpful whenre-commissioning the service.3

It was RESOLVEDPaper ANHS Leicester City Board Meeting12 May 2011- to note the movements in the 2011-12 financial plan.- to approve the 2011-12 budgets as identified inAppendix 1.- to note the Public Health Strategic Initiativescontained in Appendix 2.- to approve the 2011-12 capital funding requirementsas submitted to the SHA, detailed in Appendix 3.LCB/11/59Vitamin D Deficiency – An Overview for Leicester CityMs Deb Watson, Director of Public Health and HealthImprovement and Mr Ivan Browne, Consultant in Public Healthprovided a paper outlining the key national and local issuescurrently impacting on the prevalence and treatment of vitaminD deficiency in Leicester City (as attached in Minute book –Appendix number LCB/04/11/D).Vitamin D is important for general health and bone health and asignificant proportion of the UK population is now believed tohave low Vitamin D status. The DH advises that most adultsshould get enough Vitamin D by exposure to sunlight. Howeverthe sun-safe message is having an adverse impact. Peoplewith darker skin are more prevalent to deficiency.There are problems in the supply of licensed Vitamin Dpreparations and patients can wait months to have theirprescription filled. The limited supply is used for ‘specials’ madeup to a required strength for individual patients which isexpensive and also takes stock away from general prescription.Only two licensed products can be used in the UK. Othervitamin D products exist in the EU but are not available to theUK as they obtained their licences prior to the formation of theEU. Companies are reluctant to produce Vitamin Dsupplements as it is not commercially lucrative. Ms Clarke wasreassured that the LMSG are taking steps to find a local solutionto this issue. Mr Sanders noted that there is not an existingmechanism for the LMSG to bulk buy medicines and theconsortia may be able to take that forward.Mr Wilson felt that this was a matter for the Department ofHealth to address. Mr Browne advised that representation isbeing made but a local solution is also being pursued.4

Paper ANHS Leicester City Board Meeting12 May 2011Mr Suleman felt that alongside the matter of patients being ableto easily access Vitamin D supplements patients needed help tomanage their symptoms and pain.Ms Watson reported that the Local Authority guidance toschools about sun-safe and sun-smart exposure will berevisited. The publicity needs to be in place soon as thesummer is approaching. Mr Suleman said it was important thatdifferent groups received appropriate messages about how tomaximise their Vitamin D intake. For the Islamic faith coveringup is a requirement. He also felt that the publicity should use arange of avenues such as community radio.It was RESOLVED- to note the report.GOVERNANCE AND PERFORMANCELCB/11/60 Finance Report – Month 11Ms Patsy Roseblade, Director of Finance presented a reportdetailing the financial performance of the organisation for theperiod ending 28 February 2011 and complements theinformation in the Performance Dashboard paper (as attached inMinute book – Appendix number LCB/04/11/E).Ms Roseblade reported a forecast to achieve all of the statutoryfinancial targets and that the Better Payment Policy Codeachieved all four targets at year end. She also reported on fulluse of the remaining capital resources.Ms Roseblade advised that the £237k under-spend in month 11on non-acute commissioning in paragraph 11 of the report isback dated money based on new price reduction recentlynegotiated and will be carried forward into new contract.Ms Roseblade reported that the infrastructure costs for thetransition of the Family Health Services moving to the NHSShared Business Service will be funded by the SHA.Mr Sanders advised that the movements in prescribing costs isa national issue and work is being done locally to trawl throughthe expenditure and understand the reason for the movement.The GP consortia are also keen to understand the reasons.Ms Patel noted the under-spend on mental health and learningdisabilities in the non-acute commissioning budget and wantedassurance that the service level is being maintained. MsRoseblade gave assurance that was the case and the under-5

Paper ANHS Leicester City Board Meeting12 May 2011spend is due to the high cost of some cases, therefore funding iskept in the budget in until year end in case it is required and thatfunding has just been released.It was RESOLVED- to note the in-year and forecast financial position ofNHSLC as at 28 February 2011.- to note the year to date performance of our administrativeduty.- to note the forecast achievement of all our key statutoryduties.MINUTES OF TRUST BOARD COMMITTEESLCB/11/61 Minutes of the Leicester City Community Health ServicesProvider Board held on 1 March 2011The Minutes of the Leicester City Community Health ServicesProvider Board held on 1 March 2011 were presented to theBoard for noting (as attached in Minute book – Appendixnumber LCB/04/11/F).It was RESOLVED- to note the minutes.LCB/11/62 Minutes of the Audit Committee held on 25 January 2011The Minutes of the Audit Committee of NHS Leicester City heldon 25 January 2011 were presented to the Board for noting (asattached in Minute book – Appendix number LCB/04/11/G).Dr Freeman reported that he and Mr Wilson have been liaisingover a number of internal audits that they believed had beensatisfactorily concluded but then were subject tosupplementary requests for evidence by the Internal Auditors.Mr Wilson felt it would be helpful in future to agree with theauditor what completion would look like prior to delivering theactions.In response to a query from Ms Patel, Mr Wilson stated that therole of the Audit Committee was to ensure that good governanceis implemented in the organisation. So far with the GPConsortium, as Chair of the Audit Committee, he did not knowwhat governance they have in place. The city GP Consortiumwill be sub-committee of the Board and will be subject to ascheme of delegation. Mr Sanders reported that discussions6

Paper ANHS Leicester City Board Meeting12 May 2011have been taking place and governance systems are beingestablished.Mr Finan asked about the transparency of the QIPP in terms ofwhat is the plan, how are we performing and what is theprogress to date. Mr Freeman reported that the QIPP DeliveryBoard has not met for sometime but expected that most of theQIPP would be delivered in the main provider contracts.Intermediate Care and frail elderly arrangements are in place.The five QIPP schemes are regularly reported through theperformance dashboard.It was RESOLVED- to note the minutes.LCB/11/63Date of Next MeetingThe next scheduled meeting of the Board of NHS Leicester Citywill be held on Thursday 12 May 2011 at Lakeside House, SmithWay, Enderby, Leicester LE19 1SS. Time to be advised.7

