draft Minutes of the meeting held on 5th September 2008

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There were cost implications which would be picked up within <strong>the</strong> Directorate.Appendix 2 to <strong>the</strong> report gave fur<strong>the</strong>r detail.Sexual Health Integration RWHT and PCTA proposal to restructure <strong>the</strong> management process for sexual health provisionin Wolverhampton was attached as Appendix 3 to <strong>the</strong> report. As part <strong>of</strong> thisproposal <strong>the</strong>re will be a joint arrangement between <strong>the</strong> PCT and acute Trustwith joint appointments covering <strong>the</strong> service. The service would be deliveredthrough a hub and spoke arrangement. This would include a combinedmanagement team accountable to a joint provider board. The proposal hadbeen written by two lead clinicians, Dr. Massey and Dr. Tariq toge<strong>the</strong>r with Dr.S. Kapadia, Acting Clinical Director. The report had also been submitted to<strong>the</strong> PCT for approval.The Divisional Medical Director advised <strong>the</strong> Director <strong>of</strong> Finance andInformation that this was a service development which would amalgamate twoservices. There was no intention to change income streams or capital fundingarrangements.Business Case for a Replacement Consultant in DermatologyThere had been a rise in activity for <strong>the</strong> Directorate which had been managedinternally, including providing additional clinics to meet demand. TheDirectorate wished to appoint a replacement Consultant for Dr. Taylor.Monies will be utilised that are currently available to fund a staff grade and<strong>the</strong>re are 2 PAs being paid extra to 2 locum Consultants in post who arecurrently undertaking some <strong>of</strong> <strong>the</strong> extra activity which is being performed.The Director <strong>of</strong> Service Development advised that <strong>the</strong> <strong>meeting</strong> <strong>of</strong> <strong>the</strong>Contracting and Commissioning Group had been cancelled in August, but areview <strong>meeting</strong> had been <strong>held</strong> with Sandy Ness and David Peak and <strong>the</strong>business case had been supported in principle, but <strong>the</strong> supporting costs to <strong>the</strong>business case needed to be reviewed.Divisional Management ArrangementsDr. Dowson has been appointed as Clinical Director <strong>of</strong> Respiratory Serviceswith effect from 1 st September, 2008.The Division has appointed a new Head Nurse, Zena Young, who will take uppost in October and will join <strong>the</strong> Divisional Management core team.Infection Prevention Renal ServicesThe TMT were advised that <strong>the</strong> Renal Service had been put forward as afinalist in <strong>the</strong> Infection Prevention category for <strong>the</strong> Nursing Times Awards.The outcome would be known on 12 th November, 2008.6
AGREEDi) <strong>the</strong> appointment <strong>of</strong> an additional Consultant Obstetrician &Gynaecologist be approved. The appointment <strong>of</strong> an additionalConsultant with a Specialist Interest in Urogynaecology would besupported on a non-recurring basis until <strong>the</strong> retirement <strong>of</strong> Mr. Cox;ii) <strong>the</strong> appointment <strong>of</strong> 2 wte Locum Consultants for Paediatrics andNeonatal be approved;iii) <strong>the</strong> Business Plan for <strong>the</strong> Integration <strong>of</strong> Sexual Health Services inWolverhampton be supported in principle. Fur<strong>the</strong>r understanding<strong>of</strong> capital and revenue consequences is required;iv)<strong>the</strong> Business Case for a Replacement Consultant in Dermatologybe supported in principle. Supporting costs to <strong>the</strong> Business Caseneeded to be reviewed;v) <strong>the</strong> Divisional Management Arrangements be noted, andvi) <strong>the</strong> success <strong>of</strong> <strong>the</strong> Renal Services team be noted.REPORT OF THE CHIEF OPERATING OFFICER08/85 Performance Reporting and ManagementThe Trust Performance Report for July, 2008 was attached as Appendix A to<strong>the</strong> report. The paper summarises <strong>the</strong> report, setting out <strong>the</strong> Trust “keyindicators” and providing information on those areas where <strong>the</strong>re is asignificant variance from <strong>the</strong> Trust’s plan. The report also shows thoseindicators that Monitor would consider as part <strong>of</strong> <strong>the</strong>ir review <strong>of</strong> <strong>the</strong> Trust’sperformance.Areas <strong>of</strong> concern from <strong>the</strong> report were incidence <strong>of</strong> MRSA and sicknessabsence. Length <strong>of</strong> stay had fallen slightly and work was continuing toimplement capacity management and care pathway changes.“No Wait” ProjectDiscussions were continuing and <strong>the</strong> Director <strong>of</strong> Service Development andChief Operating Officer were members <strong>of</strong> <strong>the</strong> Project Board. The accesstargets <strong>the</strong> Trust was working towards were – Outpatients within 2 weeks,Operations within 4 to 6 weeks and Diagnostics 1 week.Key ProjectsAn update on <strong>the</strong> Key Projects was contained as Appendix B to <strong>the</strong> report. Afur<strong>the</strong>r report would be presented to <strong>the</strong> TMT in 3 months time.I.T. Department VisionThe Chief Operating Officer advised <strong>the</strong> TMT that Chris Wanley, Head <strong>of</strong> IThad produced <strong>the</strong> report which set out his view about <strong>the</strong> issues affecting <strong>the</strong>department and changes that he proposed to make to ensure <strong>the</strong> departmentwas “fit for purpose”.7
Page 1 and 2: AGENDA ITEM: 10aTHE ROYAL WOLVERHAM
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draft Minutes of the meeting held on 5th September 2008

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