Board of Directors Meeting - 29 March 2012 - Devon Partnership ...

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Board of Directors Meeting, 29 March 2012Agenda Item 65. Directorate Governance5.1 The Committee noted that a quarterly Directorate Performance meeting had takenplace on 12 March 2012. It was noted that Director Governance continues todevelop and become more robust.5.2 Plans are in place and teams identified through composite risk process.6. Sub-Committee Reports6.16.1.1Safety & RiskThe Committee was pleased to note that:There had been no ‘Never Events’ since the last meeting.The Trust had moved up into the top 25% of incident reporters in the south westand into the top 15 of mental health trusts nationally.6.1.2 The Committee also noted:The findings of the recent ligature audit. The Committee supported actionsrequired to rectify issues raised; these had financial implications which wouldrequire further approval.That there was a lack of availability of psychological therapies as describedwithin NICE guidance. Plans are in place to resolve these issues.The revision of the Risk Management Strategy, and approved its onwardpresentation to Board.6.26.2.16.36.3.16.46.4.1Clinical EffectivenessThe Committee noted that the 2012/13 Audit Plan continues in development andDirectorates will be expected to deliver the audit plan before embarking onadditional audits.Safeguarding, including Mental Health Act ReportThe Committee received the Mental Health Act Report for the period 2010 – 2011and noted its content. The report recognised the need for an emphasis onimprovement and the Committee noted and supported the plans in place to deliverthis. The Committee noted that this report had initially been reviewed by theSafeguarding Committee, who had given it due consideration before onwardsubmission to Quality & Safety Committee. Neither Committee had identified anyrisks or issues for particular note to the Board.Workforce & DiversityThe Committee noted additional plans to improve absence management andendorsed recommendations made. Members further noted the up and comingappointment of a lead for Equality & Diversity.The Committee received the Equality & Diversity Report and approved its onwardsubmission to the Board. Members also received a report on the findings of thePage 32 of 156
Board of Directors Meeting, 29 March 2012Agenda Item 6NHS National Staff Survey for 2011, which showed marginal improvement overprevious years.7. Other7.17.1.1Learning Disability Services: Internal MeasuresThe Committee received a presentation from Learning Disability Services, whichdescribed issued raised by the CQC and the implementation of changes takingplace within services to address these.The Committee recognised the challenges described and were assured by theinnovative work being undertaken.7.27.2.17.37.3.17.47.4.17.57.5.1NHS ConstitutionThe Committee noted that the Trust was fully compliant with the NHS Constitutionand that within this full compliance further improvements had been made.Research & Development ReportThe Committee noted the report, and agreed that there was a need for discussionaround the evaluation fund needed to take place amongst the Executive.Medical Registration & RevalidationThe Committee noted that the Trust is on track to meet revalidation requirements formedical staff.Quality, Compliance & the Experience of Using ServicesThe Committee noted:That there have been no reportable breaches in the past twelve months in termsof compliance with the requirements of Eliminating Mixed Sex Accommodation. That Commissioning for Quality and Innovation (CQUIN) targets for 2012 /13had been agreed.That work was underway with Heads of Profession and Practice, modernmatrons and senior managers to improve the reliability of the providercompliance assessment (PCA) checking process.That the CQC Mental Health Act inspectorate have carried out a review ofCommunity Treatment Orders (CTOs) within the Trust.That a quality, safety and effectiveness dashboard has been agreed withcommissioners.8. Recommendations8.1 Members of the Board are asked to receive this report and note its content.Page 33 of 156
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