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Paper BNHS Leicester City Board Meeting12 May 2011NHS LEICESTER CITYTRUST BOARD ACTIONSKeyCompleted On-Track No progress madeMinuteNo.B/10/125Meeting Item ResponsibleOfficerJune2010NHS Leicester Cityand LCCHSWorkforce ProfileAction Required To becompleted byProgress as at14 May 2011Nigel Skea Workforce report May 2011 A new Workforce Report will beimplemented across NHSLCand NHSLCR with effect from1 st April 2011.StatusAmberB/10/242 Dec 10 BusinessContinuityManagementPolicyDeb WatsonDW to provide, via thecorporate report, anupdate on staff’sunderstanding of thepolicy followingrestructuring.June 2011Action deferred until May 2011Further work will be done oncemanagement of changeprocess has been concluded.AmberLCB/11/45LCB/11/46March2011March2011Director of PublicHealth AnnualReportFinance ReportDeb WatsonPatsyRosebladeDevelopment Session onthe DPH Annual Reportwith Consortia leads tobe explored. Invitationwould also be extendedto Non Execs.Budget phasing workand predictiveforecasting to be done.Report to includenarrative wheresignificant changes inposition have occurred.July 2011June 2011It was noted at the LeicesterCity Council Cabinet briefingmeeting on 21 March 2011 thata development session on thereport will be held in due courseand that relevant local authoritycolleagues will be invited.Will be picked up going forwardas part of the financialreporting.New template to be introducedearly in the financial year.AmberAmber1

Paper BNHS Leicester City Board Meeting12 May 2011LCB/11/58 April 11 Financial Plan2011-12PatsyRosebladeRunning costs andfunctions that can bedirectly aligned toconsortia to be identifiedand reported onseparately within thefinance report.July 2011PR to provide a verbal update.GreenToby SandersMr Finan to receiveinformation on Belgraveand DMU LIFT businesscases.May 2011Information sent.ACTION COMPLETE2

NHS LEICESTER CITYMEETING: TRUST BOARD PAPER CDATE: 12 May 2011REPORT TITLE: Financial Report for the year ended 31 March 2011SECTION:PublicREPORT BY:Joel Martin, Head of Corporate FinancePRESENTER:Patsy Roseblade, Director of FinanceEXECUTIVE SUMMARY1. This report details the draft (subject to Audit) financial performance of NHSLCfor the year ending 31 March 2011 and complements information provided inthe dashboard.2. We are reporting achievement of all of our statutory financial targets and all fourof the Better Payment Practice Code targets.3. We are reporting an under spend against our remaining capital resources.BOARD ASSURANCEThe Board must be aware of our current financial position, the underlying financialhealth of the organisation and the key issues and risks underpinning performanceagainst the approved financial plan. Where performance is not in accordance withplan, assurance should be sought that appropriate action is taken to mitigate theeffects of this.RECOMMENDATIONSThe Board is requested to;NOTE the draft financial position of NHSLC at 31 March 2011 and which is subjectto AuditNOTE the achievement of our administrative dutyNOTE the achievement of our key statutory duties

