PART A AGENDA ITEM 11 - The Princess Alexandra Hospital | NHS ...

Roles and Responsibilities How can GP Commissioners assure themselves about Quality &Safety? National Quality Board County Council relationship Governors Role• AS referred to the ‘from the bottom up’ approach which included the Boardowning the responsibilities and remaining focused and consistent. Hisexperience of Board members not having the confidence to go out intoclinical areas, avoiding jargon and communicating with all levels of staff andpatients was another lesson to be learned. The Board to Ward ‘Essence ofCare’ themed walkabouts are hoped to provide a good vehicle to allow TBmembers to interact in this manner.• AS also talked about prioritising and focusing on the real issues. Tunnelvision towards achieving a positive financial outcome had been a costlymistake.• Staff/patients that raise concerns (not necessarily in a whistle-blowing mode)should be congratulated and encouraged. The pressure group, Cure theNHS, raised all of the issues but was seen as an enemy of the Board and notas a constructive, critical friend.• YB reported that AS had spoken very well about these and other issues andadmitted to still being shell shocked from his experience.• YB suggested that the Board might have further discussions about this andgoing forward build on these issues, possibly using a standard tool.• PK endorsed YB’s remarks and agreed that this should be a work inprogress.• Going forward, external stakeholders are very interested in the Essence ofCare modules and this would give both internal and external assurance.• PK requested a broader update and transparency on the trusts progress inthe public part of Trustboard, i.e. pressure sores, what is the trust doingabout this issue? People will see that we are really being open. Part Bshould be reserved for looking in more detail, including tracking of patientservice lines.• Quantitive data is presented to PS&Q each month and the PS&Q dashboardfollows to the Trustboard.• Next month’s Essence of Care theme is ‘Care Environment’ and will befacilitated by YB and GC on the same day as PS&Q and the results couldthen be incorporated into the format of the meeting, together with the Ed andNED.• Assurance is needed by the Board that the hospital provides good patientcare. The current Board to Ward schedule should include all NEDs.Action• It was agreed that a discussion around this at PS&Q would be helpful and toevaluate in 3 months how the Board to Ward initiative is progressing.• It was agreed that PG would circulate the Essence of Care walkabout Boardto ward schedule to all NEDs and will arrange alternative dates/times,including out of hours, if those listed are inconvenient.31/03/07 Ombudsman report and care of older people – David Nicholson letter toTrusts• CB had presented the report to PS&Q and YB apologised for the letterreferred to from Mavis Nicholson not being included in the papers.• CB had reviewed a sample of 18 complaints received over a 3 month spanand found similar themes within those complaints.• The Essence of Care themes address the issues raised within the review4