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Board Paper Cover SheetTitleChief Executive’s Report on Current Issues andActions Taken – December 2012Date 18 th December 2012Sponsoring ExecutiveAuthors’ names & JobtitlesPurpose of the paperRecommendation /Action RequiredMark Hackett, Chief ExecutiveSarah Anderson, Head of Corporate AffairsTo update Trust Board in accordance with StandingFinancial Instructions1. Ratify the Action undertaken by the Chair (para3.1.1).2. Note this report.Related TrustObjectivesObjective 1. Trusted on QualityObjective 2. Delivering for Tax payersObjective 3. Excellence in HealthcareRelated BoardAssurance Framework /Risk Register EntriesFinancial and resourceimplicationsLegal implicationsEquality and DiversityimplicationsPartnership working &public engagementimplicationsN/ANoted where applicable in the report.Noted where applicable in the report.Noted where applicable in the report.Noted where applicable in the report.1
Chief Executive’s Report on Current Issues and Actions Taken – December 20121. Current News1.1 Current news is available on the Trust website at http://www.uhs.nhs.uk/Home.aspx2. Actions from Trust Executive Committee (TEC)2.1 The Trust Executive Committee (TEC) is a formal standing committee of the TrustBoard, which executes actions from the Board and supports the operationalmanagement of the Trust. Business from the November-December 2012 period whichwas not passed onto Board included:2.1.1 Commissioning for Quality and Innovation (CQUIN) 2012/13 QuarterReport – requested Divisional Management Teams to expedite the actionsnoted in the report that are required to deliver year end CQUIN compliance.2.1.2 Hospital at Night Update – agreed in principle the next phase of the Hospitalat Night implementation but requested further work including input fromDivisions on the timings. This will be considered via the budget setting process.2.1.3 Culture and Learning Points from Care Quality Commission (CQC) Visit –noted the need to address behaviours and then culture within the Trust.Requested that Divisions discuss the issue to identify behaviours that they canengage with prior to a workshop in early January.2.1.4 Analysis and Improvement Report from Incidents, Complaints and Claims– noted the themes and issues arising.2.1.5 Workforce Planning Process – approved the new approach and agreed theGovernance framework. Agreed to engage with Divisional workshops for anintegrated approach to workforce planning and development.2.1.6 Adult Congenital Heart Cardiologist Consultant Business Case – approvedin principle and agreed Chair’s action outside of the meeting once requestedinformation provided.2.1.7 Medicine for Older Persons Consultant Business Case – was agreed.2.1.8 Update of the Never Events Framework Policy and Amendments to theNever Events List for 2012/13 – noted the policy and requested Divisionalmanagement Teams to ensure staff are aware of the changes, that guidance toprevent Never Events is adhered to and no Never Events occur.2.1.9 Final Patient Experience Strategy (2012 Refresh) – was approved.2.1.10 Annual Health & Safety Report 2011/12 – was approved.2.1.11 Patient Level Information & Costing System (PLICS) – Service LineReporting Quarter Report – was noted and divisions and care groups wereasked to consider the position for each service line.2.1.12 Consultant Ophthalmologist with Specialist Interest in Medical RetinaBusiness Case (for Ozurdex Service Development – approved in principleand agreed Chair’s action outside of the meeting once requested informationprovided.2.1.13 Hospital at Night Consultant Business Case – was approved.3. Chair’s Actions3.1 The Board has agreed that the Chair may undertake some actions on its behalf. Thefollowing action has been undertaken by the Chair in the period 22 nd November 2012 –12 th December 2012.3.1.1 Single Tender Action for Sacral Nerve Stimulation (10 systems for plannedoperations in December 2012) for Surgery from Medtronic Ltd at a cost of£176,700 inc. vat. Approved by the Chair on 30 th November 2012.2
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UHSFT - Directors’ Actions Summar
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172/12 b) A discussion followed cov
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176/12 b) A discussion followed cov
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UNIVERSITY HOSPITAL SOUTHAMPTON NHS
Page 14 and 15: Worked wtes rose by 105 in November
Page 16 and 17: ) Delivering an in-year financial s
Page 18 and 19: FINANCE REPORTSchedule 1 2012/13 Mo
Page 20 and 21: Schedule 2bINCOME & EXPENDITURE FOR
Page 22 and 23: Schedule 4Central and Divisional Re
Page 24 and 25: Schedule 6DIVISIONAL/HEADQUARTERS P
Page 26 and 27: Schedule 7CIPS BEING WORKED OotalDi
Page 28 and 29: Schedule 8b 2012/13 Month: 8Univers
Page 30 and 31: Schedule 10Finance Risk Indicators:
Page 32 and 33: Annex 2DIVISIONAL/HEADQUARTERS INCO
Page 34 and 35: Annex 4CAPITAL EXPENDITURE 2012/13
Page 36 and 37: Trust Board ReportTITLEFRIENDS AND
Page 38 and 39: 2.3 Other Guidance ReceivedThe DOH
Page 40 and 41: 3.0 Scope of the ProjectThere are 4
Page 42 and 43: 8.0 Project BudgetDoH anticipated a
Page 44 and 45: Roll out to wards/departmentsdevelo
Page 46 and 47: Trust Board PaperTitleQuarterly Pat
Page 48 and 49: 2 SECTION 1: What Patients are Tell
Page 50 and 51: 2.2 Complaints and ConcernsIt is po
Page 52 and 53: Actions in the reporting quarter In
Page 54 and 55: 3.1 Nutrition3.1.1 MUST Screening a
Page 56 and 57: The Clinical accreditation Scheme (
Page 58 and 59: 1 Purpose1.1 The UHS patient qualit
Page 60 and 61: DRAFT UHS Patient Improvement Frame
Page 62 and 63: 2012/13 PIF (For Reference)Appendix
Page 66 and 67: 4. Signing & Sealing4.1 The Seal of
Page 68 and 69: performance target and C-Diff targe
Page 70 and 71: University Hospital Southampton NHS
Page 72 and 73: Appendix 2Exception Reports - Novem
Page 74 and 75: Monthly MeasuresPatient ExperienceH
Page 84 and 85: IM&T Report - Nov 20121. Purpose1.1
Page 86 and 87: 2.2. Information to support patient
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