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Paper CNHS Leicester City Board Meeting12 May 2011NHS LEICESTER CITYBOARD MEETING12 MAY 2011Financial Report for the year ended 31 March 20111. The NHS LC financial position at the end of March 2011 is a surplus of£6.192m. Which, when rounded down means we achieved our control surplusset with East Midlands Strategic Health Authority of £6.149m.2. This report is based on the draft annual accounts which are currently beingaudited.Executive Summary3. A summary of key financial indicators is set out in Table 1 below. We haveachieved all statutory and administrative duties.Table 1 – Summary of performance against key financial indicatorsKey Financial IndicatorYear-end ActualSurplus/(Deficit)£’0001. Revenue Position – To remain withinthe Annual Revenue Resource Limit 6,192Risk Rating2. Capital Position – Deliver theauthorised capital programme within thecapital resource limit850Risk Rating3. Full Recovery of Provider Costs - forthe Provider part of the PCT to breakeven0Risk Rating4. To remain within the Annual Cash Limit1Risk RatingJoel Martin 1Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 2011Key Financial Indicator5. Meet the “Better PaymentPractice Code” - To pay >95%valid purchase invoices withinthirty days of receiptRisk RatingNHSInvoicesNumberNHSInvoicesValueNon NHSInvoicesNumberNon NHSInvoicesValue96.7% 98.5% 95.3% 96.8%Risk Rating:- No Change- Improving performance than previous month- Worse performance than previous monthKey:- Immediate action required. Will not hit target by end of financial year- May not hit target by end of financial year unless action is taken- Forecast to meet targets for the current financial yearIncome and ExpenditureChange in allocations4. During the final month our resources decreased from £555.228 to £554.994m.The changes are reported in table 2.Table 2 – Change in Revenue Resource Limit during March 2011DescriptionRevenueResourceLimit £mBalance b/f 28 February 555.228DetailFHS Restructure costs 0.219 Costs of transferring FHS staff to NHSSBSCancer Drug Refund 0.197 National funding refundImpairment (1.674) Previously received £1.806m. Resourcesreduced to reflect actual impairment of£132k.Cost of Capital 0.947 Change in accounting policy from DHOther 0.077 NCG under spend on cancer drugs/miscTotal Resources 31 March 554.994Joel Martin 2Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 20115. The Department of Health (DH) has changed the accounting policy in reportingcost of capital (cost of capital was an interest charge of 3.5% on the averagenet relevant assets employed by the PCT). The DH has removed reporting ofthis cost and therefore the resources associated with this have also beenremoved. As our statement of financial position (previously known as theBalance Sheet) is a net liability, the cost of capital incurred is not a charge buta credit. We are awaiting a final letter from the Department of Healthconfirming this along with the final impairment adjustment (another financialtechnical adjustment), both of these values are known to the DH and this is aformality that affects most NHS organisations.End of year Position6. The end of year income and expenditure position is detailed in the OperatingCost Statement at Appendix 1.7. The operational position has deteriorated in month by £1.594m to £4.188madverse variance from budget. This deterioration is outlined in table 3:Table 3 - Movement in forecast operational variance£mPrimary Care -1.267Acute Commissioning -0.235Non Acute -0.498Infrastructure 0.405Total adverse movement -1.594Primary Care8. The majority of the movement relates to the end of year prescribing accrual.Following a review of our prescribing accrual methodology, we have adjusted itfrom 2 months to 2.2 months. This is a more accurate reflection of the end ofyear accrual required and is consistent with comments made by the AuditCommission during previous end of year audits. The result of this was anincrease in accrual of £0.814m. The rest of the movement on prescribingresulted from the final position provided by the PPA.9. GP commissioning improved by £0.170m due to lower costs relating to Qualityoutcomes framework, enhanced service payments and other monthly GPpayments.10. Dental and Ophthalmology combined position improved by £0.180m, howeverthis was offset by deterioration in the Pharmacy contract of £0.469m.Joel Martin 3Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 2011Acute Commissioning11. Acute commissioning deteriorated by £0.235m. This was due to a deteriorationof acute ‘other’ activity and was made up of movements on out of areacontracts which included antenatal screening; there was also worsening onNon Contract Activity. Whilst the independent sector activity slowed down atthe year end resulting in a favourable movement of £0.107m, this was offset bya modest deterioration on the UHL and EMSCG agreements.Non Acute Commissioning12. The Non acute position deteriorated by £0.498m. This is broken down betweenMental Health and Learning Disabilities (£0.384m) and Ambulance, ECRs and‘Other’ (£0.226m).13. Mental Health and LD worsened due to an increase in overspend of £0.188mon the LD pooled budget hosted by the Leicester City Council. Also impactingon the position was a net decrease in the EMSCG surplus position and a slightincrease in costs of Castlebeck placements.14. Non acute Ambulance, ECRs and ‘Other’ deteriorated due to increased costson continuing care of £0.236m. This included a provision of £0.131m forretrospective claims being made by families of patients seeking reimbursementof costs incurred. In addition one case of £0.045m was settledand paid. This was partially offset by improvements in CAMHS complex care,voluntary sector agreements and prison healthcare, and which also offsetdeterioration on the EMAS contract.Infrastructure15. Favourable movements within Health Informatics Services and Primary andCommunity Care were offset by increased expenditure within Public health (butbroadly still in line with the original plan). Therefore the main contributingfactors to the favourable movement of £0.405m within Infrastructure wereFinance (£0.243m) and Corporate Affairs (£0.251m).16. Finance improved due to a reduction in the bad debt provision of £0.089m andcost of capital movement from budget of £0.197m (this was due to an overallincrease in the net liability on the balance sheet). Corporate Affairs improveddue to slippage on training budgets £0.108m. The remainder was due to anunder-spend on Communications and Public Patient Involvement.Reserves17. Table 4 identifies the flexibilities within reserves that were used to offset theoperational pressure of £4.188m identified in paragraph 7 and appendix 1.Joel Martin 4Head of Corporate Finance

Table 4 – Achievement of £6.192mPaper CNHS Leicester City Board Meeting12 May 2011£m £mInitial Control surplus 5.155Non Elective Levy allocation 0.994Revised Control surplus 6.149In - Year MovementSlippage on Productivity (appendix 2) -3.193Residual operational deficit -0.995Total operational deficit -4.188In year net flexibilities identifiedSlippage on Ear Marked Reserves 0.494Slippage on Developments 2.285Slippage on transformational Fund 0.342Unplanned flexibilities 1.110Total in-year solutions 4.231Net In-year flexibility 0.043Actual surplus 6.19218. The main movement on reserves during the year related to the commissioningreserve which was established at the beginning of the financial year at£4.997m. Table 5 shows how this reserve has been utilised in the year.Table 5 – Commissioning Reserve Utilisation£mManagement Cost RestructureProvision 1.7TCS TUPE Provision 0.8NHS SBS TCS termination provision 0.1EMSCG Pressures 0.4LCCHS SLA 0.3Year End pressures - acute 1.2Increase in dilapidation provision 0.5Total use of Commissioning Reserve 5.0Joel Martin 5Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 2011Capital19. Capital was under spent by £0.850m at the end of March 2011. An analysis ofthis under spend is reported in table 6.Table 6 - Capital Slippage at March 2011Scheme Description Plan Expenditure Variance£m £m £mEast Park Road 0.706 0.387 0.319Health Centre Major Schemes 0.635 0.543 0.092Other Estates Schemes 0.007 -0.402 0.409IM&T Schemes 0.573 0.543 0.030Total 1.921 1.071 0.85020. A large component of the under spend relates to the East Park Road schemewhich is due for final completion in July 2011 following delays due to theadverse weather conditions in the winter. The major health centre schemeshave under spent by £0.092m, the majority of which is due to therefurbishment at Prince Philip House which is due for completion In May 2011.21. Other estate schemes have under spent by £0.409m due to a significant VATrefund relating to assets under construction brought forward from the previousyear and a write-off of assets under construction that could not be verified tospecific assets i.e. these were charged to the income and expenditure andtherefore credited the capital resource limit. (Note that if the costs had beentransferred to the fixed asset register the values would also have resulted in acharge to the income and expenditure as impairment).Cash22. NHSLC did not utilise all its cash resource and left £10.843m of its cash limitwith the Department of Health. Therefore of the cash that we drew down duringthe year at the end of March we were left with £0.6k in our cashbook.23. Table 7 provides details of the reason for the non utilisation of the £10.8m cashthat was left with the Department of Health. With regard to the Butterwickprovision, we had been planned to settle this year but cash settlement is nowexpected to be during 2011/12.Joel Martin 6Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 2011Table 7 – Analysis of Non Utilisation of Cash resources 2010/11DescriptionAmount Notes£mManagement cost Restructure 1.7 Cash payment expected 2011/12provisionTCS TUPE Provision 0.8 Cash payment expected 2011/12NHS SBS Financial accounting 0.1 Cash payment expected 2011/12services and systems - TCStermination provisionContinuing Care retrospective 0.1 Cash payment expected 2011/12appeals provisionDilapidations provision increase 0.5 Cash payment expected – beyond2011/12Butterwick provision 1.6 Cash payment expected 2011/12FHS transfer to SBS restructure 0.2 Cash payment expected 2011/12Additional cash received in 5.1 Not requiredmonth 8Other working balance 0.7 Cash payment expected 2011/12movementsTotal Cash movements notanticipated in Plan10.8 Cash under drawn from Departmentof HealthBetter Payment Practice Code24. Much has been done over recent months to improve the BPPC performanceand in particular the Non NHS by number target. In addition the Financedepartment has reviewed the BPPC performance and found that scheduledpayments were not being correctly accounted for in the BPPC calculation. As aresult the BPPC has been adjusted retrospectively. The result of both theseactions is that we have achieved the cumulative BPPC target in all four areas.The March cumulative position is highlighted in table 8.Table 8 – BPPC Performance March 2011March 2011 In Month % Cumulative %NHS – by number 97.1 96.7Non NHS – by number 95.8 95.3NHS – by value 95.0 98.5Non NHS – by value 96.3 96.825. The performance though the year has seen a great improvement on previousyears and this is the first year NHS Leicester City has achieved all four ofthese targets.Joel Martin 7Head of Corporate Finance

Paper CNHS Leicester City Board Meeting12 May 2011Conclusion26. We have achieved all of our statutory duties and achieved our control totalsurplus as set with NHS East Midlands. These accounts are subject to audit.27. All 4 targets on Better payment practice code have been achieved. Theexcellent progress made thus far needs to be maintained in order to carry onthis good performance.RecommendationsThe Board is requested to;NOTE the draft financial position of NHSLC at 31 March 2011 and which is subjectto AuditNOTE the achievement of our administrative dutyNOTE the achievement of our key statutory dutiesJoel Martin 8Head of Corporate Finance

Paper C, Appendix 1NHS Leicester City Board Meeting12 May 2011NHS LEICESTER CITY BOARD REPORTOperating Cost Statement - March 2011Board Report CategoryDirectorMovementin monthBudget RevisedOpeningYear End Year End fromchanges AnnualPlanActual Variance previoussince Plan Budgetmonth FOTvariance£'000 £'000 £'000 £'000 £'000 £'000IncomeResource Limit - Initial Allocation 553,472 1,522 554,994 554,994 0 0Total Income 553,472 1,522 554,994 554,994 0 0ExpenditurePrimary CarePrimary Care - GPs 1 49,438 -478 48,960 47,156 1,803 170Primary Care - Other 1 29,730 -427 29,303 29,571 -267 -288Prescribing 1 46,859 778 47,637 51,345 -3,708 -1,150Secondary CareAcute - UHL 2 153,893 6,228 160,121 161,432 -1,312 -66Acute - Specialised Services 2 58,873 359 59,233 59,875 -642 -62Acute - Independent Sector 2 4,595 50 4,645 4,464 181 107Acute - Other 2 5,073 -68 5,005 7,026 -2,021 -214Non Acute - Mental Health & LD 2 74,192 1,174 75,366 75,121 244 -384Non Acute - Ambulance, ECRs & Other 2 42,573 -3,857 38,716 38,953 -237 -226Non Acute-Primary and Comm Care 1 1,001 1,228 2,229 1,802 427 112LCPCT Provided Services 1 42,054 462 42,516 42,516 -0 -0Infrastructure 3 24,695 4,523 29,218 27,874 1,344 405Total Expenditure 532,976 9,972 542,949 547,136 -4,188 -1,594Reserves Expenditure 15,341 -9,444 5,897 1,666 4,230 1,637Gross Expenditure 548,317 0 548,845 548,803 43 43Net Commissioning Surplus/(Deficit) 5,155 994 6,149 6,192 43 43Key - Directors:Toby Sanders 1 and 3Simon Freeman 2 and 3Mandy Ashton 3Catherine Griffiths 3Patsy Roseblade 3Nigel Skea 3Liz Rowbotham 3Deb Watson 3Note: ECRs - Extra Contractual Referrals

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Paper C, Appendix 2NHS Leicester City Board Meeting12 May 2011NHS LEICESTER CITY BOARD REPORTFinancial Performance 2010/11: Month 12QIPP SummaryPCT QIPPQIPP PlanPlan (FullYear)£000Actual (FullYear)£000Variance(Full Year)£000RAG ratingof savingsReduction in Management Costs 2,244 2,499 255 GFurther Reduction in Infrastructure Budgets 1,983 1,418 (565) RMedicine Management Productivity & Cost Reduction 2,700 2,450 (250) RReduction in Continuing Care Costs through contract negotiation 2,800 2,021 (779) RHealth Economy QIPP & Disinvestment9,727 8,388 (1,339) 0Learning Disabilities-pilot scheme related to people with complex needs 100 128 28 GMental Health -Extra Contractual Referrals (ECRs) improved commissioning 500 345 (155) RDecommissioning of mental health (LPT) 2010/11 425 425 0 GSpecialised Commissioning Contracts (EMSCG) 500 0 (500) RLCR Community Hospitals 170 0 (170) R1,695 898 (797) 0Productivity Schemes Banked 3,761 3,434 (327) R3,761 3,434 (327) 0Productivity Schemes Not Delivered 730 0 (730) R730 0 (730) 0Total 15,913 12,720 (3,193) 0

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Paper DNHS Leicester City Board Meeting12 May 2011Minutes of the Board ofLeicester City Community Health ServiceHeld on 29 th March 2011 at 12.30 pm, in the Board Room at Bridge Park Plaza,Thurmaston, LeicesterPresent:Patricia Mansfield (Chair) Chairman of LCCHSPaul MillerManaging DirectorCate BoultonIndependent MemberAlison HallIndependent MemberDavid Oldershaw Independent MemberKeith GibbsHead of InformationKam KotechaAssociate Director of Human ResourcesSarah FerrinActing Associate Director of FinanceCarolyn JonesUnion RepresentativeTeresa SmithActing Associate Director of Adult ServicesNichola CrustJoint Head of QualityJanet HarrisonSpeech and Language Therapy ManagerApologies: David PodburyAnne-Maria OlphertAssociate Director of Quality and DevelopmentAssociate Director of Children’s Health ServicesIn Attendance:Kate HamillPersonal Assistant to Paul MillerPS/11/43Welcome and IntroductionsMrs Patricia Mansfield extended a welcome to Janet Harrison, Speech andLanguage Therapy Manager and Nichola Crust, Joint Head of Quality.PS/11/44To Receive Questions from Members of the PublicNo members of the public were in attendance.PS/11/45Apologies for AbsenceApologies for absence were received from David Podbury, Associate Director ofQuality and Development and Anne-Maria Olphert, Associate Director ofChildren’s Health Services.PS/11/46Declarations of Interest on Agenda TopicsNo declarations of interest were noted.PS/11/47 Minutes from the Provider Services Board Meeting Held on 1 st March 2011The minutes from the Provider Services Board Meeting held on 1 st March 2011were read and accepted as a correct record of the proceedings.PS/11/48Matters Arising From The Minutes1

PS/11/41Paper DNHS Leicester City Board Meeting12 May 2011Minutes of the Clinical Governance Committee Meeting heldon 27 th January 2011Cate Boulton requested an update on the use of podiatryequipment: Teresa Smith advised that LCCHS will adopt singleuse equipment in three sites. Unfortunately, this will not takeplace from 1 st April, due to clinical waste issues.PS/11/49Notification of Any Other BusinessNo other business was identified, therefore none would be taken.REPORTSPS/11/50To Receive The Chairman’s ReportMrs Patricia Mansfield reported that she had attended all her usual meetingsduring March. Mrs Mansfield spoke about the fact that the meeting was thefinal meeting of LCCHS and took the opportunity to thank the seniormanagement team for their tremendous commitment and enthusiasm and theprogress that has been made during their three year existence as LCCHS.Mrs Mansfield stated that she had been very ably supported by threeindependent members and wanted to place on record her appreciation of allthat they have done. Cate Boulton and David Oldershaw have had a shorterassociation with LCCHS than was thought likely and Alison Hall and PatriciaMansfield would go on to join LPT during the transition period in advisorycapacities and will focus upon seeing that the best possible futurearrangements are made for the transferring services.Mrs Mansfield requested that this message of thanks is relayed to absentDirectors.PS/11/51To Receive The Managing Director’s ReportPaul Miller reported that National Salt Awareness Week began on Monday 21March and this year focuses on salt and men’s health. The Department ofHealth website states that many people in the UK eat more than therecommended 6g per day for adults.The Board were advised that the Department of Health has announced 132councils, including Leicester City, which are early implementers of health andwell being boards. The council will create a ‘shadow’ health and well beingboard and bring together those who buy services across the NHS, publichealth, social care and children’s services, elected representatives andrepresentatives from Healthwatch (formerly LINKs) to plan the right services fortheir area. The health and well being boards will be fully fledged by April 2013,the same time as GP Consortia.2

PERFORMANCEPaper DNHS Leicester City Board Meeting12 May 2011A report entitled “Care and Compassion: Report of the Health ServiceOmbudsman on Ten Investigations into NHS Care of Older People” waspublished on 14 February 2011 and describes the stories of ten older peopleand their experience of NHS care. Most of the stories refer to periods of inpatientcare, but the lessons apply to all care – the need for all staff,irrespective of clinical or non-clinical background, to be diligent, sensitive andthoughtful when providing care.The stories reveal a failure of attitude – both by staff and institution –characterised by a lack of sensitivity, compassion and professionalism. ForLCCHS, there are parallels with our care of Mrs Densham which were reportedto the Board in November and December 2010. The ombudsman’s report doesnot make any recommendations and indeed the stories do in fact tell their own‘story’. Collectively, they amount to neglect, carelessness, indifference andthoughtlessness, which are the exact opposite to NHS values and the NHSconstitution.The importance of the ombudsman report being considered throughout LCCHSwas stressed to members of the Board (even subsequent to the transfer to LPTon 1 st April 2011) and the Board agreed that the senior management teamshould establish an awareness raising programme and disseminate the reportto staff.It was RESOLVED:- to note the report.PS/11/52To Receive a Summary Report on Performance as at February 2011 forLeicester City Community Health ServiceKeith Gibbs updated Board members on indicator and activity performance asat February 2011 for Leicester City Community Health Service.Areas discussed were noted as:Allied Health Professionals – Adults: Teresa Smith advised that DebbieO’Donovan’s team had done a lot of work to achieve 100% target as at today(29 March 2011).Allied Health Professionals – Children’s: Janet Harrison advised the Board thatthe position today is green, with the exception of one patient who has chosen towait until after Easter for their treatment.District Nursing: Teresa Smith reported that inputting had increasedsignificantly and information taken from Systmone over a 4 week period wasrelayed to members of the Board. Teresa Smith reported that she wasconfident that the figure would be above 60% if it was to be looked at manuallyand she wished to acknowledge and give credit to the teams for what they haveachieved.3

Paper DNHS Leicester City Board Meeting12 May 2011Discussion ensued relating to the support mechanisms in place for staff and thesystem itself.PS/11/53 To Receive the Financial Report for Month 11The financial performance of Leicester City Community Health Service(LCCHS) for the month ended February 2011 was relayed to members of theBoard by Sarah Ferrin.LCCHS is reporting an under spend of £24k for the year to date ending 28 thFebruary 2011.Agency expenditure increased from £2.94m to £3.13m. Expenditure has beenincurred in respect of the Emergency Department (ED) Deflection Scheme andan accrual has been included for the pilot scheme. OOH income has beenagreed at £40 per head and an accrual has been included, whilst in hour’sactivity relating to ED deflection is reflected in ‘in hours’ accrual above.The amount of debt over 90 days has decreased by £406k over the month from£703k in month 10 to £297k in month 11. By the end of the financial year it isexpected that LCCHS will have no debts outstanding over 90 days.Children’s Community Health Services is reporting an under spend of £127k,compared to an under spend of £237k at month 10. This is an adversemovement of £110k and relates to additional spend within therapy services toreduce waiting times and an overall increase in non pay expenditure.Adult Services is reporting an over spend of £22k to month 11, compared to abreak even position for month 10. This is an adverse movement of £22k. Thisrelates to an increase in clinical spend to reduce waiting times within therapyservices.Support Services are reporting an over spend of £222k, compared to an overspend of £162k for last month. This over spend relates largely to additionalcosts for Braunstone Health & Social Care Centre (BHSCC) for service charges(including the sinking fund) and rental increases.The Quality Directorate is reporting an under spend of £85k to date andHeadquarters is reporting an under spend of £54k, compared to an over spendof £108k for last month. Human Resources is reporting an under spend of £3k.Cate Boulton, Alison Hall and David Oldershaw congratulated the seniormanagement team on a very pleasing result. It was acknowledged thatbreaking even and making a saving of 7% was an excellent result.It was RESOLVED:- to note the year to date position.PS/11/54 To Receive a Report on the Financial Plan 2011/12Sarah Ferrin updated the Board on the financial plan for LCCHS, highlightingthe underlying assumptions and associated risks. NHS Leicester City are4

GOVERNANCEPaper DNHS Leicester City Board Meeting12 May 2011acting as Lead Commissioners. LCCHS have agreed an initial baseline ServiceLevel Agreement (SLA) with NHSLC but with several items listed on the financeschedule as ‘to be confirmed’NHS Leicestershire County and Rutland (NHS LCR) are acting as an AssociateCommissioner to NHS LC; this effectively means all negotiations take placewith NHS LC who act on behalf of NHS LCR. The NHS LCR contract coversChildren’s Services and Travelling Families with a total value of £6.05m.With regard to income, the contracting negotiations with NHS Leicester Cityare reaching conclusion with formal sign off of the Heads of Agreement to beundertaken imminently. The main issues outstanding are allocation of supportservices budgets & lease rental budgets, commissioner held overheads andpublic health budget transfer.The Financial Planning Assumptions included in the draft plan were highlightedto members of the Board. Mrs Ferrin also explained the timeline for integratingthe two CHS arms into LPTs planning and budget setting process, following thetransfer to LPT on 1 st April.The financial risks were discussed and it was reported that the LPT Board willbe updated on the risks through the standard risk management processes thatare in place.It was RESOLVED:- to note the contents of the report.PS/11/55To Receive A Closing Down Report for LCCHSPaul Miller provided a report on the closing down of Leicester City CommunityHealth Service as an arms length management organisation (ALMO) withinNHS Leicester City. The bulk of its services and staff are transferring to theLeicestershire Partnership Trust on 1 st April 2011 and other services aretransferring to other providers on the same day. Services transferring to otherorganisations are:Thalassaemia Service – UHL NHS Trust.TB Service – UHL NHS Trust.Assist Service – retained by NHS LC pending appointment of new providerthrough the procurement process.Urgent Care Centre – George Eliot Hospital NHS Trust.GP Out of Hours Service – transfer back to GPs who have collectivelycontracted with Central Nottinghamshire Clinical Services (CNCS) to providethis service.5

Continuing Care Retrospective Team – to be retained by NHS LC.Paper DNHS Leicester City Board Meeting12 May 2011Mr Miller provided a summary of the arrangements made to safely transfer theservices and relayed the governance arrangements to members of the Boardfor the period 1 st April to 30 th June 2011.LCCHS will maintain most of its existing corporate governance structures andparticipate in LPT’s structure. However, as Mrs Mansfield had advised theBoard earlier, there were significant changes regarding independent members,and consequently, arrangements for chairing the existing committee structure.The Board will continue to meet on a monthly basis, but change its name to‘senior management team’ and have only one independent member inattendance (Dr Alison Hall). The meeting will be formal and minuted as now.Dr Alison Hall will also attend the LPT TCS Programme Board.Further information is awaited with regard to LPT’s governance structure and asummary of the structure will be provided upon receipt.The human resource process has gone well, with no follow-up questions beingraised. 470 staff attended the nine briefing session, led by Paul Miller and KamKotecha. Senior LPT colleagues were present at all but one of the sessions towelcome staff to LPT and describe the organisation and its aspirations as anenlarged organisation. The post transfer measures were noted as:- LPT would seek to change our annual leave year in 2012 to end on 31March instead of 31 December.- Following the transfer, LPT will carry out a review of services in all businessunits and support services and review its management structures to ensurethat the organisation is able to realise the benefits of integration. Subject toconsultation before and after the transfer, this potentially could result insome existing roles being removed from the structure and individuals fromall three organisations having to apply competitively for new roles in a newstructure.- LPT has been asked to make savings of 2% following the transfers. Wherethe savings cannot be made through improvements and efficiency savings,this could also result in redundancies.In summary, Paul Miller commented that LCCHS is an organisation which triedto live and live up to its values, mission and vision. It delivered new services,improved services and generated creativity and innovation. Room forimprovement remains and the transfer to LPT presents the opportunity toimplement better care pathways for patients as part of a very large providerorganisation.It was RESOLVED:- to note the report.6

PS/11/56To Receive A Report on the PEAT InspectionsPaper DNHS Leicester City Board Meeting12 May 2011Paul Miller and Teresa Smith explained the PEAT Inspection process alongwith the anticipated results for both Brookside Court and Clarendon Mews. Inaccordance with the National Patient Safety Agency (NPSA) instructions we arerequired to carry out self assessments for all in-patient sites with 10 beds ormore. Whilst responsibility for the day to day management of the PEATprogramme sits with the NPSA, both the Department of Health and the CareQuality Commission (CQC) continue to be partners in this process. Again thisyear the NPSA will submit a Trust score to the Care Quality Commission whichwill form evidence for the following outcomes:Outcome 8 (Regulation 12) Cleanliness and Infection ControlOutcome 10 (Regulation15) Safety and Suitability of PremisesOutcome 5 (Regulation 14) Meeting Nutritional NeedsThis year changes have been made to the Food and Hydration section withadditional questions attracting scores so results are not just based on the mealservice and food provision but policy and operational issues. The selfassessment teams comprised senior managers from both sites as well assupport services and facilities consortium staff. As in previous years there wasa requirement for a patient/carer or patient representative to be included in theinspection team and that patient representative accompanied both audits.The anticipated scores and grading have now been forwarded to the NationalPatient Safety Agency (NPSA) and were noted as follows:Brookside CourtEnvironmentFood/HydrationPrivacy and DignityClarendon MewsEnvironmentFood/HydrationPrivacy and DignityExcellentExcellentGoodGoodGoodExcellentThe significant level of improvement was noted by the Board.It was RESOLVED:- to note the audit scores of the properties and the overall achievement ofthe scores.- to note the action plan to resolve identified shortfalls within the audits.PS/11/57 To Receive the Results of the NHS Staff Survey 2010Kam Kotecha advised the Board of the key findings from the national NHS StaffSurvey for LCCHS and provided comparisons with the national 2010 averagesfor PCT providers and results of the 2009 LCCHS survey. The findings were7

Paper DNHS Leicester City Board Meeting12 May 2011arranged under six headings – four staff pledges from NHS constitution (below),and two additional themes of ‘staff satisfaction’ and ‘equality and diversity’.Pledge 1: To provide all staff with clear roles, responsibilities and rewardingjobs.Pledge 2: To provide all staff with personal development, access to appropriatetraining for their jobs and line management to succeed.Pledge 3: To provide support and opportunities for staff to maintain their health,wellbeing and safetyPledge 4: To engage staff in decisions that affect them, the services theyprovide and empower them to put forward ways to deliver better and saferservices.1116 LCCHS staff were asked for their views on working for LCCHS via the2010 staff survey. 753 staff responded achieving a response rate of 67.5%(compared to 70% for 2009 survey). This response rate was well above the54% PCT national average.Kam Kotecha highlighted 4 positive and 4 negative key findings of the surveyfor discussion. Notably, LCCHS’s results were better than average whencompared with other PCT providers in 19 of the 38 key findings, rated in the top20% of all PCT providers in 7 of the key findings and met the average in afurther 6 key findings.The CQC rated LCCHS at 3.67 on an overall measure of staff engagement.The Trust’s score was average when compared with other PCT providers. Thisrelates to staff members perceived ability to contribute to work improvements,their willingness to recommend the Trust as a place to work or receivetreatment and the extent to which they feel motivated at work.An action plan will be developed following TCS transfer to reflect the needs ofthe new integrated organisation.It was RESOLVED:- to note the key findings of the NHS Staff Survey 2010 for LCCHS.PS/11/58 To Receive the Results of the Annual Patient Survey 2010/11Nichola Crust presented the fourth annual patient survey results for adult andchildren services to members of the Board. The survey was completed inFebruary and March 2011. The results for adult and children’s services werecombined in this report to give an overall picture of performance in LCCHS, butthese will be separated at a later stage to allow adult and children services toestablish improvement plans in the areas which relate specifically to thoseservices.8

Paper DNHS Leicester City Board Meeting12 May 2011The survey questionnaires were distributed by clinical staff to their patients withthe advice that staff should not help the patients to complete the survey, butshould refer patients to the Ujala Resource Centre helpline if they required anyhelp. Approximately 5000 questionnaires were distributed; 954 responses werereceived, giving a response rate of 19%.Overall the findings reflected positively on LCCHS, patients were generallyhappy with the way they were cared for by our staff; when a procedure ortreatment was carried out, 94% of patients felt happy that the risks and benefitswere explained to them, 93% felt that they understood what would happen, and98% were given enough privacy during this process.Where comments were critical or negative they tended to fall into severalcategories, including appointments and booking systems – how these can beconfusing or non-intuitive; waiting times; keeping to appointment times;continuity of care and have the same health professional visit; car parking andrude or impolite behaviour by some staff.The report demonstrates that patients positively rate the care they havereceived. Ten questions showed a measurable improvement over the previoussurvey in 2009/10 and eight maintained the same high scores as last year,giving an overall 2% average improvement in scores.It was RESOLVED:- to note the report.PS/11/59To Receive a Report on the Compliance with the Care QualityCommission’s Essential Standards of Quality and SafetyNichola Crust informed the Board that providers of health care services arerequired to demonstrate ongoing compliance with the Care QualityCommission’s ‘Essential Standards of Quality and Safety’ as a condition ofmaintaining registration. The work undertaken by LCCHS to ensure it remainscompliant with those standards was described to the Board.LCCHS has a robust integrated governance structure and oversightand scrutiny of the organisation’s performance against national, regional andlocal standards generally has been maintained by the Clinical Governance,Health and Safety, and Finance and Performance Committees on behalf of theProvider Services Board. LCCHS has collated evidence throughout the year.However, to add external scrutiny to this process, the organisation has held twoConfirm and Challenge sessions led by a panel comprising an IndependentBoard Member, the Head of the NHS East Midlands Internal Audit Service andthe Associate Director for Quality and Development. A thirdConfirm and Challenge session is scheduled to take place in April 2011and this will review the evidence supporting the remaining fouroutcomes.The Quality and Risk Profile (QRP) is published by the CQC eachmonth; and the most recent QRP was published in February 2011 and this9

Paper DNHS Leicester City Board Meeting12 May 2011indicates that the provider-related risks of non-compliance were generally lowor minor (green or yellow). There were a small number of red-rated items ofevidence which were assessed as ‘worse than expected’. These items werered rated as a result of the 2009/10 PEAT inspections at CICB and CRC havebeen the subject of improvement action, and once the results of the 2010/11PEAT inspection are made available to the CQC, these areas are likely tobecome ‘green’ rated.Of the existing red-rated areas only item ID 11271 (availability of handwashing materials) is likely to remain red-rated into next year, followingworse than expected results on this question in the 2010/11 staffsurvey.The Care Quality Commission has stated that it will review thecompliance of all providers by March 2012 and a key task for LCCHS in2011/12 will be to ensure that the CQC’s standards are more clearlyunderstood and embedded at all levels of the organisation.Within the next month a wider action and improvement plan will becompiled and the senior management team of LCCHS will be askedto agree and implement this during 2011/12.It was RESOLVED:- to note the report.PS/11/60To Receive a Progress Report on Incidents, Complaints and Claims inLCCHS for the Period 1 October 2010 – 31 December 2010Nichola Crust appraised the Board about the incidents, complaints and claimsreported to LCCHS in the period 1 October – 31 December 2010 and providedassurance that robust mechanisms have been maintained to record and actupon any incidents, complaints, never events or claims in LCCHS.A total of 223 incident report forms were completed in this period, anincrease of 52 compared to quarter two. The highest number of incidentsoccurred in district nursing (68); followed then by the inpatient bed holdingareas CRC (23) and CICB (19). However, only four incidents were reported inUCC which is lower than one would expect for this type of service.In quarter three, 142 incidents (64%) resulted in no harm; 58 (26%) resulted inlow or minimal harm; 18 (8%) resulted in moderate harm, 4 (2%) in severeharm and one resulted in a death. The circumstances of a patient who died inDecember 2009 and who was the subject of a Coroner’s hearing in October2010 were also reported as a serious incident in this period.There were 131 patient safety incidents reported in the period. An increase innumber of falls at CRC occurred in November and December and has been thesubject of further review. An increase in number of falls at CICB has alsooccurred and is due to an increase in the number of confused and dementiapatients admitted from home and from UHL.10

Paper DNHS Leicester City Board Meeting12 May 2011Medication errors were the third highest category of incidents. There were 23reported patient safety medication incidents in this time period and 15 wererelated to the administration of medication. The Medicines ManagementPharmacist has completed a review of medication administration incidents andshared his findings widely across LCCHS and in particular with staff responsiblefor administering medication.Between 1 October 2010 and 31 December 2010 there have been twelvereported incidents that have required a full root cause analysis (RCA)investigation. There were 9 pressure ulcers reported as serious incidentsduring this quarter in addition to the one noted in the coroner’s case previouslymentioned and all are subject to on-going investigation.There were 69 incidents relating to LCCHS staff. 25 concerned abuse ofsome kind. 15 related to security incidents and 13 were slips, trips, falls orcollisions. One was reported as a moderate incident and was RIDDORreported.There were 48 complaints received in quarter three, 74% related to adultservices and 26% related to children’s services. Of the 31 formal complaints, 2were later withdrawn, other NHS organisations took over lead responsibility for7 complaints and 2 complaints were received, one from a GP and one from aHead Teacher which are not covered by the scope of the policy and wereclassed as service concerns.There were 15 Informal Complaints received in quarter three.LCCHS has received notification of two clinical negligence claims during thistime period and one notification of an employee liability claim.The first claim (opened on 25 October 2010) concerns the assessmentand treatment of a child at the Urgent Care Centre and alleged delays ina referral to secondary care services.The second claim (opened on 17 November 2010) relates to the findingsof the Coroner’s Court in October 2010 which have been describedearlier in this report.SERVICE DELIVERYIt was RESOLVED:- to note the report.PS/11/61 To Receive a Report on LCCHS Workforce as at February 2011Kam Kotecha reported that LCCHS’s overall workforce decreased by 3.20 fulltime equivalents (FTE) during the period January 2011 to February 2011.LCCHS’s absence rate for February was 3.84%, a decrease on January’sabsence which was 4.05%. The number of employees on long termabsence has decreased from 22 in January 2011 to 17 in February 2011. 15111

Paper DNHS Leicester City Board Meeting12 May 2011employees incurred short term absence in February which was higher than the146 in January.Kam Kotecha was pleased to report that as at 29 March there is only 1individual (on long term sick leave) whose mandatory training has expired,hence LCCHS is 100% compliant.The average staff turnover rate for February 2011 was 2.32% (FTE).It was RESOLVED:MINUTES FOR NOTING- to note the key workforce information for LCCHS.PS/11/62Minutes of the Clinical Governance Committee Meeting held on 24 thFebruary 2011The minutes of the above meeting were noted.Mrs Cate Boulton wished to record her thanks to the clinical governancecommittee members and sub-committee members for their professionalism,commitment and hard work.Draft Minutes of LCCHS Health and Safety, Fire and Security CommitteeMeeting held on 17 th February 2011 and 17 th March 2011The minutes of the above meetings were noted.Draft Minutes of the Finance and Performance Committee Meeting held on24th March 2011Post Meeting Note: The minutes of the above meeting were circulatedelectronically following the meeting.DATE OF NEXT MEETINGPS/11/63The next meeting will be held on Tuesday 26 th April 2011, 1.30 pm in theBoard Room at Bridge Park Plaza.12